HomeMy WebLinkAboutBLD2002-00700 Cancelled Addition - BLD Permit / Conditions - 7/15/2002 ction Line
360)427- 262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Plhone: (360)427(9670,ext7352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton,WA 98584
i
RESIDENTIAL BUILDING PERMIT BLD2002-00700
OWNER: JOHN RIEBLI
CONTRACTOR: LICENSE: EXP: RECEIVED: 6/4/2002
SITE ADDRESS: 7200 E GRAPEVIEW LOOP RD ALLYN ISSUED: 12/30/2002
PARCEL NUMBER: 122294200010 EXPIRES: 6/30/2003
LEGAL DESCRIPTION: TR 1 OF GOVT LOT 5
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
ADDITION HWY 3 TO NORTH END OF GRAPEVIEW LOOP RD, LAST HOME ON LEFT
BEFORE GILLS COVE BRIDGE
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: 1 Type of Constr.: V-N
Type of Use: SF Insp.Area: No. of Bathrooms: 1 Occ. Group: R-3 Lot Size: Deck: 497
Type of Work: ADD Fire Dist.: 3 No.of Stories: 1 Occ. Load: Building:867
Valuation: Building Height: 20 Occ. Status: I f Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: W 30.0 Ft. Shoreline: 64.1 Ft. Water Body: Case Inlet
Rear: E 64.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: N 100.0 Ft. Shoreline Desig.: Urban
Year: Serial No.: Side 2: S 69.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Hosebibs 2 Gas Outlets 1 Plan Check Fee KLW 6/4/2002 $450.29 59471
Laundry Tray 1 Ventilation Fan 2 EH Plan Review CEW 6/11/2002 $35.00 61585
Lavatories 1 Dryer Vent 1 Building State Fee MRG 7/15/2002 $4.50 61585
Showers 1 Building Permit Fee MRG 7/15/2002 $692.75 61585
Water Closets (Toilets) 1 Mechanical Fee MRG 7/15/2002 $32.40 61585
Water Heaters 1 Mechanical Base Fee MRG 7/15/2002 $23.50 61585
Bath Tubs 2 Plumbing Fee MRG 7/15/2002 $56.00 61585
Clothes Washer 1 Plumbing Base Fee MRG 7/15/2002 $20.00 61585
Planning Review Fee TW 7/19/2002 $38.00 61585
Total $1,352.44
BLD2002-00700 Please referto the following pages for conditions of this permit. 1 of 4
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P.uilding Permit # 6 0076X) MASON COUNTY .
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
ORRECTION NOTICE
Job Location 7zcV id
6 �rru2cv��r�, Ln
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items Listed below must be corrected to gain code compliance
Act 04
v /o
oYt &
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection ll
a-OK to Auer 04 t'v pnNiz 6 �ilhYi'1 x-SGe
This is not a completeins
❑ inspection
Department
Date Z d3 Inspector
■ �k :JOT MOOV TH 1 - T A ,� '
ELEVATI❑N 0 ORDINAR YHIGN TER
215 +- .
cuHY
70'-6"
64'-10" ELEVATI❑N
PLOT PLAN APPROVED
17 5' +- J❑H N/B E T H R I E B L I MASON BUILDING INSPECTOR
Well CHANGES SUBJECT TO APPROVAL
o - 69' 110' +- CHANGES
SUBMIT CHANGES FOR APPROVAL'
FF
- - �� PRIOR TO PERFORMING WORK
i Proposed
y Drive
_- _ - _ _ _ _ _ - - Cu �� ��, THESE PLANS MUST BE
ON THE JOB SITE
I-' FOR INSPECTION.
1EXIST, DRIVE 32'-6" � 30'-4"
10) ELEV TI❑N 4'
ELE VIA.TI❑N 4'
200' +
7200 GRAPEVIEW LOOP RD
SCALE 1" = 20'
ti
PERMIT NO.: BLD/GtPL,0b?dD
MASON COUNTY i✓N
BUILDING PERMIT APPLICATION Gj
426 W.Cedar/P.O.Box 186,Shelton,WA 98684
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION,._, CONTRACTOR INFORMATION
Owner Zt^Vin �Lw-;�� ;; GJ1 t Contractor Name Sc\-c
- Mailino Address 7 ar,< r., i;t (-c")t✓ k'cl. Mailing Address
city-Au,, ,, Stated! Zip Code `?.5 t-/ City State Zip Code
Phon ��"�-yciOther Ph.( ) Ph.( Other Ph.( )
Lien/Title Holder i/ins C.IL. to c,1 Contractor Reg. #
Address P,-. Slle 0-n,, t„Jll ?1, 1 Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect o New Septic Existing Septic X Connect to Sewer
System Name of Sewer System 4-
Well Y—Water System Name of
Water-System-
PARCEL INFORMATION-12 di It Tax Parcel No. /« > / IJ Z % C( Fire District
Legal Description TIR I C- {
Site Address(Please include street name, street number and city) -7 OC) E 2 42 e v I e u,2 L-oc.,._ d
Directions to site 14,-,
Will timber be cut and sold in parcel preparation? (Yes/No) N C7
Is your property within 200' of the following: Body of Water (Name) [7"i 1 1 C. c�. Saltwater! _
Lake River/Creek Pond Wetland)( Seasonal Runoff Stream Slopes or
j Bluffs
PERMANENT RESIDENCEO SEASONAL RESIDENCE❑
TYPE OF JOB New Add_ X Alt Repair Other Use of Building Re_,i
Describe Work AZ T ; o�Ar,- b�L,d
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 H INFORMATION- ake odel Model Ye
Length Width Serial No. No. of edrooms of Bathrooms
Type Heat Purchase Price $ °Replacement U ?(Yes/No)
I aller Name Certifica ' n No.
