HomeMy WebLinkAboutBLD97-0509 Garage and Storage - BLD Permit / Conditions - 6/27/1997 r MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
'a U I I_. D I N 0 " F rI M I F I-OR ; , .T ION. ;. 96, x
BETWEEN 5pm AND Sam 427-72.62
BLO97-0509 PARCF1 :4201 7ry390044 PI.AT : DI V a BLK : LOT
%JOB ADDRESS t W 221 L ", T fI F. EGYPT RD SHEI.TON �;4E9T
OWNER ; W I LL I AM JENSEN 427•-81134 IU THY E)(pIRATION
CONTRACTOR : ACE 111111 nf"RS tF.RVICES 426 0557 NULL & p
LEGAL : TO 4-0 OF 9 11 TO 4 OF SP 117/34 ,l�' 13Y
OATS -'"-
CI ASS OF WORK . . tNFW BEDR : 0 BATHS 0 Opi A10013 BY DAZE RfCilfl PE AMucNl BY 03,1► RcwEIF,
TYPE Of' USE . . . . :ACC: 5TUR IEt. . . . . . . . *0 z. ,_.--:-i
OCCUP . GROUP . . . aU1 Rl TAG . HE I GH`I . . : O .Oft PRNT 1 91.50 TNJ 06127191 44$85
TYPE OF CONST . . t5N F I RFPL.ACF=S . . . . . 0 PLC1( 1 39.06 TNJ 86127197 44601:
OCCLIP . LOAD . . . . a 0 WOODSTOVE:S . . . . : 0 Siff 1 4.56 TNJ 16121197 449415
DWF;.1. .LIM ITS . t 0 PARKING SPACES : 0 f HCP 1 26.011 T11J 06177197 44005
INSPECTION AREA a 2 SHORFL. INE? . . . . :N lOtAt: 167.86 VkIVIATION: 10920�
SFTHACKS--------- TOILETS . , . . . . . . : 0 FUEL. 'TYPES--- -_..___-_ BOILERS/COMP.•-.--- MOBILE`: HOME ---
FRONT . . .i51 10 .! f k tTATFi BASINS . . . . PI c 0-;'. "IP . : 0
REAR . . . .F 5 .Oft BATH TUBS . , . . . . . . < N 3-15 HP . : 0 MODE I :
SIDE ( a1 ) .N 5 .0f t SHOWE:RC; . . . . . , . . : 0 FURN a: I OOK BTU c 0 15--30 HP — 0 -MAY I-.
SIDE (Z) .S 5 .0f t WATER HEATERS — . : 0 FURN >-100K BT11 a 0 30-50 HP . t 0
SHRLINE .. O ,Oft CLOTHES WASHER' . , : 0 FURN -- FLOOR . . . : 0 50-1. HP . : 0 --YEAR.
AREA -'- ----- -- - - KITCHEN SINKS . . . . : 0 HFAT PUMP.__ : 0
LOT S I ZE . . t FLOOR DRAINS . . . 0 VENT SYSTEMS . . , . 0 EVAP COOLERS ; 0 i.ENGTH c 0
BUILDING . . . a Osf DR I NK i NG FOONT . . . a 0 VENT FANS — . . . . : 0 HOODS . . . . . . . . 0 WIDTH . : 0
BASFMFNTh. , Ost I.AUNDRY TRAYS . . . . : 0 DOMES . I NC I N -0 >fR I AI 1 - -
DECKS 0s P DISHWASHERS . . . . . . : 0 AIR HANPL. I NG UNITS-- COMML. . 1 NC 1 N i O
GAR/C:ARP :G 960sf GARB DISPOSALS— a 0 <— 10000 c:fm . : 0 REI OC/REPAIR , 0
AT!DT . :F) URINALS . . . . . . . . . . . 0 > 10000 ofm . : 0 OTHER UNITS . x 0
MISC PLM FIX19RES : 0 GAS OUTLETS . : 0
:£.':-V...........-..:-;:.SJF.-GI�.F-.ice.•'.Ctrs,�'�'�•.rt�.p'`IY�FsiC-'�IL�3,=:PJLs: Y�%:7.tiiYY�1i�YREC�6fLV"33?2.>fiW.ArvS.?':A..'i�.Y32'.SL'W1Sitl7C.4'#i3.TA::i3S.m'.4'ii x:'tr,�'a1Rt;'RFtp'v�.��9N�Par�R:PCfcw'C.Y+`t¢45tOd.+.':x.L,:ICJ¢..^.�.i�•.".-'4.:.�:'�"SJ^R:C'ALL.^:JS'RR'.i�t'^�=Alir::R:kY'��
1OJE0 OESC11PT1ON:6ARAGE AND STORA6f
POJECT LO%ATION.,SHftION NATLOCK 1:0 TO LITTLE F6YP1'1919 tEFT. 320 RIVE ON LEFT.
