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HomeMy WebLinkAboutBLD95-00461 Cancelled SFR and Carport - BLD Permit / Conditions - 1/18/1999 MASON COUNTY 1 _ Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 E3 tJ 1 I__ D I N 0 P F F-1 nn I T FOR INSPECTIONS CALL, 427-9670 BETWEEN Fzpm AND Bam 427-7262 Bt.D95-0461 PARCEI- z 223 1 1 7600310 PLAT : D I V : BLK : JOB ADDRESS - NE 322 PINE' CAMP RD BF1 FA I R PERMIT OWNER : DOUGLAS DAV IFS 275--5979 NULL S VOID BY EXPIRATION CONTRACTORt LEGAL : TR 33 Of SURVFY d01 4119- 22 1E 322 PINE CAMP RD DATE I.(o BY Imo' CLASS OF WORK . . :NEW BFDR : 3 BATH : 3 ,TYPE AMOUNT BY DATE RECEIPT fiYPF AMOUNT 6'i DA.1E RFGF}P1I TYPE OF USE . . . > t SF STORIES .. . . . . . . : 1 :: Z r �. � :. Z;Q_ �.,�.- �: t•: _ . . OCCUP . GROUP . . t 7 BLDG . HE i GMT . . : 0 .0f t RIC 1 42.10 IS OF113195 0 RADII $ 8.00 IS 06113195 3 TYPE OF CONST . „ z7 FIREPLACES . . . . t 0 PECK S 181.50 IS 06113/95 8 FIRP $ 25.00 IS 06113195 0 OCCUP . LOAD . . . 0 WOODSTOVES . . . . : 0 Pig 1 30.00 IS 06113/95 A SIFE 1 4.50 IS 06113195 0 � DWELL .UNITS . . . . : 0 PARKING SPACES : 0 MCH S 45.11 KS 06113195 0 FHCP 1 It.11 KS 06113195 0 INSPECTION AREAL 1 SHOREI_ INE7 . . . . :N PANT 1 375.10 IS 08113195 4 TOTAtt 127.11 VAtULATION: 7380F1 �• ��.:�:.-=�:��-, -: -�,.,.�...,�,a_:r.,:�.:r�.s.�--.-•tom-...� SETBACKS---------__-_---- TOILETS . . . . . . . . . . : 3 FUEL TYPES- ---_-- -- BOILERS/COMP----- MOBILE HOMF - FRONT . . .N 90 .Oft BA'fH BASINS . . . . . . : 3 : /PP 1 ! 0-3 HP . : 0 REAR . . . .S 90 .Oft BATH TUBS . . . . . . . . : 1 3--1 5 HP . ; 0 MODEL_ t SIDF ( 1 ) .F 5 ,0f-t- SHOWERS . . . . . . . . . . : 3 FURN < 100K BTU t 0 15-30 HP . : 0 --MAKE SIDE (2 ) .W 5 .0ft WATER HEATERS . . . . : 2 FURN >-100K BTU : 0 30-50 HP . : 0 SHRLINE , 0 .Oft CLOTHES WASHERS . . : 1 FURN •- rLOOR . . t 0 5 0+ HP . t 0 YFAR - AREA ------------ ----- KITCHEN SINKS . . . . : 5 HEAT PUMP . . , . . . : 0 LOT SIZE — t FLOOR DRAINS . . . . - t 0 VENT SYSTEMS . . . . 0 FVAP COOLERS t rq L.E NCITH ; 0 .BUILDING . . . . 1536sf DRINKING FOUNT . 0 VENT FANS . . . . a 0 HOODS . , . . . . . . 0 WIDTH . t 0 BASFMENI . . 0!-.f LAUNDRY "TRAYS . . . . t 0 DOMES . INCIN :N --SFAIAt # - DECKS . . . . . . s Osf DISHWASHERS . . . . . . : 1 AIR HANDLING UNITS_ _ COMML . INCIN :O I GAR/CARPtC 312sf GARB DISPOSALS . . . t 0 rz 10000 cfn► ; 0 RF1.00REPAIR : 0 AT/DT . zA URINALS . . . . . . . . . . .. 0 :> 10000 tfm , : 0 OTHER UNITS . : 0 MISC PLM FIXTURES : 0 GAS OUTF FTS . : 0 rexx.r�»:^.-s:v-.a.¢axcs-..:_.:s::.xff�^a:_rr.-.'z.�sr...r�aenarz^r-n.�.scrs<rrrs.�ru-�.?xa-:s^ v�x<m+oss:x.rL..�^�cucs-sn•:n-:�rsnrt•:�+�e.s:-::�:rr_ac.—axa.;•w.;ar.xr.avcau••rrsr-.�otrutvacs:x:+sss.a�zf,.^.-�.�mr�cxs�.0 r...••-=:.zaa�=ir_.n:.:c;:..^cer_a..-r.�::- PROJEGT OFS(RIPTION0.06 HONE ANO CARPORT PROJECT IOCATION.fROM OLD BFtfAIR HAY 60 UP DFWATIO RO FOR 5.5 NItES 10 fLEfF1DAHt PA"S RD. , TURN tFtT GO t.2 MILES TO 51OESWAY, TURN LEFT, GO .38 NItES, PROPERTY ON RIGHT. THIS PERMIT BLCONES Nutt AND MOLD IF NORk OR C01S119010M AUTHORIZED IS NOT COMMENCED WITHIN 180 GAYS, OR if CONSTRUCTION OR WORK IS SUSPENDED FOR A PIRIOD Of 181 DAYS AT ANY TIME AfTE ' (IRK IS COMMFNCf.O. EVIDENCE OF CONTINUATION Of WORM: IS A PROGRESS INSPECTION NITHIN THE 181 