HomeMy WebLinkAboutBLD95-0863 SFR - BLD Permit / Conditions - 3/18/1996 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
B i...i 1 l_ 113 1 N 0 P E R 1't11 I I r 0 f i ; r t_
s..CT I vNS �', L. =i27-
1<� BETWEEN 5pm AND Sam 427-72412
OLD95-0663 PARCELs320215601009 PLATsSHP O ".t1 DiVs B! K : 1 LOTS 0
JOB ADVRE=SS s E 1201 P MO SHELION
OWNER : MAYNA 244--4184 �' Prgm"EXpIRATION
C(7NTRACTOR : �BnLI 4jN - ` 7 I�ll1�-�-
LEcaAI.. : SHOAF.CAEST'fiENAACf 411 6a! aU(s 1 LOTS 8� -
z DATE
CLASS. OF WORK . sNEW BEDR : 3 .BATH a � �J� TIFF AMOUNT 6Y DA11 'ECEiPI '(YPE AMOUNT BY DATE RFQ IPT
TYPE OF USE , S SF STORIES _ . . . ._ 0
1
Ot CUP . GROUP . . . s? BLDG .. HEIGHT . . s 0 0 ENt P t 10.4fl TV 03i t8196 41474 1081 1 2K.81I "N R3118196 4t474
x�
"? TYPE OF CONST . . �? FIRE.PI_ACE u . . . . i 0 -, RI' 4 42.00 11 93118136 41474 STFF t. 4.5N '(N 03111106 4t474
OCCUI' . LOAD . . , s 0 WOC)DSiOVES . . . . : "RN1 t 406.#0 T* 03/11196 41474 001 1 5.09 TV 33118196 414?4
!�+ DWE L i.. .UN I TS . . . . s 0 PARKING SPACES s 0 !' i� IPICK 1 202.50 11 1311*196 41474 PLO t 6f.00 (1 03118/96 41414
f INSPECTION ARFA s 4 SHORELINE? . . . . eN NCH t 31.96 TV 03118196 41474 TOTAL: 787.41b VAtUI.ATtON: 889AS
ET8ACKS__._ 4.__.__ ___.._ .__._ TOILETS _ _ . . . . . . 3' FUEL TYPES---•_____...__, BOILERS/COMP-- MOBILE: HOME. _
FRONT . . .W 32 .01t BATH BASINS . . . . . . e 3 s s 0 3 HP . s 0
RtrAR . . . .E 5 .Oft BATH TUBS . . . . . . . . s v 2 3-15 HP . : P MODEL :
I DE ( 1 ) .N :5 'ett SFIOWERS . . . . . . . . . . s 2 TURN a 100K. RTt) s 0 15--30 HP . : N MAKE � —
' SIDE (2) .S 5 .Ott WATER HEATERS _ . : 1 FORN >-100K BTU, 0 30-50 HP . s 0
[3HAI, I NF. , 1 .?)f't- CLOTHES WASHERS . s / 1 FURN - FLOOR ... . t 0 50+ lip . s 0
AREA _- - - - ------------ KITCHEN SINKS . . . . :' 1 HEAT PUMP . . . . . . s 0
L01" SIZE _ ; FLOOR DRAINS . . . . . s -4 0 `DENT SYSTEMS , . Ft 0 EVAP COOLERS e 0 LEiNGTH s 0
I�U I LI7 I NG . . . : 141 09f DRINKING I.OUNT . . . : � 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . s 0 WIDTH . : 0
E3A:E:MENT . . . s 1410sf LAUNDRY TRAYS . . . . s 0 DOMES . I NC I N sO -SErR I AI..!!-_.---
DECKS . . . . , . s 240st DISHWASHERS . . . . . . sU`' 1 AIR HANDT.- ING UNITS-- COMML . 1NCIN .-O
GAR/CARPS? Osf GAPB DISPOSALS . . . sD; 1 <- 10000 crm . : 0 RE► OC/RE:PAIRs 0
AT/DT . :? URINALS . . . . . . . . . . s 0 > 10000 ofm . s 0 OTHER UNITS . s 0
MI SCI PLM F I XTURES s r 0 GAS OU i LETS , s 0
...-... +.'F1�7f�1P:;.^.':Y`�'7tG1Ga1LY5.eY1712'f44�f.1"C2':^CC-Y."K•.cSRt.'.'aYF2YY6M1'Si�':ESI.:T1�k.�^K . ".15�.SJ'SA@1ffi:0�'TdM1:%LY:'.S:YHIJ-'»R!R':`.tlPltn^Jl^�^:'Jrie�'.':9RY:^_'CPCM.:#S1CyQ1JCY%TFL:.:F3�"':!S.Y '�'1YSi::�PR::A. +:`�.
