HomeMy WebLinkAboutBLD96-0111 Garage - BLD Permit / Conditions - 2/27/1996 MASON COUNTY
Mason County Bldg. III 426 W. Cedar a
P.O. Box 186 Shelton, Washington 98584
!ram 1.1 I L_. " I N to P F. 11 1�4 1 '1- FOR INSPECTIONS ('ALL 427--9670
BETWEEN 5pm AND Sam 427-7262
BLD96--01 1 1 PARCEL :32.2325051045 PLAT :UNPLO 51 D I V : BLK : 51 LOT :
JOB ADDRESSr E 131 SEATTI.E ST UNION
OWNER : ROY SIMPSON 898-3057
CONTRACTOR -
LFGAL. : UNION HOOD CANAL ►AND A IMP CO BIK: 51 101 45-47
' �YC.�•.>•Tp'-^.4L•p'St :....YfJE9l3.'i`C'F5•Y:�.".w.1':.'<'.^Fi'f:� .9'R1iM��
CLASS OF WORK , :NEW BEDR : 0 6A'T'H : O 17YPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY ®Alt WECEIPT
TYPE OF USE . . . > :ACC STORIES . . . . . _ ;0 -•�,_.�-= - _.=r s =,.....-� =
OCCUP . GROUP . . . r? BLDG . HEIGHT , . : 0 .0'f t PRMI 4 95.50 IN 04/07196 41332
TYPE OF CONST . . r? F I REPLACES . . . . r 0 PLCK t 36.51 TW @2121196 41332
OCCUP . LOAD . . . . : 0 WOODSTOVF.S . , . . r 0 Sift I 4.Sf TV 02121196 41332
DWELL .UNITS . . . r 0 PARKING SPACES : 0 EHCP 1; '6./8 TN 02127196 41332
INSPECTION AREA - CT SHOREL INE7 . . . . rN 10tAt . 162.50 VA►U►ATION: 11180
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SETBACKS--_. --__.._ ______.___ TOILFTS _ _ . . . . . . a 0 FUEL TVPES- - --- -- BOILERS/COMP---.-- MOBILE HOME- -
URONT . . .W 5 .Oft BA'CH E3AS 1 NS , . .. . . . : 0 0•-3 lip . .. 0
REAR . . . .E 5 .Oft BATH TUBS . . . . . . . . ? 0 3- 15 HP . : 0 MODEL :
SIDF ( 1 ) .N 5 ,Oft SHOWERS . , > . . . . . > . 0 FURN < 1013K BTU : 0 15- 30 HP . ! 0 --MAKE.----.. . --
SIDE (2 ) .S 5 .Oft WATER HEATERS . . . . r 0 FURN >-1001< RTU : 0 30-50 HP . : 0
SHRL INF . O .Oft 'CL-OTHES WASHFRS . . : 0 FURN -- FLOOR . _ - 0 50+ HP . r 0 YEAR-AREA - ________,____._ KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . ; 0
LOT SII.F= > . : FLOOR DRAINS . . . : 0 VENT SYSTEMS . . . 0 EVAP COOLERS - 0 L.FFNGTH : A
BUILDING _ ; Osf DRINKING FOUNT — : 0 VENT' FAN: . . . . . . : O HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT . . . r Osf 1 AUNDRY TRAYS . .. . . : 0 DOMES . INCIN :O SFRIAL#.. - _ .
FLECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INC1N :0
GAR!CARP :? Ost GARB DISPOSALS . . . : 0 — 10000 vfill . r 0 REL.00:/RF PA I R r 0
AT/DT . :? URINALS . . . . . . . . . . : 0 > 10000 rf#u , : 0 OTHER UNITS . : 0
M 1 `yC PL.M F I XTURFS : 0 GAS OUTLETS , - 0
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PROJECT DESCRIPTIONrOARASE
PROJECT LOCATION:SIH AND SEATILI UP FROM FIRE STAIION
THIS PERMIT BECOOF S NCI1 AND VOID If WORK ON CONSIRUCTION AUTHORIZED IS 401 C0MMINCED WITHIN 181 DAYS, OR If CONSIRUCTION OR u RK IS SUSPENDED f01 A PIRIOD
OF t80 LAYS AT ANY TINE AFTER WORK IS CONNENCED: EVIDENCE Of CONTINUATION OF WORK IS A PA06RESS INSPfCTION WITHIN THE 180 DAY PERIOD, FINAL INSPECTION RUST BE
APPROVED BFfORF BUII6I116 CAN PE OCCUPIED,
OWNER OR AwI DATE:
BLO, 11, rtv: 1301191 COMPLIANCE TO ATTACHED CONDITIONS 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
FRAM G (, ,z t� Walls FIRE DEPT.
date S " 13 9(ty 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 d e)J_ — date by
1
C ,a yl (k/,V—g c%
T—
MASON COUNTY
l-� Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PF.- F2M I T Cf7N0 1 _T- 1 ON
Case No . : BLD96-0111
Fort ROY SIMPSON
Page : i
1 ) Proposed structures or any portion thereof greater than 30" in height from cirader line .
must maintain a minimum of 5 ' setback from all property tines , easements and right or
wags .
