HomeMy WebLinkAboutBLD97-0931 GARAGE - BLD Permit / Conditions - 9/10/1997 77
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CONCRETE MECHANICAL MOBILE HOME
Fpotings-Setback date by Ribbons
date e1 z `i by G s'
Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork date b
date by y
D W WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
G o .
fs
Permit Noz�,-
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
(Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269)
PLEASE PRINT
#1 Owner A Phone#
Site Address Fire District#
City ` r) k St Zip
Directions to Job Site �.
C
E
f
f
Owner Mailing Address
City St Zip
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name
O m f S t k? Contractor Reg#
I
Address \ kk n P. \q Expiration Date / /
City v St Zip Cf .�� _Phone#f/2Z !7 h
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
>6k-
#4 Parcel N A = )\ - - v 11�.
f Legal Description
j #5 Building Square Footage:
1st FI 2nd FI 3rd FI Loft Basement
#Bedrooms # bathrooms Deck Other
Garage Carport (Circle:Attached 6r Detached?
#6 Use of building Describe work.I CarrC
r
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length ' th Serial No.
# Bedrooms Bathrooms Type of Heat
Purchase Pric $
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other ��
Show following on the site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Drainage Plan Wells
Septic Systems Easements
Proposed Improvements Indicate Directional b N S E
Name of Side Street y , , , W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
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APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW {
i
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Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 each)
No. ilets CIRCLE FUEL TYPE: Gas, Electric,
Bath B ' s Heatpump, Other
Bath Tubs No. Units Fees
Showers _ Furn BTU
Hot Water Htr Heatpumps
Laundry Washer Vent Systems
Sinks _ Spot Vent Fans
Floor Drains No. Boilers/Compressors
Laundry Basins _ HP
Dishwasher No. Air Handling Units
Disposal cfm#
_Urinals N Fire Protection Systems
F Other _ Auto. Fire Alarm Sys 50.00
_ Fi d Fire Supp. Sys 50.00
i
f Permit Basic Fee 16.75 _ Auto i e Sprink Sys 35.00
TOTAL PLUMBING $ No. Other
ff Gas Outlets
Wood, Gas, Pelle Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 16.75
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE DATE C
FOR OFFICIAL USE ONLY:Accepted by: Qate<
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
F
ved Cond. Hold
Approval
Planning: - S M I Vl S
Environmental Health:
OWNER/BUILDER TO ASSUME ALL
RESPONSIBILITY IF DRAINFIELD
AREA IS ENCUMBERED.
Building Plan Review SSA �ti1 c�c.5 a a� t;
L �.re .S l.-0,►SS
oo{ 6O Z- S-oeo OO 30 a o 0
Occupancy Group: L)--) Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check ` 2-0
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee L S�
Other EN U,
Other
Other
Building Valuation: ��� TOTAL FEE
08/13/98 08:25 FAX 425 455 5771 OUM & ASSOCIATES U 002/005
13603521529 OLYMPIC STRUCTURES 049 P02 AUG 11 '9E 14:26
�.v�..• . a ca mrsu� rs-rai vrZ"i[ri8l'1(9 l'S4u
3 .DH 0000 ! 6 0 o 42495 7035A BAYVIEW �� 6:1 1
SX14
HO 4-03 B H HO 4-03
5s12 Sz12
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wed tix�,
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A 2Y5)1 6z10 7zB 3zell 6s10 2z51( C
6z12l:� 6R19�
wo
ao
Tc 4-]0-51 5-06-00 3-03-16 111� 3-03-15 5-06-00 6-10�11
be 6-30-1I 5-46.QD 3-07-CS 3.07-05 6-06.00 i-14-11
061-
3Z-00-00
Un1Ss•r -- Voroien 39.7.3 LOAD CASE 03 UNBALANCED LOAD **SEE REVERSE 0ID8 OP THIS we
RUN DATE: 10-14-97 LVM86R STREWS I111CREA9S: 15.0% **FAGS FOR IMPORTANT NOTES ON
LOADING LIVE DEAD (PSF)
•r•e:•-w-�►•!*■ TOP CIKD 99.0 7.0 PLATING COXFORNS TO UBC.
