HomeMy WebLinkAboutBLD96-0520 SFR - BLD Permit / Conditions - 6/19/1996V
• 'r� � MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Ei U 1 1 _ C) 1 14 C P v f:1 nR I T` FOR I NSPECI IONS CALL 421- 9670
BETWEEN 5pm AND Barn 427-7262
BI.DO6- O52O PARCEL. :420087e90073 PLAT : D I V : BL.K : LOT :
JOB ADDFIE`'-S , W 50 BLUEGRASS CT SHEL TON
OWNER , At ISUL11GARDMER 427-1752 PERMIT
CONTRACTOR : NULL & VOID BY EXPIRATION
LEGAL c f 331.38'01 TR 7 SNIIY 151151 TR 3 Of St t2390 PATE Q c)-9%
CLASS OF WORK :NE'.W BEDR : 2 PA fit : ? TYPE A00401 SY V41E Riam jis"L AdOUNT
t TYPE OF USE . cSF STOR IFS 1
OCF:U ' . GROUP . . . c? f31_DG - HE IGHT . . : 0 .Oft ALC t 42.60 KS 06/19196 42204 FAIT 1 478.50 KS /6110196 42?14
TYPF" OF CONST .. . :? F IRE:PI ACTS . . . . : 0 Ptli 1 16.75 KS 45119196 422114 ipICK 1 239.'5 KS 06119196 422114
OCCUP . LOAD . . . . : D WOODSTOVES . . . . e 0 OCR 1 61,75 KS 1611,9198 42214 IFRIP 1 59.91 KS 05110196 42?04
DWELL .11N I TS . . . . : 0 PARKING SPATES, 0 F IAP 4• 32.110 KS 418119i 96 42214
INSPECTION AREA ! 2 SHORFLINEi . > . . ,N STFc 1 4.50 KS 06119!^,5 42204 1101fl.t 9%.75 MALUTAT10N: 7?654
TOILETS . . . . . . . . . . 0 FUEL TYPES _-._.__ _._- F;U I L.ERS/COMP- _.-- MOBILE HOMU
FRONT . . . A .0f 1 RAT1i BASINS . . . . . . : 0 0 3 Hp — 0
REAR . . . . 0 ,Of 11. BA rH TUBS . . . . . . . , 0 3-115 IIP . : 0 MODEL
S I VE ( 1 ) . 0 Oft SHOVIF Ft . . . . . . . CA F1)RN < 100K BTU : N 1 5-30 HP : 0 -MAKF-- -
S i PE (2) . 0 .Of t WATER HEATER; 0 FORN >-100K. BTU . 0 30-50 HP , : 0
SHRL INE . 0 Oft CLOTHE`. WASHERS . 0 Fl4RN -- FLOOR . . . : 0 50-1, HP , , 0 -Yf'AR.
AREA __ _ _ __ __ ___..__ KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0
LOT S171F . . : FLOOR DRAoNS . . . . , : 0 VENT SYSTEMS . . . _ 0 EVAP COOtFR5 . 0 IFNGTH , 0
BUILDING . . . : 1390sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . . 0 WIDTH . : 0
BASEMENT . . c Ost l AONDRY TRAYS . . . . : 0 DOME S . 1 NC I N c0 -SEP IAL#.-... _..
DECKS . . . . . . ,''` 0sf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN ,O
GAR/CARP :? 0 f GAPS DISPOSALS . . . : 0 > 10000 cfm . : 0 RELOC/RFPAIRr 0
AT/PT . :? URINALS . . . . . . . . . . , 0 > 10O00 o fm . , 0 OTHER UNITS . : 0
�11SC PLM FIXTURESr 0 GAS OUTLETS . z 0
►pO.IECT DESCAiPT10N:AE8t1ENCE �
PROJECT t0CAt1011:111 POPTH TO DA113N 4-1.1PORI RD TO DAVION TAMES ELFT Io NEAPPIS Pt RIfNT TO BLUERAASS CT.
THIS PER111 BECBNE: RILL A?I/ 1�0 D 141 OA CONSTRICTION AITI8111E8 IS All COYIifNCEO WITH141 110 DAYS, CA IF C40SIONCTIOI OR WORK IS SISPENIf/ FOI A PE1100
Cf 1811 BAYS AT A1lY TIME AFIEA 11 S NNcNCED. EVIDEIaCE Of 0011INIA1101 OF 1011: IS A 1900#fSS INSPECTION 117411 THE 161 DAY PERIOD. FINAL INSPECTION MOS; Ri
APPROYE41 ftFf6AE IVIL1IN3 CAN B PI�D.
'yQNAEA f1i AGF.N: _._ 1hd. f=` -r• �:..x 5 _ DATE: -
�18 P111, r eti: a3 j 31111 COMPLIANCE TO A'I TACHED CONDITIONS IS RFOU E RED
CONCRETE MECHANICAL MOBILE HOME •
Footin -Setbacclk0k�� '^'�a date by ibbons
date W-0 7-7 6 by Gas Piping date b
Foundation Walls date - Z Z- by Set Up
date by INSULATION date by
B&SLAB Insulation Floors Final
date by date by date by
FRAMI Walls FIRE DEPT.
date � qC bg� date -2g-� by date by
PLUMBING OTHER
Groundwork Attic s
date by date - ` by
D.W. WALLBOARD NAIL N
date gam ` by date F,�2&- b
Water L*0911 FINAL INSPECTION
date - Z� by date by date by
S_ 2 Z - SIG ,� 0 /V1r7
se'� � /T9cy�.E� C'y�reGc�v,� �UTicG
o 0C0e .q_sue
Sri- �7jWe/3i� 2 C'YleeeCTio-s/
• • a MASON COUNTY
• Mason County Bldg. III 426 W. Cedar
RO. Box 186 Shelton, Washington 98584
PE n1\4 I -r ccpmra i r i c)N �
Case No . : BLD96-0520
Far : AL BUMGARDNFR
Page . i
t 1 ) 'The use, handling and storagP of hazardous materials or f I ammabI e: and r.ombijst I ble*
liquids In excess of 10 gallons is not allowed without the approval of the Mason County
Fire Marshhl .
X
2 ) Proposed -structure or any portion thereof greater than 30" in height from grade line,
must ma i s►ta i n a minimum of 5 ' setback from all property lines , easements and 10 ' from
all G unty and State Road right of ways .
; ) A I I up I and areas d i st urbed or new I y created by r.onstrt;ot ion act 1 v I t i es sha I I he seeded,
vegetAt�ed or, given some ether equivalent type of protection against erosion .
X
4 ) A I I approved p I ins are requ I r---A to be on , I I for I nspeet i on purposes l f I nspeot I on
Is called for and plans are not can site, Approval WILL NOT be granted . In addition , a
Re- i nipect i on flee in the amount of $30 -00 per hour (m i r► i mum 1 hour ) will be charclesd anti
nr►.est be co i i eoted ty this department prior, to any further inspections being performed or
approval granted .
5 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C ) AND SFCTION 513 ALL ITFS MUS1.
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO Bt PLAINLY VISIBLE
AND I.EG I Bl E FROM THE STREET OR kOAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RE I NSPECT i ON FEE BASED ON RATES IN TABLE 3A OF THE 19g1 ON I FORM BUILDING CODE WILL fir,
ASSESSED IF OWNEA/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X.,.._. .
6) The t.oi root ion I i t , along with the FFnerely Comp Ianc:e> Worksheet (when appl lc abls0 I '.
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
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 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
I
e
• MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
part of the p l anc: -Ai. , ,nu i i , ��,.. � ;, . . acl�� .: ttif . � t i. r � tIt
a plicant to make corrections indicated on the pplant, From the correction 1IF,ts , Once
the p 1 axis are marked APPROVFD, they may riot bey allanged or altered without authorization
trom tho Bui Iding Official . Tho permit holder, Is re•punsible to retain the complete
approved set of plans on site for the duration of the project . Failure to comply will
result In falIure of required building inspections . Every permit shall expire by
limitation and become null and void If the bulldln or woo -authorized by such permits
is not commenced within 180 clays from the date of Isslrance, or if the bulldin o� work
authorized by such pertaits Is suspended or abandoned at any time after the wor? is
commenced for a period of 180 days • X -..-----
7 ) Al t. CONSTRUCT ION MUST MEET OR EXCEED ALL i.00AL CODES AND URC; REQUIREMENTS .