DAY PE1106 FINAL INSPECTION MUST RF APPROVED BEFORE RUILDINi; CAN 8E OCCUPIED. OWNER OR AGENIt _ ,G�- DATEt ��- 81.11 PIMI, rov: /3/31191 COMPLIANCE TO ATTACHED COND(/T1 S IS RFOUIRF-D � CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P V R N41 1 -IF C: (73 N D I -T 1 C?N Case No.) . . Ri.D95 0461 For . DOUGLAS DAViES Page : 1 1 ) The use, hand i i rack and storage of hazardous materials or f i ammab i e and oombut t i b 1 e liquids in excess of 10 gallons 1 .9 not allowed without the approval of the Mason County Eire MarAAhol . X Proposed structure or rang port Ion thereof greater than `30" 1n heIght from grade i ine, must ma l nt . 'in a minimum of 5 ' setback from ail property lines , eat,ements and right of ways . 1 X All approved plan-; are required to be un-site for Inspect t on purposes . If inspection Is called for and plans are not on site, Approval WILL NOT be granted . in addition , a Re- I aspect i can fee 1 tot he amount of $30 .00 per hour (in t n i mr.im 1 hour ) w t I I be oharged and must becollected by this department prior to any further inspections being performed or approval (Ir anted . i X 4 ) PURSUANT TO 1991 UNIFORM BUiLD1NG CODE , SECTION 305(C ) AND `FC1ION 513 , ALL SI1Ea MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSiTION AS TO BE PLAiNL_Y VISIBLE AND LEGIBLE FROM THE S1REET OR ROAD FRONTING THE PROPERTY . MASON (1,0UNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR 'TO CALLING FOR ANY SITE INSPECTIONS . A RE i NSPECT I ON FEE BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING I NSPFC'T I ONS . X 5 ) The correction list , along with the Energy Compliance Worksheet (whon applicable) is part of the plans and must: remain attached thereto . It Is the responsibilityy of the app i i cant to make vorve�ct I ons i rid i cated on the plans from the cor'r-ect Ion I I sts . Once the plans are marked APPROVED, they may not be changed or• altered without: authorization from the Bu i l d i ncq official The permit holder, Is repons i b i e to retain the complete approved set of plans can site for the duration of the project . Failure to compply will result in fat turA of required building inspections . Every permit stoat 1 e,xplre Lxy i Imitation and become null and void If the building or work authorized by such permits is not commenced within 180 daVf. from this date tot Issuance or it the bu I I d i ng or work authorized by suc-h permits Is suspended or abandoned at any time after the work Is commenced for a period of MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 d ays . 6 ) Ai_l. CON$TRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UO3 REOU iAItENT. _ X �� 7 ) Placement of structure must comply with `standards set �o� t h per UBC sec . A'907 regarding descending and/or ascending slopes . X,_ 8 ) Proposed structure, or pportions fhe�reof with an pro ject. i can over, :ifs" in height from grtad< line, must maintain a 5 ' separation distance between adjacent structures and that furthest project ion . X 9 ) Changes to approved building plans that effect compliance to the 1991 Washington State Energy Code , 1991 Ventilation and Indoor Air duality Code, the Uniform Building Code and/or Mason County RegulatJ ns must be approved by Mason County prier