HomeMy WebLinkAboutBLD96-0237 Carport - BLD Permit / Conditions - 5/10/1996 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
f3[._X .1 t .I_3 '1 T1C; T'I-:7. YZ F't I 1' FOR TNSPF.CTYONS ('All. 427-9670
,-l'oog?— BETWEEN 5pw AND 8aa 427-7262
BLD96-02 3 7 PARCEL :4 201.2 2 19fW-" PI.A'I' : D I V t ? BLK s? LOT s Y
IOI3 ADDRESS s F 1191 SHHL.TON SPRINGS RD SHE LTON
OWNER : RICHARD PHILLIPS 427-1505
CONTRACTORS
L.FGAL - IAT C OF SNOIT PLAT ItO
1—TYVE
('I..ASS 01 WORK . . :NEW BEDR : 0 .BATTH s 0 TYPE AIOUNT AY DATE RF.CFIP1 AIOUNT BY HATE kHCF.IPT
TYPE OF USE . . . . :ACC STORMS . . . . . . . .0 ��.� �
GROUP . . . :? RLI)G . HEIGHT . . . O .0 f t PRAT t 41.00 1& f511i196 41893 ;
TYPE OI' CC'iNST . , t ? FI REPL.ACES . . . . : 0 PLCI $ 16.51 IS 0511#194 41881 I
OCCUP , LOAD. . . . a 0 WCx)DS1'OVES . . . . : 0 STFE 1 4.51 is 05110196 41883
DWELL UNITS . . . . s 0 PARKING SPACES : 0 ERCP 1 I6./1 is /Sf lOf9b 41983
INSPF('I'ION ARHA : 2 SHORFLINF? . . . . sN VIO 1 41.01 IS /SllftO 41183 TOTAh 1119.00 VALULATION: f
SFTRA(,'K.S--- ------------- TOILETS . . . . . , . 0 FUEL TYPES---------- BOILERS!COMP---- MOBILE HOME—
FRONT . . .N 5 .0 f t HATH BAS INS . . . . . . 0 : 0--3 HP . , 0
REAR . . . . S5 .0 f t BATH "TUBS . . . . . . . . 0 3—1 5 HP . , 0 MODEL s
SIDF( I ' .I: 5 .Oft SHOWERS . . . . . . . . . . : 0 0)ttN -,: 1400K !11'U s 0 1 5-30 HP . t 0 --MAKF—_..._.-
SIDF( 2 ) .W ' 5 .Oft WATER "EATiRS , . . . t 0 FURN -160K BTU : 0 30-50 HP . : 0
SHRLINV . N ' of t (71 OTHFS WASHERS . . : 0 BURN -- NLOOR . . . s 0 50..1• Hp . . 0, —YEAR- -- --
AREA ———— _ __.__._____ KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0
LOT S 17.F . . s 11LOOR DRAINS . . , , . : A VENT SYSTEMS . . . + A FVAP COOLERS t 0 LENGTH : 0
BU I I.D T NG . , : A s f DRINKING FOUNT . . . : o VENT PANS . . . . . . HOODS . . . . . . . : 0 WIDTH . s 0
BASEMENT . . . s t0 s f LAUNDRY TRAYS . . . . : 0 DOMES . I NC 1 N s 0
DECKS . . . . , . s 40sf DISHWASHERS . . . . . . 0 AIR HANDLING UNITS-- COMML . INCIN s0
GARICARP : ? Osf GARB UfSPO.SALS . . . . 0 100@9 r_.fa . t 0 RFI,(K'!REPAIR : 0
AT!DT . s? URINALS . . . . . . . . . . . 0 > 10000 cfa . : N OTHER UNITS . : 0
MIS(: PL.M FI XTURES s 0 (;AS OUTLUTS . : 0
PROIFCT DFSCkIPTIONICARPORT ATTACIED 10 EXISTING flARAGE
PROJECT IOC,ATION;NORIN ON NIY III TO S01,1`00 SPRINGS 4'D RIGNI 114 I11.F TO SITE
THIS PFRIIT BECONES 111111 AND VOID IF 1011 01 COMSTR0fTION A0f90RIi.FO 1$ VOT COIXENCED TITl!IN 18f GAYS, 01 IF CONSTRUCTION OR f00t !S SUSPENDED FOR A DF,",100
OF 180 BATS AT ANY TIRE AFTER 1O91 IS CONIENCFD. EVIDF!ICI! OF CONTINUATIGN OF 101I1 IS A PROGRESS INSPECTION 11TIIA TQE 18f DAY PFRIOD. FINA! INSPECTION IIIST OF
APPROVED BEPOIF POILDING CAM OF OCCUPIED.
r
01NER Of AG1I1lT: c._�'r" ••_ DATFs
OLD—PONT, rev: #3131191 COMPLIANCE TO ATTACHED CONDITION'S IS REQUIRED
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 �,2&_S` by date by
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P1 nA4 -t 'a' C"C7NI> 1 '! t N S
Case No . a NLT)96-0737
For : R I CHARD PH I LL.I PS
Page : 1
1 ) The use . handling and storae of hazar(lous materials car flammable and combustible
liquids in excess of 10 gallons is not allowed without the approval of the Mason County
Fire Ma Tsba l .
l ) Proposed structure or any portion thereof greater than, 30" In height from grade line.
must maintain a Oki aiau■ of 5 , setback from all property lines . easements and right of
ways
3 ; All appioved ;Mans are tequite:d to be or►- site: for Inspection purposes . If inspection
Is called for and )cans are not on site. Approval WILL NOT be granted . In addition. a
Re--Inspect ion fne in the amount of $30 .00 per houi (minimum l hour ) wi l 1 be (.barged and
must be collected by this department prior to any further inspections being performed of
apprOvB1' ranted .