• 3-PLY ?BUSS • BTM CHb .0 8.0 (ICBO) APPROVAJ. 00 4994
f•f•f•••ff�-e-U TOTAL 55.0 15.0 70.0 GRIP VAiy3S BASED ON DODO-FIR
EXCEPTIONS: LUMBER USING OR69S AREA TEST.
C82 size LUMBER I1.15FB A-O .0 7.0 PLATES - AD GAUGE LOCK
TOP .40 zX 6 DPL-1800 2050 H-C 68,s 7.0 ORIPPIPO 462-230 PSI PER PAIR
BTK 93 2X 8 DFL-195D 2250 L-M 68.8 7.0 INCLUDES 15,02 INCRUSt
WES 1.00 2Y 4 DFL-9T:[X 632 CONCENTRATED LOAD$ (LN$) TbNSION 1308- 462 PLI PER PAIR
6XCEPTIONee I E 15400 9HMAR 763- 495 FLI PER PAIR
I-L ZX 4 DFL-STUD 855 SUPPORT CRITERIA
E-M NAME " I-L I JT REACT WIDTH JT REACT WIDTH 47 TYPE PLATE SITE z Y
F-6 zx 8 DFL-1950 2250 LBO IN-ex LB$ 138-6x A 2003 6.00 X12.00 11.0 5.5
REPETITIVE MEmoxit STRESS U9RD. A 920E 5- 9 C 10308 5- B B 1070 5.00 X16.00 7.0 2.0
C 2Q03 6.00 X12_00 11.0 5.5
LATERAL RRACTN¢: LERT RIGHT D 1001 2.00 X 5.00 3.3 CTR
TOP CHORD - COIITINUoUS GIRD 4XX - 3SX 4IN - 35X E 1070 6.00 X10.00 CTR CTR
BTM CHORD - COWTINUOUS F 1001 3.00 iS S.00 CTR CTR
TRUSS SPACING - 24.0 IN. MSMSER P40RC98 - EACH PLY G
MEMBR CSI P(LBs) moist M92ND 0
LOAD CASE E1 TOP CHORDS I 1070 6.00 X10.00 CTR CTR
LUMBER STRESS INC$EASC: 15.0E A-R .47 7182 C O 217 J 1001 2.00 X 5.00 3.3 CTR
LOADING LIVE DEAD (par) X-L .40 7419 C -217 -2748 X 1059 4.00 X 4.00 CTR CTR
TOP CHD 55.0 7.0 L-G .19 45 C 3358 0 L 1050 5.90 X22.00 7.0 CTR
BTM CND 0 8.0 L-B .42 6836 C O 3053 M 1050 5.00 X12.00 7.9 CTR
T OTAL 56.0 15.0 70.0 a-M .42 6800 C -3053 0 N 1050 4.00 x 4.00 CTR CTR
CONCENTRATED LOADS (Les) N-M .19 46 C 0 -3358 81 2100 7.00 X 8.00 CTR .1
B 15400 M-9 .49 7200 C 2744 220
SUPPORT CRITERIA X-C .41 7297 C -329 0 NOTES--
JT REACT WIDTH JT REACT WIDTH BOTTOM CHORDS i. TRUS5115 MANUFACTURED BY -
LBS IN-= LBB1 'IN-sx A-J .52 6423 T 0 SCSI OLYMPIC STRUCTURES, INC.
A 10280 5- 8 C 10285 5- 8 J-I .52 6423 T -5061 -6313 2. ANALYSIS CONFORMS TO
I I-S1 .61 9306 T 4313 0 TPI (AXE I/TPI 1-1995).
LOAD CASE Y2 UNBALANCED LOAD S1-F .63 6306 T O $125 3. UNBALANCED LOADS CHECXED
LUMBER STRESS INCREASE: I15.Oz F-6 .63 8306 T -5125 -1002 (UNBLR LD FAC - 1.25, .00).
