HomeMy WebLinkAboutBLD98-0102 Addition - BLD Permit / Conditions - 6/19/1998 i
! MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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DLD98--0102 PARCEL :32.23?1 5901 1 4 Fl..A D I V .^ BLK s 7 L nT . 2
JOB ADDRU SS s 280 F UN I U Ht` I GfITS OR Jim I UN
OWNER - PIIYLL I 898-3321
C,0NTFIA(,TOR : HOL ENOF 426--7'871
LFGAL s TO 11 EX Sarver 5159
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CLASS OF WORK . . .ADD E3I�DR ; 2 BATH - 0 ;TYPE APP11i BY DATE RECEIPT jTYFf AMOUNT BY DATE EfCflPT
TYPE OF USE . . . sSF ,TOR I ES . . . . . , . s2
OCCUN . GROUP _ t R3 BLDG . HEIGHT . . : 0 .Oft PRMT i 297.SO NJP 86119198 4744s �EHGP I `,a.09 NJP 06119198 47443 #
TYPE: OF CONST . . :`�N F I RF PLACE S . : . . : 0 PICK 1 119.00 NJP 06119(98 47443 1
t►C:CUP . LOAD . . . . : 0 WOODSTOVFS . . . . : 01PIN $ 27.60 NJP 09119198 47443 r
DWPLL. .LIN I TS . . . . : 0 PARKING SPACES ! 0 INCH I 24.25 NJP fi/19198 47443 i
INSPECTION AREA • 3 SHORELINE? . . . N Siff ! 4.50 NJP 0e6,011198 47443 TOTAI: 52?.85 VALUTAT ION: 35439+
SETBACKS-_._-__._.._ ._ _ _._._.. TOILETS . . . . . . . . . . : 1 FUEL, TYPES-----_-_-_.__ . F30ILEP.S/C0f4P------ MOBILE HON?F--
- - FRONT . . .8 200 0'r t BATH BASINS . 1 : I ELE/ ! ! s 0- HP . : ;
: RE AR . . . .N 55 .Oft BATH TUBS . . . �, . .�. . : 0 3--15 HP, : 0 MODEL :
AIDE ( 1 ) .W 35 Oft S•IIOVVE:RS . . . . . . . . . . 1 F-UPN < 1O0K BTU : 0 15-30 HP . : 0 MAKE._
SIDE (2 ) .E 39 ,Oft WATER HEATERS . . . . : 0 FURN --1001< BTU : 0 30-50 HP . : 0
SHRL I NE .N 0 .Of.L CLOTHES WA S11FR5 . . s 0 FURN - FI OOR ! . . : 0 cif}.+ HP , : 0 Y F A R __.._.._...
AREA - __..____..__.__ __-_. KITCHE=N SINKS. . , s 1 HEAT PUMP . . . . . . : 0
!LOT S I ZE . FLOOR DFIA I NS . . . . . 0 VENT SYSTEMS; H E_VAP C.00LE R,�, : 0 ' L FNGTIl : 0
BUILDING-3 74,asf DRINKING FOUNT — ,, 0 VENT FANS , . . . , . : 0 HOODS — . . . . . : 0 WIDTH . - O
BASEMENT_ . ! 0sf LAUNDRY TRAYS . . . . ; 0 DOMES , I NC i N :0
DECKS . . . . . . : 743f DISHWASHERS . . . . . . . 0 AIR HANDLING UNITS--- COMML . INCIN :O
GAR/CARP :? 09f GARB 018POSALS . . . : 0 <- '10O00 ofm . : 0 REL.00/REPAIR : 0
A TI DT . :7 URINALS . . . . . . . . 0 10000 000 rfm . : 0 OTHER UNITS . : 0
M'I SC PL M FIXTURES - 0 GAS OUTLETS , 0
+ae�rara:aeesma.„a.:_m�+:x,.a-.:^z.+v..T<y�,+v,:s�wxt:sa�ex..:•r._^.a:x�-�r:eu s�mru-a.:aiar,rc�mca.v�uzerx-.•a✓a�.;x:a�::-st.-:..:��mrxcrn:epsi.:Jmaai¢.mrs�ax: :n:-atcm:r�t.:.;x::su;axs.-.sra-�.razsers:x:.::�xexu :sn . xraam_e....�o;.s�+..zr-iraasm�narmcs.,:.wxc•.zr:.:•err�+cc.