113 PEOVIT BECQMES NULL AND VOID :F 1011 OR CONST111010N AUTHQNIIED IS NOT CONMFNCED 1I18I1 ISO DAY3 09 if CONSTRUC11011 OR MORK 10 SUSPENDED FOR A PERIOD {
F 181 DAYS AT ANY 111E AFTER RORK IS C010#00. .fV]DF#Ct OF CONTINUATION OF N81K 1p, .4 P116RESS INSPHI f011 'IITHIN THE 130 DAY PERIOD. FINAL INSPEC11011 19S1 Of
PPROVED BEFORE BUILDING CAN BE OCCUPIOj�0.
1NfR OR AGf.NI: .�f _12
l0_ All I, rev: 83;31/91 (:OKAPI. I ANCF FO A TTACHFD COME?I T I ONS IS RFQU I RF V
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CONCRETE MECHANICAL MOBILE HOME
Footi gs-Setback date by Ribbons
date /t VW J by Gas Piping date b
Foun tionn Walls �, date by Set Up
dat / `' 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
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
0
Case No . a BLD97-0509
For , WII.L. IAM .1ENSEN
Page ! i
1 ) The undersigned property owtrer Is aware of the urac��erta i my regarding Mason Count � 's
development regulations created by the Growth Managment Bearings Board 's Order c�
October 2 , 1996, and in cotcsideration of Masora County 's wi I I ingneass to proceed 'Aith
processing of applications which might be affected by the order, tho undersigned
Mproperty owner hereby agrees to waive any lawsuit , action, -)r claim for damages aga i ns
ason County which may air i se out of Mason County 's actions In acceptance processing
and/or Is4uancee of such permits or approvals (hereinafter 'permitting aaci. lons " ) , which
damage ; are attributable to the County ' s decision to take permitting actions de�3pite
sk that changes to the County 's development regulations might later makes the
V ,, permitting actions Invai Id
2 ) The use, hand I I nit and r% tora�e of hazardous meat per, i is 1 s or flammable and combustible
liquids In eaxce sf, of 10 ga i oits Is not allowed without the approval of the Mason County
F I -Kwr s h a I .
3 ) Proposed st riict ur e or any port i on t hereof jr-oat er t ban 30 i n ho I ght from grade ! i nee,
rnust m4,intain _wJa4*w* of Fa ' 9etbaok from all property easements and 10 ' from
a State Road right of ways ,
A ) At I approved p i aarot; a r o re:gai i red to be (.)n--s I to f per i i;sppect. i on purposes . ! F I nspeo-t i ran
16 called for and plans are not on site Approval WILL NOT be granted. In addition , a
Re- i n!>pect i an fee In the amount of $3a2" .06 per, hour (m i ti l mum 1 hour ) w l 11 be ohaartaed and
must be collected bV this department: prior, to any further inspections being performed or,
al al-�..4i r a n t e d .
x
Fi ) PURSUANT TO 1494 UN I FORM 13 11 1 1-17I NG CODE, SFC`I 1 ON ;30! ( C ) AND t ECT I ON b13 At. 1_ t TF0 Mlt� t
HAVE APPROVED NUMBERS OR ADDRESSES PROV1DFD IN SUCH A POSITION AS TO Bi PLAINLY VISIBLE
AND LEGIBLE FROM THE STFIFFT OR ROAD FPONT I NG THE. PROPERTY MASON COUNTY BUILDING
DEPARTMENT RFOUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RE I NSPECT I ON FF F , BASED ON RA TF:+ IN TARI.+ ;4A OF THE 19(44 UN I FORM BUILDING CODE W i L L r3F
-
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
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MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
8 } i FI 1 s STRUCTimE, IS CONSIDERED 11NHE:A (I:D 'SPACE ( NOf TO EXCEED 1 WATT/SOUARr 100"i .w
BTU/HR/SQUARE FOOT) . AT SUCH TIME THIS CONDITION CHANGES, A CHANGE OF USE: PERMIT AND A
MECHANICAL PERMIT SHALL HE APPLIED FOR AND APPROVI-D PRIOR TO I HE CHANGE : X _..
7 If AIL .0 I. ION MU ST MFE:i OR EXCEED AI.I_ I-OCAI CODES AND I)fi(:_' REOI)1 RE:M1 NTS ,
X
8 ) Changes to appr1r.)ved but Idla'g plant: that effeot: c;ompI iances to the 1491 Washington State
Energy rode, 1991 VentIIation and Indoor Air OuaiityY-
rode, the On I tor•m Bu i I d I ng Code anl/ or Mason (,ounty,_Res
be approved by Mason Coa.anty prior to con structionX
t
P) CONSTPOCT ION PROCU SS TO BE F IF=1_n CORRECT D PER MASON CO z 'Y BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE ,
10) Owner/ buf Idea w;sumee„ al responsihi I ity If dr.a ► a►tielci area I ^
e nA" 'r
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
1
Permit No.
