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BLD2001-00729 Cancelled Garage - BLD Permit / Conditions - 7/17/2001
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A m MECHANICAL MODLEHOME ,,SV A setback 1 . date Rbbons by dde by Gas PN*q by got UP Walt dale dale by e4ft by INSULATION Find BGISLAB Insulation by � date by dateFIRE DEPT. FRAMING Wags date by date by date by OTHER PLUMBING Attb Groundwork date by date by WALLBOARD NAILING D.W.V. date by date bv FINAL INSPECTION Water Une date by date by to by c.) i n Gc e CA/\ J CI�.r/e c_ {-r' n, c✓ /+Gd e r0�J/ d a /1 c�J / c p Z JF �, r FORM MUST BE COMPLETED IN INK PERMIT NO.: BLD !!.•mow" '' PLEASE PRESS HARD 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 82-5269 Seattle 206 464-6968 APPLICA T INFORMA ION CONTRACTOR INFORMATION Owner F- Contractor Name SELF Mailing Address d Mailing Address City State" Zip Code City State Zip Code Phone _-2.fiWther Ph. Ph.( Other Ph.( ) Lien/Title Holder Contractor Reg. # Address Expiration N �iEPTICfWATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Severer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. 312.07 / O / OO Fire District Legal Description S Site Address(Please include street name, street number and city) Directions to site`f lf�e e ®tiT ZT1fS�� Q� Fi20/'rl Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water(Name) 00 QAN L Saltwater _ Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE a SEASONAL RESIDENCE❑ ---IV TYPE OF JOB New Add Alt Repair Other Use of Building G A- ©R-r Describe Work 2 Ou rszp7V novok No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor SL/96 3rd Floor Loft Basement Deck Other Z A Garage ba Attached Detached Carport Attached Detached AIM 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 Count r�access to the above described property and�tructures for review and ins ection oft ' Acknowledgment of such is by signature below: u av AP-6L41" T oivc.Y., OWNER AFFIDAVIT-I certify that I am exempt from the requirements of tTSe CONTRACTOR'S AFFIDAVIT-I certify that 1 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. shall be done in conformance therewith. ar�a+ere~ 73�., e , ��e. X Date X Date /7 FOR OFFICIAL USE BEYOND THIS POINT Accepted b Date�f I !��l Submittal Amount Due L Receipt No.,21O 015.Nt�l� ......... ... ....... ..... ...... Building 4epartment 'Occ Group a Constr. Planning Department Environmental Health Department Clew Public Works Department Fire Marshal Valuation $ Now Building Permit Fee Site Inspection l Plan Review Fee EH Review Fee fig" Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES FORM MUST BE COMPLETED IN INK PERMIT NO.: BLDO)'V t PLEASE PRESS HARD ?E 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 APPLIiCA14T INFORMA ION/ CONTRACTOR INFORMATION x Owner 0c,ft A-r- Contractor Name .SL�LF Mailing Address 0 ig 691C Mailing Address City State_"'Zip Code City State Zip Code Phone — ther Ph.(_�^—'� Ph.( Other Ph.0 Lien/Title Holder Contractor Reg. # Address Expiration / / TS TIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer em Name of Sewer System Well Water System Name of er System PARCEL INFORMATION-12 digit Tax Parcel No. 312 07 O Fire District Legal Description Jr' Site Address(Please include street name, street number and city) U Directions to site � 1 20&z ®C4T /ll&e2 Z&5 S/ 0e 4 A ZJ ti2�/r'1 Will timber be cut and sold in parcel preparation? (Yes/No) �0100 Is your property within 200' of the following: Body of Water(Name) OOa OjOA L Saltwater " Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ ---IVIA TYPE OF JOB New Add Alt Repair Other Use of Building e—If APORLT 4 E Describe Work L g ou rjxjaxLL v � No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor SLAiB f,o 4)yp7 3rd Floor Loft Basement Deck Other Garage Q_Attached Detached Carport Attached Detached Ae f A L .ems -cla 6z� 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 infection of this proicaL Acknowledgment of such is by signature below: u p cw AP—e&,VXC 7 0100"Y.' 224f e OWNER AFFIDAVIT-I certify that I am exempt from the requirements of#e 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. shall be done in conformance therewith. TV I X Date X Date 47 FOR OFFICIAL USE BEYOND THIS POINT Accepted b Date Submittal Amount Due LA 269 Receipt No.