eROJECf DESGRIPTIQM:A08I1ION
PROJECT LOCA11011tAT TOP Of Hitt DRIVEWAY IS NEXT T9 IAIER TOWER ,
THIS PERMIT BECOMES NULL AND VOID If 1011K.OR CONSTRUCTION AUIROO17ED IS NOT COMMENCED 111HIN 180 DAYS Of If CONSIN90TION 94 WORK IS SUSPENDED fOR A PLRICD
OF 180 SAYS AT ANY TIME AFTER 101K IS COMMENCED, FVIBE4C,F -0E C41111VATIO1 OF 1019 13 A P4469ESS INSPEtT:ION 1111111 THE 110 DAY PERIOD. fINAI INSPECTION MUST BE
APPROVED BEFORE BUR DING CAN BE OCCUPIED.
B10 JANT, rev: 03131191 COMPI. I ANC.E TO ATTACHED CONDITIONS Is REUU I RED
CONCRETE MECHANICAL MOBILE HOME
Footin -Setback date /0-,?0' cs 1)— by e Ribbons
date —9$ 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 FIRE DEPT.
date /6 - 3 6 4 �- by ails
G �� date by
date b
PLUMBING f6 y OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAi ING
date U by date - by v
Water Line FINAL INSPECTION
date Lu '3CG-4 by date /i/ 9g, b�� date by
b 6 `/43
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MASON COUNTY
I Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Case No . : BLD9e- 0102
For PHYLLIS NATION
Pager 1
1 ) fh Is app I i c.at ion Is cub)ect to Buff e-r and unridsoap i nq requirements 415 estab l i s►hed under �•
M n County Ord i rren<we 1 .03 ..036 ,
2 ) The use, handling and storage of hazardous materials or flammable and oombustibie
I ►quids In excess of 10 C.1a l I oP8 is not allowed without the approval of the Maz un County
Fire rsh►a 1 .
3) Provi > Ions for surface/subsurface drainage control must be implemented with crew
construction or development on site and MUST NO1 adversely Impaot adjacent parcel " by
being directed off the parcel being dove I oped under the requirements of Mason County
- Stormwater Ordinance , Private Ditches and Pra i ris will meet regti o r ements of the
s,torsnwate3r ord i nanne or approval has been granted to use ran existing ut i I i ty and
dra ii na.;ae easement dedicated -for that spec I f 1 c purpose ,
x .iF--
.4 ) Proposed stru►ature or, any port Iusi theeroof greater thara 30" Ira heiclht from grade line,
must maintain a minimum of a ' setback from al I property I. inns , easements and 10 ' from
all County and State? Road right of ways .
X_0.
5 ) . A I I approved p 1 ant, are requ I reef to be on -r IT e for i n:� ect i or► purposes . If i nsper:i: I or►
Is called for and plans are not can site. Approval WI NOT be granted . In addition, a
Re-- Inspection fee in the amount of gad .06 per hour (minimum 1 hour ) will be charged and
must be collected by this department prior to any further inspections toeing performed or
approval graanted .
X ._._
f.3) PURSUANT TO 1994 UNIFORM BUILDING CODE , SECTION 305 K ) AND SECTION 513 . AI_I. SITES MUST
HAVE APPROVED NUMBERS OR ADOnESSES - PROVIDED IN SUCH A: POSITION AS TO BE PLAINLY V I S I Bt.E
AND LEGIBLE FROM THE STREET OR .ROAD FRONTING THE PROPERTY MASON COUNTY BUILDING
DEPARTMENT REOU I RFS T14AT THIS BE COMPLETED PRIOR TO CALLING FOR ANY S 1 TF INSPECTIONS . A
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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
PLUMBING Anil by OTHER
Groundwork
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
R SP t:T I ON I:E 1 rt1:4
�s°`s sr,ssrrr-rr rn r�r� -�-•-,-----T�
INSPECTIONS .
