HomeMy WebLinkAboutBLD97-1348 Final Well Shed - BLD Permit / Conditions - 12/5/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E3 U I L E) I N G P E R M I -1
BETWEEN 5pm AND 8am 427-7262
BLD97-1348 PARCEL : 123165OOO9O1 PLAT :ELPLO DIV : BLK : LOT :
JOB ADDRESS : 2800 NE OLD BELFAIR HWY BELFAIR
OWNER : PATRICK MATIJEVICH 275-3683
CONTRACTOR : M&M CONSTRUCTION 275-3683
LEGAL : E L L I S BANCROFT TRACTS TRS. 2-A & 3-A
CLASS OF WORK . . :NEW BEDR : 0 BATH : 0 (TYPE AMOUNT BY DATE RECE 1 PT !TYPE AMOUNT BY DATE RECE i P?
TYPE OF USE . . . . :ACC STORIES . . . . . . . :O
OCCUP . GROUP . . . :? BLDG . HE I GHT . . : 0 .Oft E H C P $ 26.00 TW 12105197 46036
TYPE OF CONST . . :? FIREPLACES . . . . : 0 iPRMT $ 59.75 TIN 12105197 46036
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 IPLCK S 23.90 TW 12105197 46036
DWELL .UNITS . . . . : 0 PARKING SPACES : 0 ISTFE S 4.50 TW 12105197 46036
INSPECTION AREA : 1 SHORELINE? . . . . : N i 0'-AL: 114, 15 VALULAT ICN: 0 '
I
SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME--
FRONT . . .N 1O .Oft BATH BASINS . . . . . . : 0 0-3 HP . : 0
REAR . . . .S 5O .Oft BATH TUBS . . . . . . . . : 0 3- 15 HP . : 0 MODEL :
SIDE ( 1 ) .E 2O .Oft SHOWERS . . . . . . . . . . : 0 FURN < 1O0K BTU : 0 15-30 HP . : 0 -MAKE------
SIDE (2 ) .S 1O .Oft WATER HEATERS . . . . : 0 FURN >=1O0K BTU : 0 30-50 HP . : 0
SHRLINE .N O .Oft CLOTHES WASHERS . . : 0 FURN - FLOOR . . . : 0 50+ HP . : 0 -YEAR------
AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0
LOT SIZE . . : FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0
BUILDING . . . : 192sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN :O -SERIAL#----
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN :O
GAR /CARP :? Osf GARB DISPOSALS . . . : 0 <= 10000 cfm . : 0 RELOC/REPAIR : 0
AT/DT . :? URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT DESCRIPT10N:IELL SHED
PROJECT LOCATION:NORTH ON HWY 3 TO OLD BELFAIR HWY. A APPROX THREE MILES NE TO COUNTRY GARDEN INN B:B. FIRST GRAVEL DRIVEWAY (RIGHT) PAST B&B SIGN. ONE
HUNDRED SEVENTY FEET ON LEFT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED, EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD, FINAL INSPECTION MUST BE
APPROVED BEFORE BUILD' N BE OCCUPIED.
OWNER OR AGE N _ __ DATE
8L0_PRMT, rev: 131191 COMPLIANCE TO ATTACHED COND I T I NS I REQUIRED
MASON COUNTY
— Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PERM I T CONED I T I O N S
Case No . : BLD97- 1348
For : PATRICK E MATIJEVICH
Page : 1
1 ) The use , handling and storage of hazardous materials or flammable and combustible
liquids in excess of 10 gallons is not allowed without the approval of the Mason County
Fire Marsh
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
V:nunty and State Road right of ways .
3 ) All approved plans are required to be on-site for inspection purposes . If inspection
is called for and plans are not on site , Approval WILL NOT be granted . In addition , a
Re- Inspection fee in the amount of $32 .00 per hour ( minimum 1 hour ) will be charged and
must be collected by this department prior to any further inspections being performed or
a oval granted .
4 ) PURSUANT TO 1994 UNIFORM BUILDING CODE , SECTION 305 ( C ) AND SECTION 513 ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO Bit 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 IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE
AS-SE ' ED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
I NfEa IONS .
