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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 $384.67 BLD2000-00281 Please refer to the following pages for conditions of this permit. 1 of 3 V V V m N 6 8 O O N O O O p0 V O O 0 N0 0 0 0 O O Ln In 0 0 4N 1000 6-/�l PaOPAr/Z TAN1l- E(;�v� Y1'I 1. 'Foft I,FF,LC J � VL-N LL- �� I� � ivi LA 1 IG �l�— Fo 2 &T,Les N �— i c j j �Z'Tl A v\"1,/V c, t-// N VVVr[r\ VMLJt:M - 1'Ut31-Ilr VVVKRJ Ut=r 1 . (A) Date: (E) Work Order PERMIT#: GZ� .D Number Requested by: d� Authorized by: Date: Type of Work: CHARGE TO: NAME AGENCY/COMPANY BILLING ADDRESS PHONE p) Pub. Works Person in Charge: (C) Project Time Line: (from-to dates) TO Pr*d Start date: Estimated FWsh Date: Apprwdmate hays: ESTIMATED TOTAL='S: COST ESTIMATE (D) Employee SBWt Hours Subtotal Frinae% TOTAL$ 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 I I See Attached Plan 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 I I I I I I I I I I I I I I I I I I I I adjacent property line-> I I E-adjacent property line SAMPLE SITE PLAN SaCdEjRAaFrS��Kwlt property perty line4 ne � 14—M3-O 26M0G't' r _ � . FadjacGe4n6t.Eprop erty line 30' RE Sv P L jsmPrtc wNTVAG I I C ARA.c6 -3 I I C0.oPo�CD � �\ 7 A&R=LLLTLLRAL. So j I 1 I I B O' I I � I I I /- •cLL I I I I 71 /DD' I i � I 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 SrtruttL�Y� dcat�r cc *o Slops �-c¢ dis��n�2 r 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 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 I I 1 I I � I I � I � 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 R VAGn,T � T c.ArtAaa 3a I j i CM1cPosCD \ \ A&R=LLLTLLXAL So 1 I 1 I , � 1�--Bo" —mot I � I I I � /00' .I I L.��GLL I 'Il A I 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 rmcrLAre- dtata"C-r- t o to dL Signatu D to