to constructionX .0010 IT MPCD PAGE 1084 �. r,— 1084 s� Qrop4a, L—ED PC) fkK I004 gam' Lon Pe, -4� 6 462 LIN ------------ �Q I Q r f MASON COUNTY BUILDING NERMIT Permit N �17 ` Date • AddressAld Owner Job Description Foundation Footing Foundation Wall Below Grade/Slab Insulation Plumbing Inspection Mechanical Inspection Frame Inspection LTSGC Insulation Insulation Inspection Wall Board Inspection LTSGC Final Final Inspection Applicant Must Call Issued By 427-7262for Required Inspection POST THIS CARD IN A CONSPICUOUS PLACE AT THE FRONT OF PREMISES. This Building NOT To Be Occupied Until Finaled MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W.Cedar P.O.Box 186 Shelton,Washington 98584 (206)427-9670 BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION S 17 / G,S RE: Permit Number BL ��—oy(�� During a recent plan review for your proposed project, it was determined that the following information needs to be submitted prior to the building permit being processed fo approval: r..Cnn11'ele t�d9r\ 4F) 7S Cl L P '__ -f s!-�ocJ C. (n p uJ V cam.f o lwJ' ''pf d; C: n c- e S (O r t. 3. r`1 ; Me nSi cJer r' e r �ra1 c i i'r-) W . nn �. h`/ r5 4 Le r Once the information has been received by our department, the project will continue to be processed. If you should have any questions, please contact me between the hours of 8:OOam-9:OOam, Monday-Friday at (206) 427-9670 ext 2�. If you can not make contact between those hours, please call and leave a message and I will return your call as soon as possible. Tha You, Building Ins for cc: Property File MASON COUNTY BUILDING DEPARTMENT 1991 WASHINGTON STATE ENERGY CODE AND VENTILATION AND INDOOR AIR QUALITY CODE RESIDENTIAL REQUIREMENTS (NEW CONSTRUCTION, ADDITIONS, & REMODELS) THE PROCESSING OF YOUR APPLICATION CAN BE EXPEDITED IF YOU PROVIDE COMPLETE AND DETAILED INFORMATION. YOU ARE ENCOURAGED TO COMPLY TO THE 1991 WSEC BY UTILIZING THE APPROPRIATE PRESCRIPTIVE PATH FOR YOUR PROJECT. THIS WILL ALSO HELP EXPEDITE MATTERS. THE FOLLOWING INFORMATION MUST BE PROVIDED: 1) A complete window schedule must be submitted with your WSEC compliance information, even if a window schedule is included on your building plans. Note that sliding glass doors (patio), french doors, and any door with 50% or more glass in it is considered a window with the area (sq.ft.) being the entire units rough opening w. dimensions. Any windows in doors (less than 50% of area) must be taken out of the door area and put into the window area on the schedule. This window schedule must minimally show the dimensions of the rough openings of each window, the model (casement, horizontal slider, single hung, awning, picture, etc...), and the units tested U-value. 2) If you are complying to the WSEC by prescriptive path and are using the area weighted averaging method you must include your calculations (worksheet). 3) Indicate type of hot water heater, location of exhaust fans (bathrooms, laundry, kitchen), the location of your whole house fan, and all insulation levels (walls, floors, ceilings, and slab) on our y building plans. 4) Indicate how you will comply with the requirement for introducing fresh air to each habitable room on your building plans (window frame vents, through the wall ports, or an integrated system with your furnace). 