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HomeMy WebLinkAboutBLD95-00462 Cancelled Garage - BLD Permit / Conditions - 1/18/1999 MASON COUNTY - Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 BUI I DIN ( , P E:. 1;t M 1 71- FOR INSPECTIONS CALL 427--9670 BETWEEN 5pm AND Sam 427-7262 BE_D95-0462 PARCEL. :223 1 1 7600330 PLAT c D I V : BLK : LOT tfO6 ADDRESS : NE 322 PINI- CAMP AD BF1FAIri PERMIT OWNER : DOUGLAS DAV I FS 275-5979 NULL & VOID BY EXPIRATION CONTRACTOR : LEGAL : TO 33 Of SURVEY YQI 4119-22 1E 322 PIMP. CARP ND DATE =BY l� CLASS OF WORK . , :NEW BEDR : 0 BATH ! 0 TYPE ANOUNT BY DA)E R1 VE IPT 111PE AMOUNT BY DATE RECEIPT TYPE OF USE . . . . .ACC STORIES . . . . . . :0 OCCUP . GR0UP . . . t? BLDG . HEIGHT . . : A .Oft PRNT 1 95.50 KS 06/13195 i TYPE OF CONST . . :? F I REP1 ACES . . . . c 0 PICK t 36.50 KS 06113195 B 0CCL1P . LOAD . . . . : 0 WOODSTOVES . . . . c 0 Sift 1 4.56 KS 06118/95 0 i DWELL .UNITS . . . . : 0 PARKING SPACESt 0 INSPECTION AREA : 1 SHORE L. I NE . . . . :N IOTAI t 136.50 VAI UI AT 10Nt 106N9 SETBACKS---------------- TOILETS . . . . . . . . . . : 0 FUEL. TYPES--- --- ----- BOILERS/COMP----- MOBILE HOME: - _. FRONT . . .N 90 .Ott. RATIi BAS INS . . . . . . . 0 : 0-3 lip . : 0 REAR . . . .S 90 .Oft BATH TUBS . . . . . . . . . 0 3 -15 HP . : 0 MODEL : S 1 DE ( 1 ) .E 5 .Ott SHOWERS — _ — . . 0 FURN K 100K BTU t 0 15--30 HP . ; 0 -MAKE_ S 1 DE (2) .W 5 .Oft WATER IIEATERS . . . . : 0 FURN >-100K BTU : 0 30-50 HP . : 0 SHRLINE . 0 .Ott CLOTHES WASHERS . . . 0 tORN -- FLOOR . . t 0 50+ HP . t A - YEAR---- I, AREA --- _ -- ------ KITCHEN SINKS . . . . t 0 HEAT PUMP . . . . . . : 0 LOT SIZE . : : FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 FVAP COOLERS : 0 IFNGTII < 0 'BUILDING . . . : 06T DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . : . . ; 0 WIDTH . t 0 BASEMENT . . . : Oct 1AUNDRY TRAYS . . . . : 0 DOMES . INCENt0 SERIAL # -- - DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCINtO GAR/CARPcG 884sf GARB DISPOSALS . . . : 0 <— 10000 cfm . c 0 RELOC/REPAIR : 0 AT/DT . :D URINALS . . . . . . . . . . : 0 > 10000 ctm . : 0 OTHER UNITS . : 0 MISC PLM FIXTURES ! 0 GAS OUTLETS . : 0 es:.-.�acr-s.r_�:--<z•.xccra:rz-ssz:=-.�a>vs•c.=-na_s:� e¢a.-�csszs-.arsaes•�xra:rrx��zr.a.�-...u..a�-i.�esanan:.mxazrsvx-�e+s:+t�r auaa-rac>.aan+rxux.-c��z�wem.:uaa:-:-_.v_.-x.:^:--ca:a•�s^...sz:.:r ..txa -�z-_:.: PROJECT DESCNIPTION:GARAGE PROJECT LOCATION:fRON OLD ISF1FAIR NNY GO UP DEWAITO RD FOR 5.5 MILFS TO IItfENDAHL PASS ED., TURN IEf1 GO I'? lilt',• TO SIDESWAY, TURN Iffy, G6 .