HomeMy WebLinkAboutBLD99-0466 Final Teardown and Rebuild - BLD Application - 8/28/2002 C PERMIT NO.: BLD
MASON COUNTY
BUILDING PERMIT APPLICATION
7&��
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 INFORMATtON� ) CONTRACTOR INF MATION
Owner S0 0 W "� Contractor Name (ti
Mailin Address Mailing Address
City % , State A Zip Code 'Z City State Zip Code
Phone(-%% )z 7")- 7 Other Ph.(3& ) Z77-X-7 Ph.( Other Ph.(
Lien/Title Holder A Contractor Reg. #
Address Expiration
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
f PARCEL INFORMATION-12 digit Tax Parcel No. / Fire District
C Legal Description
Site Address(Plea�s�ee,,inclu e street nann str e umber and city) l � ZZI 2 -t J
Directions to site N rT� o, e cod ,7 ►� % ,r 5` g O
kfew):;n OX Z big%e KaFc7,0 r C r .;
Will timber Fe cut and sold in parcel preparation? (Yes/No) 049
Is your property within 200' of the following: Body of Water (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Y Repair,{ Other Use of uildin «9¢-
Describe Work 70✓+'► veu �'2P�t%rot /�%.:
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 375 2nd Floor 3-7S
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 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 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-1 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
conformaDqe therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approv � first obtaining approval.
X Date 5 ,277-OX
Date
FOR OFFICIA USE BEYOND THIS POINT
'ry l
Accepted by Date Submittal Amount Due 2 /• Receipt No
DEPARTMENTAL EVIEW APPROVED DENIED CONDITION COPES
Building Department IDMPA
Occ Group "PA Type Constr.
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $
FEES,_
Building Permit Fee Iq `7 .i. spection (JrpG /Ct/
Plan Review Fee �,'
�`L 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 ( )
TOTA E L FE Sey
3,
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
- Case No.
Name �J "" PARCEL NUMBER` Zc� 3y U�o2- Date
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
site
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines `i--
Water Lines Topography ,V i_._
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- I I <-adjacent property line
I
I Mewl �� e�G
I I
jzv
I I
I I
I I
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adjacent property line- I I Fad'acent property line
SAMPLE SITE PLAN
adja t property line-> 3io� _ E-adjacent property line
D 3a- r2L Z,—,E
C HOME I .&m&aou
REEK
I Hour¢
I ) MOP Sept.G � �I
{ ,
I 7� R\ I
VACANT I I G+1RA66 R
I 3o
P0.oPosCD \
I \ \ 7 A4R tCtiLTuJiAL So'�
1
I
I � I
/00
I \ I
L.a.GLL.
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I L.��GLL I
adjacent property lined ; Ate. c \1 (--adjacent properfy 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
dist�ncm to
ruct'L�►��
12 d;zt'a r.CL. t o
Sl ops -t
to a
k�
Signat a Date
it
I CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Runs
date by Gas piping date by
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 Attic OTHER
GrourKtwork
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date Z.5-'co Z by �� date by I
I
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Building BLD99-00466 Status ISS
Narne: JASON WELSH Updated 6128/1 999 KS
r-'ddress: 2798 NE OLD BELFAIR Ham'' BELFAIR I
&
le=.cription: h•,L3=_.ter#ISPH96-00095 Project: I Constr.
Occ.
EARDOb"JN AND REBUILD EXISTING BUILDING
Area_
Mobile
Directions to Site: Fh_Jrribina
1'•JORTH 0[,J OLD 6ELFAIR OPd RIGHT `IDE
f'•JE}CT TO COUNTRY GARDEN INN BED AND (ryrpe of Use: Aechanical
BREAKFAST, APPROX 1 /2 MILE BEFORE BEAR il
REEK STORE r ;rpe of'v'Jor{y:
Shoreline
nspection Area: 1 &
,
Finaled: � issuers r!•r2,J1 ra-l_a Fire District:
x:piration: 2;'9 20C,2 ecel''.•'ed: 67 2/1 _iSi9 TotalVali_latiOrr
Printing r use'-,UFAM,-Dry R report for E,LCJ 99-00466 _
'OStartj 1-� 'PERMIT�+`FLAN_ , �,Fvlicrosctt 't"Urcrcj
Copyright c 1997 - 1999 Tidemark Computer Systems Inc. 2/25/2002
All Rights Reserved.