5) If your home is 2,000 square feet or less, and using electric resistance heating (excluding heat pumps) a $900.00 "Payment to Owner at Time of Construction" will be issued from your service utility after the final County inspection has passed. Using electric heating or a heat pump in your home??77 You may want to talk to your service utility regarding Long Term Super Good Cents incentives. Call PUD#3 at 4 an t or PU your at vice u49. If you need assistance in showing compliance to the WSEC please ask for the brochure "What You Need to Know to Meet the Energy Code"; call the state energy office at 1-M235-8248;or call and make an appointment with Dan Fitchitt or Debbera Coker of the Mason County Building Department at 427-9670. F 1 MASON COUNTY BUILDING DEPARTMENT 1991 WASHINGTON STATE ENERGY CODE AND VENTILATION AND INDOOR AIR QUALITY CODE OWNER HPC TELEPHONE �S OWNERS MAILING ADDRESS f OA X I q O7 f�h a r t 15 ,;& r COMPLIANCE INFORMATION TYPE OF PROJECT-/NEW RESIDENCE()ADDITION()REMODEL()OTHER AREA (SQ.FT.) 1ST FLOOR _ 2ND FLOOR 5g0 HEATED BASEMENT eel Note: Heated basements must be insulated and finished to meet minimum energy��code requirerlents. TOTAL SQUARE FOOTAGE OF CONDITIONED (HEATED) AREA V _ COMPddANCE METHOD: TWe 6• I? Pnc. ri o�� a ffi r X y//o'/4Z0 ( ) PRESCRIPTIVE PATH — circle option — I H (0 IV V VI VII VIII Glazing percentage . /._�,S 751/ (total glazing area divided by total conditioned area) O COMPONENT PERFORMANCE — Chapter 5 — attach documentation and worksheets ( ) SYSTEMS ANALYSIS — WATTSUN 5.2 — attach documentation and worksheets HEATING SYSTEM: ELECTRIC RESISTANCE ( ) Electric Central Furnace () Electric Wall Heaters () Baseboard Units O Radiant Panels O Other OTHER FUE () Heat Pump Gas Furnace () Oil Furnace () Other () Boiler Sys m (indicate type) Make Model Size AFUE HSPF VENTILATION SYSTEM: () Spot and Whole House xentral Ducted System () Integrated with Furnace () Heat Recovery System (air to air heat exchanger -heat recovery heat pump) GENERAL NOTES: Your building plans should indicate certain compliance measures: framing to be used (standar ', intermediate, advanced); type of vapor barriers being used; location of furnaces, hot water tanks ar�zi other equipment; location of solid fuel burning appliances, fireplaces and their combustion air duct runs; and termination points of exhaust ventilation fans. OWNER'S NAME: 00 WINDOW & DOOR SCHEDULE WINDOWS ;� �� oc-) INCLUDE ALL WINDOWS, SKYLIGHTS, SLIDING GLASS DOORS, FRENCH DOORS AND STORE DOORS. ANY WINDOWS IN DOORS (LESS THAN 50% OF AREA) MUST BE TAKEN OUT OF THE DOOR AREA AND PUT INTO THE WINDOW AREA ON THE SCHEDULE. i BRAND MODEL U-VALUE QUANTITY SIZE TOTAL SQ. FT. 5�3¢ a ksz-610 . v 5 - v y 1-0 gC)g0 yob i � A AOLY i TOTAL WINDOW AREA 4 - DOORS FEBRAND MODEL U-VALUE LOCATION SIZE TOTAL SQ. FT. u C /D - /C' �' ��fi ° � G w�^ '' O TOTAL DOOR AREA L2 2 1991 WASHINGTON STATE ENERGY CODE AND VENTILATIO9 AND INDOOR AIR QUALITY CODE PRFSCRU TIVE PATHS OTHER FUELS (GAS, OIL, HEAT PUMP) HVAce Gt" wall war hr war axe slate Equip. %Floor Glazing Doors VaultBd Above Below Below on GpOptionEt6c. Are U-Vakw U-Value r2da �1g' CaiUng' Grade Grade G Grade Floor G Gade I• Mad. 10% 0.70 0.40 8-30 R-30 R-15 111 15 174-10 R-19 R-10 I I. Mod. 12% 0.65 0.40 R-30 R-30 R-15 R-15 R-to R-19 R-10 III. High 21% 0.75 0 40 R-30 R-30 R-19 R49 -3�f: 4> .