� ... .. I? PP1Ft?MIT.; : V #t1ff?PROVE{1 D�NIDf3NU�11� +Gda Building Department Occ Group e Constr. Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ 31 y e . Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) ;, � TOTALFEES PERMIT NO.: BLD 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 APPLICAtJT INFORMA ION CONTRACTOR INFORMATION Owner 2- F /a. 6 Contractor Name MailingAddress"Qo, iz6x 61V Mailing Address City State V. Zip Code City State Zip Code Phone ( ther Ph.( Ph.( ) Other Ph.0 Lien/Title Holder Al 1,4 Contractor Reg. # Address___& p Expiration PTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of ystem j Wldresr(Please FORMATION-12 digit Tax Parcel No. X2.0 7 /-5,& / 00 Fire District77] ption < / 1 !�'include street name, R�street number and city) (1 C Directions to site ,c2 /t /, h r_"` �rr A/,- :Z 711-S !2 Will timber be cut and sold in parcel preparation? (Yes/No) *A/0 Is your property within 200' of the following: Body of Water(Name) Gt JAJ ,! Saltwater l� 1 Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs ( PERMANENT RESIDENCE❑ SEASONAL RESIDENCE 0 IVIR TYPE OF JOB New Add Alt Repair Other Use of Building G// vaic *r he—"q1"46-E ' Describe Work pkjoC C-c.fT_eQTPAF 41 Z L G Gf" 7V 6O VO E -fir TZrvec No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st floor 2nd Floor SLAB mow„ q Y,Cl l 3rd Floor, Loft Basement Deck Other Gara el•1 6Q Attached Detached Carport Attached DetachedAeR AL10 7.z'S 9 F-CX/6 ;z 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 g a is es of Mason Count access to the above described CLquSnX and uwRjures for review and inspection of t s4lect. Acknowledgme@1 4ff such is by signature below: OWNER AFFIDAVIT-I certify that I drd exempt frorrt the requirements of ttie CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and''ainaware 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 i conformance therewith. shall be done in conformance therewith. i! X �' Date Xa Date7—/7xeZ j FOR OFFICIAL USE BEYOND THIS POINT �t a Accepted b l `�._ Date lr Submittal Amount Due 7ReceiptNo. c' . APPRQVEf Dfll»i :>:::> :>; : tEP4R?ME111fi;. :°:... :11�1i (:;::: ..: [fRITINtl!« . . Building Department i Oce Grou T e Constr. Planning Department �L 8 o� Environmental Health Department Public Works Department i ire Marshal i i I ,$ Valuation $ fI dr ya K4yh ne a n r y i s I! Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal i _ v .................. R. PERMIT NO.: BLD 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 P,1 14 i`� 1� � � '� Contractor Name Mailing Address e Mailing Address City State A Zip Code 1)47f City State Zip Code Phone( . . ) �," - - they Ph.(_ ~4 Ph.(_� Other Ph.( � Lien/Title Holder ,+, . � Contractor Reg. # Address !."X,r) Expiration EPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer ~ System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. / / rf r� �= -. Fire District , Legal Description Site Address(Please include street name, street number and city) < r t/ t`Yf A.` r Directions to site / 7c g� 7 xr f7c' ti ! 0 r Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water(Name) ,� �: f `•�`� � Saltwater _ Lake River/Creek Pond Wetlands Seasonal Runoff Stream Slopes or Bluffs 4000155 PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ .