HomeMy WebLinkAboutBLD2009-00688 Cancelled Enclose Porch - BLD Application - 8/11/2009 FORM MUST BE COMPLETED IN INK MASON 1GOUN''Y PERMIT NO. �"
PLEASE PRESS HARD BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner. [I4CL C, a Company Name L33!
Mailing Address 19 10 i 3 Mailin ress IgI )- 000 4Aa�00V- -
City okLLA4 StateSdA-Zip Code �1 �5 City Zip Code q J
Phone h 0-77 5- &6-7 Other Ph. Phone 6- o So)z Other Ph.
Lien/Title Holder Contrac r, l�ga# L►L L, 68 947 p. 9/3/
E mail address E Mail Ad .ess ` O-/ .o
Drivers Lic.# DOB Drivers Lic. ' DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System _Name of Water System
Well— Sewer Systern—Y--_ Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. - vrt Fire District L:
Legal Description
Site Address(Please include street name, street number d city) of ;5 r�iY
Directions to site ` 51 _ 5 ` /��"i' s i
Will timber be cut and sold in parcel preparation?Y o
Is property within 200'of Saltwater Lake +g.__ river/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New Add_y- Alt ,-,Repair - Other PRIMARY RESIDENCE [g SEASONAL ❑
Use of Building 20" Desct�e Work IEAJ k L-�s-s &M4' 01`9 OK-KA' u�-M'JkE' VQ112 F
No. of Bedrooms No. of Bathroom quare Footage- 1 st Floor 2nd Floor
3rd Floor Basement Deck Covered Decker—Other Sq. ft. /e/Z S, E.
Garage Attached Deta ed Carport Attached Detached
MANUFACTURED HOME INFORMA O Make Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat se Price$ Replacement Unit? Yes/No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by sign below. I declare that I am the owner,owners legal representative,or the contractor. I further declare
that I am entitled to receive this
it to do the work as proposed in the application. I declare that I have obtained the permission from all
the necessary parties. If permi i n is re d from any easement holder or any other party in interest regarding this application or the work
proposed in the application, I h v btain ermission from them to apply for this permit and conduct the work proposed. The owner or
agent on owners ehalf, represeints t t information provided is accurate and grants employees of Mason County access to the above
described pr d structure or nd inspection. This permit/application becomes null & void if word or authorized construction is
not comme ed wi 0 days r if ns ruction work is suspended for a period of 180 days.PROOF OF CO TINUATION OF WORK IS BY
MEANS 0- ApPROGR INSIDE INACTIVITYOF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THEAPPLICATION.
X Date: ai v)0 y
Own /Owners Represent ve/Contractor (indicate which one)
FOR OFFICIA1, USE BEYO D THIS POINT Accepted by: Da
DEPARTMENTAI,REVIEW,f APPROVED DENIED I QNOTES
Building De artment
Planning Department
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Ins ection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planninq Review Fee
Mechanical & Base fee Other
Wood /Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
FORM MUST BE COMPLETED IN INK MASOWCOUN�FY PERMIT NO.t: U)
PLEASE PRESS HARD BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 - Belfair (360) 275-4467 - Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner L_: Le_lzzxt. Company Name ii_h 5 .
Mailing Address 0t Mailing Address Iql 0k e�r�' t�A�� �¢r�•
City. Ns t- State lrl 'Zip Code_=4 City 13ii,_1 i 4.lZ State ► Zip Code
Phone
175 0-7 Other Ph.
Phone ? _��- q'rp-5oj2- Other Ph.
�
Lien/Title Holder Contractor Reg. # t,L BS�i��G✓Lxp._ �._
E mail address E Mail Address tua-I+rynck...c1 !� �rrni
Drivers Lic. # DOB Drivers Lic. # DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System NO Name of Water System ..eal
Well Sewer System " Name of Sewer System t
PARCEL INFORMATION - 12 Digit Parcel No. X" — 43 —C".0 I 14 Fire District Ar ;►
Legal Description •J'� ?° .4 71 Tte.)0-1Z. a T,., t
Site Address (Please include street name, street number and city) I F_101 51 12
Directions to site t+wta 5 LL, LT,V i u A L, J IC n.'5 4 f312- ,,. �a�� y�, �� I`+` a+J
Will timber be cut and sold in parcel preparation?Yes!No
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building ' "`'�+J`>! ``� ^� Describe Work O*-c V_
No. of Bedrooms No. of Bathrooms Square Footage - 1st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq. ft. I`l 2 1
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make 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.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or the contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all
the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or
agent on owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above
described property and structure for review and inspection. This permit/application becomes null & void if work or authorized construction is
not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY
MEANS OFAPROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THEAPPLICATION.