A \IJ-/'I-,--
5 ) The correction list , along with the Energy Compliance Worksheet (when applicable ) is
part of the plans and must remain attached thereto . It is the responsibility of the
applicant to make corrections indicated on the plans from the correction lists . Once
the plans are marked APPROVED. they may not be changed or altered without authorization
from the Building Official . The permit holder is reponsible to retain the complete
approved set of plans on site for the duration of the project . Failure to comply will
result in failure of required building inspections . Every permit shall expire by
' I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
is not commenced within 180 days rom he date of e , or if the building or work
authorized by such permits is suspended r abandoned at any time after the work is
commenced for a period of 180 days . X
6 ) No Occupancy . This structure is limited to U- 1 use only . Any other use will be in
violation of the Uniform Building Code and Masv7NCountV Regulations
unless a "Change of Use " permit is approve
7 ) The use , handling and storage of hazardous materials or flammable and combustible
liquids in excess of 10 gallons is not allowed without the approval of the Mason County
Fire Marshal .
8 ) A ONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS .
9 ) 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 County R lations must
be approved by Mason County prior to constructioo-X ,
10 ) CONSTRUCTION PROCESS TO BE FIELD CORRECT D S REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .
1
BUD R 7- C, i 3q6
LIM( slud
Fi N A2�
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
(Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269)
PLEASE PRINT
#1 ner �'�«�� VV\�A7 E\) � Phone#
Site Address 1J t--- Fire District# r
city tz C—ir— /0i- St zip q
Directions to Job Site t�1 C12��{ O r� ( w 3 -T-p C�c _� `-k�E Lrc��,2
_���W . � P p2c»c�wi✓-�� ��{ '-C�-1�2� � v��L-ES t�1 E � r�
Co v r..► C� �- �L cv �ry T3 F 2 2 A -L 2` � QatruT)
Owner Mailing Address Secv,,-\4c. wry \'A30Qt✓
City St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name Contractor Reg #
Address Expiration Date
City St Zip Phone#
#3 If septic is located on project site, include records. tJo• swCrOCv43 AIP 92ov%"6 v01►-)tan
Connect to Septic? Q Q_ Public Water Supply Well X
Connect to Sewer System? Name of System C-)uAxrtU BAR. Lry tJ-*,j WWr TL-,A— Sl.t SCLv
(if residential, proof of potable water is required)
t Z3o�1 IS4 ao k oo
#4 Parcel No. 2 1 - - ooa(-�[ �! c. T 2 I 15�
Legal Description o �c�-5 "t�S a-19 3-
SrzG 11 , T e, 6 a
#5 Building Square Footage:
1st FI \9 2nd FI Q 3rd FI Loft Basement
# Bedrooms # bathrooms Deck Other
Garage Carport (Circle: Attached or Detached?)
#6 Use of building Describe work A'f tic�(-64
Su Q-k\ TO.. G—YA C.,7<<y l�- �ot_i� '3����. 11 -
#7 Type of Job: New Add— >Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model `v
Length Width Serial No. �C NOV 2 41941
# Bedrooms # Bathrooms Type of Heat PERMIT ASSISTANCE CENTER
Purchase 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 Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Drainage Plan Wells
Septic Systems Easements
Proposed Improvements Indicate Directional b N S, E, W)
Name of Side Street y
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
fvA tip
50
rt"a
suc� �Roeo �
v U—
r L
Ijk _
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
'r'hC.'
Plumbing Fixtures ($3 35 eacW Fee Mechanical Fixtures ($6.75 eachl
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
0 Bath Tubs No. Units Fees
Ohowers _ Furn BTU
-lot Water Htr Heatpumps
aundry Washer _ Vent Systems
1 inks _ Spot Vent Fans
Floor Drains No. Boilers/Compressors
aundry Basins _ HP
i
ishwasher No. Air Handling Units
Disposal _ cfm#
_PlUrinals No. Fire Protection Systems
_Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 16.75 _ Auto Fire Sprink Sys 35.00
TOTAL PLUMBING $ 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- TOTAL MECHANICAL $
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 THE WORK FOR WHICH 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 WITF FIRST OBTAINI G APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE B DING T E.INI . DEPARTMENT.
X OWNE W X BY
DATE l / i'L �� DATE
X ,FOR OFFICIAL USE ONLY: Accepted by: �'7Z Date: �� 1t T
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
JZ/3
Environmental Health: P
Building Plan Review It
Occupancy Group:_ Type of Cons .
Fire Marshal:
Other:
Special Conditions: 1 FEES
Building Permit Lj
Plan Check Zz,
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee .r5
Other
Other
Other
Building Valuation: ( Z TOTAL FEE