4 ) PURSUANT TO 1991 UNIFORM BUILDING CODF. SECTION 305 (C) AND SUCTION `i13 . ALI. SITES MUS'.F'
HAVF APPROVED NUMBERS OR ADDRESSES PR6VIDED IN SUCH A POSITION AS TO HE PLAINLY VISIBLE
AND LFG181.F PROM THU STREET OR ROAD FRONTING TIJU PROPERTY . MASON COUNTY BUII_,DING
DF.PAV1:MHNT REQU I R14 S THAT THIS RP COMPLETED PRIOR TO CALVING FOR ANY SITE I NSPB('T IONS . A
RFINSt'FC:TION FEE RASED ON RA'1TFS IN TAI'IJ; 3A OFF THE 1991 UNIFORM 1.30I -DING CODF WILL BF
ASSF?SSF.D IF OWNUICONTRACTOR FAILS I'O POST ADDRESS ON SITE PRIOR TO RF.QUFiSTING
f NSPFCT I O S .
r46CT I ON MUST MIJ4T OR FXC'HUD ALI, LOCA1 CODES AND 1.113C REQU I RF U1.1,NTS .
A ---- �
6 ) C ONSTitt1CTION PR(rFSS To HIS FI VI.D C:ORRFVTFD AS Rpot1I I~I) PER MASON COUNTY BUILDING
MPARTMENT AND UN I FORM BU l L D I NC; 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 date by
PLUMBING OTHER
Groundwork Attic
date by date by
D W WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
'I
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
7 ) Owner /builder assumes all respc.>risibility it diatnfieid .area is
encumbered . ,
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
Permit No. 6,po,l ,0 d 3�
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 Vte
i'i�/TAtd , �.� Phone# 36o - �z7-/,5
O� ddress F7, I S N k cr'7 0 =�IX-,, Fire District# 11
City S#F-[,Tow St G"/x Zip
Directions to Job Site U K o "� i �w� C
�I/121LX Tp slT.
Owner Mailing Address 4/ S�4,F.G�..� p�i,✓vs
City ,S ,E 7.✓ St t 4_Zip
Lien/Title Holder CJat// e�GE
Address
Clty i :,� ' St �� Zip-S3761 -1 33Z
#2 Contractor Name Contractor Reg#
Address Expiration Date
City — St Zip Phone#
#3 If septic is located on project site, include records.
Connect to Septic? � Public Water Supply Es Wells
Connect to Sewer System? A/o Name of System ,�,✓��a �,,/ S�(GT,,S�.c.,,�u- �.fl
(If residential, proof of potable water is required)
mop yZ
#4 C�egal
No. --/zd / - Z� -Description T G o 5 "—
#5 Building Square Footage: (existing/proposed)
1 sf FI / 2nd FI -�" / 3rd FI / Loft /
Basement / Deck -F '/ #bedrooms / #bathrooms-2-1-
Garage -- � / Carport � S / (Circle:Attached„ Detached?)-7'
Other / sq. ft. /
#6 Use of building _ o� Describe work
D "I 1'!
#7 Type of Job: New � Add Alt Repair t
#8 MOBILE/MANUFACTURED HOME INFORMATION MAR o 8 1996
Model Year Make Model
Length Width Serial No. AI`(j 3 ` " -• �� c
# Bedrooms # Bathrooms Type of Heat '
Purchase Price$
#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 Flood Zonesw
Existing Structures Fences
Structure Setbackso Driveways
Water Lines 14 Shorelines w
Drainage Plan Topography e
Septic Systems Wellsow
Proposed Improvements Easements ✓ ZI
Indicate Directional y (N, S, E, W)
Name of Flanking Street,l Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
eL
N 1
v
CA c JoeR r +
Ps
i GA A�A
T
t . .
FE Nc" #
APPLICANT TO DRAW ROFILE BELOW
41
i
Zy,
O`-
r
I�? Pl�uiroD sHOEr rh&.r
Z>«o 12 -joss r tV oNC.E"Tte
xL� —4
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
,Showers Furn BTU
,ZHot Water Htr Heatpumps
Laundry Washer Vent Systems
_Sinks Spot Vent Fans
door Drains Ng, Boilers/Compressors
'_Laundry Basins HP
,Dishwasher NQ,, Air Handling Units
,DisposalJ cfm#
'?Urinals HQ,, 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
Wood, Gas, Pellet 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 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $
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 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 D RTMENT. DEPARTMENT.
• i ,
X OWNER X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: `mm�
Environmental Health:
Building Plan Review
Occupancy Group: /)- Type of Consi
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit J(,�
Plan Check X z- � G
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building Stat Fee
Other
� Other
Building Valuation: L)� TOTAL FEE
I
Show following on the site plan
Lot Dimensions / Flood Zonesy
Existing Structures 4 Fences i V
Structure Setbacks o Driveways r'
Water Lines/ Shorelines
Drainage Plan 4 Topography e
Septic Systems-,/ Wells X
Proposed Improvements Easements
Indicate Directional by (N, S, E, W)
Name of Flanking Street,/
0in relation to plot plan
Name of Fronting Street
APPLICANT TO DRAW SITE PLAN BELOW 74
+ o�,-z 1r�w9 s�+a FErI[E
IN
�- D
i 0 GA t JDa�T
IV
i (-rARAGE
j �--- too f — -
Z�'
T
V, 1 -3.1
S FE N
APPLICANT TO DRAW ROFILE BELOW
2Xb�� r)
c�1� cJ
GJokiA Pjbek;nl c.) -.end o$ eG r-v eJ
4.oky►h oC b,,jV.\
0 A(oI.i2 Joys r rM onil.6A)r6
17
NL Fo rJca (o F