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BLD98-0831 SFR and Garage - BLD Permit / Conditions - 9/3/1998
MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 13 Lp I! I._ t"s I N cl F% E' R m 1 -v FOR I NSF 11. F I ONE: CALL ,1... 1--9670 BETWEEN 5pm AND Elam 427-7262 BLD98-0831 PARCEL. :42O087690062 PLAT , D 1 V : BLK : LOT . ,JOB ADDRESS : :51 IN BLUEGRASS CT SHEL ION OWNER : DANEEL JOHNSON 426-6138 CONTRACTOR : K LEGAL : f 331.38`Of TO & SNNV 1511541 TR 2 Of SP 12+B1 Ewa:.xi:rr.=x-`�srx�cY".as.'.ai:ss¢:esu'..-.r.�.:�:.:.�;'.^..zcr�'az-,�-aa�r.--�.w.:.a.�src:-��e-•-aa�ar...ax�.=�:Ycmtm� CLASS OF WORK , ;NEW BEDR : 3 BA Th Y 2 f TYPE ANOUNT BY DATE RECEIPT 'TYPE AMOUNT BY DATE RECEIPT j TYPF OF USE- . . . . :SF STORIES . . . . . . . : 1 t >r� - � -> •:��-� Ax: _..:� =Yrx:� =x� ----- OCCUP . GROUP _ . :1`131.11 BLDG . HEIGHT O .Oft IPLCK 1 583.21 K1 08121158 4696T NCHI 1 27.00 TNJ #9103/98 48215 ! TYPE OF CONST . . :5N FIREPLACES . . . . : 0 IPSNT $ 897.25 TNJ 09/03191 46215 �NDST 1 42.01 !NJ 19F/3196 48215 OCC:UP . LOAD . . . . : 10 WOODSTOVES . . . . : 1 PIN 1 i1.01 TNJ 09103198 48215 Siff 1 4.50 TNJ #0103190 48215 DWELL .UNITS . . . . : 0 PARKING SPACE S 0 1PINI 1 20.11 TMJ 09161190 48215 FRCP 1 '10.00 TNJ 09F13198 48215 INSPECTION ARFAv 2 ^HOREt. INE? . . , . :N 1CF, 1 25,10 TNJ 09113198 48215 TOTAL: 1121.96 4ALULATION: 1014491 SETBACKS____......__..___...._._ 1*01 LETS . . . . . . . . . . : 2 FUEL., TYPES---_-.._-__..__ BOIL.ERS/COMP-•--- MOBILE HOMES--- FRONT . . .S 126 .Oft BATH BASINS . .• . . . . : 2 . /E L.F/ I / : 0'-3 HP . r 0 REAR . . . .N 120 -Oft BATH TUBS . . . . . . . . . 1 3. 15 HP . : 0 MODEL : SIDE ( 1 ) .W E15 .0f t SHOWERS . . . . . . . 1 F"LIRN < 1► OK BTU : 0 15 -30 HP . : 0 •-MAKE=- S I DE (2 ) .F 1 40 .Oft WATER HEATERS . . . . : 1 FURN yT=1 O0K BTU : 0 30-50 HP . 1 0 SHRL I NE .N O .Oft CI.OTHFS WASVIf RS . s 1 F 1.4IN - F 1,001i . . . . 0 5)0 4 HP . : 0 AREA - - -_.._.. __ _.____. KITCHEN SINKS . . . . : 1 HEAT PUMP . . . . . . : 0 LOT SIZE , . . FLOOR DRAINS . . . . , . 0 VENT SYSTEMS . . . . 0 E:VAP COOLERS : 0 L IFNGTH 1 0 BUILDING . . . : 1728sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 4 HOODS . . . . . . . : 0 WIDTH . : 0 BASEMENT . . . t Osf LAUNDRY TRAYS . : 0 DOMES . I NC I N :0 -- SER I At. #. . DECKS . . . . . . : 1 36sf D I SHWA.SHERS . . . , . .. : 1 A I R HANDL 1 N`G UN I TS-- - COMMI . I NC I N :0 GAR/CARP :G 528sf GARB DISPOSALS . 0 10000 cfm . : 0 AFLOC:/REPAIR : 0 AT/DT . :A URINALS . . . . . . . . . .. : 0 > 10000 afm . : 0 OTHER UNITS . : 0 M I SC PL.M F I X'TORFS : 1 GAS OUTLETS . : 9) LR.i6T.YT�C 4":1SL�C:-iF:SF3T'u'iF:Kvi'S'S"Laf.'T.T�"TtlisC=25^.-"T:t:f:::�:Y!'.:➢':S1A.'L'7�f:.'S;fl.:AL'TS/i2:RYn=`.:F"'T.-a:_l^LL'atX3YL�'.-:::�.....✓Jt1'tC:Y K:._S3�`Ar.`�.L'S:L:i'.tfL:CST..Y�::i:.0«"Yl`A:'lCz�..r......r,...Y::-,,,.Y�.x'tSC���:.'LKT_^..LY:-�A'.^.Y'S_1��:.L:�"'i:YL�:Y':N_'w'.^_C)':3:C� PROJECT OESCRIPTdON:AESiDENCf. ANO GARAGE PROJECT LOCATION:HNY 101 N TO OA1701 AIRPORT RD, 3 MILES TO DAYTON TRAILS, TOP OF HILL, LEFT ON 69AWF1 RD 10 NEAOONS Pt RIGHT 01 BLUEGRASS CT RIGHT ON BLUEGRASS TO END. THIS Pflkhi RECONES Ohl. AND VOID IF NOR9. 01 wHORIng IS N01 CONNENCED NIZHIN 110 DAYS, 01 IF CONSTRUC1100 OR WORK IS SUSPENDED FOR A PERIOD OF 180 BAYS AT ANY TIME AFTER 1EO111 IS COMMENCED, EVIDENCE OF CONiINIFATION OF WORK IS A PRJ&RESS INSPECTION NITNIN THE 181 DAY. PERIOD, FINAL. INSPEC11011 MUST BE APPROVED BEFORE BUILDING CAM RE OCCUPIED. e10MEN 09 ArENT: - . 810 _PRNT, rev: "131191 C;OMPL. IP"CE TO ATTACHED CONDI40s- IS RFA EAFD MASON COUNTY Mason County Bldg. III 426 W. Cedar RO. Box 186 Shelton, Washington 98584 Case No . : BLD98-0831 For . DAN i EL. JOHNSON Page : 1 1 ) All approved plans are required to bo on-� := l to for Inspection Purposes . It Inspection is called for, and plans are not on site , Approval WiLL NOT be granted . In addition, a Re- inspection fee in the amount of *4 .00 per hooir (mini rr um 1 hour ) will t.e r,harged and must be collected by this department prior to any further inspections beinq performed or approval or-anted . 