�..•� ,, ,f 1TYPE OF JOB New Add Alt Repair OtherUse of Building C r c 'r . 7 t,,i 7 Describe Work rc ? t - a. ., C o�,' i r ti-79- 77,01. No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor " 2nd Floor �A/_. 3rd Floor Loft Basement Deck Other Gara9eJJkV,_Attached— Detached Carport Attached Detached F, 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,Flo ees of Mason County access to the above described rropertY and structures for review and inspection of this project. Acknowledgmept 6f such is y s�gnat"�"ure`�e`iow' ;ynq, OWNER AFFIDAVIT-1 certify that I arts 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. shall be done in conformance therewith. No�lqsmsv. app !' � r X i _ s Date j — X r x » -� /� Date "�7 f FOR OFFICIAL USE BEYOND THIS POINT Accepted byi' Date !' Submittal Amount Duel Receipt No. ^� , . IaPF►RTIVtENTPt3... V��W APPRQVED p Nl>Ep UNDITli�71N CoaEZ , Building Department :' Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department I Fire Marshal Valuation $ OEM FI��& Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES PERMIT NO.: BLDc96Z 1-&-721 MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Ceda0P.O.Box 186,Shelton,WA 98694 A Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 4825269 Seattle 206 464-6968 APPLICANT INFO MATION CONTRACTOR INFORMATION Owner �,JZ pi } i ;-A, A E Y Contractor Name SGr« Mailing Address Mailing Address City State-L Zip Code 949 t City State Zip Code Phone360_ ther Ph.( Ph.( Other Ph.L� Lien/Title Holder &Z4 Contractor Reg. # Address---A4M Expiration N PTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. _ �.207 / 5-0 / 40 Fire District �* Legal Description '7 6C, 7= _41 � Site Address(Please Include street name, street number and city) Directions to site ;2` / /L,fl& 0 "T 6 a-�--R`S G5 IE-9/9 �,IceM APLFA7r:az I,J,a. WIII timber be Cut and sold in parcel preparation? (Yes/No)_/VO Is your property within 200' of the following: Body of Water(Name) 4;L420,Q CI AN, L Saltwater�� Lake River/Creek Pond Wetland*_Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ ' -- V/11 1TYPE OF JOB New Add Alt Repair Other Use of Building C R-PO - T- & Describe Work L. G G v c TIN No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor SLflB four q 3rd Floor Loft Basement Deck Other Garages—Attached Detached Carport Attached Detached4 A e'r. /41 X'S 9 g—W 6.Z;Z 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 rants e o ees of Mason County access to the above described ro ert and structures for review and inspection of this ro G L Acknowledgme such is by signaturebelow: OWNER AFFIDAVIT-I certify that I exempt fr, h*r dire ments of tfSe CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a Contractor Registration Law RCW 14:'27 apolin►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. p shall be done in conformance therewith. G X — Date X C'—. Date —/7 FOR OFFICIAL USE BEYOND THIS POINT a Accepted b Date Submittal Amount Due LA?(ci Receipt No. gOj ...... EP# RfiMEN"." ..:.: l #Af Alv VED . !}:[VIED NQFT1 Ai 4►t7 Building Department Occ Group &(— e Constr.I/Ttll r' / Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ 3 7&f.cc Ifflnsar Building Permit free J77, L' Site Inspection Plan Review Fee .2K Cj r EH Review Fee Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) .