HomeMy WebLinkAboutBLD99-0031 Remove Bedroom - BLD Permit / Conditions - 2/17/1999 1
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
a t.T 1 I- t a I N ca P f_ R f\A I -I- �,.,. FOR INSPECTIONS CALL 427-9670
BETWEEN 5pm AND Edam 427---7262
BL.D99--0031 PARCEI :3223521Ir30030 PLAY - D i V ; BLK ; LOT
JOB ADDRESS t 12401 NC NORTH 9140HE AD BELFAiR
OWNER ; FOERSTE P PROPFR'T I ES 253- 57'2--71 F31
CONTRACTOR : HAM I LION HOMES INC . 3601 6:30- 4804
I..EGAL : TR 3 OF OOVT tO1 G 1; TAX 172-A-1
. -rss=aa:a�:.._..••-•-�-c.'tnrr x f::sac�.r.�a:'::s�s.:n:a.-:-�.as •rl. -•.-..••-cr-.�—racr:-::>r:.r:�:n::s.�.•-�xxaz.•r.cx��--
CLASS OF WORK . ;ITEM BE DR t 1 13A Ili t I TYPE AMOUNT BY DATE. RECE IN TYPE AIIOUNI BY DATE RFCE IPT
TYPE OF USE . . :SF STOR I FS 1
OCCUP . GROUP . , . ;R3 BLDG . HE IGHT O .Of-t PICK t 15f.54 KW 91126i99 1134 NCR i 6.50 Tlf 12117199 6ELFAIR
TYPE OF C0NST' . . :bN FIREPLACES — . . 0 SHR t 44.00 if 02117191 BftFAiR #CHI t %2.60 IV 02111/99 B11FAIR
OCCUP . LOAD . , . . : 0 WOODST0VES . . , 0 PRMT 1 394. N if 02117!99 9QFAIR S1FF. t 4.50 IV 02/17/99 15EIFAIA1
DWELL .UNITS . . . , : 0 PARKING SPACES , 0 PIN t 2R.00 TW 02117199 BftFAIR 19CP t 4.10 If 02117109 SFtFAill
INSPECTION ARE A t 2 SHORE:L I NF? , . , . : Y 11141 t 20.10 11 121 i 1199 Bft FAIR TOTAL t 820.34 VAI111.A11UN: 294fli
SETBAC;KS__.__-.._..._._._ _ TOILETS . . . . . , , . . s 1 FUEL TYPE.,-.,------_-- BOILERS/COMP- ---- MOBILE HOME .--
FRONT . . .S 18 , 0fi BAFH BASINS . , . . • . 2 t /EtC/ i / 0-3 IP . . 0
REAR . . . .N E30 .0ft BATH 'FURS . . . . . . . . , 1 3-15 HP . t 0 MODEL :
SIDE ( 11 ,E 5'Oft SHOWERS . . . . . . . . , t 0 FAIRN 100K BTU : 0 15--30 HP . 0 MAKE: ..,, . _..-_.
SIDE (2 ) .W 60 .Oft WATER HEATERS . . . . ! 0 FURN >-100K BTU - 0 30-50 HP . : 0
SHRL INE .S 18 ,Oft. CL07Hf_S WASHERS , - t 0 FURN FLOOR _ : 0 .504 lip . : 0 - YEAR _....._ . . ..