�..«.»R 10 R 19 R 10 V law 21X .w,.. s, � ; FfQ:..t.. 1R-1Q ,;µ F3Q< Reference case 0.60 0.40 r?-30 R 30 R 19 R 19 R-10 R-19 R-10 Vt., Mad, 26% 0.50 0.40 R-38 R-30 R-19 Mfg R-10 R-25 R-10 V11.7 Mod. 30% 0.45 0.40 R-30 R-30 R-19 R119 R-10 R-25 R-10 t : ^ L b 'a' aadt option i+ted .For a=rr; .+a p•mod des4n has S Fbon over or-A q«oee ore4a^e itn YUer a'"d IM i.hap m"30,**h all of the *.posd 1e enhb:.v4 sr mndriorhs' ra'4W"twrhas d the 21X giaxrhg option(o,hyhtw). Prooceed n'a't bm o"` c�wrvwoa d a fiat ad option above.rrw ca"v wt�orr,L earvhat d Fi.qv.ad.lab perwrhefer i+eVtation.hap be•.uw Y...w+t rrq!«ia(man hAadvr ed by Chapters 4 or S of t+ie ood.h y oorrhp[arhtr, for et Lowhded u«,and inlaaad acm rd:q to manuf.dvrsla apacr Utions. See section wz`t. 2 Ra'a"^mw%W'aVP6ha*b&N oe.7rps except rahw or' angle pi.l va.'4ed°x Oetiom.hap be 'Add dwhos«Advarxwd Framed G ' "�- 7 TM.. appfiob{e to bhwtd' f«.Ihan t/r tie.ton... 3 • This w a newistiwh ca"rt1' pier R-S loam 'rw.d.tia,h P'wtu""--4 t1Pv�rb"Orly le single rafter or pot vaunted oeringa. �a�,«.wht d.not«R t o.h.n 4 8-4..tirade waft she/be_*uWad ad.on the exter r to a minine m"d R- p Ynirtaart iryAC Ewt7rrhwht 10.or on the iro-iw to the tame tevst as aallt above grade. Fxtw;>neutatgn arrr+ency� T1e'rA to./depot«an AFUE of Q 74. r"t"ed On b.korr Vmde web shag be a www n..rwe meteriaf,-, A^C hred for lied d.natae M AFUE of 47l 41igK derhor«an AFUE of 0.a1 is tenon Wd 2 and rr{e{ed aocordvhg to the-a dadhnees.pe.:: samorh t102.2 nricn.. See ELECTRIC RESISTANCE HEAT Glatzing x over wear inN Wad axe Doota Vaultod Above Baow BelowQv�n Artier u-Vakm U Vak» ceW"'e C,;pr,gt Grp «1 Grad* Grp Floor Grade 1. 10% 0.46 0.40 R38 R-30 R-21 II. 12% 0.43 R-21 R-10 R-30 R-10 0-20 R-38 R30 R-19 R119 R-10 R-30 Ill. 12% 0.10 0.40 R-38 R R 10 30 R-21 R-21 R-10 R-30 R 10 V. 18% 0.39 020 R-38 R-30 R-21ZZ8Mg Reference case Vt. 21% 0.36 R-21 R•10 R-30 R-10 V11.7 25X 0 33 020 R-38 -0 R-30 X21 R-21 R-10 R-30 R-10 Vll. 30%25% 0.32 020 R-38 0.20 R-38 R R-19+R-5a R-21 R-10 R-30 R-10 R-30 R-19+R-58 R-21 R-10 R-30 R-/0 t U rap wr,a ye tar a.o/tOpbom a rage to der 00r"iorhad Yom a�d m f chap Oorrpby��&hr S Fbas over o awl gopra Of emPoaed to Mhbiww m y m ClaO�•4 a d w eerie won d t` a Proposed,mmyo �i� ReQh�a Pwi,eWs efh"be a wow ns.fary rww;a(manuladur.d meal the -ft*m^tOt1%tk tad•im( r high �w wfhieh oft m t S for do aba.rq may oaiwi.a aachon.024. aOODfd"`g b~tdaaurw•s epaereatxm". sea 2 naOhwranhanat atyG«to ap oaiin . denesae Adtiwhowd Fr"rrd G eArmg.mosM etrhgie rafter a pier vautlad oe7rhga 7 T)ra eptierw s&W be appiosbie to b gArV 3 A"-set7artt gpfcrbia omit to"V6 tdtr er"Va dl d ftA gs. p ""Ando^""'�e^t's'vt+t+nrrM daneres ii 10-,*A"im,laean pk a R-S form 4 Bek7r grade wale afhapbe the ihtarior toVt he irm.4tad-ow on the mtw-toa mir--"of X 10,a an aams"as we&above grade. Exterior r mason i"ta/ad an bebw grade ova"Olaf be a ware meag"malarial,mama acAred tar ih irMrvded us*.wd irmtapa.d a000rdrhg to the rrwratlaaumea spectim. na. See aaambon db22 �uur- acf, i9G(o a IA)htM gL;L m a to CM C Ln _ J A�MA±, , tea lh 0 a-t 3(, 0 - ,,2 75 -s9- -79 . SEP 3199'5 i MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton,Washington 98584 (360)427-9670 BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION JANUARY 8, 1996 RE: PERMIT # DEAR ON / 1I / THIS OFFICE APPROVED FOR ISSUANCE THE ABOVE PERMIT NUMBER. PURSUANT TO THE UNIFORM BUILDING CODE, SECTION 304, THIS PERMIT, ONCE APPROVED FOR ISSUANCE, MUST BE ISSUED WITHIN 180 DAYS TO STAY VALID. FAILURE TO PICK UP THE PERMIT WITHIN THE 180 DAY TIME FRAME WILL VOID THE PERMIT AND IT WILL BE NECESSARY FOR YOU TO RE-APPLY FOR THE PERMIT THUS, MEETING ALL NEW REVIEW REQUIREMENTS. FURTHER, THE UNIFORM BUILDING CODE, SECTION 304 ALLOWS FOR THE COLLECTION OF THE PLAN REVIEW FEE IF A PLAN REVIEW HAS BEEx7 PERFORMED AND THE PERMIT CANCELED. IN THE EVENT THAT YOU NO LONGER REQUIRE THE PERMIT OR CHOOSE TO CANCEL THE PERMIT, THE PLAN REVIEW FEE DUE ON THIS PERMIT IS $ J � _� . (5U • THE CHECK OR MONEY ORDER SHOULD BE MADE PAYABLE TO THE MASON COUNTY TREASURER AND SUBMITTED TO THIS DEPARTMENT FOR PROCESSING. ONCE THE PLAN REVIEW FEE IS PAID, WE WILL RETURN THE PLANS TO YOU AND CANCEL THE PERMIT REQUEST. IF YOU WISH TO OBTAIN YOUR PERMIT NOW, THE AMOUNT DUE FOR YOUR BUILDING PERMIT IS $ � Z - - . ONCE RECEIVED, WE WILL ISSUE THE PERMIT, EITHER IN THE OFFICE OR WE CAN PROCESS THE ISSUANCE THROUGH THE MAIL. THE PERMIT WILL REMAIN VALID FOR A PERIOD OF 180 DAYS . AT THE END OF THIS 180 DAYS, AN INSPECTION WILL• BE REQUIRED OR A ONE-TIME ONLY EXTENSION CAN BE GRANTED THROUGH LETTER REQUEST HOWEVER, ALL FUTURE EXTENSIONS MUST BE GRANTED BY PROGRESS INSPECTIONS . PLEASE RESPOND TO THIS NOTIFICATION PRIOR TO JANUARY 22, 1996 . SINCERELY, KATHLEEN SOINE BUILDING DEPARTMENT (306-427 -9670) EX 354 Page No. 1 CASE HISTORY FOR CASE NO.: BLD95-0461 DOUGLAS DAVIES NE322 PINE CAMP RD BELFAIR 01/02/96 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA010 Application received / / / / 04/05/95 04/05/95 KW BLDA100 Approved For Issuance / / / / 06/12/95 DONE KS 06/12/95 KS 05/11/95 06/08/95 see notes under structural review. DONE LW 06/12/95 LAW B (F) Issue building permit / / / / 06/13/95 DONE KS 06/13/95 KS BLDA900 Telephone call / / / / 04/25/95 told person on phone calling for permit DONE WLC 04/25/95 RDL status told him that if building a Log cabin must be stamped by a structural engineer lisenced by washington state. BLDB110 Structural Plan Review 04/14/95 / / 06/08/95 waiting for engineering on Log style DONE LW 06/12/95 LAW const. 5/4/95 returned to structual psd. ONE SET TURNED IN AND ADDED TO THE FILE. OTHER SET WILL BE TURNED IN ON TUES. 5/16/95 A LETTER WAS SENT OUT ON 5/17/95 REQUESTING MISSING INFORMATION: 1. ONLY ONE SET OF PLANS SUBMITTED, 2 SETS REQUIRED. 2. THE APPLICATION SHOWS A LPG, GAS FURNACE BUT THE PLANS DO NOT SHOW ITS LOCATION, ALSO WHAT OTHER APPLIANCES ARE GAS. 3. NO DIMENSIONS WERE WRITTEN ON THE TOPOGRAPHY DRAWINGS. 