HomeMy WebLinkAboutBLD2000-00281 Pump House - COM Permit / Conditions - 5/30/2000 Line (360) 27- 262
ection
MASON COUNTY PERMIT ASSISTANCE CENTER Plhonpe: (360)427 96704ext7352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
1
RESIDENTIAL BUILDING PERMIT BLD2000-00281
OWNER: R. DRESSEL NORTH MASON FIBER
CONTRACTOR: RECEIVED: 03/14/2000
SITE ADDRESS: 431 NE LOG YARD RD BELFAIR 1FE 'pjfkA� D: 05/30/2000
PARCEL NUMBER: 123211001070 & 401 EXPI S;--11/30/2000
LEGAL DESCRIPTION: TR 7 OF N1/2 NE �tl a gV
PROJECT DESCRIPTION: DIRECTIONS TO SITPA
THIS IS A COMERICAL PUMP HOUSE NORTH ON STATE HWY 3 FROM BELFAIR APPROX 6.5 MILES TO LOG
YARD ROAD ON LEFT, TURN LEFT ON LOG YARD ROAD AND GO
APPROX 2 MILES TO SITE ACCESS ON LEFT
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.: 5N
Type of Use: COM Insp. Area: No. of Bathrooms: Occ. Group: F2 Lot Size: Deck:
Type of Work: ACC Fire Dist.: 2 No. of Stories: 1 Occ. Load: 1 Building:
Valuation: $10,956 Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make Length: Ft. Front: E 310.0 Ft. Shoreline: Ft. Water Body:
Rear: W 250.0 Ft. Slope: Ft. SEPA?:
Model: Width: Ft. Side 1: N 200.0 Ft. Shoreline Desig.:
Year: Serial No.: Side 2: S 230.0 Ft. Comp. Plan Desi .: Urban Growth Area
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Floor Drain 2 Plan Check Fee SKM 03/23/200 $56.71 1908
Building State Fee SKM 03/23/200 $4.50 1908
Plumbing Fee SKM 03/23/200 $14.00 1908
Plumbing Base Fee SKM 03/23/200 $20.00 1908
Environ. Health Plan CEW 03/23/200 $25.00 1908
RRHA Ag Review Fee AHB 04/03/200 $38.00 1908
Additional Plan Check SKM 05/23/200 $89.21 1908
§§ding Permit Fee SKM 05/23/200 $137.25 1908
Total $384.67
BLD2000-00281 Please refer to the following pages for conditions of this permit. 1 of 3
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(A) Date: (E) Work Order
PERMIT#: GZ� .D Number
Requested by: d�
Authorized by: Date:
Type of Work:
CHARGE TO:
NAME
AGENCY/COMPANY
BILLING ADDRESS
PHONE
p) Pub. Works Person in Charge:
(C) Project Time Line: (from-to dates) TO
Pr*d Start date: Estimated FWsh Date:
Apprwdmate hays: ESTIMATED TOTAL='S:
COST ESTIMATE
(D) Employee SBWt Hours Subtotal Frinae% TOTAL$
gm EAM TOTAL IS
EQUIPMENT USED:
MATERIAL USED:
.... :�,�;;.;;;::::.:.:.. ....:. ....„ ... ..:.......:... 7t`;c>:<�;<-:..:�.:.:.w�;
fla.exaro«,�d��,:..x.-..�s:�:<:caeo�;�.,.,«-�t.,v��.�s:��:a«�..-m-,�;:,.�o::::-Y-:a„�,,.µ::<�:��Laa� ^,.. .. - .-,ea�5ta& ee✓o��...w�'�o%h3aic:;i; g
(F) Actual Cost $ BARS: PROJ X.
DATE Empioyea
yinEm Nuns LRAt4 flours Sub(ow F inoe% TOTAL$
EQUIPMENT USED: Date vnd Rate TOTAL i'S
MATERIAL USED:
TOTAL ALL
(G) BILLED DATE INV 0 PAID DATE REC.f CKX
02/14/00 MON 14:11 FAX 360427779$ w, MASON COUNTY BLD a _ _ . gl.002•:.
FORM F� BE COMPLETED IN INK
PLSE PRE PRESS HARD PERMIT
MASON COUNTY .