`t9 Nlwr' PROPERTY ON 1116111. THIS PFRNIT BECONES NUII AND VOID 1F WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WIIHIN 160 DAYS, OR IF 0111STRUC1i0N Ok WORK IS SUSPENDED FOR A PFkI00 Of 16d DAYS AT ANY TINE AFTER WORK IS CONNENCEO, EVIDENCE OF CONTINUATION Of WORK IS A PROGRESS INSPECTION WITHIN THE 160 DAY PERIOD. FINAL INSPECTION 111S1 BE APPROVED %FfORE B11119ING CAN BE OCCUPIED. OWNER OR AGE N1: OLD PRMi, rer: ON OLD COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED F Ckt_TE MECHANICAL MOBILE HOME ngs t ck date by Ribbons by Gas Piping date bd on Its 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 C,-I� f I , MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I P P i "7" C: C3 N 0 1 "T- 1 C:I`N E Case No . : BLD95-0462 Fora DOUGLAS DAVIES Page : 1 1 ) Owner/ builder assumes all responsibi I ity if drainfieid area Ir: ! �! encumbered . r X c The use, handling and stor•acle of hazardous materials or flammable and combust i b l e liquids In excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal . X Proposed structure or any portion thereof greater than 30" in height from grade tine , must maintain a mirlmum of 5 ' setback from all property lines , easements and right of ways , �4fh All approved plans are required to be on- site for inspection purposes . If inspection Is called for and plans are not on site Appproval WILL. NOT be granted . In addition , a Re- inspection fee In the amount of SA0 .00 per, hour (minimum 1 ho►►r ) will be charged and must be collected by this departmet►t prior to any further Inspections being performed or approval granted . <i PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECTION 513 , ALI. SITES MUST i HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBL.F FROM THE ST14FUT OR ROAD FRONTING "rHE PROPERTY . MASON COUNTY BUILDING ! DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A RE I NSPECT I ON F k E BASED ON RATES IN TABLE 3A OF 1 HF 1 991 tIN I FORM RU I I.O I NG CODE W I I. I HE ASSESSED IF OWNFA/CONTRACTQP FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . X_ I The oorreotIon Iist , aIong with the i:nergV Comp Iiance Workst+eet (when apppII cab 10) i s part of the plans rind must remain attached thereto . It is the responsWIl ty of the applicant to make corrections Indicated on the plans from the oorrention lists . Once the vlatis are marked APPROVED, they may not be changed or altered without authorization from the- Building Official. "The permit holder is reponsible to retain the compiRte approved MASON COUNTY Mason County Bldg. III 426 W. Cedar fP.O. Box 186 Shelton, Washington 98584 e plans on Site Tor the duration of the project Failure to coin p ly will result in failure of required huilding inspections . Every permit shall expire by limitation and become null and void If the building or work authorized by such permits is not commenced within '1 H0 ► a,.Vs from the bate of issuance or If the btr i I d i nq or work authorized by such permits is suspended or abanooned at any time after the work is commenced for a period of 180 days . No Occupancy . This structure is limited to M-1 use only . Any other use will be in violation of the Uniform Bu i I d i nq Code arid Mason Cqunty Regu 1 at i can unless a "Change of Use" pertu l t I s approved . X. r %___::�-,,,__;— .- _--_--- -. RA 7A ALL CONSrRUCTION 'MUST MEET OR FXCErn All- LOCAL CODES AND IiBC REAUIRFMFNTS 00 Placement of structure must comply with standards setforth peer UBC sec . 