HomeMy WebLinkAboutBLD95-1699 Picnic Cover - BLD Permit / Conditions - 1/8/1996 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
131 u I 1_ n I NO P E P.O. Box 186 Shelton, Washington 98584 L 1- 427--9670
- i nt a 7-- 7262
JOB Ar)i7RFSS : W 76P2 SHELTCN•-MATLOCK RD SHE TON PERMIT
OWNS l t JAME:S GROVES 360--426-2622
CONTRACTOR : TBZ I k R BROTHERS 426--2.41 1 NULL & VOID BY EXPIRATION
LFGAL • TO 5 WW NE F1 1.1 R11 W 7622 8NFLTO1•1ATLOCK 00 DATE l ��� BY
CLASS Of WORK . . %NFW BPDR t 0 BAfH : H Jim AMOUNT BY OtAf RECEIPT 11PE AMOUNT BY DATE NFCFIPT
TYPE: OF USE . . , . :A 0,0 S T O R I F S . . . . . . . t 0
OCCUP . GROUP . . :7 BL.DG . HEIGHT . . t 0 .Oft �PNMT 1 16.60 TV 0111/1116 41152
TYPE CF CONST . s? F I REPLACES . . . . : 0 Siff $ 4.50 tN 61113E+96 41057
OCCUP . I OAD . . . . , 0 WOODSTOVE.S . . . . t 0 PICK 4 $.BP IN 61118/96 0159
OWFII. .UNITS . .. . . t 0 PARKING: SPACES : 0 VIB 1 It-00 if 61168i96 41152
I NSPI=CT I ON ARFA t 2 SHORPL I NE? . . . , tN EHCP 1 10.00 If #116819A 41652 TOTAL 54.51 VAIVLAT IONt 768
SETBACKS- -_ . _. ..__ . -.__._ .._ TOILE:TS . . . . . . . . . . : 0 FUEL TYPFS----------- BOILERS/COMP---- MOBILE HOMF--
FRONT 0 .Oft BATF1 PAS I NS . . . . . . t 0 : 0-3 HP . t 0
REAR , 0 .Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODELt �
SIDE ( 1 ) 0 .Oft SHOWERS .. . . . . . . . . . : 0 FURN 100K BTU : 0 1 ,j-30 HP . : 0 - - -
SIDE (2 ) . 0 .Oft WATER HEATERS . . . . . 0 FURN ? 100K BT'U : 0 30-50 HP . t 0 y
SHRL I NE . 0) .0 r 1: Ut_O'THE:S WASHERS . . > 0 F ORN - FLOOR , . , r 0 50 HP . ; 0 ..YEAR-_..._......
AREA ---- ___.. . __ K I TC14EN SINKS . . , . t 0 HEAT PUMP . . . . . . t 0
t OT S 1 ZE . . : FLOOR DRAINS . . . . : 0 VENT SYSTEMS — : 0 EVAP COOLERS t 0 LF7NG r►1 t 0
BUII.DING . . . e 968f DRINKING FBUNT . . . t 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . 1 0 WIDTH . t 0
BASEMENT — : oaf t AUNDRY TRAYS , 0 DOMES . I NC I N rO -SFR I AI V-
DECKS , , . . . . t osf DISHWASHERS . . , . . . 0 AIR HANDLINGUNITS• COMML . INC1N :P
GAR/CARPI? 0sf GARB DISPOSALS . . . : 0 <— 10000 01'm . : 0 RELOC/REPAIR : 0
AT/DT . :? URINALS . . . . . . . . . . : 0 ? 10000 cfm , : 0 OTHER UNITS . t 0
MISC PLM FIXTURES ? 0 GAS OUT'L.ETS . : 0
m[ Aif, •20 'RCTYY..���'..:...'�'TS3S�'.:4:0�:2. ��...�GS.CSC:.2�BR�"!'Sft.PRl'.'91Jt'SH33r6�1'S"A.TIelC�ftfK 3ii�.'SSE.Yl7t:A':R'!'.It'LiWSI"='^L`�IfUN]LYN.i'.Il' f
P104ECT OFSC11PT10NtPICIIIC COVE$
PNOJECT tOCATIONcfOLLOW NAR ROAD AVE TONANOS MATtOCK FOR APPROX. 1.5 MItiS, PROPERTY 911 RIGdI SIDF
IRIS PEIMIF BECOMES NULL ,4H0 '!016 IF WORK 01 CONSTRUCTION AUTNO$I,.ED IS NOT COIIMFMCfp NIh1k 180 6�16 O1 if CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD
Of 180 DAYS AT ANY TIME AFTfR PORK IS COMMENCED. [VIDkNCF Of CONTINUATION OF WORK IS A PNOS$fSS INSPF�1101 'WITHIN THE 1E6 DAY PFRIOP. FINAL INSPECTION OVSI Rf
APPROVFB $FFOSf 8UIt6IM6 CAN 8F OCCUPIED.
ONNfN uR AGENTr D
ATE?
6LU_PWNt, r'ev: 61131 l9I CBMPL I ANCF TO (ATTACHED CONDITIONS IS REOU I RED
A.