PROJECT 4F.SCPIPT loll RFS14fACE
PROJECT LOCATIONsOff l;WY 3 TARE AGATE, 118111 TO A6ATF STONE TAKE 0141 TURN APPROX 4 NItES 10 PANARANA bR EAST TAKE A LEFT 40 ABOUT HALF A BLOCK LOT S ON
11GHT BETWEEN 10 NUBILE HONES, POWFR POLE IN F1411 OF PROP All IENP POWER
Yk13 ?19011 BECONtS Nutt AND VOID IF *OAK 04 CONSTRUCTION AIITNONIXEB I$ NOT 1791111ENCED WITHIN t8D DAYS ON IF COWSTRWC1I411 04 WORK 18 SUSPLN0I4 FOR A PERIOD
QF 1411 DAYS A( ANY TINE AFTER RONK IS COVIENCED, F.VIOENCF OF COATINVATI411 Of WONK 13 A POPERE&S INSPE61411 EITAIN THE 164 QAY PFAIOU FINAL INSFECT_141 "ST B
APPROVED AEFORF 81111.61116 CAN Of OCCUPIED.
A / l
OWNER OR A@FNTsC '� .r! :s �;r � _._.._.._..._._. _ ._ �_ 0ATE
-r� n etirrn� .�.i
BID FAR , -
1.,,, as-14119 _ s--- �}s �----ACHED C4�1DiT14NlS IS
S
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date c���G`� b /� Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
Walls FIRE DEPT.
date by date -y- by T/f date by
PLUMBING
Groundwork Attic OTHER
date �; b L �� date by
D.W.V. WALLBOARD NAILING
date by date -/J=?T by T
Water Line FINAL INSPECTION
date by date by date by
U� uazn
1 c7C� _pwv,- 4,-��V;G�( •¢ ;yV2ya.� r.a�- 0;, t L�2 --
PJ1.1
Y-7-9S'
7N Ir�i9GLaS o/�F,LS d- ���� t9G�i'i� �s9/T dli-a,Ei Tr->
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Pi" R " i -T, c(.3NCs i `T i C')N ;;
Case No . a BLD95-0863
Fore MAYNARD HOLMQUiST
Page % 1
1 ) The use, handling anti storage of hazardous materiais or flammable and combustible
liquids in excess of 10 gaIions is not aiiawed without the approval of the Mason County
Flue Marshal .
£ ) Proposed structure or any portion t hereuf greater t hun O" in ho i ght from or-ado I i ne
must maintain a minimum of 5 ' setback rrom aII propsrty lines, easements and right o+
ays
3 ) All approved plans are required to be on s i to for inspection purposes . If Inspection
Is called for and plans are not on site Approval WIL NOT be granted . in addition, a
Re- inspection fee In the amount of $30 .06 pear hour (m i n i natrm 1 hour ) will be charged and
must be collected by this department prior to any further inspections being performed or
approval granted .
4 ) PURSUANT 1`0 1991 11N I F ORM BUILDING CODE , SECTION 305(C) AND SECTION '513 ALL SITES MUST
HAVE: APPROVE[, NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO B3 . PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET On 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 BUiLDiNr CODE WILL. BE
ASSESSED iF OWNEA/CONTRACTOR FAILS TO POST ADDRESS ON SiTf PRIOR TO REQUESTING
INSPECTIONS .