4. WHY IS THERE A LAUNDRY AREA IN THE GARAGE AND IN THE HOUSE. BLDB120 WSEC Compliance Review 05/17/95 / / 05/19/95 gas heat, no backup. DONE TDH 05/19/95 TDH BLDB130 Planning Review 04/06/95 / / 04/14/95 DONE MMS 04/14/95 MMS BLDB134 RLC Checklist Review / / / / 04/13/95 DONE HRF 04/13/95 TMJ BLDB135 Addressing / / / / 04/07/95 DONE GMM 04/07/95 GMM BLDB200 Environmental Health Review 04/05/95 / / 04/06/95 need design. psd HOLD PSD 04/06/95 PSD BLDB200 Environmental Health Review 04/05/95 / / 04/05/95 DONE JGD 05/18/95 PSD BLDB210 Water Adequacy 04/05/95 / / 04/06/95 need application. psd HOLD PSD 06/12/95 LAW BLDB210 Water Adequacy 05/04/95 / / 05/04/95 return to structuaral when done. HOLD PSD 06/12/95 LAW They are proposing to share a well with a neighbor. This is a community well and needs to be apporved. They need to contact CAJ. psd SENT BACK TO W.A. ON 6/12/95 LW. BLDB210 Water Adequacy 06/12/95 / / 06/12/95 water system design approved DONE CAJ 06/12/95 CAJ oil -S 1 ' jo ' -� 2 p42r► y lc s aow�- * Permit No. ?21JG 6�-64(.a J MASON COUNTY BUILDING PERMIT APPLICATION &10 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628�Vp PLEASE PRINT #1 F r �VI e S Phone# ( Z6O ) 275- .>172( 04:eAddredss AJA �22 Pin!e. t�AA1� k''J • Fire District# Zy �_ja:Lt=Ri/'Z St WA. Zip 96'SZA Directions to Job Site F1'i. Ol D E�r/�Q W �, t Tv L E f ll Lx0 • 2 /u 1 LAs s gAi LeQ, Ac, �3c9 Owner Mailing Address F0 City a,6Lt=A;►2 St WA. ZipJ� zp' Lien/Title Holder A11A ,d T- 14 b 7'1 ME Address City St Zip #2 Contractor Name /h r- ✓e_") 11 SF Lj� UPle U OVA)&e Contractor Reg # 66/O 76 S// . Address Ne 493 7 iL%Miss.,o;,, 21 Expiration Date 9'.s City 33C L,%A i 2 St U)/4 , Zip r.261 Phone# 275 SS97`f #3 If septic is located on project site, include records. �►� �'�°cuss Connect to Septic? ublic Water Supply Well //u t3Q°dess Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 Parcel No. 2 Z3 I f -�-©� CD egal Description vc� ! ✓J o<S �3 o #5 Building Square Footage: (existing/proposed) S�i3 1 st FI 1 13d / 2nd FI / 3rd FI / Loft Ba ement / Deck / #bgidrooms #bathrooms / Cirse Attache Qetached. Other sq. ft. / #6 Use of building _ / Describe work L'JN!5T�c/ kD Q moo/t7 e /�a u� 0"( QLI J.'a 9CVt,Ne c. i,1 L L S e/ZucC�S #7 Type of Job: New ✓ Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION R ECHWE Model Year Make Model ]D Length Width Serial No. APR 0 4 1995 # Bedrooms # Bathrooms Type of Heat Purchase Price$ GENERAL SERVICES #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Indicate Directional b N, S, E, W Name of Flanking Street y Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW a /;55 \ W 9 Cl- �. 0 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW A Plumbing Fixtures ($3 each Fee Mechanical Fixtures ($6 each No. Toilets CIRCLE FUEL TYPE: Gas Electric, 'j Bath Basins Heatpump, Other Bath Tubs No. Units P�o � Fees 3 Showers Furn `7y,41k) BTU 2 Hot Water Htr _ Heatpumps Laundry Washer Vent Systems i Sinks _ Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins HP 1 Dishwasher No. Air Handling Units _Disposal cfm# _Urinals No. Fire Protection Systems _Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $ NQ Other Gas Outlets (2ac) IA)e W od, s, Pelle Stove t NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. X OWNER <`� X BY DATE ti ' �� DATE IIFOR OFFICIAL USE ONLY: Accepted by: Date: ' 7 � DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: S' rnw►i►v»nM SC' �UcYIS mms 4/14 Environmental Health: Building Plan Review S d eel Occupancy Group: (Z' 3 Type of Const: V✓1 Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other ther Building Ma on: TO-IIL EE