HomeMy WebLinkAboutBLD2001-00594 SFR, Garage, Deck - BLD Permit / Conditions - 8/27/2001 Inspection Line (360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT P one: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584 Z L
RESIDENTIAL BUILDING PERMIT BLD2001-00594
OWNER: DAVE MOORE RECEIVED: 6/21/01
CONTRACTOR: ROBINSON HOME BUILDE 360-277-0546 ISSUED: 8/27/01
SITE ADDRESS: 2990 E STATE ROUTE 302 BELFAIR EXPIRES: 2/27/02
PARCEL NUMBER: 122163100050
LEGAL DESCRIPTION: N 50' OF S 650'OF N 1150' G.L.3 WLY R/W
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
RESIDENCE, GARAGE, DECK ALLYN NORTH BAY RD SR 302, 2990 E
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.: V-N
Type of Use: SF Insp.Area: No. of Bathrooms: 2 Occ. Group: R-3 Lot Size: Deck: 160
Type of Work: NEW Fire Dist.: 5 No, of Stories: 1 Occ. Load: Building:1,593 Garage-Attached 928
Valuation: $101,509 Building Height. 19 Occ. Status: Basement:0
Manufactured Home Information Setback Information Shoreline& Planning Information
Make Length: Ft. Front: E 95.0 Ft. Shoreline: 35.0 Ft. Water Body: Case Inlet
Rear: W 35.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: N 7.0 Ft. Shoreline Desig.: Urban
Year: Serial No.: I Side 2: S 12.0 Ft. Comp. Plan Desi .: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Dishwasher 1 Fireplace 1 Plan Check Fee KS 8/27/01 $653.22 56578
Hosebibs 5 Furnace<100K 1 Building Permit Fee KS 8/27/01 $1,004.95 57218
Laundry Tray 1 Gas Outlets 1 Mechanical Fee KS 8/27/01 $107.10 57218
Mechanical Base Fee KS 8/27/01 $23.50 57218
Lavatories 3 Propane Tank 1 Showers 1 Ventilation Fan 4 plumbing Base Fee KS 8/27/01 $20.00 57218
Kitchen Sink, w/disposal 1 Dryer Vent EH Plan Review KS 8/27/01 $50.00 57218
Water Closets (Toilets) 2 Shoreline Pre-Inspection KS 8/27/01 $70.00 57218
Water Heaters 1 1iO4ding State Fee KS 8127/01 $4.50 57218
Bath Tubs 2 Plumbing Fee KS 8/27/01 $96.00 57218
Clothes Washer 1 Total $2,029.27
BLD2001-00594 Please refer to the following pages for conditions of this permit. 1 of 5
8) Concrete leach a ust be contained during pouring, such that water quality degradation of adjacent waters does not occur.
X
9) An approved Boundary Line Adjustment must be_ocorded with the Mason County Auditors such that all structure to property line setback requirements
for the development can be met. X
10) The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire.
11) All construction higher than 30 inches above average grade must be located behind th horelin ommon line which is found by drawing an imaginary
line between the most waterward driplines of the two adjacent residences. X
12) Applicant acknowledges that this development is subject to policies and regulations of Mason County Comprehensive Plan and Development
Regulations.X (,.k
13) Approved per dimensions and setbacks on submitted site plan.
14) Approved per dimensions and setbacks on submitted site plan. X
15) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will
not be granted. In addition, a re-inspection fee in the amount of$47.00 per hour(minimum 1 hour) will be charged and must be collected by the
Building Dep ment prior to any further inspections being performed or approvals granted.
X
16) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located 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 re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or
contractor fi post the address on site prior to requesting inspections.
X --�
17) The plan review check list and corrections, along with the Energy Compliance Worksheet (when applicable) are part of the approved plans and must
remain thereto. It is the responsibility of the applicant to make the corrections indicated on the plans. Once the plans are marked "APPROVED", they
shall not be changed or altered without authorization from the Building Official. The permit holder is responsible to retain the complete approved set of
plans on site for the duration of the project. Failure to comply and/or removal of approved documents will result in failure of required building
inspections. glt�
18) The "approved" plot plan is required to be on-site for inspection purposes. If an inspection is requested and the "approved" plot plan is not on site, then
approval will not be granted. In addition, a re-inspection fee in the amount of$47.00 per hour(minimum 1 hour) will be charged and shall be collected
by the Build' Department prior to any further inspections being performed or approvals granted.
X
19) In buildings of unusually tight construction, fuel-burning appliances (excluding cooking appliances and domestic clothes dryers) shall obtain combustion
air from outside i -accordance with the Uniform Mechanical Code.
