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BLD99-0483 Replace Deck - BLD Permit / Conditions - 6/24/1999
MASON COUNTY Mason County Bldg. III 426 W. Cedar 7/> _ P.O. Box 186 Shelton, Washington 98584 E; tJ I L.... D I N 4:3 P F i� 10 1 _1' FOR INSPECTIONS CALL 427--9670 BETWEEN4,, Kpm AND Rram 427-7262 [3LD99- 0483 FARCE L. :32234500001 G PLAT :MAPLO U I y' s BLK : LOT : ..1OB ADDRESS : 12971 NF NORTH SHORE RD SE_LFAIR OWNER : ERIC: PEARSON 265-3686 CONTRACTOR : EARL L I NCOt N CONSTRUCTION LEGAL_ : NARIIONA NORAINGS16E RCN TRACTS TO IS-IS 6 T.L. EX E 32' 11 �,.... �..-.....�.:�::a::msmr....—.,...... -.:s^�r>--:__..a.:'r�'car.:^�.-ee•�..sew:sir_.!^._:.^sar.aumsa�aa:.x:scr.-r.-=:rcr¢srss:� CLASS OF WORK . . tREP BFI)k i 0 BATH . 0 i1»YPEM M ANOUMT BY DAIf RECEIPT IT{PE AN34NI By DAlf RI!aml TYPE OF USE — w :ACC STORIES . . . . . . . .0 �� ������ ������� ^�,���: OCCUP , GROUP — aU1 BLDG , HEIGHT _ -. : 0 .01t �#LCI� S 4R.54 PN 06111,199 TYPE OF CONST . . :5N FIREPLACES — . . 0 PRINT I 74.75 ES 4612319E BELFAf1 1 1 0 ,CUP LOAD . . . . . 0 WOODSTOVES . . . . : 0 Siff 1 4.51 I(;, 06123199 6E1IAIR DWELL .UNITS . . , , s 0 PARKING SPACES : 0 INSPECTION AREA ; _ SHORELINE? . . . . : Y +�( �TQTAI; I'e '.44 VALDLAT it1N: ?612 �R]Ri.RWYSICtCRiCs:^..:i'S�tYL'Ysc:C'EY:�C.`.k.:L"..JCfYl:'':..:T.fia:,".,.T"..�^AS�11.'°ax2;:4 ]4Z."YCS�..1'v.Sm•Lic^_.':c�:".y:a:t=.ISI'..:liY:�il•.'v1etSY-'�.t.^upet� SETBACKS— __._.___ TOIL.ETS . . . . . . . . . . . 0 FUEL TYPES_ - ._._..__ B01L.ERS1COIAP MOBILE HOME-_. FRONT . ,. .N 50 ,0ft BATH BASINS . . . . . . : 0 0 3 HP , : 0 REAR . —S 1 5 .Oft BATH TUBS . . . . . . . . : 0 3- 1 5 HP , ., 0 MODEL : SIDEti T .W 5 .Oft SHOWERS . . — . . . . . . . 0 FURN < 100K BTU : 0 15--30 HP , : 0 _,M.AKE-__ ,- _.._ SIDE: (2 ) .E: 10 ,Of# WATER HEATERS . , . : 0 FURN - x100K BTU : 0 30-50 HP . : 0 SHRL I NE .S 1`i .Oft CLOTHES WASHERS . . -. 0 FURN - F=LOOR , . : 0 50+ HP . -, 0 -YEAR.- -- _..-- AREA _ _____.__.-__ __..__.__ KITCHEN INKS > . . . : 0 HEAT PUMP . . . . . . : 0 LOT SIZE . . : FLOOR DRAINS — _ ; 0 VEIN'r SYSTEMS . . . : 0 E VAP COOLERS ; 0 LENGTH : 0 BUILDING . " . : Osf DRINKING FOUNT kY VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0 BASEMENT . . , : 08f LAUNDRY TRAYS . , . . 0 DOMES , INCIN PO .-SE PIAI..#._._._.. DECKS . . . . . . : 296sf D I SHWA^4IE"RS . . . . . . . 0 AIR HANDLING UNITS--- COMMI... . I NC I N :0 GAP/CARP :? Osf GARB D I SPOSAI_S .. .. . 0 <- 10000 c:fm . e 0 RELOCIRE:PA I R : 0 AT1DT . :7 URINALS . . . . . . . . , 0 10000 Cfm . : 0 OTHER UNITS . : 0 1,41 SC PLM FIXTURES : 0 GAS OUTLETS . : 0 suac-rr-r�rx.�^as. :cuxacrae•3�.�•.:M..:c:r:.err-:�=;s:rmn:sszc�rr..ra�«.z-.ar rrca�r x'scw mc<^cw.:mv_—..�.tis:,rx:.^...:::c:r..:.�.wcsr..;�c:�..u..z;�=�s:r:rxrs;.+,r..••..c•,••-••,•�:,•.__..••,,,.�;arcs:.��:a..sco.�..aasatzxm+xerrs�:s�,r �rrxxu P904[l of SCR16'T tool pfftACE 6Et1v . PROJECT LOCATION:12.911 NILES OUT N SHORF RD LEFT OIL WATER Sint THIS PERMIT SECONES NQIA AND VOID If WORK OR CONSTRUCTION AUT901 17E1 IS NOT £ONMENCE6 NITHIN 180 DAYS, OR If CON3TRUC1I011 OR WORK iS SC+SPENDkO FOR A PERIOD Of 109 DAYS AT ANi TINE AFTER 1101k IS COMMENCED, EVIDENCE O` CONTINUATION QT 1011 IS A P0040ESS INSPECTION 11111111 THE IS! DAY Pf114D. FINAL INSPECTION NYST RE APPAOYEO BEFORE BUILDING CAN RE OCCUPIED. OWNER OR AGill! Y-2 � _ .