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Clo_? Edit Frojtet GrouF.4dj U••r� F;n_el r.ai:ir�i Ftoph F•_t. Volwation Condition^. Ca.t IN Tao:
10 Building Permit BLD99-00466 Status ISS Miami
Name: JASON WELSH Updated 612811999 KS General
' '�'—ddress: 2798 NE OLD BELFAIR H ' BELFAIR
Iescription'. PAa=•terms ISPH96-00695 Project: nn�-tr
E:F'C�C�',''dIJ AD REBUILD E•.I'-•Tlr'dG BUILDIIAG (fl
A r e a&
Mobile I
Construction Information Occupancy Information Plumbing
No. of Bedrooms: pe of(construction: isFj AFchdt'Ica
10. of Bathroorn_•: :occupancy Group: Ljl
No. of Stories: Occupancy Load: � � Shorejjr'ie
IS,
Buildinq Height: { — vlccupancy Status: � fi -
Printing i z>e 1i Report for BLC .9-UU466
Start i 1 17- f: ,v,•_ I r
C ; PERK tIT PLAN f 11�r t,�c,ft '�4 orc�
Copyright ° 1997 - 1999 Tidemark Computer Systems Inc. 2/25/2002
All Rights Reserved.
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Building Permit -- BLD99-00466 StatusISS---- NOW!
r•dame: JASON WELSH Updated 612811 999 KS General
ddress: 2798 NE OLD BELFAIR H\A/Y BELFAIR
escription: P-:laster# SPH96-00095 Project: Constr.&
Occ.
;':P,lD R.EBI_IILD E:"I-.T1Pd BI_IILDIf'J
Irforma#ion Mobile Home Info
Plumbing
Lot _size: SF i" Pvtah:e: J..:,^
Mechanical
Building. 1750 SF '.,,y Model:
Basernent: SF Year: Shoreline
s -
Deck.: SF Length:
arage_/C arpor-r: W SFt Width: I Pr -
Other: SF erial rUurnber:
F'rirrir ig I_:ase-�i.unrn�ry R ep�rr fnr B LC:��'_�Oi_i��i6
i Start ( � PERKIIT `PLAN 3FMicrosoft "'fUri�r d -S '
Copyright G 1997 - 1999 Tidemark Computer Systems Inc. 2/25/2002
All Rights Reserved.
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2/25/2002 Information Summary for Case #: BLD99-00466
10:25:45 AM
f
Activity
Hold Updated
ActivityDescription Date 1 Date 2 Date 3 Disp. Level By Updated
BLDA010 Application received 5/28/1999 6/2/1999 DONE KW 6/2/1999
BLDB134 RLC Review DONE MMS 6/4/1999
n/a
BLDB110 Building Plan Review 6/2/1999 6/14/1999 DONE DM 6/14/1999
sent to case mgr. Be sure to get this back to Tami.
BLDB130 Planning Review 6/4/1999 6/4/1999 DONE MMS 6/4/1999
BLDB135 Addressing 6/2/1999 6/3/1999 DONE GMM 6/3/1999
BLDB138 Planning Pre-Review 6/3/1999 6/4/1999 DONE MMS 6/4/1999
BLDB200 Environmental Health Review 6/2/1999 6/8/1999 DONE CEB 6/8/1999
SEE CONDITION
BLDA201 STOP WORK ISSUED 4/16/19994/28/1999 DONE KS 6/28/1999
DOUBLE FEE
BLDA200 (H) Hold 6/4/1999 6/28/1999 DONE KS 6/28/1999
return file to Tami after issue
BLDA200 (H) Hold 6/10/19996/14/1999 DONE DM 6/14/1999
need more info.The entire building has many questions. In hold been. Recived info did review.
BLDA100 Approved For Issuance 6/14/1999 DONE KS 6/28/1999
BLDA500 (F) Issue building permit 6/28/1999 DONE KS 6/28/1999
BLDA920 Miscellaneous Action 3/1 5/2001 CALL No Hold DLC 3/15/2001
See bld 2001-00159, deck permit for this structure. LMOR will require a final inspection on this permit prior to releasing
the deck permit. On message told applicant that he must complete a pre-inspection application for the expired permit
and submit a $47 fee. The $47 fee will be collected for each inspection necessary to get the final inspection.