,REA _.___.ro_. _._w _ _ ..-_-- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0
LOT S 17F . . € FLOOR DRAINS , . : 0 VENT SYSTFMS , , , : 0 EVAP COOLERS t 0 LUNGTI1 t 0
BUILDING . . . . 56,58f DRINKING FOUNT — : 0 VENT FANS _ . . . . s 1 HOODS . . . . . . . : 0 WIDTH . . 0
BASEMENT . . . t O�,sf LAUNDRV TRAYS . 0 DOMES INCIN :O SERIAL#
DECKS . . . _ . : Os f D I SHWASHE"RS . . . . . . : 0 AIR HANDLING UNITS--- COMML . I NC I N t O
GAR/CARP ,? 08f HART DISPOSAL"; . . 0 10000 ofm . t 0 FIE:I.,0C/RF_PAIR - 0
AT/DT . :? URINALS . , . . . . . . . . € 0 10000 eft . : 0 OTHER UNITS . : 0
MISC PLM FIYTHRFS € 0 GAS OUTLETS . t 0
r�,x._^.•.xvmu:.x�.rau-:-ar.,F.ty:es�'r-=t:-�>.-..,:.....ern.._z....:�:�r-:a:.::e::..:��+r:•s:.r�:aa.-.s"r_d'-aatrhra.:rs:a:�:.:�ax^.s:-i%;;n._�;:s_:r:sa:x•e:ss:.r_--�c:m.•:•s�:x.:�vaz'.�:anrs'rsx�::c..::�•••.--••zz<.^_ar:es-.v..cru:aaasr+:ws_::.:.re��.sur.:-r:�•r:z:_............:...e�..:s3:.nx._,
1`I01E0 DESCRIPHON:IEMOVf RiGROOM 61118 Oft BEDROOM AND BAIRROON
PROJECT I.00ATION0 2.5 MIIfS OUT NORTH SHONE RD LEfT ON FOERfS,FR
THIS PfIvIl BECOMES Nutt ANP VOID If WORK OR CONSTRUCTION AUIHORIZfD IS 101 CONNENCID WITHIN 130 DAYS, OR if CONSTRUCTION OR WtlRK IS ;UF.PFNDIP fOR A PERIOD
OF 109 DAYS AT ANY TINE AFTF4 WORK 13 COMMENCED, EVIDENCE OF CO11I111A1104 OF WOPY IS A PROGIFSS INSPECTION WITHIN THE I$# DAY P18190. FINAI INSPECTION MOST BE
APPRUvFD BfIORE 811110104 CAN RE OCCUPIf1.
11091 R 00 AGtNI t 1 PIP! PRO11 , rot 0 13l iql COMPS I ANCF 1"0 ATTAC:HI~D CONDITIONS IS RF01J I RF11
CONCRETE MECHANICAL MOBILE HOME
Footings, cam, date by Ribbons
date � ��! /by / Gas Piping date b
Foundafi6n Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by dated- ` by date by
FRAMI Walls FIRE DEPT.
date —2 r by 77 date S--cam— by T date by
PLUMBING OTHER
Groundwork Attic 1,/
date {V by
date
D.W.V. WALLBOARD NAILING
date -?'I:r by date by
Water Line FINAL INSPECTION
date by date by date by
-y +tea, vor cc>
o7'- 722 082sea ,o.?ovi�D�
y_z F -7 q ,r t,io,-
sew A,i
- � 4T�ri
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1
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P1~ FAM1 "r` C, C' N D1 _r- 1QnrV11
Case No . : BLD99-0031
For : FOERSTER PROPERTIES
Page : 1
1 ) Approved per dlmensiotrs grid �; tbac:ke: on r:ubmitted site plan ; 16 feet setback from lire
bulkhead to the roof l i ne of the addition .
} Proposed structure or any fort Ion thereof cireaterr -than 30" in fie Ight from grade line,
must maintain a minimum of 5 ' setback from all property lines , easements and 10 ' from
+ all County and State Road right of ways .
x r' is
3 ) The proposed pro ie3c:t must be consistent with a l I app l 1 cable po I i c i en and o1 her•
pprovisioris of the Shoreline Management Act , its rules , and the Mason County Shorelit►e
Master Program
4 ) Temporary erns i oo control measures must be implemented to pr event water qua I i t y
degradation of adjacent waters or vropertiass . Silt fencing must be installed and
maintained tint l i upland ve getat i arc has became evtabl i hed .
x
5 The use, hand I i nq and storar a-)f hazardous, materials (if, flammable and combustible
liquids in excess of 10 gallons is not allowed without the approval of the Mason County
fire Marsoiail.
x ��!;
6) Provisions for surface/subsurface clrainaae control must be Implemented with new
construction or development on site and MIDST NOT adversely impact adjacent parcels .
Under the requirements of Mai:on Cocinty Stormwater Ordinance, either private ditches and
drains will meet requirements of the storrriwater ordinance or prior approval will be
granted to use an existing ut i 1 i ty and drainage easement dedicated for that s acec i f i c
purpose . For further Information regarding this ordinance sand the RE0U1REMEN� to
obtain at) ACCESS PERMIT for 'they ins:trat iat ion/r.r+r►strur•t ian of fa driveway or access
connecting from a Mason County Road , Contact the Masan County Public Works Department
rior to constructlon at Ext 450 .
or any oonst r►ict i on wt+ l oh It, propo,;,ed to tie located within 25 ' of a Mason County road
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set DP
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundworl;
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line — FINAL INSPECTION
date by date by date by
II
I
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
tight of way, It Is sugre:stod to ontact that office to review future pianned work which
aiaV aTTectour prr, jer..
