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Home My WebLink AboutBLD99-1008 Final Carport - BLD Permit / Conditions - 10/28/1999 PERMIT NO.: BLD t-i 0 ` MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner ,;, ,� °f r'/r" �: r„ Free is r' Contractor Name 1T,> e_J Mailing Address `;'Or=, t uGlrs_r ,. T Mailing Address City y 4, 1, 4 L, State'l,& Zip Code = ,T City State Zip Code Phone( "� ` " ther Ph.( --- ) — Ph.( Other Ph.(� Lien/Title Holder, urW,!% }W t )cal~T ric_. Contractor Reg. # Address ' Ur la/ (��j ✓ i Expiration Y/1 w '4F SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect tolteC er System Name of Sewer System Well Water System Name of Water System ..4 PARCEL INFORMATION-12 digit Tax Parcel No. 2 0 2? / / c Fire Distric Le al Description '' r<'{ e Address(Please include stfeet name, treet number and city) ,zl 5- - r It '°t ' G% L-% y Directions to site l f' •'. I L1vi_�t�ti' c� `�^✓ s �ltcs 1i Will timber be cut and sold in parcel prephratio�n? (Yes/No) f V � Is your property within 200' of the following: Body of Water (Name) Saltwater ,/i Lake /is ) Rive r/Creek__ y., Pond Wetland P':., Seasonal Runoff Stream Slopes or Bluffs L`} TYPE OF JOB New_;_Add Alt Repair Other Use of Building Describe Work v^: :1" ��"r� I P, !` No. of Bedrooms No. of Bathrooms SQUARE F06TAGE-"1st Floor 2nd Ffoor 3rd Floor Loft Basement Deck Other ,ra; l ti ;' sq. ft. GaraLe Attached Detached Carport Attached Detached_ I MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. i X I�,�� , �, ,� Date s' -' / X Date FOR OFFICIAL USE BEYOND THIS POINT{, f Accepted by i ; -i �. Date "L-'L ubmittal Amount Due i `I Receipt No. i DEl?ARTMIENTA REVI' VV APPROVED:.: ;DENIED CONDITION CODE$ i Building Department Occ Group Type Constr. Planning Department t Environmental Health Department I Public Works Department I Fire Marshal Valuation $ FEES Building Permit Fee {:._ _� � sM; Site Inspection Plan Review Fee ( `+ UFC Plan Review Fee j Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Others V Wood/Gas/Pellet Stove Fee Other i Violation Fee Pre-Paid at Submittal ( ) ........................... :x >::r<:::> :;<> ::»:»w: :» :> :;ri•:>:«:<: ::>>:»>::»::><::»::;:»»:::: TOTAL FEES I PERMIT NO.: BLD V MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION . CONTRACTOR INFORMATION � i Owner Contractor Name �'�.�� ,� 1 "�' ¢'/t'�+.- ,I � 'r`�:� a` , { . �Ir•��+�f,cs��►,,.R Mailing Address , , t,r r� %s "`' Mailing Address City jx L State Zip Code �.'i' ..j City State Zip Code Phone( .' r 5 "Other Ph.( Ph.( Other Ph.( Lien/Title Holder.,l I,',a ,htgr- �-rr Contractor Reg. # Address j-ri A *• " ' Expiration �,'ti, y.. �i. I�, �..i, r 5. 1. �•� +;t r � �J�" - SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to V6r System Name of Sewer System Well Water System Name of Water System . > 777, ""r•� PARCEL INFORMATION-12 digit Tax Parcel No. ) _4 / 6: / r �` Fire District 7_ Legal Description , �.. vc, a r.. Site Address(Please include street name,,street number and city) 'j ,, k; < .r - Directions to site 1.a ,:+.. `.ru.l �..: 1&.l aL✓ -,f�? �:t i,.ij r�\r-.'t.l .: .�.. t..!<}"1�.,�"J t....,f Will timber be cut and sold in parcel preparation? (Yes/No) V J' Is your property within 200' pf the following: Body of Water (Name) ,V u Saltwater Lake 'tv1 v River/Creek�'U : Pond l Wetland i'«' .; Seasonal Runoff tt.'c. Stream Slopes or Bluffs- TYPE OF JOB New " Add Alt Repair Other Use of Building �.. Describe Work No. of Bedrooms V No. of Bathrooms SQUARE FOOTAGE-�Ist'Floor 2nd Floor 3rd Floor Loft Basement Deck Other ,> , -•ca_ _j ' r; 5' 4- sq. ft. _ Garage Attached Detached Carport r' Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. ` :.