HomeMy WebLinkAboutBLD97-0097 Fence - BLD Permit / Conditions - 3/19/1997 MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
b
BF (WEEK 5pm AND Rdm 427-7262.
BLD97 )7 PARC PLAT" iBRP1.0 DIV : BLK : LOT
JOB AF)1 RI:1�'! • 't *WANTE RO E '106 UNION
OWNER : DOUG CHR i STENSEN 206--780-2959
CONTRACTO 0 "TRUCT I ON 275- 5029
LEGA
,��'
CLASS OF WORK . . tNEW BFDRi 0 BATH : 0 F P E ANOUNI OY DATE R►CEIP1 (TYP% AVIIIJ91 BY DATE RECEIPT
TYPE OF USE . . . . :ACC; STORIES . . . . . . . :0 ;�a
OCCUP GROUP . . . :7 BLDG . HE ICHT . . : O .Oft PONT ! 35.11 CPR 13!19/97 OfO8
TYPE OF CONST . . :7 F I RE PLACES . . . . s 0 PICK 1 14.11 CPR 01119197 0000 i
OC;CUP . LOAD . . . . . 0 WOODSTOVES . . . ., : 0 ISiff 1 4.51 CPH 03119197 OOOO
DWELL .UNITS . . . . . 0 PARKING SPACES : 0
INSPECTION AREA : 1 SHOREt I NF? . . . . Y S {TOTAL, 54,50 VALUtATION: 90#01
C�ffiY••••"•.^•••,••••:S 3GG.JA'�Si' .IIS'S.L'3'S3CS:9[t�..A'^.iS:R'M2f.�••..••..•.�•.�.X'«..}SCY=if.Q�IC:.�"L.'2..Y R'i3^=.'.A4S:'G5'e 2':fL�f
SETBACKS-_._._.- .--.________ TOILETS . . . . . . . . . . : 0 FUEL TYPES.__..-___.._-_ I3OILE:RS/C0MP-------- MOBILE HOME—
FRONT . — 0 .Of t BATH BASINS . . . . . . : N s 0-3 Hp. : 0
REAR O .Oft BATH TUB!! . . . . . . . . : 0 3-15 HP . : 0 MODE I_ :
SIDE ( 1 ) . O .Oft SHOWERS . . . . . . . . . . .. 0 FURN < 100K BTU : 0 15-30 HP . : 0 --MAKE---- -- i
SIDE (2) . O .Oft WATER HEATERS . . . . . 0 FURN :>-1 O0K BTU : 0 30--50 HP . - 0
SHELL INE . O .Oft CLOTHES WASHERS . . : 0 FURN -- FLOOR _ : 0 504 Hp: : 0 -- YEAR'
AREA ____.__..._._ _._ _.-_ KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . 1 0
LOT S 17E . . : FLOOR DRAINS . . . . . . 0 VENT SYSTEMS-1— 0 EVAP COOLERS : 0 LENGTH - 0
BUIL.DING . . . : 200nf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . .. . : : 0 WIDTH . : 0
BASEMENT . . : 0S,f LAUNDRY TRAYS — . t 0 DOMES . 1 NC I N xO - SER 1 Ai.#--
DECKS . . . , . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS— COMML . INCIN :0
GAR/CARP :? Osf GARB DISPOSALS — : 0 <- 10000 cfrn . : 0 REL.00/REPAIR : 0
AT/DT . :? URINALS . . . . . . . . . . : 0 > 10000 cfIll . : 0 OTHER UNITS . : 0
MISC PL14 FIXTURES : 0 GAS OUTLETS . : 0
PNOJECI DESCAIPTI Do!ffNCE
PROJECT tOCATION.SOUTH SHORE TO ADDRESS
THIS PERMIT BfCONES ROLL AND VOID if NOOK ON CONSTRUCTION AUTHORIZED IS NOT CONNENCED WITHIN IS8 DAYS, OR If CONSTRUCTION OR NORk iS SUSPENDED FOR A P[11 4
Of IS1 DAYS AT ANY TINE AFTER 1101K IS tONNENCED. EVIDENCE OF CONTINUATION Of WORK IS A P1861ESS INSPECTION NITNIN THE i10 DAY PERIOD. FINAL INSPfCiiRN 133f B
APPROVED RFFORf 8011.9:116 CAN RE OCCUPIED,
ONRER OR AGENT: DATE c
r .;f
818 .111111, rev, 131 a f 19! COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
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 by date by
te WALLBOARD NAILING
D.date by date by
Water Line FINAL INSPECTION
date by date�_ � by date by
`I
I
it
I I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Case No . : BLD97-0097
Fort DOUG CHRiSTF:NSFN
Page : 1
1 ) The undersigned property owner is aware of the uncertaintyy regarding Mason Gounty 's
development regulations created by the Growth Managment Hearings Board 's Order o
October 2, 199 , and in consideration of Mason County ' s willingness to proceed with
processing of applications whloh might be affected by the Order , the undersigned
property owner hereby agrees to waive any lawsuit , action , or cfaim for damages against
Mason County which may arise out of Mason County '; actions In acceptanoo , prooessing
and/or issuance of SucTh permits or approvals ( hereinafter "permitting actlans " ) , which
damages are attributable to the County ' s decision to take permitting actions despite
the risk that changes to the County ' s development regulations might later, make the
County 's permitting actions inval . d .