BUILDING PERMIT APPLICATION
426 W.Cedar/RO,Box 128,Shelton,WA 98E84
Shelton 360 427-9670 Betfair'360)275-J46T Elrna 360 482 F269 Searie(206)464-69n8
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner Mr. Robert Dressel Contractor Name _
Mailing Address P.O. Box 275 Mailing Address
City Bel f a i r _ State WA Zip Code -cJ75 2 8 City Stale Zip Code
Phonet 360 2 7 5- 0228 Other Ph.( - ) Ph,( Other Ph.(--
Lien/Title Holder Contractor Reg, #
Address NE 431 Log Yard Road Expiration 1 /
'SEPTICfWATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well x Water System Name of
Water System
PARCEL INFORMATION-12 digit,T?x Parcel No: 123211 00 / 1070 Five District
Legal DescriptionFbrticn of Est 1700 Ft, I ,O 4ectic
,` t 21,-T0w-F=p 7_TT,Range 1W�-asn �� qsY i.-
Site Address(Please include street name, street number and cit u` ard"13�a�;-Il--lfair 'tom.
Directions to site Nbrth cn State M114aay_3 fmn Belfair approxura7e.5 rrd es a,rtKlow on Lett.
'Item left cn Lrxt YardRcad and go kqDrcDdmte1y 2 rm es to site a=ss -a—rile-It.
Wil!timber be cut and sold in ps,cei preparation? (Yes/No) tab
Is your property within 200' of the following, Body of Vlater(Name) Saltwater
Lake___ River/Creek, Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs -
TYPE OF JOB New Add x_Alt _Repair Other Use of Building -P� Fie -
Describe Work
No. of Bedrooms No. r:I Bathrooms SQUARE FOOTAGE-1st Floor 188 2nd Floor ,
3rd Floor _Loft Basemen! _Heck Other-_ t ,_'D sq, ft. ► sy
Garage Attached Detached Carport Attached pet ched
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)
mstalier Name Certification No.
NOTICe: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED 15 NOT COMMENCED WITHIN 130 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERtCD OF ISO DAYS AT ANY}riME AFTER THE WORK IS COMMENCED.
PROOF CF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent un 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 helow:
OWNER.AFFIDAVIT-I certify that I am exempt frcm the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am current!y registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that!am aware of the ordinLnca
requirements f rmit M iss and that all work will br done in requirements regulating[fie work for which thts permit is issued and al work
conformance are Nor- nges s II made witho.it r.rst obtaininQ, $hall be done in conformance therewith. No changes sr,all be made�.vithout
aa�ro'raL �! /a�j)/� first obtaining approval.
Cate L�-.CT { 01'4_ x Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due ,Receipt No.
„ < II»R11I1!4E1TA . 1/� i Y K� �APRc�V .Di!!~1 : . klbTlC12-?C ?.rS . A
Building Deprtr;ient
Occ Grou 7 e Constr
Planning Department
Environmental Health Department
Public Works Department 33 � 1 ��
02 if/UO KO` 1�: 11 FAX 3604277798 MASON COUNTY BL.P 3 I?j002
FORM MUST BE COMPLETED IN INK
-- -- . ._.... PERMIT IVO.:. FLU
' �''. •Q
PLEASE PRESS HARD
MASON COUNTY .
PE PP
BUILDINGPERMIT APPLICATION
426 W.Cedar/P.O.Box 188,Shelton,WA 913!:84
Shelton 390 427-9670 Belfair(3601275-4467 Elrna(360)492-5269 Seattle(206)464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner Mr. Robert Dressel Contractor Name
Mailing Address P.O. Box .275 Mailing Address
City Be 1 f a i r State wH Zip Code 98t)2� City Stag Zip Code
Phone( 360) 275- 0228 Other Ph.( ? Ph.(_ Other Ph.(
Lien/Title Holder Contractor Reg. #
Address NE 431 Log Yard Road Expiraticn I I
'SEPTIC/WATER SYSTEM INFORMATION-Connect to New septic Existing Septic Connect to Sewer
System Name of Sewer System Well x Water System Name of
Water System
PARCEL INFORMATIOM -2.digit Tax Parcel No,R 123211 1 0 / 1070 _ Fire District
-Lecdal Descri tionFOrtictl of West 1700 Ft, I ,` 4, S Cti �' p 77 , Rare 1A i`�al Clarity Yam :
Site Address(Please include street name, street number and city)NE 43LLog Yard How, Balfair .
erections tc site North cn State Hi J2 ay 3 frun Balfair apprtmzra y b.b r n � to cn
ILm left on Irxl Yard Fcad and go ar,proxi imtely 2 rrn es to site acc2ss on
Weil timber be cut and sold in parcel prWparation? (Yes/No) No
Is your property wit4in 200' of the following: Body of Water(Name) Saltwater
Lake — River/Creek, Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF J013 New—Add x Alt -Repair Other Use of Building PLrP Hoge -
Describe Work
No. of Bedrooms No, of Bathrooms SQUARE FOOTAGE-1st Floor 188 2nd Floor
?rd Floor _Loft Basement Deck Other_ sq, ft.
