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Home My WebLink AboutBLD92-00119 Final SFR - BLD Permit / Conditions - 10/27/1992 MASON COUNTY �\ Mason County Bldg. III 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 1Afit)Y€1 Utt,''tMh 44S (�tl,, �F ! t":tit WI1_t [AN ttKON, tiMfalli'I illt IN1i1 i fit it t o i t a t k 4";f + { ;t �`, f# ! !fi){•.i�. ivit_.) 141 tf1 1:+,lt�i{ � iltt'� ::kt#t{j{i [,l l,r'.!1 !#1i111'i i ? ;1`4 a�ntAi B`i iiA1t t<(+(1i1� 1 r i . #1 I 1' ( • 1 ', ! 1){! 1 ! , _.:.._ _ - _, ...c .m; .. .a�rmvar+crr.dm..cerr;��+w�mt+Fsnt7�. u.z. . tit i t fit t i 1 {'Fii<t i iii; i pi: :.i SM#.ii t l Nfa +af 1 t i ., ' {I_ t .v t� � . �trfua �I+#1A' ;•t, `b t'rf111x1f1+N � y� i;f+ 1 I t i:' f,t*y, (�f►fj i i i— 11t1} I I: i ,�. Y� kj j 3 1i+•4 i 1 i lft;', t 11i i5 (+}T7I I i 01 i. �iitILi f 1il t.ltf'=Ili 1; 1 1 t#rtN i i I#ftl G iy f ill &'i r t f 1� { +t ; l 1- fftii i## rtftd i fJf,�: i tJ+ I.ti 11 1 ii 4l {tflHl I 1i! + �1 . i if i ':Y11.-1tj' t1t ; (� i €; ►{ i(dU1 1 iJf, t,lf�41 i 1 S l+#f ii ,�`ii f # t,t•ifit� lf ( �4if ,,ltii 100�y14 , lftf 41 li 1 ftf i;1 lr+ 1 #. 6',f ;;. f {: i i-11 I i'dlti '+ G� ;,i,3',,}6+ a i try �i #'t I iil i- i.li� 1 I '• try ('l l �,� i'! At t .�. f [11� f '. c� f„i fits t 1 t # •. �, tPQ,t1,r 1 pt .r-1�ii # l�•fA:kd51p[Nt( R81 RCI I. Alt!fp4 ,' 'if 1ANNYa laiz.titiH F1i (114011N tAtf.1 1N1 , pfk,AI { tiI iiiii'. $Ili1 ANN 14+119 11 tlitki it ftiN>1ft11- i100 Ait14 91.'1N 1t: 0±11 ! it-40,f0 i� uiIN1 - !:,n (,:,,'. sf} I Iilit l Ili ll»P !#i' tiff Pp t#:i'ik(+#tp trtk �1 Ylhttf(� pi 189 101i Al W HC AMR Ntt*f I'• !0mA(N+il: 1 't;11101,1 41 10NIJORA11110. .it tdult 1. 11to: i —,Hi ; f!fh ill ;Hill tiff 11-; lit) I'Millf . ilMti 101411It"# illi;i rf APPPAV(if RiIO$J f#lfiltifliptM Rf At IIit tr 9 1•A 0 k ti b t tt 1 K1t+_tkNi , 1p,,. l;tJMPI IAN(.'I' (0 AI JA 'Nt40 (.11.001011ION', I ': Itt.Q11IHE1) Q4 r� CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons irate -/--5;�2 by Gas Piping date b Foundation Wall,", w.s?E%;d DY date by Set Up date (-j-y , by 'L INSULATION date by G►'SLAB Insulation Final Floors rate by date by date by FRAMING Walls FIRE DEPT. date-9/t by g� date by PLUMBING date —� by Attic OTHER Groundwork date b date-, b WALLBOARD NAILING Y D.W.V. 9 7 r i date vl� by� 1 k date/�; "_ '? ,fix,. -by Water Li FINAL INSPECTIO date by date 2 7,_9,� by J� date by v J 1 I I CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date 6-i—yz by Gas Piping date b Foundation Walls sT,rs /� date by Set Up date - z by INSULATION date by c3G.'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 by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by T MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I - ------------ I WWE ATH,IINGTON Attachment B RGV Building Record WSEO Contract# 9 - CODE PROGRAM CLASSIFICATION (please check one) (please check one) ❑New Building ❑Addition over 500 sq. ft. `Q Single Family ❑ Duplex , Jurisdiction: VIA-,,QKI ❑ Multifamily ❑Zero Lot Line Home ❑Planned Unit Development please check one: ❑ City County Permit# 9a2 O i/ 9 _ File ID#(if different from Permit#) me mom A. Site Information B. Owner Information Address 3o 7-hvycY Owner owner at time of construction receives utility payment) City Zip !3 Company Assessor's Property Tax#(or attach legal description): Address ,Ra3/ 9.?00nv 74 City State Zip Servicing Electric Utility PUL) Phone --A S- SSaS Federal ID#or SSN C. If Single Family, Zero Lot Line or D. If Multifamily(R-1) Planned Unit Development Total#of Buildings Total Conditioned Floor Area / Cp sq.ft. Total#of Units Second Duplex Unit sq.ft. Total sq.ft. (optional) NEAT SOURCE A. Primary Space Heat Type B. Back-Up Space Heat Type C. Water Heat Type (check