HomeMy WebLinkAboutBLD95-1016 SFR - BLD Permit / Conditions - 8/24/1995 ON COUNTY
MASON �
�. Mason County Bldg. III 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
83 LJ I L_ D I N G PERM I T FOR INSPECTIONS CALL 421-9670
BETWEEN 5pm AND Sam 427-7262
BLD95-1016 PARCFI_ :4200878901,32 PLAT : DiV :? BLK :? LOT :?
JOB ADDRESS : W 61 SWEETCLOVER CT SHELTON
OWNER : DON W I NSLOW 426--5768
CONTRACTOR : LARRY PEDERSON 426-5768
LEGAL : E 331.34' OF TA 13 SNRV 15!151 TO 2 OF SP 82311
J'.4�'•��':a+•�.-1:1�G'SS:.:L^"ig'-r�—�yL�YC�.�S:.FSG.
CLASS OF WORK . . :NEW BEDR : 3 .BATH : 2 TYPE ANOUNT BY DATE RECEIPT TYPE ANOUNT BY ®ATE RECfIPi
TYPE OF USE . . . . :SF STORIES . . . . . . . :2
OCCUP . GROUP . . . :? BLDG . HEIGHT . . : 0 .Oft EHCP I 11.11 KS 011124195 40929 1DST 8 25.00 KS 08124196 40029
TYPE OF CONS1 . . :? FIREPLACES . . . : 0 RIC 4 42.00 KS 08124195 40026 STfE^ 1 4.50 KS #8124195 400^9
OCCUP . LOAD . . . . -, 0 WOODSTOVES . . . . : 1 RADN I 8.00 KS /8124195 48029 PRNT S 396.90 KS 08124195 40029
DWELL .UNITS . . . . : 0 PARKING SPACES : 0 PIN I 51.00 KS 06124/95 41929 !PICK 8 195.60 KS 08124195 44029
INSPECTION AREA : 2 SHORELINE? — , :N rC8 I 39,60 KS 08124195 40929 TOTAL: 164.50 VAI_diAT 10N: T8289
SETBACKS--------------- TOILETS , . . . . . . . . . 1 2 FUEL TYPE,____._.______._ BOILERS/COMP---- MOBILE HOME
FRONT
FRONT . . .S 60 ,Oft BATH BASINS . . . . . . : 3 : 0-3 HP . : 0
REAR . . . .N ,5 .0ft BATH TUBS . . . . . . . . : 1 3-15 HP . : 0 MODEL :
SIDE ( 1 ) .E 210 .Oft SHOWERS . . . . . . . . . . : 1 FURN < 100K BTU : 0 15-30 HP . : 0 - MAKE----
SIDE (2) .W 40 .0ft WATER HEATERS . . . . a 1 FURN }-100K BTU : 0 30-50 HP . : 0
SHRL I NE . O .Oft CLOTHES WASHERS . . : 1 FURN -- FL.00R . . . : 0 5 0+ HP . 1 0 -YEAR- - -
AREA. ----•________ __.___ KITCHEN SINKS . . . . : 1 HEAT PUMP . . . . . . : 0 2
LOT SIZE . . : FLOOR DRAINS . . . . . : 0 VENT SYS•fEMS . . . : 0 EVAP COOLFRS : 0 LENGTH : 0
BUILDING . . . : 16639- f DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMFNT . . . . 0st LAUNDRY TRAYS . . . . : 1 DOMES . I NC I N iO •-SERIAL.#-- --
DECKS , . . . . . : Ost DISHWASHERS . . . . . . : 1 AIR HANDLING UNITS-- COMML . INCIN :O
GAR/CARP :G 48Asf GAPB DISPOSALS . . . : 0 <— 10000 efm . : 0 RELOC/REPAIR : 0
A T/E)T . :? URINALS . . . . . . . . . . : 0 > 10000 c f m . : 0 OTHER UNITS . : 0
M I SC FILM F 1 XTURES : 0 GAS OLITI FTS ., 0 -
PROJECT OESCRIPTIONcRESIDENCE
PROJECT LOCA1100:DAYTON TRAILS, TOP OF $III TURN IEFT SECOND RD ON RIGHT IS CIOVERDALE PLACE, TURN RIGHT fLI THE NAY TO THE END, TURN RIGHT ON MO RD GO TO
ENO OF C3LOESAC, O1IVF1AT ON THE LEFT.
THIS PIRNIT BEC,OVES NULL AND VOID If 10111( OR CONSTRUCTION AUTHORIZED IS NOT CONNFNCED 11I1NiN 180 DAYS, OR if CONSTRUCTION Oil WORK IS USPENDfO fOR A PERIOD
Of 181 DAYS AT ANY TINE AFTER 1011 IS CONNENCED, EV1DFNCE Of CONTINUATION Of 1019 IS A PROGRESS INSPECTION WITHIN THE 181 DAY PE11I00: MAI INSPECTION VVST BE
APPROVED BEFORE 90I1OING CAN BE OCCUPIED.
1 � HATE. N.
01NER OR AGENTi_.__-__. _ I - : � _ N.
v
Bic-Poll, rev! 13131?91 COMPLIANCE TO ATTACHED CONDITIONS IS RFOU I RED
CONCRETE MECHANICAL ,�t/^n� MOBILE HOME '
Footings-Setback date /'—/Z� `��by J Ribbons
date /" l— b 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 — Z by date f / -9 G by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date 12'—9S�/ by date by
Water Line / FINAL INSPECTION
date /Y by date by M4 - date by
MASON COUNTY
Mason County Bldg. III 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
PERM1 1 T' rCONO 1 T- 1 C3NF,
Case No . : BL095-1018
For- : DON W I NSI OW
Page : 1
1 ) 'The nse , handling and storage of hazardous materials or flammable and combustible
liquids in excess of 10 gallons is not allowed without the approval of the Mason County
Fire Marshal .
X�-- ---
2 ) Proposed struct(ire; or any portion thereof ,greater than 30" in height from grade line,
must maintain a minimum of 5 ' setback from all property lines , easements and right of
ways .
X
3 ) All approved plans are required to be on-- site for inspection purposes . if Inspection is
called for and plans are not on site, Approval WILL NOT be granted . In addition, a
Re- Inspect ion fee in the amount of $30 .00 per hour- (minimum 1 hour ) wlII be charged and
must be collected by this department prior to any further inspentions being performed or
approval granted .
X ---
4 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305 (C ) AND SECTION 513 ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO Bt PLAINLY VISIBLE
AND LEGIBLE FROM THE, STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPAPTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPECTION FEE BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
�� yy,� �1
X_QW _ —
5 ) The correction list , along with the Energy Compliance Worksheet (when applicable) is
part of the plans and must remain attached thereto . It is the responsibility of the
applicant to make correction, Indicated on the plans from the correction lists . Once the
plans are marked APPROVED, they may not be changed 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 com iy will result In
failure of required bu i i d i nci i nsperct i ons . Fvery permit sha i l exp i r•e by limitation and
become null and void if the building or work authorized by such permits is not commenced
within 180 days from the date of issuance or if the building or work authorized by such
permits is suspended or, abandoned at any time after the work is commenceid for a period of
r
- t
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 by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
180 days . X...."_{ J
6 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL_ CODES AND UBC
REQUIREMENTS
X- -- - -
7 ) Th1s i a non--heated addition ( seperated from the existing home by exterior door:, of.
windows or both ) and by being designated as such Is exempt from and will not be
constructed to meat minimum Washington State Energy Code requirements .
X
8 ) Proposed structure or portions thereof with an projection over 30" in height from grade
line, must maintain a 5 ' ep ration distance between adjacent structures and that
furthest pro jeot ion .
9) Changes to approved building plans that effect compliance to the 1991 Washington State
Energy Code , 1991 Ventilation and Indoor Air Quality
Code, the Uniform Building Code and/or Mason Coun Regulations must
be approved by Matson County prior to constructionX_ .
10) ALL CONSTRUCTION MUST MEED OR EXCEED LOCAL CODES . IF ANY QUESTIONS, PLEASE
CALLG_'T,uH. •IS� OFFICE BEFORE CONSTRUCTION .
11 ) CONSTRUCTION PROCESS TO BE FIELD CORD CTED AS PFQUIRED PER MA,,-;ON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x -"\
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
PLUMBING date by 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
J
t
Building Permit # MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location ki' �/ ��� TL��OKe e7"
&/-Z �l Show
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
�J AU/k a / K>' giv A�w,4/l Za-
rV,5-I V 1,4 1/- a/,4-) /-V eowj�w"e- /'/W
6iU k SeO A —t :��t akbe- p ( too /( He.4—,7ZX5 FXr6oe--,o'ZVA/
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK ens
❑ Call for re-inspection when corrections are made before continuing FAA S
❑ Make corrections, items will be checked on next inspection
❑ OK to
Department 4,(/
Date _ — T Inspector S
■ �� NUT MUV T 1 , T" Ax
Permit No. CAI qr'I- u (.P
MASON COUNTY qc�/ \\0
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1Virections
M O LO $ 1 LnhGlui - t Phone# OW.) 4Aj9—5I LPg
ss w (VI FA09e*r-��f� C+ Fire District# l0
he t-1Vy\ St L¢et_ zip� 5
to Job Site _ 0 LXM -�� Trz.i i';S +P✓J ->P h I( +Ux7n 0,4+ — MOd 0fAd 66
ri 15 CIDAIL&Ak b 1 Q-4- ,tli M in •- z Q to P +'Q, '4 LkJC A! t `tom
k y
I�iG D✓1 I -+ vTkd "GD IV ' n'P C"- cL ,5 CLc - r1 -t id.A u_c r yn �tt2 l eft'•
Owner Mailing Address Q.M.Q., &5 Stft,
City Zip
Lien/Title Holder L In)
Address JUL
1-1
Clty St Zip
#2 Contractor Name L,Wr r,5br ContSr IRV eg ZA Pe110C Z03 0 c-
Address ( �. 5fi Expiration Date 9 s
City CaiA f-rci-I10- St ( J2(r Zip 9 Phone#t 5(oCD)'73&-37zS
#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)
#4 (�
L I Description E;3I , 34'' I�� T(r u-+"�u� �5 50
#5 Building Square Footage: (existing/proposed)
1st FI / I�t S 2nd FI / 3rd FI / Loft
Basement / Deck / / #bedrooms 3 / #bathrooms Z /
Garage 8 / Carport / (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building (��S L durh6& Describe work
#7 Type of Job: New _Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Lengthidth Serial No.
# Bedrooms '1 # Bathrooms Type of Heat
Purchase Price$
#9 Indicate by cicqlirgathe applicable source if any water is on or adjacent to subject property:
River Pon Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Show following on the site plan
Lot Dimensions Flood Zones .
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements Indicate Directional b N, S, E, W)
Name of Flanking Street in relation t p
y lot Ian
Name of Fronting Street p
APPLICANT TO DRAW SITE PLAN BELOW N
cJ .
sy s-rEM
I
NLo 1Q0t
�su7
s
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3 eachl Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins / Heatpump, Other ("A'l)f7 j 8E&(--Z
Bath Tubs (a ` No. Units Fees
Showers ' ` Furn BTU
J_Hot Water Htr 3 Heatpumps
I Laundry Washer ) _ Vent Systems
Spot Vent Fans
y �inks y �
C--"'Floor Drains No. Boilers/Compressors
Laundry Basins ? _ HP
Dishwasher J f 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 15.00 _ Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ No.. Other
Gas Outlets
A Wood, Gas,(PelleAStove
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 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD C '0
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $
MENCED. PROOF OF CONTINUATION OF WORK IS BY b�
MEANS OF A PROGRESS INSPECTION. (Oy
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 OF THE 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 all-- 'Ct X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date: "1
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
MM5
Environmental Health: l�
1�
_ rt
Building Plan Review
Occupancy Group: ype of Const: —
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee j� d ZS
Wood/Gas/Pellet Stove OO
Radon Monitor Q(�
Violation Fee
Site Inspection
Building State Fee �l 1
Other
0 herF// -ktw
Building Valuation: �� l� TOTAL FEE