BLDA900 Telephone Call 3/23/2001 DONE No Hold DLC 3/28/2001
Applicant agreed to pay 50%of the permit fee(149.75 * 50%)to re-activate the permit as discussed with L.Waters.
BLDC250 Permit Extension 8/9/2001 DONE No Hold DLC 8/9/2001
Owner paid 50%of the permit fee which activates expired permit. Permit extended until 2/9/02
Condition
Cond. Stat. Changed Updated
Code Title Hold Status Changed By Tag Updated By
1000 **CUSTOM CONDITION** Not 6/4/1999 MMS
Met
No Change to Footprint.X----------------------------
3020 Owner Responsible Not 6/8/1999 CEB
Met
Owner/builder assumes all responsibility if drainfield/reserve area is encumbered.
X-------------------------
1001 PLANS REQUIRED ON SITE Not 6/14/199� DM
Met
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$42.00
per hour(minimum 1 hour)will be charged and must be collected by this department prior to any further
inspections being performed or approval granted.X-------------------------------------
2/25/2002 Information Summary for Case #: BLD99-00466
10:25:45 AM
Condition
Cond. Stat. Changed Updated
Code Title Hold Status Changed By Tag Updated By
1002 POST ADDRESS Not 6/14/199� DM
Met
PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES
PROVIDED IN SUCH A POSITION AS TO BE 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 AS ADOPTED BY
THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR
FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.X------------------------------
1005 UNHEATED STRUCTURE Not 6/14/199� DM
Met
THIS STRUCTURE IS CONSIDERED UNHEATED SPACE(NOT TO EXCEED 1 WATT/SQUARE FOOT OR 3.4
BTU/HR/SQUARE FOOT). AT SUCH TIME THIS CONDITION CHANGES,A CHANGE OF USE PERMIT AND A
MECHANICAL PERMIT SHALL BE APPLIED FOR AND APPROVED PRIOR TO THE CHANGE. X----------
1012 PLOT PLAN REQUIRED ON SITE Not 6/14/199� DM
Met
The approved plot plan is required to be on-site for inspection purposes. If inspection is called for and
plot plan is not on site,Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of
$42.00 per hour(minimum 1 hour)will be charged and must be collected by this department prior to any
further inspections being performed or approval granted.X-------------------------------------
5000 U-1 Use Only Not 6/14/199� DM
Met
No Occupancy. This structure is limited to U-1 use only.Any other use will be in violation of the Uniform
Building Code and Mason County Regulations unless a"Change of Use" permit is approved.
X------------------------------
5003 ALL CONSTRUCTION Not 6/14/199� DM
Met
ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND OCCUPANCY
IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OR OCCUPANCY
WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE.
x----------------------
5030 Changes to Approved Plans Not 6/14/199S DM
Met
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 Regulations
must be approved by Mason County prior to constructionX--------------------------
5045 Field Correct Not 6/14/199� DM
Met
CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE.x-------------------------------
5026 Structure Setback Not 6/14/199� DM
Met
Proposed structure or portions thereof with an projection over 30" in height from grade line, must maintain
a 5' separation distance between adjacent structures and that furthest projection.
X-------------------------------
Fees
Fee Trans. Create Created
Type Description Code Revenue Account No. Date By Amt. Due
PLCK Building plan check* 345.83 KW $97.34
PRMT Building permit....* 322.10 KS $149.75
VIOF Violation Fee ? KS $149.75
INV Violation Invst. Fee 322.80 KS $42.00
STFE Building State Fee 386.00.05 KS $4.50
EHCP EH Plan Review ? KS $50.00
PRMT Building Permit Fee 322.10 7/26/2001 JRN $74.88
PSIN Pre-Site Inspection 342.20 7/26/2001 JRN $47.00
2/25/2002 Information Summary for Case #: BLD99-00466
10:25:45 AM
Case People Listing
Role
Type Name / Address Company Name Hold Primary
APL JASON WELSH Y
2800 OLD BELFAIR HWY BELFAIR WA 98528