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HomeMy WebLinkAboutBLD95-0465 Final Addition - BLD Permit / Conditions - 2/22/1996 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F3 (J I L_. D I N to P EF P M I 'I FOR INSPECTIONS CALL 427--9670 BETWEEN 5pm AND Sam 427-7262 BLO95-0465 PARCE:L : 123283290O30 PLAT : DIV : BLK : LOT : JOB ADDRESS : NE 24090 STATE ROUTE 3 Unit : H SELFAIR OWNER ; SHARON MARTIN 275-3851 CONT"RACTOR : LEGAL : TO 3 Of 11 S1 TR B Of SP 1111 CLASS OF WORK . . :ALT BEDR : 0 BATH : 0 TYPE AMOUNT BY DAIS RECEIPT TYPE A1011111 BY OATF RECEIPT TYPE OF USE . . . . :COM STORIES . . . . . . . :0 .� OCCUP . GROUP . . . 17 BLDG . HEIGHT . . : 0 .Oft ENCP 11 10.01 CPO 06/03195 0011 TYPE OF CONST . . :? FIREPLACES . . . . : 0 PONT S 165.50 CPR 05103196 0000 OCCUP . LOAD . . . 0 WOODSTOVES . . . . : 0 PICK t 42.11 CPH 05193195 0010 DWELL .UN 1 TS . . . . . 0 PARKING SPACES : 0 STFE 4 4.50 (:PN $5103195 9001 INSPECTION AREA : 1 SHORELINE? . . . . :N 1OTAl c 162.00 VALULAT ION: 128411 6�mwwzw­ � SETBACKS-------------- -- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS/COMP---•- MOBILE HOME- - FRONT . . .N 5 .0ft BATH BASINS . . . . . . : 0 : : 0- 3 HP . : 0 REAR . . . .S 5 .Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODFI_ : SIDE ( 1 ) .E 5 .0ft SHOWERS . . . . . . . . . . : 0 FURN < 10OK BTU : 0 15--30 HP . : 0 MAKE ----- S I DE (2 ) .W 5 .Oft WATER HEATERS . . . . : 0 FURN :>-100K BTUs 0 30--50 HP . e 0 SHRL I NE . 0 .Oft CLOTHES WASHERS . . : 0 FURN _. FLOOR . . . : 0 50+ Hp _c 0 -YE:AR---.----- AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 { LOT SIZE: . . : FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . c 0 FVAP COOLERS : 0 LENGTH : 0 BUILDING, . . . , Osr DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0 BASEMENT . . . : 0sf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN =0 -SERIAL #-- .__._. DECKS . . . . . . : Osf DISHWASHERS . . . . . . i 0 AIR HANDLING UNITS--- COMML . INCIN :O GAR/CARP :? Oaf GAPS DISPOSALS . . . . 0 <¢ 10000 rfm . : 0 RELOC/REPAIR : Ira AT/DT . :? URINALS . . . . . . . . . . : 0 > 10000 ofm . ; 0 OTHER UNITS . : 0 M i SC PLM FIXTURES : 0 i4AS OUTLETS c 0 PROJECT OESCRIPTlON�AIOiT1ON PROJECT LOCATIONcR11 BELfAIR CENTFR SOITE H THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUIRON17FD IS NOT COMMENCED WITHIN 160 DAYS, 01 If CONSINUC7100 OR WORK IS SUSPENDED fOR A PERIOD OF 104 IM S AT ANY TIME AFTER WORK IS CONNENCEO. EVIDENCE Of CONTINUATION Of WORK IS A PIOGIESS INSPFCTION WITHIN THE 181 OA1 PERIOD, FINAL INSPECTION MUST BE APPROVED BEFORE BUILDING CAN BE OCCUPIED. -� _.. �; 010E1 01 ASENT: -,4 9 61.I-1111T, rev: 03131191 COMPL I ANCE TO ATTACHED COND 1 T 1010 IS REQUIRED CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b 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 - (I — 5 "5-- by I date by date by PLUMBING OTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING date by date $- I�- g "S by L Water Line FINAL INSPECTION date by date by t, date by MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PEF� M i T CCjtV [� 1 y/` i C3NS I Casa No . : BLD95--0465 For : SHARON MAHTIN Page ! 1 1 ) The expansion must not increase the water use without further evaluation . 'The number of employees and tbe. use of the facility must not change , without further water use flows, and esment of t d►-a7f-Af I e+ I d . 2 ) Propos 0 st� setbacke or any portion thereof greater than 30" in height from grade tine, must rota n -9' m0, imum of 5 ' setback from all property lines , easements and right of XV-�� 3 ) All approveryi plans are required to be on-site for Inspection purposes . If inspection is cat led for and plans are not on site Apppravai WILL. NOT be granted . In addition, a Re- inspection fee In the amount of *A0 .00 per hour (minimum 1 hour ) will be charged and must bje co! Iected by- his department prior to any further inspections being performed or appro ,Y granted ..-" 4 ) PURSUANT TO 1 1 UNIFORM BUILDING CODE , SECTION 305(C) AND SECTION 613 AL!_ SITES MUST HAVE APPROVED UMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO Bt 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 RFINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILLBE ASSESSED ; IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING I NSPEGJ NS . 