X ,�. _ ,
BLD2001-00594 Please refer to the following pages for conditions of this permit. 3 of 5
20) 'Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building
Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached
thereto. If d cuments are removed, approval will not be granted. In addition, a re-inspection fee of$47.00 per hour(minimum 1 hour)will be charged
and shall ected b the Building Department prior to any further inspections being performed or approvals granted.
X
21) All construction must meet or exceed all local ordinances and the 1997 Uniform Building Code requirements as adopted and amended by Mason
County and the St to of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or
occupancy woul ult in ermit revocation.
X
22) Proposed structure or portions thereof with an projection ov � ight from grade line, must maintain a 5' separation distance between adjacent
structures and that furthest projection. X (W " i�
23) All changes to "approved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County
ordinanc regulation, must be reviewed and approved by Mason County prior to construction.
X
24) The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the Uniform Codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector shal made prior to requesting additional inspections.
X
25) All propane tanks must be installed in accordance with the Uniform Fire Code and all applicable Mason County ordinances. All propane tanks filled on
site must be located a minimum of 10' from any possible source of ignition (electrical outlets, electrical fixtures, compressors, etc), mechanical system
air intake (direct vent appliance, ventilation air intake, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. Propane
tanks less than 125 gallons must also be located a minimum of 5' from any building opening (foundation vents, windows, doors etc), property line or
easement. If a propane tank is exposed to probable vehicular damage, protective bollards must be installed.
X AA
26) All propane tanks must be installed in accordance with the Uniform Fire Code and all applicable Mason County ordinances. All Propane tanks between
125 and 500 gallons must be located a minimum of 10'from any building, property line, public way, possible source of ignition (electrical outlets,
electrical fixtures, compressors, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. If a propane tank is exposed to
probable vehicular age, protective bollards must be installed.
X ��
27) All propane tanks must be installed in accordance with the Uniform Fire Code and all applicable Mason County ordinances. All propane tanks must
meet the installatioquirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks.
X
28) Fuel piping shall be inspected after the installation of gas piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At
the time of inspection the test pressure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping
system shall not be ed until the final inspection has been performed and approved by a Mason County building inspector.
X
BLD2001-00594 Please refer to the following pages for conditions of this permit. 4 of 5
29) - The placement of small propane tanks are not normally subject to a permit review by the Planning Department; however, propane tanks are subject to
Planning Department regulations. Such re ulations primarily consist of setbacks from shorelines and features considered to be critical areas (streams,
wetlands, slopes, etc.) If you think suc eat r exist on or nearby your property, please contact the Planning Department so that exact setback
requirements can be determined. X
30) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The
failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being
non-compliant i h Mason County ordinances and building regulations.
X X _l
31) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time
for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the
permit holder have pr vented action from being taken. No more than one extension may be granted.
X 7 .
This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period
of 180 days at any tim work is commen Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection
must be approved b ore buil iag-saabe oc u ed.
OWNER OR AGEN �'r DATE: < �
BLD2001-00594 Please refer to the following pages for conditions of this permit. 5 of 5
CONCRETE MECHANICAL MANUFACTURED HOME
Foo sings/Setbacks Date By Ribbons
Date By Gas Piping Date By
Foundation Walls Date e- ZBy Set-up
Date By INSULATION Date B
B G / Slab Insulation Floors Final
Date By Date By Date By
FRAMING _ Walls FIRE DEPT
Date L -cl-Z By 7 /2- Date � ��-c�Z By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. ��-/� Date - -cL_ By
Date By j Q FINAL INSPECTION
Water Line Date
Date -/ 7`' cv2By T� Date By
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PERMIT NO BLD
Ub5'1
MASON COUNTY
BUILDING PERMIT APPLICATION I f y
426 W.Cedar/P.O.Box 186,Shelton,WA 98684
Shelton 360 427.9670 Belfair 360 275a467 Elma 360 482.6269 Seattle 206 464-6968
APPLIQQNT INFORMATION r CONTRACTOR INFORMATION ;
Owner Ot:i" e �%:�r: /Si tlYTt� ContractorNamef(
Mailin� ddress �Ss-O _S S-C b MailiAddress ' v';�
City r:Ut � Stated Zip Code y. '? Cit State;,=•'-;-. Zip Code
Phoney ther Ph.(�_) Ph.( .r?) °" r .Other Ph.(
Lien/Ti e Ider f��wiJ:.,,, ! ontractor Reg.# '.d
Address -Expiration
SEPTICrW TER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
SystemName Se e S stem Well .. Water System Name of
Water ystem
1221 / o ri
PARCEL INFORN,IATION-19 di it Tax Parcel No. I7 / .* ()
Legal Description ,2 p A r(f r ire District
Site Address(Please,nclude street name,streret�Iumber and city) J
Directions to site h
Will timber be cut and sold in parcel preparation?(Yes/No) IV-2 �>
Is your property within 200'of the following:Body of Water(Name) Saltwater•k,
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE O SEASONAL RESIDENCE
TYPE OF JOB �Nv Add Alt Rep it Other Use of Building
Describe Work ("t 4�7 qht'
No.of Bedrooms:_No.of Bathrooms SQUARE F90T GE-1st Floor.ram 2nd Floor
3rd Floor Loft Basements Decly`fOU," Other sq. ft.