2 ) PORSUANT 'TO 1994 UNIFORM BUILDING CODE All, MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DF PARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED ON RATES iN TABLE 3A OF THE 1994 UNIFORM BUli.D1NG CODE WILL. BF ASSESSED iF OWNER/CONTRACTOR FAILS TO POST ADDRFS,S ON SITE PRIOR TO REQUESTING INSPECTIONS . :t > The correction list , along with the € ner Compliance Work :,heet (when applicable ) is part of the plans and must remain attached thereto . It is the responsibility of the applicant to make corrections indicated ors the plans from the correction lists . Once the plans are marked APPROVED, they may not be c tan, or altered without authorization from the Building Official . The permit holder Is reponsible to retain the complete approved set of plans on site for the duration of the project . Failure to comply will result in failure of required buildlny inspections . Fvery permit shall expire by limitation and become null and void if the building or work authorized by such permits is not commenced within 180 (Jays from the date of ls��uance, or if the buiIdinq or work authorized by such permits is suspended or abandons at any time after the work Is commenced for a period of 180 days . i{ 4 ) Changes to approved buildirig plans, that effect compliance to the 1991 Washington State Energy Code , 1991 Ventilation and Indoor Air Oua I i ty Code, the Unifors Building Code and/or Mason County Regulatio must be approved by Mason County prior t(, (,onstr uet 5 ) AL.L CONSTRUCTION MUST MEET Oft EXCEED LOCAL CODES . IF ANY QUESTIONS, PLEASE MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 r ,-- Wit., i CONCRETE CUC-Pe Z �;vtlTiP�1 T, MEe HT- t, b Ribbons HOME Footi -setback I 1 date —1�- �i' 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 t byD date %Z—3- �B by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date t I by date /Z- -W b Water Line FINAL INSPECTION date by date �—/8" `�9 by Jdate by q-!D 98 �14�-� �r�•� �i9.�s /Z -3 99 /D 98 S11Eer f2o cK N4 il1.v A}S5r/) I I I CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set DP date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING FIRE DEPT. date Walls date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I - I I I I I II CONCRETE MECHANICAL MOBILE HOME Foofings-Setback date by Ribbons datd 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 ---- OTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by PERMIT NO.: BLD b 'O� 31 MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98684 Shelton 360 427-9670 Belfair 360 275- 467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner OyLn; e! R . M ar-y L . -Tah n 50rL- Contractor Name �, i k (d&—,e Mailing Address_ O ic- cu ry 'c.ce Mailing Address City <kP- 4 ... State� Zip Code X S 0y City State Zip Code Phone(36o ) 4Z.L- W380therPh.(Pi4a ) M91-a.or Ph.( Other Ph.c Lien/Title Holder a Contractor Reg. # Address Expiration j SEPTIC/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. /6/ ©© ff /�)/ 9 0 0 & ..1., Fire District Legal Description T— t Site Address(Please include street name, street number and city) k Directions to site I ' Will imber be cut and sold in parc preparation? (Yes a.CP^ - , ,-S s 40 Is your property within 200' of the following: Body of WSW(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New_X Add Alt Repair Other Use of Building e S11 ole^c Describe Work jMe,,a No. of Bedrooms _No. of Bathrooms_'_SQUARE FOOAG st FI _2nd Floor 3rd Floor Loft Basement. Deck Garage_-,,����Carport Other sq. ft.IL - ; rt 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�qOMMENCED 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: F 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 5tatp