7 ) All approved plans ;are required to be can site for ins ect Ion p►►rf,osets . It ins; e("t ion
Is oalied for- and plans are not on site, Approval WI ►.L NOT be granted . In addition, a
Rer- I aspect Ion fee 1 n the amount of $42 .00 per hour (m i n i mum 1 hour ) w i I I be charged and
trust be collected by this department pjrIor to any further inspections being performed or
approval granted .
x y !i
9 ) PURSUANT TO 1994 (IN I FORM BU I I D I NG CODE . At I S I TFS MAST IJAVE' APPROVED NUMBF PS Oft
ADDRESSES PROVIDED IN SUCH A POSITION AS 'TO BE PI..A i NL Y VISIBLE AND LEGIBLE FROM THE
STREET OR ROAD FRONTING THE PROPFIIT Y , MASON COIIN1 Y RIJ I L D I NG DE PARTMENI REQU I RFS TIIAT
THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A RE I NSPECT I ON FEE , BASED
ON RATES IN TABLE 3A OF THE 1994 UN I } ORM B01 t DING CODE WILL BE ASSESSED IF
OWNER/CONTRACTOR FAILS TO POST APPRE.SS ON SITE PRIOR TO REQUESTING INSPECTIONS .
9 ) The correct ion I I st , a long w i t h the f ner nV Comp I lance 'Work sheet (when app i i c:ab I e ) i c:
part of the plans and must remain attached thereto . It is the responsibi i ity of the
a Bpi scant tfo make c orrect Ion€: indicatedcan the FFaIan5 from the vorrent icon 1 ists . Once
Ne plans are marked APPROVED, they may not be chancged or altered without authorization
from the Building Official . 1he permit holder is reponf. lble3 to retain the (,omplete
approved :yet of p I ans on site for the duration of the project . Failure to comply will
result In failure of required bu i 1 d i nq Inspections . Every erm i t shall expire by
limitation and becomes null and void If the building or wo4 authorized by such permits
is not commenced within 160 dayss from the dater of Issuance , or if they building or work
authorized by such permits is suspended or, a doned at any time after, the work is
commenced for a peer I od cif 180 clay; X.-..__ .._. � �_.
If!) ALI. CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND OBC REQUIREMENTS AND OCCUPANCY
IS IiMITFD TO THE PERMITTED AND APPROVFO CIASS1FICATION ANY CHANGE OF USE OR OCCUPANCY
WOULD TLT IN PERMIT REVOCATION . CHANGE OF USE MUST BE: APPROVED PRIOR TO CHANGE .
x �1Yr
11 ) Changes to approved bui Iding plans tbat effect camps lance 'to the: 1991 Washington State
Energy Code, 1991 Ventilation and Indoor Air Qualityy
Code, the Un i -form Bu l I d i ng Code and/or Mason County Re gu l at Ions mutt
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 date by
PLUMBING OTHER
d
Groundwork ate
date by by
by
D.W.V. WALLBOARD NAILING
date by date by
Water Line — FINAL INSPECTION
date by date by date by
r '
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
j be approved by Mason county Prior to
I
j 12 ) CONSTRUCTION PROCFS y TO HE F 1 FLI) C'ORRUC FFI) JS/�RFAU I REF) Pun MASON COUNTY BUILDING
DU PAR TMI: N'r AND UNIFORM BUILDING CODE . x�_� —.._--
I
13 ) 0 K bf to i itte. to be filed prior 'to final
1 4 ) Certificate cif Residential Use for- three bedroom required prior to f i ns I .
15 ) Need co , of i g ned contract rac:t with th Mea � t r Flow contractor actcar for on--going ng O €4 Mprior to
K V ,1 ..
final .
16 ) 0%%"eribullcler ac,:sumes all responsibility It drainfield urea Is
encum e e d
f
X
I
Case No , - BLD99 -0011
f
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
tRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by
date b
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by I
I
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I
PERMIT NO.: BLD
MASON COUNTY r/Gj j
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 Seattle 206 464-6968
APPLICANT INFORMATIQN CONTRACTOR INFORMATION
tiling
f �� Contractor Name L ES' 'Z
Mailin A dr s Z Mailing ddress
City kIA` State .Zip Code City State LIA .. Zip Cod
Phone(S<1 Z-• )Other Ph.(LF5--9) L Ph.( %6 - then�Pi
Lien/Title Holder Contractor Reg. #RIQM 10
Address Expiration-
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic ExistinVeptic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. ZL / Z / Fire District
Legal Description 5r a -►'
Site Address(Please includes reet nam street nur er and city) '-
Directions to site ! &Q9111 S7140&-f-::r-
Will timber be cut and sold in parcel preparation? (Yes/No)_ b
Is your property within 200' of the following: Body of Water(Name L Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
7
TYPE OF JOB New Add Alt Repair Other Use of uildin /ZE�'#D 5477�(,
Describe Work 1'IlOI/ - ILO Q -� D r
No. of Bedrooms-__t_No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other 'sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make Model S Model Year
Length Width Serial No. s No. &edrooms No�qq of�throoms
Type of Heat Purchase Price $ Replacement Unit ?&4No)
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-MrANS 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-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I 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 put.
