HomeMy WebLinkAboutBLD12997 Final SFR - BLD Permit / Conditions - 12/9/1982 BUILDING PERMIT, APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED �}
PERMIT NO.
I
OWNER NAME c-I(MAIL ADDRESS CITYd STATE ZIP PHONE
7 S
DIRECTIONS
e 9f
TO JOB SITE el, ' .*" p
LEGAL / 10 SEE ATTACHED S[EET)
DESCR. —a e2- X R -F e
NAM MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE
CONTRACTOR — t" S E 0 77 2 '6ob8
USE OF
BUILDING P
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR 0 MOVE ❑ REMOVE
Describe work: .d
Valuation of work: $ O a PL CH K FEE PER 6E_EffJJ
SPECIAL CONDITIONS:
BEDROOMS Jr DECKS CARPORT ❑ NOTICE
BATHROOMS .Z TOTAL SO. FT. 7 r GARAGE
NO, OF STORIES BASEMENT ').( 969' ATTACHED ❑ 08 AIR ACONDITION CONTE PERMITS DITIONING.
REQUIRED FOR PLUMBING, HEATING, VENTILATING
TOTAL SO. FT.g--a FIREPLACE ❑ -?el DETACHED K THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR.
CONTRACTOR AFFIDAVI "C• IZED IS NOT COMMENCED WITHIN 180DAYS,OR IFCONSTRUCTION ORWORKIS
SUSPENDED OR ABAN DONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I am aware of the
ordinance requirements regulating the work for which FO OFFICE USE ONLY
the permit is issued and all work done will be in
conformance therewith. PERMANENT L SHORELINES 1.
SEASONAL O FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
LiC. NO.
P Date _/ '13'k1 ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. gD
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
LIGATION f�vCf..►TEO'BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date V�' 4L BY�„o
CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. I M.O. CASH
i
MASON COUNTY PLANNING DEPARTMENT
P.O. BOX 186 Shelton,Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT—Complete ALL items. Mark boxes where applicable.
Name Mailing address—Number,street,city,and Slate Zip code Tel.No.
Owner
Si S
z. 51,lellotl 6WCZ 41 F 2 24FS1r 7S
Contractor
60r, g.
The owner of this building and I u deral ed agree to conform to all applicable laws of Mason County and Stale of Washington
Signal ur o pliant Address Application dale
10
E.2 7
LEGAL D CRIPTION
LocationOf
Building SrC w .2z o2
I
NO. PLUMBING FIXTURES FEE
WATER CLOSETS p v
;I, BASINS 4,0 g
BATH TUBS
SHOWERS O
WATER HEATERS p d
AUTO.WASHERS
SINKS (fc 41 d
/ FLOOR DRAINS O Z)
DRINKING FOUNTAINS
LAUNDRY TRAYS (�
Connect to City Sewer
/ DISH WASHER .O O
DISPOSAL
URINAL
f C)
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT el d SKETCH IN SEPTIC TANK a DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit lee Dale pemit issued Permit number Receipt No.
a� DO 9-i3-8a
MASON COUNTY PLANNING DEPARTMENT
P.O. Box 186 • Shelton,Washington 98584
MECHANICAL PERMIT APPLICATION
IMPORTANT-Complete ALL items.Mark boxes where applicable.
1. LEGAL DESCRIPTION
Location S O ! /O'
Of NS N S
Building
E W side OI tool E W from intersection of
Sect. / Twp. 7 7 Range }�
NO. DESCRIPTIONS FEE NO. DESCRIPTIONS I FEE
1. Forced air or gravity type furnace or burner including ducts 14. For the installation or relocation of each boiler or refrigeration I
and vents, up to and including 100,000 Btu's--P.00 5%e0 compressor over 50 horse power or each absorption system over
1,750,000 Btu's--S25.00
2. Over 100,000 Btu'S�5.00
15. For each air handling unit to and including 10,000 cubic feet
3. Installation or relocation of floor furnace and vent, suspended per minute, including ducts attached thereto 3.00
heater, or recessed wall heater�4.00
NOTE: This fee shall not apply to an air andling unit which
4. Installation, relocation, or replacement of each appliance vent is a portion of a factory assembled appliance, cooling
installed, not included in appliance permit-$2.00 unit, evaporative cooler or absorption unit for which
a permit is required elsewhere in this Code.
5. Repair, alteration or addition to each heating appliance, re-
frigeration unit, cooling unit, absorption unit, or evaporative 16. for-each air handling unit over 10,000 cubic feet per minute
cooling system including installation of controls regulated by -45.00 ,
this code-44.00 I
17. For each evaporative cooler other than p6rtable type-53.00
6. Installation or relocation of each boiler or compressor to and -
including 3 horse power--U.00 18. For each ventilation fan connected to a sipgle duel-42.00
7. Dyer 3 horse power to and including 15 horse power-$7.50 19. For each ventilation system which is not a or tion of any heating I�8. Over 15 horse power to and including 30 horse power-$10.00 or air conditioning system authorized by a� permit-$3.00
9. Over 30 horse power to and including 50 horse power-$15.00 20. For the installation of each hood which is sfrved by mechanical
exhaust, including ducts for such hood- 11"
10. Installation or relocation of each absorption system to and
including 100,000 Btu'5-44.00 21. For the installation or relocation of each domestic type in.