� W01 ORR� h TOTAL FEES FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. Name 6 A R0 0 d4 iR E Y PARCEL NUMBER 32207 50-CM32 Date —/ SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the FLAT site plan L Lot Dimensions -*Fen xisting Structures nvewa Structure Setbacks Shorelines Water Lines ZiW Topograph /�/ ell Location (including adjacent) Drainage Plan wQ1 35 t1 ames of Streets easel a ts�-N� GS I ames of Fronting Streets S� 04 ` `e DRAW SITE PLAN BELOW Include adjacent ro erties i re Went pro eht Ae. adjacent property line•- I iL A F,A o y X7,YXG 7--ZW 6- 6+160100Ar/t , E-a cent property line EAST UlAA.1- 4- 4 TAM WALLS $O w7-.q eslr -- I gxg XT y /Loo7- I - I I I I '�11ooQ 1 , 6o. I , I p I I UY0� 1 I , QVer)JANd- Lull 11 1 8 is' FAOM LzWE 7 WpT V)ftY. 0 I adjacent property line4 Fadjacent property line SAMPLE SITE PLAN HOA P—'L�n/� d �Nf}L �Q i WRs adja�nt property line-� I zO 30„ rRFSCRve Fadjacent property line I SEASONAL I• ]L'PTSL 3o—tl L►QCF K c fi HOM t I to GasEu I f SG I Hou.sG_ I PRoPo3GD s¢Ptic —�, 1 I 14— 6 0• I I VACAtvT 'F GArtAa� I CaoPosCD x �\ T A&R=LLLTLLRAL. So I 1 , 1 I \ I 1 I I \ i /OO I I t-•eLL I 1 1 , 1 7t /DD• I I R 1 I ' adjacent property lined c ; <-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.) S S +�Q + SAMPLE TOPOGRAPHY PROFILE /I,W ruci-t.�rt 1 T— di3't'av�LG to l� IZ 5�opa fin¢ — dis+anr_Q #e a 36 X Go .� Lr� c ft 12 ' Z p fZ,` 7 n o' fIT ,"tr, Signature Date t MASON COUNTY PROJECT SITE-INFORMATION Case No. Name B A.f1 ii E y PARCEL NUMBER_3g 07/-SOrCMJZ_ Date "/ SHOW THE FOLLOWING ON SITE PLAN Show Direction by Indicationg N, S, E, W in relation to the L T site plan Lot Dimensions" *Fen fisting Structures rivewa Structure SetbacksL: 1Shorelines< Water Lines Topograph Well Location (including adjacent) Drainage plan ' -Names of Streets E"em"ts-,./ llJQ I tl -Names of Fronting,Streets tia PQAX% GSA uP vi DRAW SITE PLAN BELOW Inciwde adjacent ro erties fis } adjacent property lined cent�rPo ett Ffe. 1 6L A E A o y rXX �'-'..znr6- fa1�01VGA r// I <-a "cent property line r Ensr u✓A C .5 7"E/"► UJA t�S So uTH mx wIV a • 1 �Oa7' t? IL 0of r I ,t4 00 U) c f— ot paw to'a ley 1 1---- 14Ver • 1S lj yG SuQ� Y. adjacent property line-> '>! /00 1 -adjacent property line SAMPLE SITE PLAN 11A L ✓1/� G/ �i9/V4 L r W es T adjacent property lined u , a 3zo' 3o IrRveI Fadjacent property line CREEt4 1, A fi HOME. �L 'k7 I ' �' rfi0 PC1LD SQ,Qt_t �•.------,------ HO,.IS4 VACA%,T 1 fi L+.1rtAo.6 _- 1 PRO�men I / so- i I I i 1 /D0, 1 L_4LL 1 I 1 I adjacent property lined <-adjacent property 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.) _ S NMQ << SAMPLE TOPOGRAPHY PROFILE dtafior,c� to d�Star,C.t to i� Slopm 't-c¢ dss+Anca '36 X 4a'. 8iy-N 12 ' �F J2 F ALSinJ-p' T Atm. It Signature Date T' MASON COUNTY PROJECT SITE INFORMATION I Case No. Name PARCEL NUMBER.3120'�►-50_00q 34 Date SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the FL/9'f site plan is Dimensions FenR� ting Structures rivewacture Setbacks Shorelines ter Lines Topographll Location (including adjacent) Drainage Planmes of Streets �aseme is—N/R W� S ' Nmes of Fronting Streets pax, G UP ' a {A/ DRAW SITE PLAN BELOW Include adjacent properties i e AST cent propehV e. adjacent property line- I f}L R E A o y ,E-xrs T.zn/6- 6re�tF/+/ate r/f/ 1 E-a cent property line wAkL * S TO (MALLS SouTy 361 ! I UN ER esiT' I /ZGa T C► 45 I � I I I =Dr;✓t(vA f U40614 I �AO ► W11 Y. adjacent property line--> I /00 -----------' ' Fad'acent property line SAMPLE SITE PLAN \a / 002 - 0 /9/V i L ._ i w T adjacent property lined _ yd S uc7`vr o 32.0 30. 1 1 Fadjacent property line s.gfAsc u AL a 90� H ,L _Se5.PT7L _i1 — �I j P ---I 1Pit Q VAGn,T T GARAC.& C0.oPosCO / I TA&RZdu.�r�AL 50 — 1 � 1 / . I \ I I I ' 1 4.eLL , I , I I X__/00' , I I adjacent property line-> ; ► -, Fadjacen t properi 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.) S u>Mq '- t SAMPLE TOPOGRAPHY PROFILE diStanLL tv 1 SrFrutfi'6a.N� l d;.5t'a r,LC. if o s►opa. fio¢ "" dia+ancm If +0 t 36 X Ga ci 12 f °# l2 F ; it a- c T w. f -- ►�io'-�l Signature Date MASON COUNTY PROJECT SITE INFORMATION Case No. Name ' PARCEL NUMBER 1 Date f SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the .