I
i
I NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
i CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENTED.
f PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents thatlthe
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-1 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 ottaining approval.
l X Date X Date
i
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Dat bmittal Amount Due Receipt No.
Nl
DEPARTA�[ENTikI:.`R W API? #� D NIEp C( NDITI I GQl7
Building De rrint /
Occ Group Type Constr.wY` / G
Planning Department
Environmental Health Department
4
Public Works Department
i
Fire Marshal
I
i
Valuation $
I Building Permit Fee Site Inspection
i Plan Review Fee EH Review Fee
Plumbing&Base Fee Planning Review Fee
Mechanical&Base Fee Other
i
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal ( )
i
TOTAL FEES
i
PERMIT NO.:
MASON COUNTY
PLUMBING/MECHANICAL 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 �,>�_ x,� i ^Y�` Contractor Name I
Mailing Address -�,--�,�t.- t= ' _ Mailing Address
City A i'•f. , Lt State Zip Code l City State Zip Code
Phone( /Other Ph.( Other Ph.(
Lien/Title Holder E % ram C - r/ ,-r Contractor Reg. #
i
Address '( Expiration
I
I SEPTIC INFORMATION-Conne to New Septic Existing Septic_ (LConnect to Sewer System Name of
Sewer System C� : �� 4
i
PARCEL INFORMATION-12 digit Tax Parcel No. / d_� 7 (r / `/Z / ncc 1 C> Fire District
Legal Description TZ i -C rnr,,.j I--� 5
j Site Address(Please include street name, street number and city) -72C D «• , f, �-
Directions to site ��
Is your property within 200' of the following: Body of Water(Nam Saltwater X
Lake River/Cr6ek Pond Wetland X Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building
Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fu I Type, Elects'
Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpu.mp Q Z
Toilets —� Type of Unit No. of Units Fees
Bath Basins Furnace
Bath Tubs 17 Heatpumps
j Showers I Vent Fans
j Water Heater f Propane Tank
Laundry Wsher I Gas Outlets
Sinks / Wood/Gas/Pellet Stove
Dishwasher Direct Vent?,
Other Other
� N Other Other
Base Fee Base Fee
{ TOTAL PLUMBING TOTAL MECHANICAL
I
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS pR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FORA 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
j 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 Date X Date
I
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
I
.:;:<::.:::.:::.::.::.::..; :.;: :.:.;:a : : rt €r D s ..................::::::::::::::::::.
` ...............> PAI .
Building Department
Occ Grou Type Constr.
Planning Department
k� Other
I,
Other
I
t
i Permit Fee Site Inspection
I Plan Review Fee UFC Plan Review Fee
i
Plumbing&Base Fee Other
E
Mechanical&Base Fee Other
` Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( )
i
Violation Fee TOTAL FEES
I
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MASON COUNTY
RECEIVED
DEPARTMENT OF HEALTH SERVICES JUL 0 3 2002
Environmental Health Personal Health
- �A
PO BOX 1666 SHELTON,WA 98584
LOCAL(360)427-9670
BELFAIR(360)275-4467&4468
Application for Determination of Adequacy
Instructions
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q............:i'a :...Nc �ltaterYtnation: .7 ,trade.unttf.P I.. .. 1. . .
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PART 1: Applicant/Parcel Identification
Name of Applicant Zcinvn 'Rjeaol� Date
Mailing Address_ 7Qco E(era ae yi !zno ?J Telephone 3Go Z7 7 03 7 Y
A11W wA spy
Assessor's Parcel Number /2--Z 2-9-y Z-Cry/0
Type of Water 5 stem Check One): Reason orA lication Check One):
❑ Public/Community Water System(2 or more Building permit
connections) ❑ Land use application,if so..
Individual water source(one connection),if so.. ❑ Division of land
Well #of Parcels?
❑ Spring/surface water SPH9 -
❑ Other(explain) ❑ Boundary line adjustment
❑ Other(explain)
PART 2: Water System Information
Complete the section appropriate for the type of water system being evaluated for adequacy:
Public Water System
Name of Water System
Water Facility Inventory(WFI)Number:
❑ The water purveyor has filed a letter granting blanket hookups to this water system.
❑ I am the manager of this water system. The water system has been approved for services. There are
presently connections in use. This will be the connection.-TTi water system is able and
willing to vide water to this(these)connections wi out iI t exceeding the limits of the water system or any
limits set by state and local regulation.
Signature of Water System Manager Date
H.•IWDATAURCMVMWATMD3.WP Update:March 22,1999
W - 7
.'I Ylvidual Water Well `
❑ Water well report(attach`d apphbadM) Depth 7'f/ ft.
❑ Well capacity test(ottach to appi can)' ,' /J�_gpm gpd
Well capacity tests are often performed by the well driller at the time the well is constructed Test
results from these tests are noted on the water well report. Results from these tests will be accepted.
If the water well report cannot be located by the applicant or if the water well report does not have
a capacity test, a well capacity test, which provides stabilization of draw-down and recovery data,
must be performed by a licensed contractor.
❑ Satisfactory bacteriological test(attach to application)
Individual S rin /Sur ace Water
❑ WDOE permit(attach to application)
❑ Method of disinfection
❑ I have reason to believe that this water source can provide at least 800 gallons per day and/or provides
water at a rate of 2 gallons per minute based on the following observations.
AUTHOR OF STATEMENT DATE
RELATIONSHIP TO APPLICANT
In addition to providing the above statement, the applicant will need to arrange an on-site inspection by
the health department prior to determination of adequacy.
Departmental use only. Do not write below this line.
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H.•IWDATAL4RCFIIYEIWATERAD3.WP Update:March 22,1999