HomeMy WebLinkAboutBLD98-1019 Well House/Garage - BLD Permit / Conditions - 1/21/1999 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
F t_) 1 4._ [-1 I N 0 P E. f-3 AR 1 ? FOR I N'SPEC: I I ONS CAI. - 427-9670
BETWEEN tiPm AND Sam 427-7262
BLD98-1019 PARCEL :32235500001 1 PLAT ;1 APl_.O D I V : BLI< -
JOB ADDRESSr 12621 HE NORTFI SHORF AD "CLFAIR PERMIT
OWNER r ROBERT HAIL :455-Ad 16 NULL & VOID BY EXPIRATION
CONTRACTOR : DESIGN CONSTRICT I ON SE"RV I CI S 253 -H51 -2. 769
LEGAL r ►ATTISON-11011 0000 CANAL TO$ TO 11 •15 9 T.L. PAR T OF 61-A 192-25 I Ipl BY
CLASS OF WORK . . :NFW BFDR : 0 BAT Ii : O ITYPE AMOUNT BY DAZE RECEIPT ITYPE AMOUNT BY DATE RECEIPT/
TYPE OF USE . . . . :ACt: STORiE'5 . . . .. . . . ..O
• Fi'T,RLt'-0�.6.•31_Y^='Y3:tY' _.••A^Gi'.A;E^.'.C'f:':i'-sS3-�.��z�=Y :.:Y:"L.iT-^r:�T.LG�'Y�—lam A6S.S.�e�' JIfS^.:Ata�3:.::5A'Li1tL'IL' u.�:'
OCCUP GROUP . . rU1 BL.1)G . HF I GHT . . : O .Oft PICK 1 8i.09 KM 111123198 1278 I
TYPE OF' CONST . . :5N F iRFPLACES . . . . : O 1110 t 50.06 KS 01120199 811FAIR !
OCCIIP . L OAD . . . , 0 WOODSTOVES . . . . : 0 PONT t 124.75 KS 01120199 BEIFAIR
NWFL.L .UN 1 TS . . . . : 0 PARKING SPACES : 0 Siff 1 4.50 KS 01/70199 BEIFAIR
INSPECTION ARFA t 1 SIIORE:L INE? . . . . : Y (TOTAL: 260.34 VALUTAlION: 6I301
5'IS�Lti:2LS49f3=�ti6.:RSS.�Y�^..%.L'AG^..Y4:�l.�S.mil::�:Y•^s41.S.Sx'.iCL'L:_:l'C'V:'._tA�'.`.'S'l.:.Y::'.tC:?..�9�':.e.••:w�'+]'tG'L"T.:.�X�G".L� f
SET'RACKS -- - - - TO I LETS . . . . . . . . . . : O FUEL TYPEt, _ . .._._._.._..__ _... BOI LEA S/C.OMP- -- MOBILE HOME----
FRONT . . .F 1 OPT . Aft BATH BASINS . . . . . . .. 0 0-3 HP , : 0
REAR . . . .W 85 .Oft BATH TUBS . . . . . . . , : 0 3--15 HP . : 0 MODEL :
SIDE ( l ) 33, .Of t SHOWFRS . . . . . . . 0 FF OR < 100K BTU : 0 15- 30 lip . : O -MAKE -- r
S I•DE t 2. T .N CIO .Oft WATER HEATERS . . . . : 0 FURN —1 O0K STU : O 30-50 HP , : 0
SHRL. I NE _S 33 .Of t CLOTHES WASHERS r 0 FIIRN r1.0OR . . , : 0 50 I- HP . s 0 -YEAR
AREA - -- - ----_, ._.___._---- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0
LOT SIZE . . r FLOOR ORA 1 NS , _ A VFNT SYSTEMS— . 0 FVAP COOLERS : 0 1 F NG7H t 0
BUILDING . . . : Osf DRINKING FOUNT . . . : O VENT' FANS . . . . . . : 0 HOODS . . . . . . . .. 0 WIDTH . : O
BASE:MENT . . . : ftt tAUNDRY FRAYS : , . . : N DOMES . INCIN :O SERIAI # -
DEC KS . . . . . . r Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS- -- COMML . INCIN :O
GARICARP ,.G 324st GARB DISPOSALS . . 0 <= 10000 ctm . . 0 P.EI.00/RFPAIR : 0
AT/DT' . :D URINALS — . . . . . . . . O > 10000 cfm , : 0 OTHER UNITS . : 0
r411 � t; PIM FIXTIIRF'St 0 GAS OUTI. FT : , : 0
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F10JECT DESCRIPTION:rtoli kolseIGARAGE