5 ) ALL C N TRUC . ION MU T MEET OR ,EXCEED ALL LOCAL. CODES AND UBC FQU E"NT 6) Changes to approved building plans that effect aompliance to the '1991 Washington State Energy Code,✓1991 Ventilation and Indoor Air Quality i Code, the Uniform Suliding Coded and/or Mason County Re' irfat ions stx�/ o be approved by Mason County prior to construct i onX ��a:s=cr�:1 7 ) AL! COWTRUCT I ON M4l�.T MEED OR EXCEED LOCAL CODES . - IF ANY QUEST NS, PLEASE CA .L .TA OFFICE EF E C TRUCTION . X.. � . MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 8 ) CONSTRUCTION PROCESS TO BE FIELD CORRE TEk1 REQU I R E' v MAS'"—i..OYNTY BUILDING DEPARTMF NT AND UNIFORM BUILDING CODE .x .Ld -Z I 1 j�J Q �i�c. 9 WW �`�5 Permit No."hid q�2-641�5 MASOL O UNTY BUILDING PERMIT APPLICATION q4/ 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 v� 0`� PLEASE PRINT I 1/�n #1 er S k ro V I V I C _if Phone# ? to A re a,L09'O U1-FE Fire District# 1 5? City r . St U� Zip �J Directions t Job Site l 1r' r1 e- r' cJc:� e S eQ_ Owner Mailing Address C� r City Q u A Q Zip Lien/Title Holder Address Clty St Zip #2 Contractor Name Contractor Reg# Address Expiration Date City St Zip Phone# #3 If septic is located on project site, include records. Connect to Septic? Public Water Suppl ,I� -�Well ug- Connect to Sewer System? Name of System (If residential, proof of potable �water is required) #4 arcel No.l� - 1le (- 0 r Legal Description -Fe- 3 0�- Yl LL) '$Lo -T C) #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI 3rd FI / Loft / Basement / DeK, / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq.ft. / #6 Use of building c 1" (J-- L Describe work #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length W' a is N . # Bedroom #Bathrooms Type of Heat Purc a 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 L 1 Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Indicate Directional by (N, S, E, W) Name of Flanking Street in relation to plot plan Name of Fronting Street APPLICANT TO DRAW SITE PLAN BELOW QU, =PAC*mow C� f cA ("fS n APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW - - I Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) o. Toilets CIRCLE FUEL TYPE: Gas, Electric, ath Basins Heatpump, Other _Bath s No. UDILa Fees Showers Furn BTU _Hot Water Htr _ eatpumps _Laundry Washer Vent Systems _Sinks Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins HP Dishwasher No. Air Handling Units _Disposal _ cfm# _Urinals No. Fire Protection Systems _Other Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00 TQfAL PLUMBING $ No. Other`,, Gas Outlet Wood, Gas, Pe t 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 15.00 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 WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING D P RTMENT. DEPARTMENT. X OWNER X BY DATE — — DATE FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: s, )'Y)iY�lWiUl 2� h©C.�I ua��n eQLQ21,4-1 )l A'Q f y/o Environmental Health: 0� O�Q- mvsS v14 �v.c s e✓��z ��c � SQ WA ti� ( Iyw w� Jac "7-qS Building Plan Review LJj Occupancy Group'3 Type of Const: Fire Marshal: a 200 Other: Special Conditions: FEES �•(V �-Z �, Building Permit j pE. s�' Plan Check arc STt tZt Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee , Other Other Building Valuation: C/ fZ� '`� TOTAL FEE i p � ✓ 7 s5�3 �f / es TK J c6 �^ T MEET ALL C' R?ENT MUST WASHINki(ON STAT CODES APPR 3 K 7A LANS ry U jytSON BUILDI G INSP 90/wl `r Ur-� I i-1E JPE S TECHANGES SUBJER TO AP An/N�Ng PROS FUR iNSNE:C I . -DAI E`�=t E/n�f�PicA/ GHAN Q ) SUBMIT CPANGES FOR AF y / o 13,s Pv/l� PRIOR TO PEWORMING W (� 77 � +IZ nr F �o�st 0 4 Ny - o ax6 /6 dG o D! �o Fief as BRR� u+� L� �e v ti. fi � � .s �N r1 v al Z p D�/R;/t rvt ,ST_ Pzcu p - W/i�/ EN /9RC f f oR y n rA/`^ t:F F- I Oc ✓+� tw DN /opD �n��� R NA /�R Fc 2p� L, ��(T a� �-� � U �f _ \ ,Ny PA�,o,� ►=RDI� i Co �c �a� ► �� r✓ N s on. �arg0 �hio�, no- I , i I I . pT u rrLoLr c ckicincm aXy � R D �J-01 011 l� -��C�-I�C� y- .�, Lt�h-I-TY� -b �o �-� „�:,�-.e-e� � ��-�- �k'-�-Q� ��t��s. �✓� n.e�,J tl.or�icrn. .