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
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
F-' F R M I -T C: C)N ► P.O. Box 186 Shelton, Washington 98584
C R n 4, `
Page I 1
1 ) Approved per site• pian . X
2 ) Proposed structure or snv portion thereof greater than 30" in heiritit. from grade ling
mustt maintain a minimum of 5 ' setbaok from all property lines , easements and rlght of
ways .
X
3 ) Pr,sposed structure or �ortic�n� thereof with an projection over �30" in height. from grade
fine, must maintain a .r ' separation distance between adjacent: structures and that
f►irthest pro lent Ion . X
4 ) All approved plans are required to be on-site for inspection purposes . if Inspection is
called for and plans are not on Bite, Approval WIL.L NOT be granted . In addition , a
Re- Inspe,,tion fee In the amount of $30 .00 per hour (minimum 1 hour ) will be charged and
must he oo11ected by this department prior to any further inspeotions being performed or
approval granted .
X
5 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECTION 513 ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIOrD IN SUCH A POSITION AS TO Bt PIA1NIY VISIBLE
AND 1..11GIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPFCTION FEE , BASED ON RATES IN TABLE :3A OF THE 1991 UNIFORM BUILDING CODE WILL. BE
ASSFSSED If- OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X
6) ALL. CONSTRUCTION MUST MEET OR E:XCEEn ALL LOCAL CODES AND URC REQUIREMENTS .
X
7) Changes to approved building pleas that effect compl iHn(~e to the 1091 Washington State
Energy Code, 1991 Ventilation and Indoor Air• Quality
Corse, the. Uniform Br► i I d i na Code and/or Mason County Regulations must
be approves! hV Mason County prior to construct ionX__,__
8) ALL CONSTRUCTION MUST WED OR FXCFEU L OCAt_ CODES . IF ANY QUESTIONS, Pl EASE
CALL THIS OFF110E BUFORE CONSTRUCTION .
Y,
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
' MASON COUNTY
Mason County Bldg. III 426 W. Cedar
Q) CONSTRUCTION PROCES ) P.O..Box 186 Shelton,,Washington 98584INTY B01 1 DING
DEPARTMENT AND UNIF
k
encumbered .
X
I
CONCRETE MECHANICAL MOBILE HOME
Fo)otings-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
II date by date by date by
I
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I
I
I
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/V0 � Permit No.��b97r,(bk
ASON COUN Y` lz/&/�
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 ner JAMES and JACI GROVES Phone# 360-426-2622
ite Address w. 171P.-a SHELTON-MATLOCK RD Fire District#
City SHELTON St wQ Zip QRS84
Directions to Job Site 7.6 miles west on Shelton-Matlock Rd
Owner Mailing Address SAME
City St Zip
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name Mark Bruser Contractor Reg# BRUSEC 055LG
Address Tacoma Expiration Date
City St Zip Phone# - 00 W39 5886
#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)
# arcel NoA�Q►a
Lega ll Description ON FILE IN YOUR OFFICE
#5 Building Square Footage: (existing/proposed)
1st FI 8 X 12 / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle: Attached or Detached?)
Other sq.ft. /
#6 Use of building PICNIC COVER Describe work
#7 Type of Job: Newer Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No.
# 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
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
�-n Approval
Planning:
tZ" 5�
Environmental Health:
OWNER/BUILDER TO ASSUME ALL
RESPONSIBILITY IF DRAINFIELD AREA IS
ENCUMBERED.
Building Plan Review
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: _ FEES
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee j p c j,C j b 0 v
Site Inspection
Building State Fee
Other Zolvp
Other
Building Valuation TOTAL FEE
Page No. 1 CONDITIONS/CORRECTIONS FOR CASE NO.: BLD95-1699
JAMES R GROVES
W7622 SHELTON-MATLOCK RD SHELTON
01/08/96
1) Site Plan -- Approved per site-plan. X ,
2) Sideyard Setback -- Proposed structure o any portion thereof greater than 30" in height from
grade line maintain a minimum of 5' setback from all property lines, easements and right of
ways.;X
it
3) Structure back -- Proposed structure or portions thereof with an projection over 30" in height
from grade Line, must mai a 5' separation distance between adjacent structures and that
furthest projection. X
4) PLANS REQUIRED ON SITE - 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-Inspection fee in the amount of $30.00 per hour (minimum 1 hour) will be charged and must be
collected by t P
tment prior to any further inspections being performed or approval
granted.;;X5) POST ADDRESST 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 BE PLAINLY VISIBLE AND
LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT 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 B P&E&D IF OWNER/CONTRACTOR FAILS TO
POST DDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.;;X
6) AL S UCTION -- ALL CONSTRUCTION MUST MEET OR EXCEED AL OCAL CODES AND UBC REQUIREMENTS.
X
7) Ch s to Approved Plans -- Changes to approved building plans that effect compliance to the 1991
Was ngton St a nergy Code, 1991 Ventilation and Indoor Air Quality;Code, the Uniform Building
Code and/or M4s]JJoitJy Regulations must ;be approved by Mason County prior to
constructionX
8) Excessive Cor c ions ALL CONSTRUCTION MUST R EXCEED LOCAL CODES. IF ANY QUESTIONS,
PLEASE;CALL THI OFFICE BEFORE CONSTRUCTIO ;X
9) Field Correct -- CONSTRUCTION PROCESS TO I ORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE.x
10) Owner Responsib ner/builder ass all responsibility if drainfield area is
encumbered.;;X