�-- site plan Lot Dimensions _-4,Fenbss 4�� Existing Structures Drivew Structure Setbacks 4Shorellnes Water Lines �" Topograph. Well Location (including adjacent) Drainage Plan -Names of Streets Easeentsw ,; h I ,_ Names of Fronting Streets .Fk`., t r DRAW SITE PLAN BELOW Include adjacent ro erties i n cent ro ert` Ifie. adjacent property lined 1 ;,� , x X_k: -,. 7-_7�,,,5- t� , �; 1 <-a cent property line I �77"-, 7 r o c / I I F_.�r J !L l 1 s I I I J J adjacent property lined 1} /C�C3 1 1 E-adjacent propert line SAMPLE SITE PLAN 146/Z E /,� r G ^� l� 7' 4'.,. - 4. �-I r''l L. adjacent property line4 _ _ 1 p 3tO' Fadjacent property line 3, rRESCRV& CREE{G J. \ ,Gr3aEn.i I � SG I Hot.L3E R\ I > PRoPoseD smpt:C --�1 VAGNT 7 CArtAG I 30 1 I P0.oPmCD ^� I A6R LCLLLTUJlAL SOS yo• I 1 R I I so- \ I \ ! I I I /DO I I r I I I I I M /00' 1 I adjacent property line--,- F \ 'I 1 ' � e �i adjacent propertV 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.) SAMPLE TOPOGRAPHY PROFILE rota►,Cr_ t o r �""" dis+ancm 40 � -4 fi t Signature Date x . .. . .r. .. ,.•..•.+uv� r i�M� cinwirtcCK, inc. rage 1 OT 4 7008 Osprey Circle Bremerton, WA 98312 Phone 360-479 4423 Fax 360-479 4424 E-mail: kce-wa(ghome.com January 23, 2002 Building Officer Mason County Building Department Building ill 426 W.Cedar - Shelton, Washington 98584 Re: Structural Inspection—Storage Addition Mr, Brad Carey 20811 NE North Shore Road Tahuya, Washington On January 14, 2002, as requested by owner—Mr. Brad Carey, Kitsap Consulting Engineer visited the site at 20811 NE North Shore Road, Tahuya. The building is a two story residential storage with the garage, food storage and exercise room on the first floor. The new stricture—residential storage -is being built on an existing foundation, slab and retaining wall that had completed years before and been designed to support a future two story log home. Findings and recommendations are based on the visual site inspection and no special instrument is used during the inspection. Scope of Work The scope of work is to investigate whether the new structure complies with the drawing specifications prepared by Kitsap Consulting Engineer dated on 04/18/2001. Structural recommendations and structural drawings are also included with this report. Report of Findings and Recommendations Foundation and muds/// At owner request, steel bracket with epoxy bolt—between concrete foundation stem wall and j retaining wall -will be added to strengthen the joint at the southeast and northwest comer. All I mudsill consist of 2x pressure treated lumber and out to match the rough sawn framing. All cut on the pressure treated lumber have been treated by sealant. t Firs„ ding: The footing under column shown on the specification drawing had been monolithically incorporated during the slab placement. Recomme dations: Owner shall monitor the existing monolithic footing under the interior columns. Notify engineer if any crack at the slab adjacent to the interior footing starts to occur. Findina: 1. Mudsill at exterior wall grid line 1 (west side) had been modified to(1)-2x12 pressure treated and (1)-2x10 rough sawn bottom plate instead of 4x member. (6)-1013 nail at 16"O.C. had been provided between the top and bottom sill plate. 2. Spacing of mudsill anchor provided is 32"O.C.while drawing specification calls for 20"O.C. _ __ �. .. +.ar.�w►rrr. ■ ■■wv r■71■I�f\i..i.�1\� 111Y■ 7008 Osprey Circle Bremerton, WA 98312 Phone 360-479 4423 Fax 380.479 4424 E-mail: kee-wa@home.com Recommendations: 1. Mudsiils are deemed satisfactory. Provide additional Simpson RFINMA0 epoxy mudsill anchor at each side of shearwall (total 2 per shear wall). Minimum embedment of mudsill is 5.5". Finding: Mudsill anchor bolt spacing at gridline 2.5 (between exercise and food storage room), and 3.5 (between food room and garage), and gridline A(exterior south watt) are not spaced according to the schedule. Recommendations: rovide addftiona Simpson RFB#5x8 epoxy mudsill anchor so that the average distance of the mudsill anchor is not greater than 30"OC. Minimum embedment of mudsill is5.5". 