of-Washilgton 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 approv first obtaining approval. I X Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. t EP# RTM ITAL k 11 11 :::>>. AP R?VEI3::;;:pEt tED: 0NDITI.O. ..00' Building Depart pent Jj Occ Grou Type Constr. � Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ J O t 4 4 ::::::::::::......:.......................,::::::.........:.::....:....... :............................................................................................................................................................. Building Permit Fee yG) -7, a s Site Inspection Plan Review Fee 5-" ./ UFC Plan Review Fee Plumbing & Base Fee 91 66 Public Works Review Fee Mechanical & Base Fee B 00 Other - SD Wood/Gas/Pellet Stove Fee A to Other Violation Fee Pre-Paid at Submittal ( ) �.:, ' ••:.': .` � .•::,,�,. . : TOTAL FEES .JG .F,;::•5'.,�.,°:t:;}>+.j;. ,k:. \'�'i::?; .::.fi�:?i4Q•'•v.�''�•:••Ei>`.•dy:;}w.'{`.:.'.':H,.:•.:::>•':•ri•X•`': 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 Q o Contractor Name v1.�7�1r__r jo L-,' f Clipv Mailing Address He F_ i4 c , ,, Place Mailing Address City Sti! 14a r+ State 1V& Zip Code 9 Y 5 9 City State Zip Code Phone( 0) 4t"-6/3 FOther Ph.( `-I?I—moo 10 Ph.( ) Other Ph.0 Lien/Title Holder Contractor Reg. # Address Expiration 1 / SEPTIC INFORMATION-Connect to New Septic X Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. OR /Z_/ qdp & yJ_ Fire District Legal Description U Mc-( U v-�e I Site Address(Please include streret name, street number and city) ff �,(I �1�. ar sc 4,;T 14-ort Directions to site �( � Is�r v roacQ ►�iqq{t-t o, �''► eodo,- pt, R-:9ht o. 1�iue� r.u _ our property within 200' of-fhe following: Body of Water(Name Saltwater Lake River/Creek Pond Wetland 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 Fuel Type: Electric--!'cA,t,r Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump Toilets Z Type of Unit No. of Units Fees Bath Basins _ Furnace Bath Tubs _�_ Heatpumps Showers Vent Fans c (o 5-0 Water Heater Propane Tank _ Laundry Wsher _�_ Gas Outlets Sinks �_ Wood/Gas Pellet Stov i Dishwasher _� Direct Vent?`r Other' KwStnk� Other ��� Other Other Base Fee 0-- Base Fees f TOTAL PLUMBING 0 TOTAL MECHANICAL I A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. E 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-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 i conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without i approv first obtaining approval. Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAUMVIEW.. 1tiAPROVED bEM1lI L1 COhIRfTIOTV CODES Building Department Occ Group Type Constr. Planning Department Other Other FEES Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES MASON COUNTY PROJECT SITE INFORMATION ^'7"" Case No. J Name�QVI i el �C. iD A h So K PARCEL NUMBER #.2 clog 78gyo4,;?, Date "7— SHOW THE FOLLOWING ON SITE PLAN Show Direction by indic8tiong N, S, E, W in relation to the site plan Lot Dimensions Fences L LI Existing Structures Driveways Structure Setbacks Shorelines j Water Lines Topography if Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line- Iq8 �: �y Jr <-adjacent property line I I I G I 1-Y 1 «1 I I DRM N L1t1D I r'1 p'f"P Lr. DPWNr' SEr Bay IDS TA p 6 I \ ■ r I I I pRoA I °St'o SoR• adjacent property line- I ': o I E-ad'a, nt mrnmarivline G gWE 6US.5 GT, i SAMPLE SITE PLAN SI W adja t property line 3to- _ adjacent property line 30' r RvE 3041 �E.4SO w1 Al_ I• ti 7�c _,' I Cr2eE.K 1 I HOM b I GaaaN �i o rwsa I j Prio Pastn sa pt:c 7� R\ I VAC.AKiT I 1 I 3o I /i PM1oPo�CD 80, �\ 7 PbRiCLLLTW0.AL 50 j I � I \ /00" I I L—e-LL � I I I � /00 adjacent property line-� Fad'acent ro ert'line TOPOGRAPHY PROFILE(Show a side view of propi0ty. ' low s4es, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE ruttLa.Y� J;Star.cc- rc Siopa fio¢ ap' d'&+anca. 4e t '331-3(.' Signature Date