HomeMy WebLinkAboutBLD20000-01206 Garage - BLD Permit / Conditions - 10/23/2000 Inspection Line(360)427-7262
MASON COUNTY PERMIT ASSISTANCE CENTER Phone: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
I0 Shelton, WA 98584
i
RESIDENTIAL BUILDING PERMIT BL.D2000-01206
OWNER: JACK RIDGE 275-3051
CONTRACTOR: RECEIVED: 09/14/2000
SITE ADDRESS: 120 NE PEDERSON DR BELFAIR ISSUED: 04/23/200
PARCEL NUMBER: 123094300130 EXPIRES: /23/2001
LEGAL DESCRIPTION: TR 13 OF SW SE
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
GARAGE FROM BELFAIR GO NORTH ON OLD BELFAIR HWY APPROX 3.5 MILES
TO PEDERSON DR TURN RIGHT ON PEDERSON D GO APPROX 200 FT
TO RIGHT AT FORK KEEP RIGHT 100FT.
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.: 5n
Type of Use: SF Insp. Area: No. of Bathrooms: Occ. Group: u1 Lot Size: Deck:
Type of Work: ACC Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building: Garage-Detached 912
Valuation: $17,255 Building Height: 14 Occ. Status: Unknown Basement:
Manufactured Home Information Setback Information Shoreline& Planning Information
Make Length: Ft. Front: S 30.0 Ft. Shoreline: Ft. Water Body:
Rear: N 149.0 Ft. Slope: Ft. SEPA?:
Model: Width: Ft. Side 1: E 85.0 Ft. Shoreline Desig.:
Year: Serial No.: 11 Side 2: W 134.0 Ft. Comp. Plan Desi .: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee KLW 09/14/200 $190.61 54548
EH Plan Review CEW 09/18/200 $25.00 54903
Planning Review Fee AHB 10/05/200 $38.00 54903
Building State Fee DLC 10/17/200 $4.50 54903
Building Permit Fee DLC 10/17/200 $293.25 54903
Total $661.36
BLD2000-01206 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2000-01206
CONDITIONS FOR
BLD2000-01206
1) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X
2) The use, handling and storage of hazardous mat ! r ammable and combustibl liquids in excess of 10 gallons is not allowed without the approval
of the Mason County Fire Marshal. X a
3) Provisions for surface/subsurface drainage c introl must be implemented with new construction or development on site and MUST NOT adversely
impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of
the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For
further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or
access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any
construction which is propose be located within 25' of a Mason County road right of way, it is suggested to contact that office to review future
planned work which of t your project.
X
4) Approved per dimensions and setbacks on submitted site plan. X
5) All upland areas disturbed or new
c y�by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). X
6) Proposed structure or any porti n thereof greater than 30" in height from a i e st maintain a minimum of 5' setback from all property lines,
easements and 10' from all County and State Road right of ways. X
7) Proposed structure or portions thereof with an p c io er 30" in height from grade line, must maintain a 5' separation distance between adjacent
structures and that furthest projection. X //
8) All approved plans are required to be on-sit`6for inspection purposes. If inspecti n i ca or and plans are not on site, Approval WILL NOT be
granted. In addition, a Re-Inspection fee in the amount of$47.00 per hour(mi r) will be charged and must be collected by this department
prior to any further inspections being performed or approval granted. X
BLD2000-01206 Please refer to the following pages for conditions of this permit. 2 of 3
9) 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 PO DDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
X
10) THIS STRUCTURE IS CONSIDERED UNHEATED SPACE . AT SUCH TIME THIS CONDITION CH , A CHANGE OF USE PERMIT AND A
MECHANICAL PERMIT SHALL BE APPLIED FOR AND APPROVED PRIOR TO THE CHANGE. X
11) No Occupancy. This structure is limited to U-1 use only (private garages, carports, sheds, and agricultural buildings ; er use will be in violation
of the Uniform Building Code and Mason County Regulations unless a "Change of Use" permit is approved. X
12) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES ND�CCUPANCY
EQUIREMENTS AND OCCUPANCY IS LIMITED TO THE
PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF WOULD RESULT IN PERMIT REVOCATION.
CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
13) Changes to approved building plans tha ff "t pliance to the Ziform Building Code and/or Mason County Regulations must be approved by
Mason County prior to constructionX
14) ALL IS CTION MUST MEET OR EXCEED LOCAL CODES. IF ANY QUESTIONS, PLEASE CALL THIS OFFICE BEFORE CONSTRUCTION.
X
15) CONSTRUCTION PROC S E FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM
BUILDING CODE.x
16) All property lines shalt be clearly identified at the time of foundation inspection. X
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 building can be occ pied.