2907 regard i ►rq descending and/or ascending slopes . X 14) Proposed structure or, pportions thereof with an projection over 30" In height from pi-ade line, must maintain a 5 ' separation distance between adjacent structures and that f►irthest pro lec;t i (in . X_.�____ - t ) Changes to approved building plans that effect compliance to the 1991 Washington State , Fnergy Code , 1991 Ventilation and Indoor Air Quality Code, the Uniform Building Code and/or Mason County Regulations roust be approved by Mason County prior to cunstruc,t ionXW�___. WPCD PAGE 1084 �. t^�'"'r 1084 • Ara: '=_d ro �" ' ( t �ccv Q S Pe,Y ro tf,5Lbgs-04(a ! ii � � - tea► 4 c q #co , Q � `. t ' f � o " c 4 I i r GLAZING Plan Reviewer-Fill out this glazing section or attach a window schedule to this checklist Jmpector- Verify window information during field inspections. Include skylights, glass doors and all other glazing on this form. Use rough opening area for calculations. Date Size uantity Area S . Ft. U-Value Manufacturer Rev. Insp. 04u(oq j° I o ZC� 3b o °I o S-O I 7A 5Le50 le 3� Total glazing area: c� Total conditioned area: Percentage glazing. I"i Verified: DOORS Plan Reviewer-List opaque doors by type(solid core,insulated,eta)quantity,U-value,and manufacturer. IMIrector- Verify door information during field inspection. Date Type/Quantity U-Value Manufacturer Rev. Insp. Signature of Building Inspector: Date of Final Inspection: Date Checklist Prepared — MASON COUNTY BUILDING DEPARTMENT PLAN REVIEWER AND INSPECTOR CHECKLIST 1991 WSEC AND V&IAQ CODE COMPLIANCE Permit Number Cq(o Address 1'l� 3 ►U . �Vw Sq. Fi» 1-7 QK Name on Permit Contractor/Phone # Compliance Method: e P_')Prescriptive (Option) ( ) Component ( ) Systems Analysis Lb_ q 4 Y'F_S/0Tt�2_ GCS Date �J FOUNDATION Insp. Rev. ( ) ( ) Slab: R- (Ext.foundation down to frostline/slab bottom;or interior 24"top of slab&horizon(al. Radiant under entire.) ( ) ( ) Below grade exterior wall insulation: R- ( ) ( •)' Crawlspace ventilation: l S(1 ft.NFA/150 sq.ft floor area-cross vented) FRAMING Standard ( ) Intermediate ( ) Advanced ( ) ( ) Woodstoves and/or fireplaces: (6 sq.inches combustion au supply dud with damper direct to firebox.) ( ) (VK Standard air seal: (Bottom plate/subfloor,rim joist/mudsHl,window/door frames,penetrations condition to non-condition.) ( ) ( Attic ventilation (I sq.ft [EA/150 sq.ft ceiling area) Spot exhaust fans: (4"exhaust-ba(h/laundry 50 cfm @.25 WG;kitchen 100 cfm @ 15 WG. Vented out with dampers.) ( ) ( resh air ventilation: Available to all habitable rooms. Installed and operational. (Integrated forced air,windows,wall ports.) ( ) ( Whole house exhaust fan1=1 cfm(Intermittent system manual&auto controls/so"less than or=to 1.5 at.1 WG) S INSULATION ( ) (✓y Attic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,extend 12"above loose fill or 6" above bait insulation) ( ) •(+� Mechanical ventilation ducts R4(Exhaust in uoconditioacd apace&supply in conditioned space.) ( ) ( y Wall insulation(above grade) R- __ (Batts face stapled) P,—(Q C)l'1 ( ) ( ) Wall insulation(below grade-interiorj R_ (Batts face stapled) rJ ( ) (✓� Vapor retarders on walls (Faced batt,or 4 mil poly or perm.paint--circle one) Rim joist(Insulated with vapor retarder-rigid foam and caulked or 4 mil poly) ( ) ( i K Vaulted ceiling insulation R- -30 r_"�'&iq= w d.