__....__ ._ _.___._.. DATE: 6L D_PRMT. revs 03131191 COMPLIANCE TO ATTACHED COND 1T 10N� IS RE©U I RED __ i 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 BGISLAB Insulation Floors Final date tRAMING by date by date by Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION data by date �►7/�Rq—. by 77/? date by -/.3 '4 '""¢c I MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PEFIMIJ C01ND1 -T1C) Nt;3 Case No . , BLD990483 For :. ERIC PEARSON Page : I 1 ) 'The propused pro)ect must be consistent with all applicable policies and other provisions of the Shoreline Mandgenient Act , Its rules . and the Mason County Shoreline Master.,Aeoo"O . X ill 2) Proposed structure or, any portion thereof greater than 30" in height from grade line, must maintain a minimum of 5 ' setback from all property lines , easements and 10 ' from al ! Cov--i%n d State Road right of waysr X "-3 Al I approved plans are vequi red to b( on.-s ite for inspect ion purposes . It inspection Is called for and plans are not on site e Approval WILL NOT be granted . In addition , a ple- Inspection too it) the amount of T42 -06 per hour (minimum 'I hour ) will be charged and must be collected by this department prior to any further inspections being performed or approval r-All't e d X 4 ) PURSUANT TO 1997 UNIFORM BUILDING CODE . ALL SITES MUST HAVE APPROVED NUMBERS On ADDRESSES PROVIDED 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 REINSPECTION FEE , BASED ON RATES AS ADOPTED BY THE JURISDICTION AND THE 1 99 7 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNERICONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING I NSPECTn,, 5 ) 7he approved plot plan is required to he on-site for Inspection purposes . It inspection is called for, and plot plan Is not on site. Approval �IL NOT be granted , In addition , a Re.- Inspection tee in the amount of $42 .00 per hour (minimum I hour ) will he Charged and must be collected by this department prior to any further Inspections being per-formed or approvil granted . CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas piping date b Foundation Walls date by Set Up I date by INSULATION date ')y BG/SLAB Insulation Floors Final date by by date _ by date by Walls FIRE DEPT. I date by date I by date by PLUMBING Attic OTHER Groundwork date b date by I D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by II I I - I I MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 6 ) No Occpacn This structure Is liited t U- u 1 use only . Any other use will be i �, violation 01 - the m o Uniform Building Code and Mason Co e lations g unless a "Change of Use" permit is approved . X u 7 ) ALL. CONSTRUCTION MUST MEET OR EXCEED ALL. LOCAL CODES AND UBC REOUIREMENTS AND OCCUPANCY IS LAMITED TO THE PERMITTED AND APPROVED CLASSIFICATION . ANY C14ANGE OF' USE OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION . CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE . X 8 ) Changes to ap roved •build ug plans that effect compliance to the 1991 Washington State Energy