` : •
Garage Attached Detached CarportCo(.) Attached Detached
MOBILE HOME INFORMATION-Make Model Model Year
Length Width Serial No. No.of Bedrooms No.of Bathrooms
Type of Heat Purchase Price$ Replacement Unit?(Yes/No)
Installer Name Certification No.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done In requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval. ^
X ^ace X ��./l / {d fij�J/YY Date �: !�
FOR OFFICfAL USE BEYOND THIS POINT
Accepted by -, Datee_`i • Submittal Amount Due :G` t Receipt No. '
I
DEPARTMENTAL REYIEW APPROVED DENIED CONDITION CODES
Building Departure A¢ �; j,t ., (, r - r sL r�,erg
Occ Grou - Type Constr. ✓'N "/?e
Planning Department
Environmental Health Department
Public Works Department
i
Fire Marshal f
Valuation$
FEES
Building Permit Fee r Site Inspection
Plan Review Fee 6- 3 .ZZ EH Review Fee
Plumbing&Base Fee p Planning Review Fee
Mechanical&Base Fee ( Other
Wood/Gas/Pellet Stove Fee 6 — State Fee
Violation Fee -19- Pre-Paid at Submittal ( )
- TOTAL FEES
PERMIT NO.:
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6966
APPLIQANT INFORMATION CONTRACTOR INF-QRMATION
Owner v~ o/ - / C Contractor Name
Mailing/' ddress Mailing Address '
COY /t rt41/L,� State Zip Code �; Z City��;��u.•,�/f�..) State .l�1 Zip
Phone( k?) Other Ph.0 ) Ph.t ;,r, Other Ph.L____j
Lien/Title Holder ; ��� �tr� u� •�' Contractor Reg.# =;tj��' <• •,T—
Address Expiration ?- / / �.:.c
SEPTIC INFORMATI N-Co nett to New-Septic Existing Septic Connect to Sewer System ;y Name of
Sewer System � ✓.
PARCEL INFORMATION-12 d�8it Tax Parcel No. ;� / / Fire District
Legal Description'JA,�sl_; ' i 1 ;
Site Address(Please include street name,street number and city) ' S'� ,
Directions to site �' � j G "
Is your property within 200'of the following:Body of Water(Name) tor�Sf%�r�/.� Saltwater
Lake River/Creek Pond—Wetland—Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB Newer_Add Alt Repair Other Use of Building
Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type:Electric
Type of Fixture No.of Fixtures Fees LPG v' Natural Gas Heatpump
Toilets TYDe of Unit No.5f U its Fees
Bath Basins Furnace
Bath Tubs Heatpumps
Showers _ / Vent Fans
Water Heater —�,' t �2 c Propane Tank /
Laundry Wsher / Gas Outlets �"'�7
Sinks Wood/Gas/PelletStove
Dishwasher _�' Direct Vent?_11[0
Other 03,616
;A Other t PAY',6 dE✓l
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 100 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED,
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obta ning approval:
� ,✓ ,� ' `
�nl ;
X Date Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL REVIEW APPROVED 'DENIED CONDITION CODES
Building De rtm nt
Occ Grou TVDe Constr. f-?,1
Planning Department --_ —
Other
Other
:..::. FEES
Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal i
Violation Fee TOTAL FEES
FORM'MUST BE COMPLETED IN INK
PLEASE PRESS HARD
MASON COUNTY PROJECT SITE INFORMATION
/41� 1>�ss Case No.
Named✓e V CP_��s7� Az crePARCEL NUMBER /aa/6_,3(— . ateILI
G o
—G
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N,S,E.W in relation to the
site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Well Location(including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line.
adjacent property line- , E-adjacent property line
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adjacent property line4 E-adjacent property line
SAMPLE SITE PLAN
adjabCeyt property lined � 3io 3D. �a�sen„e E-adjacent property line
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adjacent property ined E-adjacent pro pert'line
TOPOGRAPHY PROFILE(Show a side view of property. Show slopes,cuts and fills. If possible include height and the
degree of slopes. See sample topography profile.)
SAMPLE TOPOGRAPHY PROFILE
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Septic Systems