HomeMy WebLinkAboutBLD93-0637 Final SFR - BLD Permit / Conditions - 12/9/1993 MASON COUNTY
• Mason County Bldg. 111 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
If., i't m I If I llj< IN •V I (. I I I)N I- A 1 1 4 9 6 0
fit II-:.H I:- N hwpm ANII mam 4 1
it 1 V
H A it We 1, 100 C01 1. IlIll LAKI
0IINf 1, HHUCk PERRY
MM�W till,
fjA( (at I Iss [tit 13 Itt. lot, ?I Is 0"V441 19 #%q-
W-;'-; if I 1 1; lit llfi f;ft l kt jlfPf ANIINN# 87
f I IIAH liftflf;-f I i p f 1111160111f fly 0411
I
Ilk jlf:111W fit-, tit 1 h I ! Jb14 i I f I, 1 4
l"I I I A
if( Itift ii,i
N I 1 0 1 tit, t I till,
111 11 IIN hfi:ll it I I
4 4 01 VAIMINW. 14
A I- it III 1�.; M H 1A I. If 0 Kt.�
It 1 If 1;lif t 14 lit, ti
1�1 Al< if;i I If I Illi" "001- 1
IJA I I I" III I t 1 l litrN kr, lit-
i 'till)
Yt Ak
N, I tilt) I 1"1, f 1`46 1 H 0
Fill I I N fl, N IH 1 1
Ji A:->I MINI y I
fit 'i Ili I I'llk H 14 1 1 Ili J-t I I N I N • 0
V)ii 04" 1 lit /F 1 1111 1 1,
Ilk I Nts I 1 0 lit) 11 1 I 1, IIN I 1 0
I H I I H id fill
of St kip HoO,RF,33flof 110
1.0tAlf011: 16 AM', 00I HWY lit PIMP [All' 1111: IANOVA rill firf. UNEII 00111 01 11110 RMA19 1AH111A R4419 fRAVfI ARAIII 4 H I" I'"llfilli 14H.
ROAD, N►))tfggSEE
to toltINS Im ft;i1vi;
w tat of 0
f,I �
AFI8NfAS Alf y A 403M 1111,W1.103611 H 10 V ig OA f 0 1 1 1 q A
ApitkIM offb9l: 8111I.IIIIIS CAN 61 'ist"APIED
011111il V WNTA bAlt/. AJ
q1 IV r)Op
61A PlIllf , rp-i.. flil' il ;ll C 0 04P 1-1 A M 11-111- 10 Ai 1"ACHt to (A)MI)I I , it 1 (11; , I,$ A)—
� , I
CONCRETE MECHANICAL MOBILE HOME
Footings-.Setback date - ; 13 by Ribbons
date 5-�e— \ by Gas Piping date b
P 9
Foundation Walls date by Set Up
date 3-1-2- by L INSULATION date by
BG/SLAB Insulation Floors Final
date by date 1G i 2-53 by L date by
FRAMING FIRE DEPT.
date � Walls
`�/` �%� by t —J date date by
PLUMBING (0 Z -c13 by �' ") OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date OX - by L J date by
Water Line FINAL INSPECTION
date 6V, £�- -`� by L c..J dateo 6j 12 -�}' y3 by f ...� date by
rk v Al __�C-1- C, �>br noc% 4e) 4--=�cx_� L'�Vx C/N a5c e- OY-)
L~ fit- _
1-1 I oy- t � i C
_--
e__—
hn L2 cf
`� r1 c� � � I j = ►c 1�+ �c� S� �� I 1�c:,� e �..�i 1 �� �-/� � ��1 t l � I
v 4�i
, n
Z ? )412- r ; r - rc, 0I T 1 i- 4QLA
MASON COUNTY
Mason County Bldg. III 426 W, Cedar
` P.O, Box 186 Shelton, Washington 98584
1
f
A
i
yy o�7f�
'd321d 2 o
'brl 9�V� S(i1„o,:>
v
M ,
a
n I Oz _„t
1 � a
Q,��s rld�a 1 n
Zz
tlt,rs ill
clot
-0)Lb i cr^ l..r
rwa 1(\3 d\!A't)
I ''� �jn►na»a.�d
"1h CL3j �� Iss 3
-�.Ge^►s 'CL21 3��Q.t�'► ?�
. W-, N V, l01
� n,3c.ow 3a of
'jWON 91\90W '%NiiS�x3 �I
OO
05
MAY 13 11993
ENE�LC HOMES , INC.
SINCE 1969
BEAVERTON OFFICE May 11, 1993
Mason County Bulding Dept
1111 S.W. 170th 42 6 W Cedar
BEAVERTON,OR 97006-4220
SALES(503)645-3547 Shelton, WA, 98584
CONST(503)645-1156
FAX(503)645-9715
BEND OFFICE Dear Official,
63309 NELS ANDERSON RD.
BEND,OR 97701-5743 Please find enclosed an application for a building permit for
SALES/CONST(503)382-4068 Bruce and Ruth Perry. They grill be building a 1702 sgft house
FAX(503)382-8989
at 100 Collins Lake Dr, Tahuya. It is a variation of our base plan
OLYMPIA OFFICE 112791DH.
2303 93RD AVE. S.W.
OLYMPIA,WA 98512-9156 Please find also enclosed a copy of the WATTSUN report and
SALES(206)352-8571 energyapplication. The Perr s wish to apply for all possible
CONST(206)352-7641 PP y' PP y
FAX(206)943-0701 energy rebates which this home may qualify for WITHOUT
MODIFICATION
BUSINESS CENTER
1111 S.W. 170th Also enclosed are two sets of permit plans, strip map, plot plan,
BEAVERTON, OR 97006-422C-a co of the approved septic permit, and application for
(503) 645-4730 copy PP P PP
cAu (503) 645-9715 determination of water adequacy. There is supposed to be a
letter on file from the community water system.