�.✓•'1.Zlike'' J, �L.,r2•"'�.... Date e� ��/� ` f r X Date FOR OFFICIAL USE BEYOND THIS POINT, Accepted by' "I ` <'1., Date , < t ubmittal Amount Due ',y { ; �' Receipt No. 11r DEPARTMENTAL~ REVIX APPROVED DENIED CONDITION CODES Building Department t —• -- Occ Group Typ e Constr. Planning Department Environmental Health Department Public Works Department i Fire Marshal Valuation $ FI~E. g Site Inspection Building Permit Fee �..-�' �' ��!�� Plan Review Fee i�. .� ;1 UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal .:?::.:.......... � ........: ::»: TOTAL FEES PERMIT NO.: BLD MASON COUNTY I '1 4 BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owners Contractor Name Mailing Address f F r Mailing Address City State 4_" Zip Code City State Zip Code Phone( ) Other Ph.( — " Ph.( ) Other Ph.0 Lien/Title Holder 4"', Contractor Reg. # Address ` Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect td'Sewer System Name of Sewer System Well Water System Name of Water System r f F t i PARCEL INFORMATION-12 digit Tax Parcel No. / _/ Fire District Legal Description Site Address(Please include street name,street number and city) k Directions to site + r " Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream : Slopes or Bluffs TYPE OF JOB New i Add Alt Repair Other Use of Building Describe Work No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other _ sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X _P. ( t Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date ; Submittal Amount Due Receipt No. i DEF'ARTM!ENTA L. REV W ..APPROVED.. DENlEp CONDITION COPES Building Department + Occ Group Type Constr. Planning Department Environmental Health Department 3 u2,0 Public Works Department I Fire Marshal Valuation $ FEES . Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES ES •�'::: .':::i::':::��:�:`.:$::y:3:::j;:?;:?;:::;::,:is y'^.;:;•.'•};•;. ..:::�•::v;.....r..........:.......:...::.:.......Y.^XL:ist•:v:ti;+.„x,.:}.:•in4:?•:iF.{4iiiii:::.}:{•::^'I.:•i%L•::L+LLvi:L%:.:uiii:;•};•i FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION J Case No._ Name g1 0 n 4, I L . �� A N s PARCEL NUMBER /Z 2 UY :5/ 0?DOS Date 4 SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation t, site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography ,/ Well Location (including adjacent) Drainage Plan 14 5 Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW (Inclt.Lft adjacent properties if on shore ' e w' h' 0 ,JVt,a adjacent property line. adjacent property lined I ,lJh $ 1 E-adjacent property line 06 xx n I NJI.ts e- 1 � I Ll 004 U � � I � �T j t ,r,P'� c.�' ✓ I �v�s.