one) (check all that apply) (check one) ❑ Electric Baseboard ❑ None ❑ Electric ❑ Electric Wall Heater Wood ❑ Gas ❑ Electric Furnace ❑ Electric Baseboard ❑ Other (specify below) F�±] Electric Heat Pump ❑ Other(specify below) ❑ Other COMPLIANCE INSPECTIONANFORCEN ENT This building meets the WSEC Compliance Method Date of Permit Application q ❑ Electric ❑ Prescriptive Path Date Building Permit Issued - i- 9 ❑ Other Fuels Component Performance Date of Insulation Inspection G - 3 1 - G requirements of the WSEC. ❑ System Analysis Date of Final Inspection /0 - ,_R `7 - 9-9.1 1 hereby certify that this building or addition has been inspected for the measures required by the 1991 Washington State Energy Code(WSEC), that it is in substantial compliance with the WSEC, and that the WSEC checklist for this building is on file. Si a re of Building Official or Authorized Representative Date Return white copy to: Kathleen Skaar, Washington State Energy Office, 809 Legion Way SE, FA-11, Olympia,WA 98504-1211 WSEO- White Copy Utility/Owner-Canary Copy Jurisdiction-Pink Copy 7-92 BUILDING PERMIT APPLICATION _ MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 _ 427-9670 DATE ISSUED 05 �/, PERMIT NO, L,SeQ J t/y NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER &1,V,5 13c0 h it 7 DIRECTIONS / TO JOB SITE p o' io t' A4 L44-C i PARCEL q LEGA / ,, `' NUMBER 46 IT / DESCR. (/�G�'/elf! �-rYK l��f / NAME _ MAILADDRESS CITY&STATE ZIP PHONE LICENSE NO. CONTRACTOR USE OF ` BUILDING r4/�� Ili-A; '/A / /��5�/��k c: WORK ✓ CLASS OF NEW L/ ADDITION ALTERATION REPAIR MOVE REMOVE _T DESCRIBE WORK ► Q r� �.�f t AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE/ (! SgFt STORIES L SHORELINE Q CONDITIONING. BASEMENT SgFt BEDROOMS PRIMARY RES. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS Sg Ft BATHROOMS _ SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE SgFt ATTACHED Q DETACHED❑ OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT 1 AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT, XOWNER� 1de-i- E �� 2 XBY DATE FOR OFFICE USE ONLY DEPARTMENT YESPPROVEDJO DEPARTMENT YES DEPARTMENT BUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMITCA 6 D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION I ' Ca( 7 SHORELINE --, WOODSTOVE PLUMBING d' 3 Sae S1 l{ nn MECHANICAL -t) al wcl,L � �� Ole. mac Q � 1� ,.� STATE BUILDING FEES-0 AjPPL ATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL // Q �C( BY CASH CK MO 7 - PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY d STATE ZIP_ PHONE OWNER �Atj "' S f�t?hI/7rLf�4 �¢ YS5 DIRECTIONS TO JOB SITE 34) i /fit/ `%A 466/'�i LEGAL +,, DESCR. LC� 1Z a,6c(' +--i I_A e%L / //4C/ . CONTRACTOR NAME S Z MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE 2., WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS FLOOR/SUSPENDED FURNACE 6.00 / BATHTUBS BOILER/COMPRESSOR 6.00 SHOWERS Z- REPAIR/ALTERATION 6.00 WATER HEATERS `L REFRIGERATION COMPRESSOR SYSTEM 6.00 / AUTO.WASHER 2, AIR HANDLING UNITS 7.50 / SINKS z HEAT-PUMPS .6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT 1 2 LAUNDRY TRAYS FIRE SUPPRESSION 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER Z DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL TOTAL SPECIAL CONDITIONS: NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS _._ COMMENCED. OWNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED THE CONTRACT OR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRS O ING APPROVAL�O HE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X 0 W N E i --A DATE L X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION li �RJZD� 1- BY CASH CK MO • •. -D- • " a %' DIRECTIONS TO • SITE - TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE r