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HomeMy WebLinkAboutBLD94-1779 Addition - BLD Permit / Conditions - 3/16/1995 MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 E3 !.a i L. [� 1 N G PERM I T FOR INSPECTIONS CALL. 427-9670 BETWEEN 5pm AND Elam 427--7262. 6L.D94-1779 PARCEL :322345000021 PLAT ;MAPLO DIV : BLKs LOT : JOB ADDRESSs NE 13001 NORTH SHORE RD BELFAIR OWNER : FRANK PRIT"CHARD 382-3630 CONTRACTOR : TAHIIYA BUILDERS 275-4573 LEGAL : MAIRONA MOININGSIDE RCN TRACTS TR 21 1 T.L. fS 14211 SK /49- CLASS OF WORK . . sADD BEDR s 0 .BATH , 0 1YPf AMOUNT BY DATE RECUT TYPE AMOUNI BY DATE R�ECEIPP TYPE OF USE . . . . :SF STORIES . . . . . . . s0 - OCCUP . GROUP . . . s? BLDG . HEIGHT — : 0 .Oft fNff 11 51./6 KS 93/15195 1 TYPE OF CONST . . :7 FIREPLACES . . . . : 0 PRMT 1 50.11 KS /3116195 1 OCCUP . LOAD . . . . : 0 WOODSTOVES . .. . . : 0 Siff 1 4.56 KS 03115195 9 DWELL .IINITS . . . . ; 0 PARKING SPACES ; 0 INSPECTION AREA : i SHORELINE? . . . . :Y TOTALS 114.51 VALULAT1ONs 1 SETBACKS--------------�-- TOILETS . . . . . . . . . . s 0 FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME--- FRONT . . . 0 .0ft BATH BASINS . . . . . . ; 0 s 0- 3 HP . s 0 REAR . . . . 0 .Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : S I DE ( t ) . 0 .Of t SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU . 0 15-30 HP . : 0 --MAKE_ ..-_ ._ .-_ SIDE (2 ) . 0 .01t WATER HEATERS . . . . ; 0 FURN >-1O0K BTU : 0 30-50 HP . : 0 SHRL I NE . 0 . Oft CLOTHES WASHERS . . 0 FURN -- FLOOR _ . : 0 504- Hp . : 0 -YEAR-.-•-- - - AREA --------------- -- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . s 0 LOT SIZE . . ; FLOOR DRAINS . . . . . . 0 VENT SYSTEMS . . . : 0 EVAP COOLERS ; 0 LENGTHS 0 BUILDING . . . : Osf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . ; 0 WIDTH . : 0 BASEMENT . . . : Osf LAUNDRY TRAYS s 0 DOMES . 1NC1N :0 DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS- COMML . INCIN :O GAR/CARPS? Osf GARB DISPOSALS . . . ; 0 10000 afm . : 0 REL.00/REPAIR : 0 AT/DT . s7 URINALS . . . . . . . . . . ; 0 ? 10000 atm . : 0 OTHER UNITS . ; 0 MISC PLM FIXTURES ; 0 GAS OUTLETS . s 0 PROJECT DESCRIPTION;AIDITION PROJECT LOCATION; THIS PERMIT BECOMES NULL AND VOID IF WORK 09 CONSTRUCTION, AVINOR12ED IS NOT CONNENCED NITHIN 180 DAYS, 01 If CONSTRUCTION OR WORK IS SISPENDED FOR A PERIOD OF 181 SAYS AT ANY TINE AFTER RK iS COMM ACE#. EVIDfNCE',.Of JONTIIIIAT101 OF 141K IS A PROGRESS INSPECTION WITNIN THE 111 DAY PERIOI. FINAL INSPECTION MOST BE APPROVED BEFORE BUILDING C OCCtl11ED. rr OWNER OR AGEMI.s c c_ t' `-'� _ DATE: 6L 1_tIMI, rev; 03131191 \`� COMPL i ANCE TO ATTACHED CONDITIONS IS REQUIRED CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date q-I •- 5 S by C Gas Piping date b Foundation Walls date by Set Up date L1_ by 1 INSULATION date by BG/SLAB Insulation Floors -Z 9— s S Final date by date b date by FRAMIN y Walls np ��5 CG icn e:4 FIRE DEPT. date / by date by . J date by PLUM NG OTHER Groundwork Attic date b date 6 -� � — SS by D.W.V. WALLBOARD NAILING no � 15P date by dataCl,fle-0 by �J Water Line FINAL INSPECTION date by datejby date by II ?• J� � Gil GW icy cc//c C.S. IS 2 2- X Z p • �rOL)t i L �- S/' O�C G ec �C c- 4cn-y- i n V cCn.eoin .-• ire MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PE RM I T 0 00 r D I T I t7tVy; Case No . : BLD94-1779 For ; FRANK Phi I TCNARD Rage : 1 4 1.) The prop. sed project must be consistent with all applicable potir� ie}s and other, provisi� s he Shoreline Management Art , its rules, and the Mason County Shoreline Master / roc LLLL +.. _ 2 ) Approved pet- site-plan . X Approved per Declaration "ova cTom na on approved by Mason County 1 / 13/ 95 .. i 3 ) Applicant should note: that in the event one of the two resl+.lences Is removed from this property^ a shoreline substanl I regl opment permit will be required for accessory living quarters ( or an a justmentftio he property line could be performed) . Minor additions to the res Vdences ,-i permit"b l e Ory i d i ng all other code requirements are met . CONCPETE 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. MASON COUNTY y BUILDING PERMIT APPLICATION �;� � yr 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1 800 562 5628 � PLEASE PRINT #1 ner I-t-aL k 2 Phone# 30 -;L �-�? S— Z `i 7 ite Address A] 9 1 b 6 1 � f. s -e Fire District# g City i�Q C t� St .)c,— Zip qW15 2g Directions to Job Site Owner Mailing Address �0"O ( (f/t C olek-S f fV 13--f City si&Ltuzcr- St Zip Q 10 Lien/Title Holder Address p� p Clty St Zip ----� (,l � 2�f3 #2 Contractor Me -�U 2 Contractor Reg# rA tt y B f� Address s-0 Expiration Date City St Jk,16— Zip Qf o 2F Phone# #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) #4 Parcel No. Z Z3 - So - Gob I � Legal Description #5 Building Square Footage: (existing/proposed) 1 st FI C U� /2(ob 2 n d FI 11 3rd FI / Loft / Basement :;�.lp 0 pl O Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle: Attached or Detached?) Other sq.ft. / #6 Use of building V aCl-ri 6--n Describe work t2 #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. ' cent to subject property: River Pond Creek Stream Wetland Lake Mars Saltwater asonal 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 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No._Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other _Bath Tubs No. UDila Fees owers Furn BTU _Hot ater Htr _ Heatpumps Laun Washer Vent Systems _Sinks Spot Vent Fans _Floor Drains No.. Boilers/Compressors _Laundry Basins _ HP _Dishwasher No.. Air Handling Units _Disposal _ cfm# I _Urinals No.. Fire Protection Systems _Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $ 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 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $ 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. DEPAFT1VaENT. X OWNER X BY G DATE DATE FOR OFFICIAL USE ONLY:Accepted by; ' -z� Date: �� DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: ID3 Environmental Health: Building Plan Review �DLLSL� MA Jz /1,2Al"WALL Occupancy Group'-5 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 Site Inspection Building State Fee �Y Other Other Building Valuation: TOTAL FEE