3 • Framing During the inspection, only the west side of the building and east side of second floor had been sheathed with plywood. Steel beam had been modified to W21 x62 from W21 x68; therefore, beam capacity is slightly reduce. Blockings between floor diaphragm butt joint were omitted; therefore, no vehicle or wheel pressure is allowed on the floor diaphragm. Finding; First floor shear wall nailing pattern at gridline 1 (west exterior wall)has not completed per schedule and nail head penetration on the plywood sheathing is too deep. Note: interior shear wall sheathing has not been installed. Recommendations; Complete the nailing requirement as noted on the schedule and adjust the pressure of the nail gun. Fins dine; First floor exterior studs of the south side did not extend continuously to the bottom of double top plate. Cripple wall was built on top of the wall to provide closure and bearing. TrOReca mend liana: vide continuous plywood at the exterior side where the joint occurs, and provide Simpson LSTA24 at 15"OC at the interior side spanning between the cripple stud and stud bellow. Alternatively,when the stud between the cripple and lower wall are not in alignment, plywood sheathing can be installed at interior face instead of the strap. Findincr 1. First floor-straps between the wood beam and the steel beams' sill plate were omitted. However,there are 2x10 continuous sill plates(+/- 20') centered between the wood beam and steel beams. 2. Some of screws at the bottom of joist—between steel beam bottom flange and 4x10 joist- are l missing. Recommendations: —Tontractor shall verify the number of nail between the sill plate and beam. For 10d and 16d box i nail, minimum total number of nail between sill plate and beam is 24 and 20, respectively. 2. Install missing screws Findin : 1. First floor- connection between wood beam and column have not been installed 2. Second floor- Simpson.connections between column and beam at second floor had been modified to steel gusset plate. Recommendatigns: 1. Installed steel bracket before the completion of the project 2. None. ----------- ---------- - --------------------------------------------- - Jan-23-02 02 :46P KITSAR CONSULTING ENGINEER, Inc. Page z of 4 7008 osprey Circle Bremerton, WA 98312 Phone 360-479 4423 Fax 360-479 4424 E-mail: kce-waghome.com - Fin di 1. Second floor- rafter and collar tie configuration had been modified. original configuration was one collar tie at 24 inches on center, while the new configuration is double collar tie at 48 inches on center. 2. Second floor-at the rafter where collar tie were omitted,the kick-out force needs to be restrained. Note:the upper rafter slope had been modified from 14V:12H to 12V:12H. 3, Second floor-at dormer, some of Simpson Hi OR between rafter and double top plate are missing. 4, Second floor- east and west window framing had been modified for more window opening. Re o end ti 1 Base on 6x10 beam,the new configuration of the collar tie is acceptable. Provide Simpson L50 on each side(between top of beam and each side of rafter) Provide missing Simpson H10R at each end of rafter Provide Simpson LS70 between 4x10 king stud and top plate (total 4 places) Fin ' At the south and north of the building, there is no connection between bird blocked and the rafter sill plate. Rio M211dati9 Provide plywood blocking between sill and bird block and nail with (4)-10d common nail at the sill and (4)-6d at bird block(exclude the area under the dormer). However, under the