'Stipl\IIIOM y
If I have forgotten anything, or if your requirements have
changed, please notify me as soon as possible at (206) 352-
7641.
Thank you for your time and consideration of this matter.
Sincerely,
C S
Carol Schmidt
Administrative Assistant
Permit No .HLD--
rAsorr covriT-t
BUILDING PERMIT APPLICATION
PLEASE PRINT
41 Owner3►'UCe-� RKAA-Z Phone#1LL ) 44,- - �Lo
Site Address
City St-A- Zip
Directions to Job ite
Owner Mailin Address
City-4 St lAjA- Zip
Lien/Title golds 'r
Address
CityCDW nn t ( ate` Zip
#2 Contractor Name Contractor Reg# -2 WP
Address Expiration date ZG
city ( �St—UJIZi Phone nl-47
#3 If septic is located on project site, include recor s .
Connect to Septic? Public water Supply Well
(If residential, proof of potable water may be required)
#4 Parcel
Legal Description C CM rr1S Q� fflo M
6r(f � 3/� T!5 -.;,3NJ 22�
#5 Building Square Footage: (existing/proposed)
1st F1_ I 2nd F1 / 3rd F1 Loft /
Basement / Deck / #bedrooms #bathrooms_12__
Garage / Carport / (Circle: Attached or Detached?)
Other sq ft /
#6 Use of buildin /
Describe work--h l)
#7 Type of Job: New V Add Alt Repair Demolition
Woodstove Re-Roof Bulkhead Other
98 MOBILE HOME INFORMATION
Model Year Make Model
Length Width Serial No .
#Bedrooms #Bathrooms Type of Heat
49 Any water on or adjacent to property: saltwater lake
river_ pond_ wetland seasonal rvnoelf
other
Show toll it= on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences _
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed LgWravements Easements
Name oiit Street Scale:
Name of Fronting Street Date:
APPLICANT TO DRAW SITE PLAN BELO
APPLICANT TO DRAW TOPOGRAPHY PROFILE HELOW
. 21 bincr FiXturgs ($2 each) Ffu
No. Toilets Vent Systems X 3 . 00 _
_,Bath Basins Vent Fans X 3 . 00 _
Bath Tubs No. Boilers/Co
mPressors
Showers 0-3 HP
Hot Water Htr —� — -
_- 3-15 HP
Laundry Washer _�_-_3 15-3 0 HP
Sinks . 30-50-HP
Floor Drains 50 + -EP — '-
---- O a
Laundry Basins No. Air Handling Unit
Dishwasher —r� <• 10000 cfm.
Disposal
---- > 10000 c fm.
Urinals other
Other Evap Coolers _
r
< Hoods _
Permit Basic Fee _3 .00 � J —Fire Suppression _
TOTAL PLIIMHING $ Domes . Incin. _
Comml . Incin. _
Reloc/Repair
Mechanical Fi xrlirpg Gas Outlets X 2 . 00
No. Fuel Types
Wo
s �
Furn < 100K BTU 6 • 00 odstove
Other
Furn >- NOOK BTU 6 . 00 —
Furn - Floor 6 . 00 Permit Basic Fee 4 10 . 00
Heat Pumps 6 . 00 - TOTAL MECHANICAL $_
NOTICE: THIS P .ERMIT BECOMESVOID IF ORK OR CONSTRUCTION'
AUTHORIZED IS NOT COMMENCED WITH 180 DAYS, OR IFWCONSTRUCTION OR WORK
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK
IS COMMENCED
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT 1 AM A CURRENTLY REGISTERED CONTRACTOR
CONTRACTORS REGISTRATION LAW RCU 111.27 , AND AM AWARE IN THE STATE OF UASHINGTOM AND I AM AWARE OF THE
OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH
THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
CONFORMANCE THEREWITH. NO CHANGES SMALL BE MADE CONFORMANCE TMEREWITN. NO CHANGES SMALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
OEPARTMENT. OEPARTMENT.
X OWNER X BY
DATE DATE
Return permit to : Department of General Services
426 W. Cedar/P .O. Hox 186, Shelton, PTA 98584 427 -9670/1-800 - 562 -5628
a
FOR OFFICIAL USE ONLY: Accepted by: Date :
II�Jhh� I-1yioi
I II II :voYapnTpn buipT7ngll
II Sh I aa� aaE�S buipT�nBll II I
I II
II I aa� a,&oaspooMll II II
II �� I as I II II
.� TEotuEgoaWll II II
II I 9a3 bu-rc mall II II
x'atO tmTd II II II
it - II
II I aa3 nOTa•eJc;x:Isanul uOTXeToTAII II II
II I aa3 UOTZPTOTAII II II
li _
II
II QP b%I' :IT=aa buTPTTnell II ----�II
Ii - II
II I =Tzoadsuj aaTSll II : su° II
==S33d a << T�TtT2OJ TZToadSll
a:
ze0
• Ts=�4 a 7TA
: dnoaD ADuQdnoop
---------------
urTd -BUTPTTnH
-------------
T�74aH TY�txatauosTatr3
' :buT�Td
IRAoiddy
NON pupD Ap�Y
_ •fit--r---
IZM $SII XDIaAO aoa
A A ",TT A iTNT Tsx T A.T7TAT,r T