. MASON COUNTY
BUILDING PERMIT APPLICATION p�
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 y`,�
PLEASE PRINT V O
#1 ner 1�,q q Phone# (3r.o, � a-7- ea�
Site Address G�� z c g yXpr ►� Fire District#
City �H�Lzn4S St�_Zip
Directions to Job Site c�677) qf.2 9:�. 7?L- �'n/P 7-
Owner Mailing Address 51
City St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name C'E 6uxL S&QP-U 3 Contractor Reg # o iY
Address �. (� . c�S Expiration / 17
City St C.4 4 Ph e# �
d;Scann��'f�o�
#3 If septic is located on project site, include records.
Connect to Septic?,0 Public Water Supply Well
Connect to Sewer System? Name of System
If
sidentiai, proof of potable water is required)
# Parcel Noq�- c�-3 - 16o 4
Legal Description s �' Z� 0- /' �J
7� 4-� 6P ,60 nt3, T►2.4 0 A,5,-p q--
#5 Building Square Footage: (existing/proposed)
1st FI �Ian / 2nd FI !b! / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq. ft. /
#6 Use of building _OEL96 15-M066 Describe work /ot-z-�
(10"J L37z a 7 ,'i bit.
#7 Type of Job: New v Add Alt Repair Other -�
#8 MOBILE/MANUFACTURED HOME INFORMATION M a
Model Year Make Model A� 8 W
Length Width Serial No.
# Bedrooms # Bathrooms Type of Heath
Purchase Price $ �l"�� Y
#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 Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements Indicate Directional by (N, S, E, W)
Name of Flanking Street in relation to plot plan
Name of Fronting Street
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
I
Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins 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 No. Fire Protection Systems
Other Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 16.75 _ Auto Fire Sprink Sys 35.00
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 16.75
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
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 - - '
FOR OFFICIAL USE ONLY: Accepted by: ca ( Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: I11► S
SA
Environmenta
OWNER/BUILDER TO ASSUME ALL
RESPONSIBILITY IF DRAINFIELD
AREA IS ENCUMBERED.
Building Plan Review G_�i—Q-►
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit 7- 5�
Plan Check 39
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
/r+ �� /- 7;``� Site Inspection
Building State Fee y Sf
Other 6 O /-1 LTW
Other
Building Valuation: ' TOTAL FEE
SHORT PLAT OF PORTION OF SOUTH HALF SHORT PLAT NO:
' OF NORTHWEST QUARTER OF SECTION 17, DATE APPROVED;
TOWNSHIP 20 NORTH, RANGE 4 WEST, W. M. 1(" (��
PORTION OF PARCEL No. 4201 T-23-00040 I RECTOR OF GENERA SERVICES
Af* y Z OWNER; STEVEN JENSEN
W. 1 81 LITTLE EGYPT RD.
SHEL TON, WA 98564
i
LINE BEARING DISTANCE
L I N 040 35'31 "E 55.43'
L 2 N 89047'33"E 32. 36'
L 3 N 89047'47"E 34.91 '
L 4 N 89047'47"E 37.46'
L 5 N•89p47'47"E 40.00'
TH - TEST HOLE
MERIDIAN: PW - POTENTIAL WELL
AF No . 497718 OF - DRAIN FIELD
0 100 00 CRUME/FLOREK/TIOYMAN
f eet
N 890 47'33"E
379. 93'
OUMONTET _
-� WELL
N 89047'33"E 317.92'
L2 285. 56' 3-
N
Existing Dwelling o
ti N 8 Drain Field
�. l� p CT
r` F f A o N
O
3. 1 7 Acres `n
u — —
Approx/male East line
Llttle Egypt Rd.
N 890+47'47"E 672. 1 8' v�
o, L3N 255. 00' 382. 27' a
m I-
rn rn PW TH Q
w N
cfl p 2-O ,., O
jC` ) w0 2 00 3 CO
v O
O d -
~ o ~ 1 . 14 Acres 2:00 Acres
M a G TN 3 Z
W
0 -- �(gr 1 h one o�Ease�1
ZL4 z 255. 00' No 255. 00' o 0
S 89°47'47 W 547. 46' v
*-p 2(5 P C> s a
A2f�( �STGSScr9CaG' ;' rn
M
0 o Existing Dwclling 0
O 0
4 8 Drain Field v
2. 15 Acres
WELL P W
L5 510 00' 127. 27'
S 89047'47 "W 677. 27'
West 114 Corner SIMPSON TIMBER COMPANY
h!OTF rfel,