&1-air apa.) FINAL Floor insulation R- (Substantial contact w/surface,supports less than or-to 24"OC,not blocking vents.) ( ) (✓Y Ventilation System is Operational(spot,wbole house_fresh air to all hbtitable rooms. If integrated system,cer"watiom by installer is required.) ( ) ( 91- HVAC ducts in unconditioned areas R-8(Joints sealed;medically fastened with a minimum of 3 fastetters.) ( ) ( W'� Pipe insulation R-3 Mot and cold lines in unconditioned areas-service or recirc.see Table 5-12). ( ) ( L4""SHW heaters: (NAECA label,separate power or gas strut-off,on.R-10 pad if electric in unconditioned or on.concrete.) ( ) ( Heating system type: - T 1 1Lka � ( ) (LY Radon monitor on site with instructions.No. - Supplied by MCBD Cu*) ( ) ( ) Thermostat: (Heat range 55-75;AC 70-85;both 35-85. Backup beat controls(lockout)preve�simultaneous operatioa of primary system. Solid fuel appls.: (Glass/metal tight-fitting doors;die comb.air source,or 4"dia.dampered,indir.source for existing eocst) ( ) ( (Y Ground cover: (6 mil black polyethylene or approved equal lapped 12"at joints,extending to foundation gall.) ( ) ( Penetrations(All exterior wall and ceiling penetrations sealed to drywall-plumbing,exposed beans,wall recep(Lacles,fats,recessed lights.) / �' ( ) ( L) Ceiling Insulation R- t-!(Insulate&weatherstrip access,baffle to prevent spillover-no cardboard) ( ) ( Vapor retarder paint if a vapor retarder was not installed when insulation was installed. 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 � 17 � G� c Juill 131- Q qS-dYbZ RE: Permit Number $LLRS-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: '' II �} Z �s tie<,;rcS 2. .loLJ 4.0— I�1� n5 f S/-�©cam i s /c�G-�•a,-� c. LJVncf o hems' �' pI; c nc e-S car 3 I`1 o c� M e n�i 6Yl s c J e r L r j r^, 4d nra Cc, UfGW ► rl 5 .` f p y, t� h'_/ r 5 f here_ C.A. I t rNeXr 1 A r n �In��. >>'l '-i- +1,, t n +(tie_ c.S c.rc� 1� I 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 8:00am-9:00am, Monday-Friday at (206) 427-9670 ext . 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. Thank You, rr LJ, Building Ins for SQ.� Cc: Property File Other SYde - Awn 6the-,Y Cp p oa LOCCL tcsn u,nd er hause", or gcss.i bcj� m la Und r� roorn 1.n haksel , Lk�-f�n 60-Y c0Om r2c or r �hC�q,�r o�S �YO j ns-+O -I I ex . 