(�O�WNERRGENT: DATE:
BLD2000-01206 Please refer to the following pages for conditions of this permit. 3 of 3
PEDERSON DR.
P
Ag
011
lU START POINT
OAO CENTER LINE
Li
J J
= n2
^ l^u 7
r 1 I\6•
a=`'o A
0 f
o S00.11'58'E t p
.D
(h � 165'-L870' S, O�
i o acars = .603099 p
�
Cu in 86-
4'-0.819'
water twee
301-2.258 easnent Fl.
EAST WEST LINE 1 long
j l2' wide
slope 1'-80' \ ��
o i
o i
b EAST'
acres = 1.3672 £ Sy ry
Parcel M1 = 12309-43-00120 teso a
n
NORTH
Fold
cu 24' 1 lw
.C, r ' �.�.F.1tl
I I9
2
i
new par*
PLOT SCALE
1/8' - IO'
PLAN VIEW
•
� k
House and 1 acre
That part of the NW/4 of the SE?! of Section 9 , Township 23, North, Range 1 West of
W.M. described as follows : Beginning at a point on the Sourthely line of county
road known as Old Navy Yard Highway 502.01 feet easterly , as measured along said
Southerly line of road, with its intersection with the West line of said South-
west quarter of Southeast quarter; running thence easterly along said Southerly
line of road 73.59 feet; thence S 26' 37' 32" E 217.40 feet; thence South along
East property. line as described in Real Estate Contract between Tyyne S. Ogletree
a widow and William 0. Griffith and Constance J. Griffith, dated August 16, 1969
for a distance of 125 feet thence westerly to a point 290 feet South of the point
of beginning as measured along the West line of said property described in said
contract between Ogletree and Griffith; thence Northerly 290 feet to point of
beginning. Except for easement retained by the grantor, his heirs and/or assigns
for road, utilities and the right to fence and maintain said easement. Said
easement outlined in attached diagram.
Back 1 1/5 acres
That part of the1NW/4 of the SE'/• of fiction 9 Township 23 North, Range 1 West of W.M.
f' described as follows: Beginning at a point on the Southerly line of county road
known as Old Navy Yard Highway 502.1 feet Easterly ps measured along said southerly
line of road with the West line of said Southwest quarter of Southeast quarter;
running thence Southerly 290 feet to the true point of beginning ; thence continuing
L7outherly336.30 feet; thence Northeasterly compass bearing S 65004140" W 198.61
feet ; thence Northerly 224.40 feet; thence West approximately 165 feet to the true
point of beginning. Said description to contain the South 1 1/5 acres of the
2 1/5 acres being sold on a Real Estate Contract from Tyyne S. Ogletree to
William 0. Griffith; to include easement over the East 30 feet of the North
one acre of said 2 1/5 acres of property on real estate contract between Ogletree
and Griffith.
PERMIT NO.: BLD —0 I26"'
MASON COUNTY
BUILDING PERMIT APPLICATION q�I
426 W.Cedar/P.O.Box 186,Shelton,WA 98584 / y
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner /I 4: , Contractor Name d//UF2
Mailing Address /070 Mailing Address
City. '::C 4 1 I , f, State 4.J/-) Zip Code x S ee City State Zip Code
Phone(J&0 Other Ph.( ) Ph.( Other Ph.0
Lien/Title Holder H, J,�. ,, ,,,�.,,J. . u��/f�/ ( Contractor Reg. #
Address /J.. T ,,?, Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic_4 a Existing Septic�p,J,Connect to Sewer
System Name ok ^^��r Sys /� Well Water System Name of
Water System "i/'
3 : oa,cam
PARCEL INFORMATION-1 2 digit Tax Parcel No. / / Fire District
Legal Description PTW °'
Site Address(Please include street name, street number and city)
Directions to site
Will timber be cut and sold in parcel preparation? (Yes/No)_)6
Is your property within 200' of the following: Body of Water (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB New X Add Alt Repair Other Use of Building
Describe Work J2VT l i'l �Vfs'LtJ GqQ P�
No. of Bedrooms" No. of Bathroom*-�SQUARE FOOTAGE-1 st Floor . 2nd Floor Nli4
3rd Floor 44 ' Loft WA Basement 1l.J A Deck" Other sq. ft.
G a raq_e__,OK Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make Model Model Year
Length Width Serial N No. of Bedrooms No. of Bathrooms
Type of Heat Purcha e is 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-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 obtaining approval.