Garage Attached De±ached 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 8ECOMES NULL&VOID IF WORK OR CONS T RUCTION AUTHORIZED 15 NOT COMMENCED WITHIN 120 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF ISO DAYS AT ANY T1ME AFTER THE WORK IS COMMENCED,
PROOF CF CONT':NUATION OF WORK IS EY MEANS OF A PROGRESS INSPECTION. The ovmer or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County,access to the ab vve described property and structures for review and
inspection of this project. Acknowledgment or such is by signature below;
OWNER AFFIDAVIT-I certify that I am exempt frcm the requirements of the CGNTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Regist ation Law RGVJ 18.27 2nd am awcrc Of the ordinance contractor in the state of washir�gton and that I am aware of the ordinance
requ cements' rmit is iss' and that all work tl will tx!dcnc in requirements rNulatirtg .e work for venich this permit is issued and aii work
conformance Crc No c. nges s' tl made without first obtainina, $hall be done n conformance L1erewith. No changes shall be made without
ap�rova �pIJ v first obtaining apprcval.
X Cate X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due .—Receipt No,
AP. �:O)tl
Sullding Depar,ment
Occ Group Type Constr.
Planning Department
Environmental Health Department
Public Works Department
MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name -i Fiber Co. PARCEL NUMBER 1.-00-1070 Date
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicaltiong 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 line4 I I E-adjacent property line
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See Attached Plan
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adjacent property line-> I I E-adjacent property line
SAMPLE SITE PLAN
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perty line4
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14—M3-O 26M0G't' r _ �
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FadjacGe4n6t.Eprop
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adjacent property line4 ; A�. c \; E-adjacent 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
diSt�rGa. fio
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dcat�r cc *o
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Signature Date
FORM MUST BE COMPLETED IN INK a 7� PERMIT NO.:
PLEASE PRESS HARD MASON COUNTY
PLUMBING/MECHANICAL 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 r-t R . Rl waF rzT U ar=e L Contractor Name
Mailing Address ice-cam_ Sax -L-iS Mailing Address
City Pei FA,rft _ State_Uj& Zip Code 9A�_ City State Zip Code
Phone(2s6c-) ) _-)5-o,2 R Other Ph.( Ph.( Other Ph.(
Lien/Title Holder Contractor Reg. #
Address Aj-a . 431 LQG- YArLb P-mAti- Expiration
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION-12 digit Tax Parcel No. / _/ Fire District
Legal Description
Site Address(Please include street name, street number and city)
Directions to site
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 Repair Other, Use of Building
Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump
Toilets _ Type of Unit No. of Units Fees
Bath Basins Furnace
Bath Tubs Heatpumps
Showers Vent Fans
Water Heater Propane Tank
Laundry Wsher Gas Outlets
Sinks Wood/Gas/Pellet Stove
Dishwasher Direct Vent?
Other FLM&bRAtlr -2- EMU Other
Other Other
Base Fee 2 Base Fee
TOTAL PLUMBING _ZyDZ TOTAL MECHANICAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
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
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 U L IL,U X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
___
£1EPARTIti+EEtdT 1E t1;VtE1f11. .:>: ">'::..: APPROVED.... DENIEt3 :....
Building Department
Occ Group Type Constr.
Planning Department
Other
Other
I
FEES
Permit Fee Site Inspection 4
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( )
Violation Fee TOTAL FEES
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name 6—:74 JEX �ARCEL NUMBER/d;3 1 J o~d[070 Date
SHO HE FO LOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
�.> - Ihl� 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- , <-adjacent property line
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adjacent property line4 ' ' <-adjacent property line
SAMPLE SITE PLAN
adja�nt property line-) �_ 3io' �tiu�cave — Fadjacent property line
D 30'
CREEK I c fiW
M4atn�> s¢- - 60 -'71bn
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adjacent property line-� E-adjacent 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
d15tcnGr fin
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dtata"C-r- t o
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Signatu D to