5+ove., kX 1, -a f-e-r h W-fe v, f i r-e,4l C-C6 wi ( 1 be, m pro p cum e. Sw rn kictccded La rc? ro Fm 1 n e- s m not r0 tm . Laard red rbt rn (n hou.sc c)i ll be- Wu-mbe-d Puy Possible, 5-�crag6 room . WINDOW & DOOR SCHEDULE WINDOWS 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. BRAND MODEL U-VALUE QUANTITY SIZE TOTAL SQ. FT. " ° '�i° I l �P1i Q _ 7Z I c T'c VLC {' il° � v �8 P f r t, Ll TOTAL WndDOW AREA DOORS BRAND MODEL U-VALUE LOCATION SIZE TOTAL SQ. FT. l� L- ��7�C i KuAd{r �' o�/' 2 �F 7 '2 y TOTAL DOOR AREA �J� MASON COUNTY BUILDING DEPARTMENT 1991 WASHINGTON STATE ENERGY CODE AND VENTILATION AND INDOOR AIR QUALITY CODE OWNER TELEPHONE COMPLIANCE INFORMATION TYPE OF PROJECT: O NEW RESIDENCE O ADDITION O REMODEL O OTHER AREA(SQ.FT.) 1ST FLOOR 2ND FLOOR__ HEATED BASEMENT Note: Heated basements must be insulated and finished to meet minimum energy code requirements. TOTAL SQUARE FOOTAGE OF CONDITIONED (HEATED) AREA COMPLIANCE METHOD: () PRESCRIPTIVE PATH — circle option— I H III IV V VI VII VIII Glazing percentage (total glazing area divided by total conditioned area) () COMPONENT PERFORMANCE — Chapter 5 — attach documentation and worksheets () SYSTEMS ANALYSIS — WATTSUN 5.2 — attach documentation and worksheets WATER HEATER ( ) Electric water heater () Gas water heater HEATING SYSTEM: ELECTRIC RESISTANCE () Electric Central Furnace () Electric Wall Heaters () Baseboard Units O Radiant Panels O Other OTHER FUELS () Heat Pump with electric furnace ()Heat pump with gas furnace () Gas Furnace () Oil Furnace () Other () Boiler System (indicate type) Make Model Size AFUE HSPF VENTILATION SYSTEM: () Spot and Whole House () Central 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 (standard, intermediate, advanced); type of vapor barriers being used; location of furnaces, hot water tanks and other equipment; location of solid fuel burning appliances, fireplaces and their combustion air duct runs; and termination points of exhaust ventilation fans. 9-9 atgel�3SM u+v{Pa1dJa>x.) -.1.owyt uerp ssq s�'�tn9 W°Igeo!tdk°q Fe4s wogd "I L 'suwp�..ycwcfs s,w.npePiuew Cl Bw.Pi000r P°tlelsw Pue•°sn P°W°W!sl!iol P°Jnl�invew}�ptiew}uetgsw-wlu�°91fe1ts u°!�e1nnH igs�wwd QeK P°Hntwii 9 -wayPuw irc lu°!q-ue�0 P°T��o io seoeds pw )ano voq j S �"t�pelNre�lsvo!i q} °lCu!s ot,lluo Wg­.Idde tu,"nbeH Y 'se"11-P°NRe^!slot-Nej g6us tdw�ro s&.v"o Ode--bob!-N-1 P—APV—W�P^PM.E µ Bq ea--umuauw P—b-d z °O11ela++�°tel�I��eu+'o+oge uo!>doPels!*P s +prow aloeds o4l tewu Wuup 4 sud;wp p�d'P°IWuod lou s worKio '°Pogo R!#P 9 w Y—AwL)Aq sluswoinbw wrsuKmyf•ewe-'oog«P P suplpd�ppo is IN Y9 q t9"qq M-q-1 91 p9os1Bo1 Bwsn ewe U°° °q suo4sl�pl4'PeK!uo!»4 iW eze u P uogrod eM Ar-m 99"-L H—E)Aj 1 osvo oouwapy, 01-a oea OID a sID-a oz'o 017'0 %91 .9*6 .m 01-8 oea spa Apvo9-a oz*o ov"o %9t sc n oI-a vs-8 sea APVo9-8 vVo Is'o %91 .9'9 L'I I auoZ a)ewllo apejo Bu►)taoo anleA-n onleA-n eaiv Joold ssau)lc!4.1 uo ggelS Sloop rpallnRA EBultla'o sjooa BurzolD %BurzeIJ Borg zaBelanV uogdo aouelslsaa oulaag AS Bul)eaH ts)uawatlnbaa annduosatd sawoH Bo-) z-9 alq'sl03sm"PwA-3 -wmpan=iv--Pr°PA%i.woPBruV P3nTv-sop AwLW—m!rbwkL-pjpW—.nb3OVAH--In!W8 &*p"uwq 9•H snp uop"—4AW Pa 6t•8 agawp ywuwnbw uo!Wls4l lei.sRa 8 ssW p%OE P sseue&Izmo pl •• SY'O:ssel p%9z p sswre Bulgy col ursuPcew O5O.sWrgs ewy ssel s0urpllnq q Wq> e9 9scN svogdo dnMgPl e41 L )ZO9 uogws eeg suayoloeds s ienPsyrucu q AsP coos PWP3s4 pus esn D°PueMR sat x>j penpePusw tewlan eq Ile4s Mn"--vd qM p°nnbwd 9 - ... - •awX—ueWoK4-qp—cb&*-sooedsy—s9—swgj 9 7zO9 uapos eeS•auolplpeck Yxcnu Wi q Eurprooa P°Bsis4 pw'esn PepUeH si i"ps ys+e+s'le!IORw lu"—mws eq po I—op" ,rolaq uopellgsul uo!RY�+! 