11. Over 100,000 Btu's to and including 500,000 Btu's-$7.50 cinerator-$5.00
12. Over 500,000 Btu's to and including I,000,DO0 Btu's Commercial or industrial type m6n ritorsi$20.00
--$10.00
22. For each appliance or piece of equipment) regulated by this
13. Over 1,000,000 Btu's to and including 1,750,000 Btu's Code but not classed in other appliance catagorles, or for which
-$15.00 no other fee is listed in this Code-$3.00
FIELD INSPECTION Blsle Fee :3.00
Date By Remarks TOTAL 7, 00 ,
Name mailing^address - Number.,stree✓et, city,
and State Zip tole Tel. No.
Owner ! 7YC / _J Ce ice. //L/, rl�'S'i2� ,
275,
G S�Sy
Contractor ! C w tS�a
i i 6�s�r
The owner of this buildi nd the undersigned agree to conform to all applicable laws of MASON COUNTY
Signature PPli<a t n Address f„' Application date
a yy
DO NOT WRITE IN THIS SPACE - FOR OFFICE USE
Approved by permit fee Date permit Permit number Receipt No.
_ 00 c1 / issue8a- 0IO
awer.ron ewmrmo CO.
PLOT PLAN
ADDRESS PERMIT NO.
w
a
'o
LEGAL �
DESCRIPTION LOT 3 BLK/,&. S ADDITION
SITE AREA ��,60J SQ.Ft. AREA OF SITE OCCUPIED BY BUILDINGS 1/,90 —Sq.Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' (%RE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) II
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATIOI_M OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE.AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA.
TION A"D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
O INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X I' OR 1"=20'
n
CIL
O
Lu e
7
I/We certify that the proposed construction will conform to the dimensions and ova shown above and that no changes will be made without
first obtaining approval.
tlo n 46A.
N AMEIeI OF OWNE111S1 OF a1TH aTRUCTUREIeI IPRINTI A OF OW lal AUTHORIZED R P ESEN TA TIVE
DO NOT WRITE BELOW TN/S LINE
APPROVED
DISTRICT AS NOTED DATE
SHELTON FRINTINO
I Permit No. 129971yW Recidpnra . o. Floors 11__� Square Footage___�QQa��__�
Owner Floors
75-5154 pate -1713TB2
Abdcess ec Road. Be air Wa —slip 28
Contractor— Shelton Const. Inc_ 275-6088
Address bly 99771 jjjqb Zip _ pg-
plan c �e
Applicant's plot plan app�emv as ry setback requiremarts, .PfIa—ncT
Legal Description: 1-22-2 Ti-act 5 of Govt. Lot 3
Direction to project te: North Shore Road R hind .onn y Shop
Fee t it Marmlt
Wood Stove--Yreplace Deck age m rt
Basement Q(4vft Floor tory
Inspections: ie 130 10 3-15'
ado/ 000so�
II Foundation:
Cc�ac-t Ml Fireplace footing
Forms Anchor bolts
Foundation wall 6 mbar It$ Pier spacing
Basement wall 6 mbar Vents 6 crawl space _
Retaining wall 6 mbar Soil-o.00d clearance
III Framing:
oddng BM
Mers s posts I�(y s id
Joist size 6 grade Sub floor type —
Spann Grade 6 Nailing
Walls
serial Grade
Bracing Exterior Siding —
Ceiling height Nailing
Roof
?proved trusses Hurricane Clips
Rafters Purlings
Cathedral Valley rafters
Beams Sheathing —
Span Flashing
Blocking Weather application "
Nailing —
Fire-stops
WallsS walI Furna
ce ace ducts ❑
Dropped mi b Main electrical box —
Roof Holes plugged ❑
Firred-out walls Others
Stairs
Stair acks
Witt; Tread ,i 4 Hi
Landings rai Handrails
Inspections:
Fl��rnppl�ac--e / —
�tion No. of flues q
Flashing For: jNSE gT—
Soffits 9 —
Soffit Vents
Closed Ridge Vent
Cathedral
Windows 6 Doors
Impact protection Header Span _
Openings
Sill Height Caulking
Attic
an
—artilation q q Access ❑ q —
IV Zle
ants 6 Jacks Pipe Runs ErEl _
Traps N714/s Bathroom Facil. —
Clean outs �ZZ�,vliazdicap Facil.
Hot Water Pressure Valva
Mechanical
t e n Bath Dryer Vent Furnace
Furnace 6 Dicta
Stove Stove vent q
Insulation
Floors n
Ceiling 7 � = Exterior Doors 0 B
V Interior Cover
kiniShed Floors d❑ �� Walls d❑Type -
Decks, Balconies 5 lofts 1ling Li —
[fq — Structural sup. d❑ —
Fire Protection
Doors e 8 Smoke Detector
Firewalls 6 Ceiling Wood Stove —
Final 6 Occupany Approved. Date/ /q� , By:
REKWO S: `�7
T
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