PIO,IE.CT LOCATION:IRON OEIFAIR, WESI 100 tOWA,RD TAHUYA 12.6 NIIES BTCOMES NF POR10SHORE RD P.RIVEWAY DIRECTLY AFTER WOODEN HA11 SIGN 12.51 41LES
FHIS PERNIT .AND Vale if WORK 00 COUStRUCTION AUTNORI/ED IS NOT CONNENCED WITHIN 180 OAYS OR IF CONSTIUCI;ON 09 WORT IS SUSPENWEW FOR A PERIOD+
Of 180 DAYS At AN -Tt1I -#OIK is CO)WENCED. EVIDENC Of CONTINVA110N OF WOIK 1� A PROGRESS INSPEI<T100 WITHIN THE 180 DAY PERIOD. FINA1 INSPECTION NUST BE
APPROVED AFF3If. 13I191IG CAN OCCUP D.
OWNER OR AGENT:_ __.-_.___-___ - __. r __.__... DATE:. -'..� -
fit D Pl+iIT; t rv, #3131191 COMPI. 1 ANCF TO ATTACF#F'n COND I T i ONS I,, AFQU I RF0
CONCRETE MECHANICAL MOBILE HOME I
Footings-Setback date by Ribbons
date by Gas Piping date by
Foundation Walls date by Set Up I
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT. I
date by date by date by
PLUMBING OTHER
Groundwork Attic
date date by
D.W.V. WALLBOARD NAILING I
date by date by
Water Line FINAL INSPECTION
date by date by date by
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P E: " P.4 1 T C; C?. I'd U) I V I C3 iV 3
Case No . : BL.D98-- 101 9
For- , ROBERT HAI 1,
Pages 1 P<._
1 ) Approved per, dime!►�: I ans:- and reth ack s on subru i t ted i to p 1 an . X
2 ) The proltos d project must be consistent with all applicable policies and other
ll�. vov i s i 0 the Shoreline Mtanagea►eiit Act , l t:5 rules , sand the Mason County Shoreline
Mastsr �am ..
X
3 )• All consttruct i can and demolition debris muat be removed frorvi the shoreline area after
project cjprr ion . Proper disposal of construction debris must be on land in such a
manner, a eybr r R cannot enter or cause+ water, qua 1 I ty degredet ion of State waters .
X
4 ) Temporary er s i on cant ro i meta€cures, mifst he implemented to prevent water quality
degradat�i�n%o,t adjacent waters or wet I ands . Silt fencing must be Installed and
ma i nta i n*i, Wht I I up I and veget at I on has become estab I I shed .
X
5 ) Proposed structure or portion t t�^� i ea jw I t h ar► pr-a i Hr.:t Info over 30" In height from c1r ade
line, crust maintain a sepa a sstana between adjacent structures and that
furthest projection .
6) Proposed str4c�_eiy'e�, ,'r Tiny portion thereof greater than 30" in helght from grade line ,
must inraintalnk-�a� nimum of 5 ' setback fro mall property lines , easements and Ifs ' from
all County and State Road right of ways .
X
7 ) The use, har�JjVgrid storacle of hazardoiis ioater i a I s or f l Fammfab l e and combustible
liquids i n f 1fl ��aIIons i , nryt a1iow6.d wishout the approval of the Mason Ce�unty
Firet MarshaI .
X
8 ) Provisions for : ui-tace/ subs;urfrace cirriinFage: control mu.t be implemented with new
construction or development on site and MUST NOT adversely Impact adjacent. parcels .