X
2 ) Proposed structure or any portion thereof greater than 30" In height from grade line,
mu8t maintain a minimum of 5 ' setback from all property linen , easements and 10 ' from
all County and State Road right o1' ways .
X
3 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING, CODE .x
4 ) AtA.. CONSTRUCT ION MUST MEET OR EXCEED i OCAI CODES . IF ANY GUEST i ONS, PLEASE
CALF. THIS OFFICE BEFORE CONSTRUCTION .
5 ) Changes to approved building plans that effect compliance to the 1991 Washington State
Energy Code, 1991 Ventilation and indoor Air Quality
Code, the Uniform Building Code and/or Mason Count Regulations must
be approved by Mason County prior to constructionX_
6) Fence miiat not encroach Into right- of .r..._...__....- -
a
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
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING 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
I _
I
MASON COUNTY Permit No. -
BUILDING PERMIT APPLICATION alp ak
PLEASE PRINT
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 9 0O
\
#1Wiw
er erg Phone#
Address 9tr?/ c t✓Q { Fire District C1e 4-f a l t St Gt"a-rX Zip yB,S-
Directions to Job Site Soar Sere To 464*e us
Owner Mailing Address__� /Y f I'?ii�✓av
City e. 7St w r.0 . Zip
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name _J,I27,4- Contractor Reg#Efl-P& .4 o:Z W 46
Address �.O. ,r �3 �' Expiration Date _l
City st.jzzo"54 Zip ah D
#3 If septic is located on project site, include records. ��
w
Connect to Septic? Public Water SuPPIY Well R / '
0
Connect to Sewer System? Name of System v
(If residential, proof of potable water is required)'
#4 Parcel No.-3 2,433 SE!RV/
Legal Description ZsK 4fh T
#5 Building Square Footage: (existing/proposed)
16t FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other c ' ' l'1 C D sq. ft. / W4 GLQ�i)c0, "40 �}1CJ19u 110 .
#6 Use of building rQIh Describe work
#7 Type of Job: New &,�Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year M Model
Length ��W�t S o.
# Bedro #Ba ms Type eat
Purc ase Price$
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Show following on the site plan
Lot Dimensions Flood Zones
Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements Indicate Directional by (N, S, E, W)
Name of Flanking Street in relation to plot plan
Name of Fronting Street
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3.35 eachl Fee Mechanical Fixtures ($6.75 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
wers _ Furn BTU
Hot W r Htr _ Heatpumps
Laundry Wa er _ Vent Systems
S2inks _ Spot Vent Fans
Floor Drains No. Boilers/Compressors
Laundry Basins _ HP
Dishwasher No. Air Handling Units
_ZFee
_ cfm#
No. Fire Protection Systems
_ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Per — Auto Fire Sprink Sys 35.00
T 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 16.75
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
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 OFTHE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THEWORK FORWHICH 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. DEPARTMENT.
X OWNER X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date.mil A
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health: ��
-- _
�-14-17
Building Plan Review �L f5
7
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Z dr Building Permit 3
Plan Check
� a
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: L ��1 TOTAL FEE
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
S
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
ct� ot ��0,61 rPeel(IP4� �sTh9
� NoM� t Ocer.
fX ��.�-ih�
APPROVE
MASON BUILDING lNSp 0
a, Te w
eeea11 ur,l khtc SU
n� �
rtleW G
AP LICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Gohel?r6 t-/4
1
/cam
p i12' IrOA 0011
oc� Z't O - + '/2•' 1p. monumeI% found r(
M
,D , 0 /7 4 /
I
O
CO
3 I I certify tnot I survey
t12 ZI 0 stoked this Croperty M
O I J OD and located imprOvelr,f
GO
a 2 ; September , 1963, and
2 one •to• ..f•ornV. post fcvndntivn encroachments or ove
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