LOADING LIVE DEAD (PSF) E-D 51 6436 T 1802 6535 4. TIIt-lK LOAO8 SHOWN WITHOUT
TOP CHD 55.0 7.0 D-C .51 643E r -6535 D nNSA4S TO TAVas.
BTM CHD O B.O VEaS 5. lREVSNT TRyss ROTATSOK AT
TOTAL 55.0 15.0 70.0 3-9 - 176 C X-I r 679 T ALL SEARING LOCATIONS.
RXCEPTIONs: I-L • 2577 T I-B - 3013 C 6. PROVIDE DRAINAGE To
A-0 68.8 7.0 r-b • 359 C B-E - 2970 C PREVENT WATER PONDiNG.
H-C .0 7.0 a-M • 2476 T R-N 586 T 7. 3 COMPLETE TRUSSES REQUIRED.
L-M .0 7.0 D-N • 126 C M'ASTEN TRVSSCa TOGETHER W/
CONCENTRATED LOADS (LBS) 16d NAILS A9 EACH LAYER Ia
D 15400 DL•LL DEFL - .49- AT H APPLIYD.STAOOERBb !S FOLLOWD
SUPPORT CRSTE LL DLfL - .44• c SRO-SPAN/360 MEe)BER Rows SPACIRO(IR1
Jr RRRCT v T DTH SPAR/DEFL (DL-LL) - 785 TOP CHD 2 12.0
LBO • 5x BTM CHD 2 120
A 981 AS PLATES AIR FOR EACH PLY VE3
6 2 12,.0
�► 4� f PLUS CLUSTERS OF NAILS IF
4 �V SHOWN.
a,► EXCIPTI097¢
O 16 NAIL? 9 4. O.C. AM
MACH LAYER IS APPL11b.
I-a b-E
°s`S'JON AL�$�
NOW
GARY YANDO,DIRECTOR
STgTF �
O
M O 7 DEPARTMENT OF COMMUNITY DEVELOPMENT
S N = PLANNING -SOLID WASTE- UTILITIES
�o N Y oy BLDG. I a 411 N. 51 ST. • P.O. BOX 578
SHELTON,WA 98584 • (360) 427-9670
1864
DISCLAIMER/WAIVER OF COUNTY LIABILITY: PERMITS ON EXISTING LEGAL LOTS OF RECORD,
LAND DIVISION APPROVALS, SHORELINE PERMITS, VARIANCES, AND SPECIAL USE PERMITS:
The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created
by the Growth Management Hearings Board's Order of September 6, 1996, and in consideration of Mason County's
willingness to proceed with processing of applications which might be affected by that Order, the undersigned property
owner hereby agrees to waive any lawsuit, action, or claim for damages against Mason County which may arise out of
Mason County's actions in acceptance, processing andlor issuance of such permits or approvals (hereinafter"permitting
actions', which darnages are attnbutable to the County's decision to take permitting actions despite the risk that changes
to the County's development regulations might later make the County's permitting actions invalid.
�°`'����'`��" ., �c'SDI 1�,•,�
Date (Parcel No. or Legal Description)
Property ow is signature(Notarized)
(or the County may accept the signature of the owner's authorized agent upon proper proof of authorization)
ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL) JUL ® 9 J
STATE OF W�S �� � � � � d N JJ►
I I �1 HEALTH SERVICES
COUNTY OF K
On this�day of , in the year l °I T before me L tg0� �•1�8VJQ(-aS Notary Public,
personally appeared S4-CPV1P_n J - 4" personally known to me to be the person whose name is
subscribed to this instrument, and acknowledged that he/she executed it.
WITNESS my hand and official seal. - For County use only-
`��sti� Reviewed by applicant on
ON CL 9all Jq 4*�yN,# ��O�p (Date)
` NptAgy
N ry's signature �' a Staff Initial:
My Commission Expires: /
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