5) They correction list. , along with the Energy Compliance Worksheet (when applicable ) Is
part of the plans end must rema I ra attached therato . It to the responsibility of the
a�t pl icant to crake corractiont, indicated on the ian:, from the corrention l iste_ Once
the3 Man.; are marked APPROVED, they may not be o=ged or altered without authorization
from the BuiIdinq Official . The permit holder Is reponsiblea to retain the 00tuplete
approved set of plans on site for the duration of the project . Failure to comply will
CONCRE fE MECHANICAL MOBILE HOME
Footings-Setback datO by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULAT!ON date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
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 I date by
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
• P.O. Box 186 Shelton, Washington 98584
f t d i I d 0 el -J i I U i d If 6 -d i-' 1
J I Lit Uii i 1 ny� CA k i k "4
is not co monoed withln 180 days frown the (late 0 f .1
I" 'Suanoe or It the buildin or work
by such permits Is susponded or abs�donrd
auLhorized at any tip'le al"ter the wore Is
oommenood for n period of 100 days , ;W -1;7
cl�
6) ALL CONSTRUCTION MUST MEET 00 EXCEED ALL LOCAL CODES AND USC
AF?!Uj'PEMENTS
7 ) Changes to approved building plans that effect compliance to the 1991 Washington State
Energy Code, 1991 Ventilation and Indoor Air Quallt
Code, the (In I form Bu 1 1 d I n Code and/or Mat oii Coun't& 4gu-jat1,on9, must
he approved by Mason County prior to congtruotiot
8 ) ALL CONSTRUCTION MUST MEED OR EXCEED LOCAL COOF8 . IF ANY OUESTIONS, PLEASE
CALL .-THI S OFFICE BEFORE CONSTRUCTION.
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 FRAMING by date by date by
Walls FIRE DEPT.
date PLUMBING by date by date by
Attic 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
Permit No. - d��
MASON COUNTY
BUILDING PERMIT APPLICATION 110,�
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 �V v
PLEASE PRINT
#1 iQyil/RiPO Phone # P d 6
ite Address &F 19,0 P4N AQ AA o DR. Fire District#
ity -'5-A eZn2 fj/ St 44 Zip 656
Directions to Job Site or v-r /Fy- Z2 xG.y16 .5;-OIZ6 75O1<x _
,421 6-47' i�Aiu A�®iro�r �}^i x r To
Aliv66.4 T
/yc q/Z ,�/c,/)7&I- �dwA,a -?A46 /4/ 1i0wT 0 � j'DZoiP, �-7-6sry1roe72a�M
Owner Mailing Address O B o X 6 �lS"
City � E-.b%.¢� St Gc/.a Zip �f�p
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name Contractor Reg#
Address 1'3Z-1 Expiration Date
City 62 St 4z , Zi0z9/6'? Phone #mod6 ZNy 5i/d q
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply n.x Well
Connect to Sewer System? Name of System 5-'4elZ6
(If resid tial, proof of potable water is required)
7
#4()��rcel No.3202
Legal Description
7,- 99 176'orc,o o s o /`/Aso v lea vxlJ y,
#5 Building Square Footage: existing/proposed)
1st FI /` 2nd FI / 3rd FI / Loft / 3
1 Z Basement // eck l yo # bedrooms / #bathrooms /
�Jc� Garage �sv7. /.QeDQ�E Carport / (Circle ttached'or Detached?)
Other sq. ft. / = 17 D 0
MAi� £ _ g45 C3 R s�M r.�C 7 7&
#6 Use of building �,r�-1 1 57-7 Describe work �c�x�s�Yco�
#7 Type of Job: New_ 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 t ' ctproperty:
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
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
8, 50 i
al; L11
F
so
-- -- — L-GT
1
I
ti
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets q CIRCLE FUEL TYPE: Gas, lectric
Bath Basins /� Heatpump, Other -I A-<,F aapae0
Bath Tubs 6 No. Units Fees
2 Showers Furn BTU
/ Hot Water Htr _� Heatpumps
/ Laundry Washer ; Vent Systems _
LSinks Spot Vent Fans
Floor Drains No. Boilers/Compressors
_Laundry Basins HP
Dishwasher _ No. Air Handling Units
Disposal cfm#
Urinals J No. Fire Protection Systems
Other Auto. Fire Alarm Sys 50�00
e°
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ � . 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 15.00
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 OF THE ORD]NANCE 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: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
4 O
Environmental Health: oL &&0041 ,N 61161) SLtt x y in. Aj O-V S
Building Plan Review �/-
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check a
Plumbing Fee (�j�, 400
Mechanical Fee
Wood/Gas/Pellet Stove as 00
p 0 Radon Monitor $ 0`)
d a Violation Fee
Site Inspection
Building State Fee 4 SO
Other
Others ASSv
Building Valuation: TOTAL FEE 7 q,5,
_ 00