X iU , Date ill'-i 7__l
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department k6y
Planning Department
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbinq & Base Fee PlanningReview Fee
Mechanical & Base fee Other
Wood /Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
f�T� `�� _�+�v vim-/� • °
l t I D l l- .i 3
4",j , wAr,
APPROVED
MASON COUNTY DCD PLANNING
TE PLAN REQUIRED TO BE ON SITE
C E EJECT TO APPRf VAL
By Date `� 6
2(o Y-44
'gyp -T y�.��L Zbx24-
14(LolGe
• I -fz�tts f
pc¢cA, �
VQ b r
53
f
t
r
f
f
`� C4 -,z.
MASON COUNTY RESMENTI • PLANS_S� TTAL CHECKLIST-Tp
Owner's Name: 0 VJ Dat -' � Reviewed By: y
Documents:
Building permit application complete STORM WATER WORKSHEET COMPLETE1
' Planning intake checklist complete
\NSite plan includes allowable building area,roof overhands,decks,etc.
'W Fire apparatus access road info required: Yes/No
�L1J Energy code application O Electric wall heater O Electric central furnace O LPG Furnace
O HP w/elec.Fum. O HP w/LPG fury O Boiler(heat type)
O Other: Specify
'---Ll Mechanical/ I bing application—WATER HEATER fuel type/location:
Engineering? Ye o - Snow Load:_ Seismic: T
Stock plan: OVED Snow Load: Seismic.-
I
Manufactured Homes—4 FLOOR PLANS
Foundation type: ❑ ANSI/Manf.Method ❑ Engineered footing/found. 0 Basement
Decks: ❑ Covered? ❑ Uncovered over 4 x 6 and 30"? - construction plans required
Construction Plans 3 COMPLEI7 S S
Plans legible `� Recognized scale ❑ Elevation views Cross section
Foundation plan X Roof framing plan ❑ Floor plan—use of rooms n ted(all floors)
Floor framing—all floor levels ❑ Deck framing including covered porch framing
Plan Details:
h Roof framing details,truss layout may be needed(hip and girder location shown) t l I G
Wall framing—does bearing wall_ he i t exceed 10'(engineering may be required).
Floor framing: floor joists , spacing? 10 floor beams:
Window headers: typical header 14 X(p Garage door header.
oundation: footing size,reinforcement '2 x. Z, )(- 1 /
Concrete walls—does concrete wall height exceed 8'? (engineering may be required)
API Landings at all exits? Less than 30"above grade? Y/N
'�'9 Heated by furnace—location:
"19 Fireplaceistove information shown—fuel type: Location(s):
`NJ Window sizes marked on plans
\� Braced wall panels(shear walls)marked on plans?
�12-story garage: (engineering may be required) 1't story of two story DI—45°Y%D2—55%
COMMENTS:
ENGINEERING REQUIRED
❑ Braced wall panels/brace wall lines are not marked on plans (R602.10)
❑ Amount and location of bracing does not meet nunimum required in Table R602.10.0
DESIGN CRITERIA: All notes and details required as a result of the engineered analysis shall be transferred onto proposed building plans.
Wind 85 MPH, Exposure B(unless proven otherwise). Seismic Zone: ,Snow_psf.
IRREGULAR BUILDINGS R301.2.2.2.2
Irregular portions of structures shall be designed in accordance with accepted engineering practice. A portion of a building shall be
considered to be irregular when one or more of the following conditions occur:
❑ 1)Exterior braced wall line or B WP cantilevered or offset by more than 4'
❑ 2) a.Roof/floor is not laterally supported on all edges b.Portion of roof/floor extend>than 611.beyond the braced wall line.
❑ 3)End of B WP extends more than 1 ft over an opening more than 8 ft in width below.
0 4)Opening in a floor or roof exceed the lesser of 12 ft.or 501/o of the least floor or roof dimension.
❑ -5)Portions of floor level are offset vertically
❑ 6)Shear wall lines do not occur in two perpendicular directions.
❑ 7)When a story above grade includes masonry or concrete construction(fireplaces/chimneys/veneer)entire_story shall be
designed in accordance with accepted engineering practice. lUpetmittech checklist—o2-o5-2008