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
Groundwork Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
I
r
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
0 n d e r ttre menu i r emereA s of fha,;c,n G'ourt t y S..t or mwRt er Ord i nat<< i I tier, 1)r Vate d .
drains will meet requirements of the stormwater ordinance or prior approvel will he
chanted to use an ex I st i rig ut i I i tv and dra i na a eariement (led I sated fair t hat specs If i c
purpose . For further information regard ► nq t is ordinance and the REQUIREMENT to
obtain an ACCESS PERMIT for the i nsta I I at i on/r.vnstruct i on of a sir i ve*ay or, aoces,,s
connecting from a Mason Countyy Road, Contact the Mason County Public Works Department
pr i or -to construct I on at F xt 480
For, any const r uc, r a "wp i ch Is proposed 'to be located within 25 ' of a Mason County read
right of way, i ., aQggested to contact that office to review future plartned work which
may affect youth Pr-o lest .
,X,
9) Owner/bui Ide as,cumes a I rteszponsibI 11ty if draiitf ieId area Ise
encumbered
X \'
10) A i i approved p I an s. are r-equ i red t(, bo on- -, 1 t e for i nspeot I or) purposesi I f 1 nspec:t i or)
is called for and plans are not on site, Approval WILL. NOT be granted . In addition, a
Pe- I aspect I on fee i to the amount of $SIR' .00 per hour (m i n i mum 1 hour ) w I I I be charged and
must be co 1 l opted b t. , ejptartment prior to any further inspections being performed or
approval granted ,
x
1 1 ) PUP SUANT TO 1994 UN i FORM 13111 I D I NG t.:ODF: , At 1. S I TF S. MUST HAVE APPROVUD NUMBE=.P.S OR
ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE
STREET OR ROAD FRONTING THE. PnoPEATY' , MASON COUNTY BUILDING DEPARTMENT' FtFOU I RE`:� THA (
THIS BE COMPi..F AD PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A RE I NSPECT I ON F'EE , HASED
ON RATES IN )ABI F 3A OFF 994 UNIFORM Eit!l I. D I NG CODE": W I 1 1. BE ASSESSED 1 F
OWNER/CONTRACTOR FAILS -t. T ADDRESS ON SITE PRIOR TO PEQUESTiNG INSPECTIONS .
X
�a
12 ) TH ! S STRUCTURE IS CONSIDERED t1Nl11 Ai I it ` PAGF. (NOT -TO EXCEE:D 1 WA"1 T /SQt1ARE FCtpl -4
BTU/HR/SQUARE FOOT) . AT SUCH TIME THIS CONDITION CHANGES, A CHANGE OF USE PENt1 '
MECHAN I CAI PERMIT RHAIA.- SU APPL I FIB FOR AND APPROVE.0 PRIOR 'TO T'HF CHANGE . X '
13 ) No Occupancy , This structure Is I Im i ted to U- 1 use on l4q,ti .... i hr�r use will be in
violation cif the Un i For m E;u i I d I nq Caste and Mason Count v Oegu I a t ions
unless a "Change of Use"' permit 'is approved .
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
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 date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
14 ) Placement of uctute wu.;1 c;oui;HIV with standard,,' r:.ut_t+.K�t-f� �>.�--` 14o4 Ub at7tetr 1 .9
regarding descending and/or ascending S I apes , X___.�__
15 ) Proposed struoture or pot tIons thi�d•eaof,'with ati projection over 30" In heiuht from (trade
line, must maintain a 5 " separati-� �f�aance between ad .lscent structures and that
furthest pro jcef;t i on . X -
16 ) Changes to approved bu i I d i nq plans that e f fe nt compliance to the 1991 Washington State