Code, 7991 Ventilation and Indoor Air Oual , t Code, the Uniforuilding Code and/or Mason Count 4 m B egul�y, approved b o y Mason County prior t constructIM must be 9) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AF� ED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING GORE . x Ca5e No . : OL.D99-0483 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 by date by PLUMBING date by OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by ater Line FINAL INSPECTION date by date by date by rILDING RMIT NO.: BLD � �MA CdNT PERMIT APPLICATION �-3 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner L 2, c V L 1 'k 5 ON Contractor Name / A`u a I ct r�s Mailing Address AC- 1).1-7 I d. `Jhr,r� _/ Mailing Address i r K) 56, �1 City State [<' Zip Code City &E I (A ,N State t ;r Zip Code �? Phone( Other Ph.( Ph.( :U? ) ?7S 4�:7-� Other Ph.( Lien/Title Holder Contractor Reg. # -FANurru * 126 t+.Y Address Rd Expiration l /s /-7 ).)0 SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. 2 2 3 / ;v / 0 00 19 Fire District_ Legal Description < ° 1 t /o I v AA V a 31 Site Address(Please include street name, street number and ci ) Directions to site 12. 97 1 M, (E S DC} N St,,R_c Et,\ LrCt nN a,A+.=(2 'C131- Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water (Name) <AA►A Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work K I vi c c c Y, S t , ry A u k,- No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck2q L Garage Carport Other sq. ft. 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-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 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 Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date`- i �' Submittal Amount Due " Cl p G '�� b S Recei t No. � J : .Ne-S.:> .... : r....GEPARTMENTL;REVI» . A ..... I Building Department -t�_ /� Y Occ GroupU—I Type Constr. V_ J Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ o FEES Building Permit Fees Site Inspection Plan Review Fee i UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other -S7)5?� PY,�r Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal TOTAL FEE S FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. q Name �({�L- Pl�4RSDN PARCEL NUMBER3Z�3y - S*3- OOZIq Date i SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences S 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 J I1�) DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line4 i ��`1 G,gNq I ` i Fadjacent property line N'J1'� I I ------------ 1�RL� iNSP�c}-I�� I I I I I I �1�I I�I��roOS�F I � � ��<k R�lq<� �cisti►� � I I I I I I I + I I r(J I yy ' adjacent property line4 I N Sh°(tee I Fadjacent property line SAMPLE SITE PLAN adja�nt property lined 3zO- _ _ _ Fadjacent property line D 30" rRESCRvE gel I a Sf�wJ AL CR F- 1G \ I fi HOn�e I .GrxSEiu I ) PRoPouD smpt:c R 1 — ,\ 1 VAC.AhiT I I 30 ARAv6 \ I G i P0.oPwcD R\ I \ AbR ICu Lfu..fiAL SO I F—40-�I \ I /•; / I \ 80, I I /00 I � I L—eLL I I A /DD' -� I I L.a�GLL I � adjacent property line-� ; , " � i Fadjacent properf�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 d15+a"r-a. to ru.Ltt.-Ye. I sa t dca�'�►,c� to N Sfr,o�C 51opd toe '� dim+a�cQ v Signature Date