windows dormer, provide 112" plywood sheathing between the windowsill and bottom plate and nail with Sd at 4"oc at panel edges and 8d at 12'oc at intermediate-see attached drawing. Summary Kitsap Consulting Engineer, Inc, only reviews the structural element as noted on the contract drawing prepared by KCE dated on 04/18/2001, The recommendations are not intended to direct a contractor's method, techniques, sequences, or procedures except as specifically described in this report for consideration in design. The recommendations or corrections are intended to bring the structural elements up to the design level as specified on the contract drawing. No wheel load is allowed on the floor diaphragm. Report any other discrepancy not noted on this report to the engineer. Please contact us, if you have any question regarding this report or if we can be of further r assistance. Sincerely Matthew Gunawan, M.S.C.E.. PE f t rt . , �ti, r/j; • pit .. e ti KITSAP CONSULTINU tNU1Nrr—K9 inc. v 7o08 Osprey circle Bremerton,WA 98312 Phone 360-479 4423 Fax 360-479 4424 E-mail: kce-waQhome•com 1. Second floor-rafter and collar tie configuration had been modified. Original configuration was one collar tie at 24 inches on center, while the new configuration is double collar tie at 48 inches on center. be 2. Second floor-at the rafter where collar tie were omitted,the kick-out force needs to restrained. Note:t dormer the , some some of r rafter iope had been modified from 14V:1 2H to 12V:i 2H. Siimpson 3. Second floorHi OR between rafter and doublet p Plate are missing. 4, Second floor-east and west window framing had been modified for more window opening. Re ommendations 1. Base on 6x10 beam,the new configuration of the collar tie is acceptable: 2. Provide Simpson L50 o H h side(between each end of aof ft beam and each'side of rafter) 3. Provide missing Simpson 4. Provide Simpson LS70 between U40 king stud and top plate (total 4 places) Fin = At the south and north of the building,there is no connection between bird blocked and the rafter sill plate. Recommend t Provide plywood blocking between sill and bird block and nail with (4)-10d common nail at the sill and (4)-6d at bird block(exclude the area under the dormer). However, under the windows dormer, provide 1/2' plywood sheathing at intermediate eenthe wind windowsill and hed drawing.late and nail with 8d a/4"oc at panel edges and 8d at Summary _ Kitsap Consulting Engineer, Inc. only reviews the structural element as noted on the contract drawing prepared by KCE dated on 04/18/2001. The recommendations are not intended to direct a contractor's method, techniques,sequences, or procedures except iooas rrections are described nded to bring theor structural elementsup ration in design. design level recomrrlendatron as specified on the contract drawing. No wheel load is allowed on the floor diaphragm. Report any other discrepancy not noted on this report to the engineer. Please contact us, if you have any question regarding this report or if we can be of further assistance. Sincerely Matthew Gunawan, M.S.C.E.. PE f .Jan-23-02 02 :46P P . 04 KITSAP CONSULTING ENGINEER, Inc. Page 4 of 4 7008 Osprey Circle Bremerton, WA 98312 Phone 360-479 4423 Fax 360.479 4424 E-mail: kce-waChome.com 4\ ka t Rrt•1 G CA C ibd eox ua,t� {j ti p�.�lwccb rise, �is�t2.1.1 G to twC i 1�1V't�•. �1�t vfro� µto�t. �T e:�, �-vt7 t5�- RhF-t�r� K oT S14o6A rA a Building Permit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location C 2C-Ir$ // � i�� i», 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 VA You are hereby notili.. I =at the above corrections shall be made BEFORE PROCEEDING � NTH ANY FURTHER WORK call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department C.�O Date Inspector ? DO NOT REMOVE THIS TAG