Energy Code , 1991 Ventilation and Indoor Ali Qua l I t y
Code, the Uniform Building Code and/or Masan County Regul a gust
be approved by Mason County prior to constructionX
1 7 ) CONS TROCT I ON PROCESS TO BE F i EI_D CORRECTED AS REEwjt� 1%ePF�'MASON COUNTY BUILDING
DEPARTMENT AND (IN I FORM Evil I I.-DING CODE . x
1 R ) Roof must be ctutt:ered and dra I Rage d i vented away f roar we i I .
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3131�No�
Building Permit # MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTI E
Job Location /-
14c-�
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items Listed below must be corrected to gain code compliance
T� c
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
OK to
❑ This is not a domplet6 inspection Department
Date 22 Inspector
■ sk s :JnT MOOV THIT-- T A Lot
Building Permit # MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRE TION NOTICE
Job Location ' % 6-(- - i 23-71 �'- sy���!_ /7,0
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items Listed below must be corrected to gain code compliance
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
❑ This is not a complete inspection Department
Date 3 -') /` !Z1 Inspector
moo * NnT I, MOOV THIV--- T A
Building Permit #
MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location « / zs,71 %%,!5?
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items Listed below must be corrected to gain code compliance
L�[®� `� ►�/f}�-C- GU''�1���/_= �' z�s T�3�T�'--- �37'C i/ri�l/C-� :.5/%'i`�
3) ClkWWC-4c
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
Call for re-inspection when corrections are made before continuing
Make corrections, items will be checked on next inspection
❑ OK to
❑ This is not a complete inspection Department 43�'
Date 3 -3�� Inspector Tl?T
moos NnT MOOV THI T A
-�► PERMIT NO.: BLD
MASON COUNTY /U 6-3
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 INFORMATION 11 ,, CONTRACTOR I FOR, TI N
Owner bt?tom+ & L 'tit 1 Contractor Name 4 r Co rCPql wuiir a
Mailin Address I --A Mailing Address 1 ��I
City State Zip Code City f44rbor State Zip Code S33""
Phone S1.S �655-'ft(*Other Ph.( Other Ph.(�
Lien/Title Holder d PO4 Contractor Reg. # D E; I t; c'5 a.23 IV IM
Address i, Expiration ny /__2_L_/
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. 3; oZ 3 Jr-- / 0 (7 / / Fire District
Legal Description - Ida a rIC+ GA- (o�
Site Address(Please include street name, street number and city)
Directions t 1 site o 0
E , orc ✓ Pw� �{ �� I1� �� 0, 4
Will timber be cut and sold in parcel preparation? (Yes `
Is your property within 200' of the following: Body of Wa r (Name) a 4 C Q o,- _ 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 A js MA a h,�Ir 11 a r 60, ) s
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor.2,1.4 nd Floo
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
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 rtification 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-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 without
approval, first obtaininc pprov
X Date X Date 10121/1a
/ FOR OFFICIAL USE BEYOND IS POINT
G�
Accepted bY= Date 1012-14Z Submittal Amount Due 1 d 1 Receipt No. /z 7
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Group T 5A e Constr. I / -J`
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
.......................................... .....
FIw1=S
Building Permit Fee f a /15- Site Inspection
Plan Review Fee �� UFC Plan Review Fee
Plumbing & Base Fee Public Works Review Fee
Mechanical & Base Fee Other
Wood/Gas/Pellet Stove Fee Other
Violation Fee Pre-Paid at Submittal
U
T iz>`.�r<>«`:«�<i> <> >«<`:»�> >�':> `> '`> i<>�> >z»>><«'�s<> »> OTA FEES
t
..............................:..
MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name 0 h r '!-frt , , r� ..�T.���•
PARCEL NUMBER''"+ _ 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
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 lined I I E-adjacent property line
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adjacent property line- I I Fadjacent property line
SAMPLE SITE PLAN
adja t property lined adjacent property line
30" MV
SE./�So r✓AL �• H ,� _�PT7L__,� J.
CREEK \ I tw fi HOM e i Gnatn
]I HOu.s f�
1 j PrLoPo-% 0 s¢pt:c --�I
------
VACANT I 1 C ARA&430
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adjacent property lined Fad'acent ro ert'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
di s+.a"C-AL +o
ShructL.Lr'e-
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slopm -to¢
dis�anca
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1v1.2
Signature Date
V
(OM!(T1011
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3 aa35 5o 0001/
24 `7�50�
RECENED
OCT 2 11998
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---- 9EAL.TH SERVICES
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