2 ) The use, handling and stor"ape of hazardous materials or flammable Anna combustible
liquids in excess of 10 gations is not allowed without the approval of the Mason County
Fire, Marshal .
3 ) PURSUANT- TO 1991 UNIFORM BU I LD I N(ai CODE. , SFCT i ON 305(C) AND SECTION 513 , ALL SITES, MIST
HAVE APPROVED NIJMBFRS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PI. AINLY VISIBLE
AND LEGIBLE: FROM THE CJRFET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RE I NSPE CT I ON FEE , BASED ON RATES IN TABI E ;TA OF THE 1991 UNIFORM BUILDING CODE W I t L BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
4 ) All approve3d p I annr: rarer r esqu i red t o be on- site± for i nr�i Potion purpo,,es . It inspection
13 called for ad plans are not on site, Approval WII..L NOT be granted . In addition, a
Re- inspeotion fee in the amount of $30 .00 per hour (minimum 1 hour ) will be charged and
must be collected by this department prior to any further inspections being performed or
approval granted .
6 ) Na Occupancy . This structure Is I im i ted to M- 1 use only . Any other use will be In
violation of the Uniform Building Code and Masan County Regulations
unless a "Change of (_Ise" permit is approved .
6) ALL CfOI5TRIICT I ON MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS
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
7 Proposed struotur(.: ,M �z,► t imis ther�eot with an pro)ecI ion over .30" in heIght f► om cjrade
line, must maintain a separation distance between adjacent structures and that
fu►'th0St pro jeot ion . X
8 ) Changes to approved building plans that effect compliance to the 1991 Washington state
Energy Code , 1991 Ventilation and Indoor Air Oua1ity
Code, the Uniform 13r.► I I d I ng Cade and/or Mason County Reg 1 t I ors- must
be approved by Maz,% County pr f or to construct i on 4
9 ) ALL CONSTRUCTION MUST MEET OR EXCEED LOCAL. CODES . IF ANY QUESTIONS, PLEASE:
CALL TtIS, OFFICE BEFORE CONSTRUCTION ,
10) CONSTRUCTION PROCESS TO RE FIELD CORRECTED IS HFgtJ I RED PER MASON COUNTY E311 I I_P I N6
DEPARTMENT AND UNIFORM BUILDING CODE .
11 ) Owner'/builder aeaaumet; a I I resipons I bi I I t y if drainfieId 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 r� � �� 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 Attic OTHER
Groundwork
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
JC
I
Permit No.
MASON COUNTY ��b,,11
BUILDING PERMIT APPLICATION a� 0
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLE SE PRINT
#1 er �o ,� �iYYiTOSd/V Phone# 3G/0 ?
4i�te SA S�' 30S^/
Address — /3/ . F40&_ S7- Fire District#
City LIiV%D N L.'/a. I? Z St Zip
Directions to Job Site
17 N p
Owner Mailing Address E— !3 / _5a, -14-4 57-
City `D A-11 St WA . Zip Q8S'F2—
Lien/Title Holder A/
Address
Clty St Zip
#2 Contractor Name AIA Contractor Reg#
Address Expiration Date
City St Zip Phone#
#3 If septic is located on project site, include records.
Connect to Septic? Y Public Water Supply_Well
Connect to Sewer System? Name of System
(ff,residential, proof of potable water is required)
�
#4 P cel No. plk
Legal Description 111W on/ t,/ood
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basemernt / Deck / #bedrooms / #bathrooms /
i Garaged/ 30• Carport / (Circle:Attached or Detached?)
Ot-hef sq. ft. /
8-4/0 qjs #.
#6 Use of building R G € 0A, c1 Describe work
#7 Type of Job: New Add Alt Repair r (�
r� D
#8 MOBILE/MANUFACTURED HOME INFORMATION FAQ s �9�
Model Year Make Model
Length Width Serial No.
#Bedrooms # Bathrooms Type of Heat ARM TW
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 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
,SFF 119elRD
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
_Hot Water Htr T Heatpumps
_Laundry Washer Vent Systems
_Sinks Spot Vent Fans
_Floor Drains 4 Boilers/Compressors
_Laundry Basins HP
_Dishwasher O. Air Handling Units
_Disposal cfm#
Urinals N Fire Protection Systems
Other Auto. Fire Alarm Sys 50.00
I Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ N 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 15.0
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $
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 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 cJ X BY
DATE o� - v2 - Jr( DATE
FOR OFFICIAL USE ONLY: Accepted by: Date: � �
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: 5
Environmental Health:
Building Plan Review W
z-z
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit d
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee S�
Other
Other
Building Valuation: /0 TOTAL FEE
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