X Date •! 2 `� X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by%""1 Da,V'—1 2- ubmittal Amount Due b(n4 _Receipt No. /
DEPARTME W .REV! W APPROVED DENIED CONDITION CODES
Building Departm 1<.).i cc 7eo✓ 0 c e v T r�i t F c Ft,g7 �iv j
Occ Group v Type Constr -7
Planning Department
Environmental Health Department
Public Works Department
1
Fire Marshal
Valuation $ x /��� �7� p� �� 04
..
FEES
.. _ _...
Building Permit Fee oZ 47 s 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 sv
Violation •Fee Pre-Paid at Submittal ( 6,J, )
....................................::
..N...........,... T0TA FEES
PERMIT NO.: BLD20 v��
MASON COUNTY
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 CONTRACTOR INFORMATION
Owner_( A/ 'd- 4 a Contractor Name 4W AL f k
Mailing Address /�✓ ? �� _ Mailing Address
City State !,:,1` Zip Code City State Zip Code
Phone) Other Ph.( Ph.( Other Ph.(
Lien/Title Holder 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
PARCEL INFORMATION-12 digit Tax Parcel No. / / Fire Distr'ct'
Legal Description
ite Address(Please include street name, street nuffibiar and city)
y' Directions to site
Will timber be cut and sold in parcel preparation? (Yes/No)
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe Work =5i;i,a..,,' 41 ,
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement %;- Deck = Other sq. ft.
Gara_e 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 Purchasff Pdbe rr 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-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. y first obtaining approval.
/I
X / Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENL. REV1 1N APPROVED OE'NIEO ' CONDITION CODES
Building Departme6V to_ fir ,Jj ov,0 k d u r r I I i V C t7l.<a7,o ,4r
Occ Group Type Constr.
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $
FE.:ES
Building Permit Fee 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 ( )
PERMIT NO.: BLD
MASON COUNTY
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 CONTRACTOR INFORMATION
Owner Contractor Name
Mailing Address Mailing Address
City State Zip Code City State Zip Code
Phone( Other Ph.( Ph.0 Other Ph.(
Lien/Title Holder Contractor Reg. #
Address Expiration
SEPTIC/WATER SYST M INFORMATION-Connect to New Septic Existing Septic_ , Connect to Sewer
System Name of§I were to Well Water'System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. ( 2 / / (Q j' -2 A Fire District
Legal Description f AJ 5z V44 u fx
Site Address(Please include street name, street numb rand city)
Directions to site
Will timber be cut and sold in parcel preparation? (Yes/No) Aj,)
Is your property within 200' of the following: Body of Water (Name) A.)t) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe Work
No. of Bedrooms No. of Bathrooms A d SQUA E FOOTAGE-1st Floor�_2nd Floor
3rd Floor �, Loft Basement 4' : 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 Purchas PrX a 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-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.
X ,'"' r " Date %`J1.11+ X Date
fill
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL REVIPT APPROVED DENIED CONDITION CODES
' 1.%<! ' Ov'Ur v4' 7 rr.�t� r:lr4t.i�,��yi
Building Department ck''� t F
Occ Group Type Constr.
Planning Department
Environmental Health Department C 3O
Public Works Department
I
Fire Marshal
Valuation $
FEES
_ . _ ..
Building Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing & Base Fee Public Works Review Fee
Mechanical & Base Fee ,0n1 C WZ S:CXi
Wood/Gas/Pellet Stove Fee Other
Violation Fee Pre-Paid at Submittal ( )
�X.
...::..............:::. TOTAL FEES
A
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name JA-r-K J4 , leLL->f,iT— PARCEL NUMBER x 3 &! — q3 -ON i ate
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 line—> I I <-adjacent property line
51f t{ J AeK fiD 5e6'i C- iT PD✓Z 440115�6C Axi
t,AAA Aa J-°ovi
I
I I
I I
I
I I
I I
I
I I
I I
I
I I
I 1
I I
I I
I I
I I
I
I
I I
I I
I I
I I
I I
1 I
adjacent property line-) I I E-adjacent property line
SAMPLE SITE PLAN
adja�n _S
t property lineline--) 3ze� _ _ <-adjacent property line
I D 30' rPECRV6 go�l
_SeA_owJ AI_ I a L _]F3TSC —_,� �
CREEK I C I MOM 6 I
A H O LAOu.sG_I
I > PrtoPouD s¢ptic —�I
1
I I4-- bo'
I I
VACAn,T T [,�1rtAa� I �%
9a
'� I
P0.oPmca So'
T A&R=LLLTLLRAL
I I
I ,
/DO'
I I
1—e-LL
I I
� /00.
adjacent property line- i I c \i Fadjacent proper['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
diSfioncm to
ructt.�N�
&starc-r- to
.-� L� dis+ancm
nature Date