7 ? At.t,,,CE' STRUCT I ON`MUST MFFT OR EXCEED ALL LOCAL CODE S AND 101C� REQUIREMENTS . �
✓�
8 ? C-hange�; to approved but Iding pfan.,Y that effect compt kinoe to the 1991 Washington State
Energy Code , 1991 V,,rrt I I at i can and Indoor Air Qua I i t
Coale , the Uniform Building Code arid/or Manon County gu I at i ons must
be approved by Mason Count' prior to o n s t r u c t ion)i
g) CONISTRUCT I ON PROCESS TO BE FIELD CORRFCTV REQUIRED PER MASON COUNTY 130 11 p I Nth
DEPARTMENT AND UNIFORM BUILDING CODE .x. ��.__
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CONCRETE MECHANICAL MOBILE HOME
jFootings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Final
Floors
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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Permit No. 6LD glb(�a--
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670
(Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269)
PLEASE PRINT
#1 ner f��I��/S /Y�47`/O� Phone# 99& .33a
ite Address c2 k9 a *4-. r UNiON'fV G rS '012/!/67' Fire District#
City 41 All!)N St YZ2± _Zlp 9g5-92r
Directions to Job Site A-= 7 a D p F 1-f i <.� iJ/2� U L' c y.4 1/
Owner Mailing Address O
City 4W)1/O /y
Lien/Title Holder Q rJAt J
Address
City St Zip
#2 Contractor dame i cc, clC-✓� UBI #
Address Contractor Reg#
City St Zip Phone# Expiration Date
#3 If septic is located on project site, include records.
Connect to Septic? X_Public Water Supply :� Well
Connect to Sewer System? Name of System,
(If residential, proof of potable water is required)
#4 cel No.
teal Description -t/L 11,6 cf= 54,.e Ll • 1--p- /-8 cf= spa/..s`sr- 77e
#5 Building Square Footage:
list FI 2nd FI 7 3rd FI Loft Basement
# Bedrooms / # bathrooms / Deck / Other
Garage Carport (Circle: Attached or Detached?)
#6 Use of building ��--5/ 06�L)7—J 4 e �7 Describe worko
�0..,.v,_ oe.D� ...,... Q ��( ///1/,�it�fj�-(.�.e. �u.�C�t.e-e-�►y �L..�,�e�,fir»..�`�'�a�S"L,?
#7 Type of Job: New Add X Alt Repair _ Other
#8 M MANUFACTURED HOM MATION own
Model Year Model f 0
Length ;__ Wi Serial No.
# B�e �omS # 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 A/
Show following on the site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Drainage Plan Wells
Septic Systems Easements
Proposed Improvements
Name of Side Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3.45 each) Fee Mechanical Fixtures ($7.00 each)
No. I Toilets CIRCLE FUEL TYPE: Ga Electric„
( Bath Basins Heatpump, Other t' r�-r NC-�tErL.S
Bath Tubs No. Units Fees
Showers Furn BTU
Hot Water Htr Heatpumps
_Laundry Washer _ Vent Systems
Sinks ! Spot Vent Fans -1-
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
3 3' •3S Fixed Fire Supp. Sys 50.00
Permit Basic Fee 17.25 _ Auto Fire Sprink Sys 35.00
TOTAL PLUMBING $2 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 17.25
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 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 DEPARTTM/E'NT.y� DEPARTMENT.
X OWNER �-�r�, L l�� //�lG�� X BY
DATE o'Z - / /- DATE
Date:
FOR OFFICIAL USE ONLY: Accepted by: // 71)
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: (P:2�c kf, 9 S 0 54 f 41"-
Environmental Health: Q
Building Plan Review 0-//&Y
Z Z7
Occupancy Group:g=3 Type of Const: SN
Fire Marshal:
Other:
Special Conditions: FEES
-1`t3 X " = 3 Nr 9Zf Building Permit a 17-sd
"7 y x 7 - ale Plan Check CIO
3sa y3`1
Plumbing Fee A
Mechanical Fee a Y. 7-
5-Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee .)-o
Other
Other
Other
Building Valuation: $S, 3 TOTAL FEE 5
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