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Iz a ea ssa oz*o oeo %1z In o 1-a oea 0 t-a 13-8 1 z-a oe-a sea oz'o 6e o eioa I. n 01-H Os-a 01-8 61-a 61-8 os-a sea oz'o ov o %sl Al OV8 oea o1-8 tz-a tz-a 09-8 aea OVO ovo raI III I o1-8 os-a 01-8 61-8 61-a os-a ss-a ozo ev0 i°zt u of-a os-a of-a 1z-a Iz-a oe-a se-a ov'o ov o loot I ape.)q ape.10 apezo Molog Mope opejq EBulllaoo onim-n onleA-Il ea,V j(>013 uo 9gels SJool3 �)Xa/IIeM yjUJII8M -AOgV IIeM pallnen Z6ullpz) sloop Bulzelq %BurzelD uoltdo L auoZ aoue)slsaa alz)oa13 Aq BulleaH solauedn000 IeI)uaplsaa io.1/sluowojInbo8 anl)dpasajd MASON COUNTY BUILDING DEPARTIWENT 1991 WASHINGTON STATE ENERGY CODE AND VENTILATION AND INDOOR AIlZ 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 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 your 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. 6) Using electric heat or a heat pump??? If so, you may be eligible for an incentive from from your local utility. For more information contact PUD #3 at 426-0777 or PUD #1 at 877-5249. L- -V'&2�mus No. Bld r5- MASON COUNTY 04(pa - BUILDING PERMIT APPLICATION q� �- 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 O er �Dct�LAs L :_ 4vle s Phone# ( Z60 ) 275= .5979 Ate Address A = �22 P/ge. [?.� m jO �.� • � Fire District# Z ity St 1W4. Zip 9S528 Directions to Job Site �l'1.' OLD 1 v - 2 !�41L'Es As�' Le '3E M dfas , Owner Mailing Address F,U c--Re) /yO`y City Z�Lr-A/►2 St GV/A, Zip �zp Lien/Title Holder 11A- 41: TA 6 1`iM F- Address Clty St Zip e #2 Contractor Name h7" ✓Ic �J()ple U U_)A)&e-• Contractor Reg# 60 16 7o Address Ale 493 Expiration Date041 /.S- �l'S City:R /_r- i 2 St U)14 . Zip ,� Phone# 2 7s S97y #3 If septic is located on project site, include records.,, 1J t oc�asS Connect to Septic? ublic Water Supply Well �>v �QoCess Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 r eI No- gal Description #5 Building Square Footage: (existing/proposed�)// 1st FI / 2 n d FI / 3rd FI / LoftiG�� Ba sementDeck / #bedroom #bathrooms /5 / CiS Attac r . I #6 Use of building L,,/r in) Describe work &106-rIedc7- L� #7 Type of'Job: New ✓ Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION H WE Model Year Make Model 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: 4r River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. "Hold Approval Planning: h im u1►v1 5el bxc K s '(p)1MS 4/I�} Environmental Health: L s A 1 Building Plan Review _��Icy �S ) Occupancy Group: Type of Const: v n 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 ::\V&49a v Al ther 5EBtvj9ding on: TO L EE