X.,.--.- -
A ) Change€= to approved building plans 'that offoot compliance to the 191,41 Washington State
Energy Code, 1991 Ventilation and indoor Air- Quality
Gode , the Un1form SuIlding Code and/or Mason Count RequI �ttons must
be approved by Mason County prior to construct i onXA'�
9) CCUNSTRIICT i ON PROCESS '10 RE FIELD CORRE.CTF0 AS REOU&l> PFR MASON COUNTY BU t LG 1 MG
• Dr.PARTME NT AND UNIFORM St!1 t_D I NG COVF .x
C'
CONCRETE MECHANICAL MOBILE,+OME
Footings-Setback date by Ribbons
date by Gas Piping date by
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 by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
Permit No.
MASON COUNTY 0 POy
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 Owner Q'k, Phone# 3 7sD�
�-
ddress Gc/ T Fire District#
ity S�jp /To h St G✓a Zip 'yS,p-1
Directions to Job Site /a/ T Ae �C� Z'o ,04 J0,0 rrn ilS L e F T To
/-/5,67 7&— Guess C T
Owner Mailing Address &//OG C�61/�sdalP /
City Sh e 170 h _ Suds Zip
laion/Title Holder 1-5,/4 n of L,c% / Q,s o c i a rrs
Address
City St (.t/5 Zip 9f6 FP
#2 Contractor Name OU14.11et ��y�%�2` Contractor Reg#
Address w/4)p Expiration Date
City St GAR Zip 95;s Yy Phone#34a- 1/17-/ 7S2
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well _
Connect to Sewer System? Name of System wrea I- S�,STD ti tC 4d l 4 0/; -T e 5
(If residential, proof of potable water is required)
#4 cel No��c�a
�egal Description L o7 S P 23q 0 S rJ 9 3 y
#5 Building Square Footage: (existing/proposed)
1st FI /09.-T / 2nd FI,3�y 5/38 3rd FI / Loft /
Basement / Deck / #bedrooms 2- / #bathrooms_�L/
Garage / Carport / (Circle:Attached or
Other sq. ft. /
#6 Use of building c o% ribe work
#7 Type of Job: New Add Alt Repair MAY ®t6erz
#8 MOBILE/MANUFACTURED HOME INFORMATION 4PAI N
Model Year Ma Model ERVICEO
Length W' Serial No.
# Bedrooms #Bathrooms Type of Heat
Purcha rice$
#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 �a,.�
Show following on the site plan
I
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
165
i� Wa4
v
d4so
i,20
,,C t-\
�06� E ,
U
33/ , y° due ro s F
•/IJ
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
M
F- ic4T
I
Plumbing Fixtures ($3.25 each) Fee Mechanical Fixtures ($6.50 eachl
b
No. Z- Toilets (v'S CIRCLE FUEL TYPE: easElectric,
v
Z- Bath Basins (, S Heatpump, Other
Bath Tubs 3 Z No. Units Fees
Showers 3 2s Furn BTU (o S b
Hot Water Htr 3 _ Heatpumps
Laundry Washer 3 _ Vent Systems
o
a
/ Sinks 3' -y 4 Spot Vent Fans eZ�-
Floor Drains No. Boilers/Compressors
Laundry Basins _ HP
Dishwasher 3 --2"5-
No. Air Handling Units
Disposal _ cfm#
Urinals No. Fire Protection Systems
Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 16.25 _ Auto Fire Sprink Sys 35.00
TOTAL PLUMBING $ 48, 7 No. Other
Gas Outlets �•S o J_ Woo , Gas Pellet Stove 32.oC�
12OPA tJ t 'TArJK �o-Sd
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF 45-
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 16.25
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD 7S�
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 �1 r X BY
DATE 5 7 6 DATE
FOR OFFICIAL USE ONLY: Accepted by: Date: T_�)'Lo q co
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health: I7
Building Plan Review Lf.-
Occupancy Group: Type of Const: ,15-N
Fire Marshal:
Other:
Special Conditions: FEES
y'ys7= Building Permit L(7
x ys= tE- a a�ra�o a as � s
Plan Check
Plumbing Fee ya ?f
Mechanical Fee
Woo / as/ ellet Stove gp •
Radon Monitor
Violation Fee
Site Inspection
Building State Fee y.S�
Other
a,f Other
Building Valuation: TOTAL FEE