-, Cater-o-r�,ct. S_¢'r 1V 0./c�6� r --- p I adjacent property line-> ' Sk �a�r IC C'T-� ,0?C' <-adjacent property line SAMPLE SITE PLAN �► `� 'm adjacent property line-> 3zo� _ _ Fadjacent property line �I I v so' r�a„e 3�1 SEA&n u/AL. I a ,L J. CaK I c I HOM tr \ Gnatni y I � I Houses I > � PrioPoseD sQpt:e I I 1 , I I VACAn,T c nMA� go I j I o0.oPoSCD SO' � 7 A°.R iCLLLTu.tLAL I I I I Bo'—mot I � I I \ I I I I I L—aLL I I x� /00. I I I 7 I \ adjacent property line-) ; I a~. NA \i E-adjacent ro ert' line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) 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DONE JHC 11/17/99 JHC BLDB130 Planning Review 11/05/99 / / 11/17/99 SITE VISIT MADE TO NOTE SETBACKS AND DONE AHB 11/17/99 AHB STORMWATER IN AREA. AHB BLDB134 RLC Review / / / / 11/17/99 N/A AHB 11/17/99 AHB BLDB135 Addressing 11/04/99 / / 11/05/99 DONE GMM 11/05/99 GMM BLDB138 Planning Pre-Review 11/05/99 / / 11/05/99 DONE MMS 11/05/99 MMS BLDB200 Environmental Health Review 11/04/99 / / 11/05/99 see condition DONE CEB 11/05/99 CEB /Zo q, � � 5 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I E3 lJ i L. [7 I N (3 P E f1 M 1 I- FOR INSPECTIONS CALL 427-9670 BETWEEN Spat AND 8am 427-7262 BLD99-1008 PARCEL : 122O861O3OO5 PLAT : DIV :7 E1 K :? P.DRIIEXp1RAT1ON 1 JOB ADDRESS : 20 E SKYLARK CT ALLYN & V o OWNER : RONALD VEHRS 275-0633 f'1U�-�'�67 CONTRACTOR : CONTRACTORS OF WEST WASHINGTON 427-7931 LEGAL : LAKEWOOD PLAT 1 BIK: 3 LOTS 5,6,7,1,9 0 CLASS OF WORK . . :NEW BEDR : 0 .BATH : 0 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT TYPE OF USE . . . . :ACC STORIES . . . . . . . :O OCCUP . GROUP . . . :U1 BLDG . HE i GHT . . : 0 .Of t PLCK 1 64.84 KM 11114199 1692 TYPE OF CONST . . :5N FIREPLACES . . . . : 0 PONT 1 99.75 KS 11118199 BELFAIR OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 STfE 1 4.50 KS 11118199 BELFAIR DWELL .UNITS . . . . : 0 PARKING SPACES : 0 PLIS 1 38.01 KS 11118199 BELFAIR INSPECTION AREA : 2 SHORELINE? . . . . :N ENCP 1 51.01 KS 11118199 BELFAIR TOTAL: 257.09 VALULATION: 4626 SETBACKS- ----.--------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BO1 LERS/COMP---- MOBILE HOME--- FRONT . . .S 6O .Oft BATH BASINS . . . . . . . 0 : : 0-3 HP . : 0 REAR . . . .N 2O .Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : SIDE( 1 ) .E 5 .8ft SHOWERS . . . . . . . . . . : 0 FURN < 1O0K BTU : 0 15-30 HP . : 0 -MAKE---- SIDE (2 ) .W 89 .Oft WATER HEATERS . . . . : 0 FURN >=1O0K BTU : 0 30-50 HP . : 0 SHRLINE .N 0 .Oft CLOTHES WASHERS . . : 0 FURN FLOOR . . . : 0 50+ HP . : 0 -YEAR_--_--- AREA ---- -- --- -- KITCHEN SINKS . . . . c 0 HEAT PUMP . . . . . . : 0 LOT SI7_E . . . FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0 BUILDING . . . : Osf DRINKING FOUNT . . . : 0 VENT FANS . . . . . , : 0 HOODS . . . . . . . : 0 WIDTH . : 0 BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN :O -.SERIAL#----- DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN :O GAR/CARP :C 36Osf GARB DISPOSALS . . . : 0 <- 10000 cfm . : 0 RELOC/REPAIR ; 0 AT/DT . :? URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : 0 MISC PLM FIXTURES : 0 GAS OUTLETS . : 0 PROJECT DESCRIPTION:CARPORT y PROJECT LOCATION:TAKE HWY 302 E VICTOR CUTOFF fRON HWY 3 TURN INTO BELMOOD ESTATES BE[1OOD LANE THEN LEFT DOWN SKYLARK CT. THIS ►.ERNIT BECOMES NULL ANB V0ID IF WORK 01 CONSTRUCTION AUTHORIZED IS 101 COMMENCED WITHIN 181 DAYS, 01 If CONSTRUCTION OR WORK IS SUSPENBEG FOR A PERIOD OF 181 DAYS AT ANY TINE Af1ER WORK IS CONNENCEO. EVIDENCE OF CONTINUATION Of WORK IS A PROGRESS INSPECTION 1111110 THE 18/ DAY PERIOD, FINAL 11S►ECTION NUS1 BE APPROVED BEFORE BUILDING CAN BE OCCUPIED. OWNER OA A6E11: r2 - Z.. BATE: A of ss • . I Anr T Y /, n r r ':ONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons 1 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 Attic OTHER Groundwork date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by