approval. first obtaining approval.
X Date X Y Date'
FOR OFFICIAL 'USE BEYOND THIS POINT - f
Accepted by �i r < _ _Date - -'/`kubr ilttaf Amount Due 3 Receipt No.
6 DEPARTMENTAL.REVIEW APPROVED DENI CONDITION CODES
Building Department W 1
Occ Group Type Constr.Sr1 2-f0_pS $s . ColnJp .
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
S�Sxs2• 'g
Valuation $ $Z-
.
FEES
Building Permit Fee 3 S Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing & Base Fee Z8 t 20 _ y 8 eo Public Works Review Fee
Mechanical & Base Fee 5d4L7- _ 2S.S0 Other
Wood/Gas/Pellet Stove Fee Other ST• Ft:e 4
Violation Fee Pre-Paid at Submittal
::.3.:.
.�`:� v�'>�k�:�':M<:.: ,>�>: '»<:::;.,•,•:k:.:�::;::;:::�;;:.:.:::.;::.::;.�:. T TA FEES
...:..:::. :
..........
:.:..:.::.:::
PERMIT NO.:
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
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 OE Contractor Name F-iAPIL1146A/ -gyp/► es. -f►AIC .
Mailin Add r s '"�! MailingAddress �
City f State J& Zip Comae City S ate�g. Zip Copt
Phone( 3 ) - Other Ph.( 7�) - Ph. — ter Ph.
Lien/Title Holder Contractor Reg. # �4M I�- �0
Address Expiration
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION-12 digit Tax Parcel No. ZZ / / 0 Fire District ,/-
Legal Description CA" ' +
Site Address(Please include street name, street number and city) A 11L
Directions to site Y-r-- t -
Is our property within 200' of the following: Body of Water Name /10 r, O AN Saltwater
Y P P Y 9 Y (Name) t - �L
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building
Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump
Toilets -1, °'° Type of Unit No. of Units Fees
Bath Basins 1y • `n Furnace
Bath Tubs ? �� Heatpumps
Showers Vent Fans 1 L�-
Water Heater Propane Tank
Laundry Wsher Gas Outlets
Sinks Wood/Gas/Pellet Stove
Dishwasher Direct Vent?
Other Other
Other Other
Base Fee Zo- Base Fee Z-z-°O
TOTAL PLUMBING '{� TOTAL MECHANICAL�8-
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
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-I 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.
p
X Date XJL' O�Date l
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
.Building De.... AA1RTMtVT1A[: i1Glliktli gf 'f20VD DEKfIQNDiTIE3fV CODES
partment
Occ Group Type Constr.
Planning Department
Other
Other
FEES
Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( )
Violation Fee TOTAL FEES
FORM MUST BE COMPLETED IN INK 1
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
i� Case No.
Name ' " '' �� PARCEL NUMBER�2�J Date
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines �1
Water Lines Topography
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line.
adjacent property line- , -Aul " W 4T/v I <—adjacent property line
VX
N I
'k
�LAP _- -
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�P �t,
�; I�xl�irr�
A ti-AC
adjacent property line4 I I E-adjacent property line
SAMPLE SITE PLAN
SO /
adja�nt property lined 3Lo� . _ _ f-adjacent property line
v so rR E
CRe&V, HOMt \ i GnatnJ
I > PrloPostb
1 rE— 60' Olt /30
I
VA G nNT I CsA R A GeS I /"
I PM1oPoaCL� ` •/
T A&R=LLLrLu0-0.AL 50
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I I � c.._.eLL
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line<—adjacent e
adjacent property line--.* rt�
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
di5t9r.ca. to
Srtrtt�ttx.Y�
&St'a►,LL *o
Slopm to¢
di&+Ane-Q
t e !.
Signature Date