HomeMy WebLinkAboutBLD95-0067 Cancelled Garage - BLD Permit / Conditions - 3/20/1999 ---------------------
MASON COUNTY PERMIT
Mason County Bldg. III 426 W. Cedar NULL & VOID BY EXPIRATION
P.O. Box 186 Shelton, Washington 98584 DATES BY
13 U I L. [J 1 I'J C3 PERM I T FOR INSPECTIONS CALL +427-9670
BETWEEN 5pm AND Sam 427-7262
PLAT t D I V : BLK : t.OT :
JOB ADDRESS , ME 601 BOY BU BELI~AIR
OWNER : MARY PALMER 275-6653
CONTRACTOR :
LEGAL t TN 3 Of NM 11 fS 45191 BK 064
CLASS OF WORK . . :NEW BEDR : 0 BATH: 0 TYPE AMOUNT BY DATE RECEIPT TYPE ABOIMT BY DATE RECEIPT
ORIEs . . . . . . . :A
CCUP . GROUP . . . %? G . HEIGHT . . : 0 .Oft PRNT 1 118.00 KS $3116195 38585
TYPE OF CONST . . :? FIREPLACES . . . . , 0 PICK 1 47.00 KS 03/1619S 38585
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . t 0 Siff 1 4.58 KS 43116195 38585
DWELL .UNITS . . . . t 0 PARKING SPACES : 0 ENCP 1 11.18 KS 13/M95 38585
INSPECTION AREA : 1 SHORELINE? . . . , tN RtC 1 42.00 KS 03116195 38585 TOTAt: 221.54 VAIVIATIONt 14488
SETBACKS•------------ - --- TOILETS . . . . . . . . , . : 0 FUEL TYPES--- - ------ BOILERS/COMP------ MOBILE HOME---
FRONT . . .E 60 .0Pt BATH BASINS . . . . . . t 0 t 0--3 HP . : 0
REAR . . . .W 65 .Oft BATH TUBS . . . . . . . . : 0 3--15 HP . t 0 MODEL :
SIDE( 1 ) .N 20 .0ft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15•-30 HP . : P. MAKE
SIDE (2) .S 20 .Oft WATER HEATERS . . . . : 0 FURN >=100K BTUs 0 30-50 HP . : 0
SHRLFNE , O .PJft CLOTHES WASHERS . . : 0 F1TRN _. f'1.Ot_•R . . . : 0 50 HP . t !
AREA - - -- - -- - - KITCHEN SINKS . . . . : 0 BEAT PUMP . . . . . . : 0
LOT SIZE . . : FLOOR DRAINS . . . . . t 0 VENT SYSTEMS . . . : 0 FVAP COOLERS % 0 LENGTHt 0
BUILDING . . . % Osf DRINKING FOUNT . . . t 0 VENT FANS . . . . . . , 0 HOODS,. . . . . . . : 0 WIDTH;. : 0
BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 0 DOMEEz. I NC I N %0 --SE=R I AL#--- -
DECKS . . . . . . t Osf DISHWASHERS . . . . . . % 0 AIR HANDLING UNITS-- COMML . INCIN :O
GA.R/CARPtG 1200sf GARB DISPOSALS . . . : 0 <- 10000 cfm . t 0 9,,ELOC/RE PA0A , 0
AT/DT . :D URINALS . . . . . . . . . . t 0 > 10000 cfm . : 0 OTHER UNITS . % 0 r�
MISC PLM F1XTUP S % .0 GAS OUTLETS . : ' 0
,�T.S.'�.TOE]M�/.':C^'..L',S.' .T'L>...Tl'K:G:CXGt='^:TZ'a�"O''1�.:' T"•i-'2�Li2L�..3:A0'9'1S.¢'�^AIS�tY.ttRG"��LK5A3%^SRC'Y'9..06i:SY.'13'�`S.S'SAY':.••:••�•'�C�^^_K"""•^^'?P-.&ST»SCT-'R'C;'i'R3Cti •"�" .: mot::.NTF'R" T.�'C:33:`G:SY.'Sl
PROJECT OESCRIPilON:t;ARA6E
PROJECT iOCATION-HWY 3 TO 9MAIN TURN IEfl ON NO CIIFTON TURN RIGHT ON ROY GOAD 00 60 TO END OF PAYENENl CONIINUE ON SECOND HOUSE ON I.M.
THIS PERMIT BECOMES NYtI, AND V910 IF WORK OA CONSTRICTION AUTHORIZED IS N9I COMMENCED WITHIN 161 DAYS, 01 IF CONSTRUCTION 08 WORK 13 SOSPFNCED FOR A PERIOD
Of IA8 DAYS AT ANY TIME AfIFR WORK IS CONMENCFO, EVIDENCE Of CONTINUATION OF WORK IS A PROGRESS INSPECIION WITHIN THE IR1 DAY PEPIOD. fINAt INSPECTION BUST BE
APPROVED BEFORE BUIIDINO CAN BE OCCUPIM
OWNFR OR AGE�:4 DATE:
Btu fill, rev% ISlilist COMPLIANCE TO ATTACHED CONDITIONS AS REQUIRED
i
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 by date by date by
PLUMBING Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
J
MASON COUNTY
- Mason County Bldg, III 426 W. Cedar
\ P.O. Box 186 Shelton, Washington 98584
PEFRM 1 _r 0 ®N0 1 T 1 aNS
Case No . , BLD95-0067 .r...
For : MARY PALMER
Page : 1
1 Subleot to conditions of Resource Lands an , Critloal Areas (RLC) Checklist notification
I elver .
X
__..__� .... _........._......��.�..».,,.. -_ '- •fit:
7) The use, handling and storage of hazardous mat6r l a l s or flammable and combustible
�C liquids in eaxoess of 10 gallons Is not allowed without they approval of they Mason County
F l re Marst+a I .
X
3 Proposed structure or any portion thereof greater than 30" in height from grade line
must maintain a minimum of 5 ' setback from all property lines, easements and right of
ways`
r -
No seepd o records owner/builder assumes all responsibility If drainfleld area is
enoumbered .
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION q5�
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 (p�
PLEASE PRINT ti✓
#1 wne Phone # 27S7 Y(,S�
I e Address /f/9 (.ot RoyFire District# .�
City E L-P I su&la — zipags1
Directions to Job Site }-{v✓d '� ireZL-►^ �-e. - n� 11��' C.�`4���'0'�
rum 0�r S -cco �( oo�Sc
Owner Mailing Address
city st-111a Zip 5 Zif
Lien/Title Holder "-
Address & 5',3 c17
city lFugveaStf _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 Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parc o. ? - 2�.0 - QO 3
egal Description Rf inf-the, e e 5ec N Z�
; 1 l (iJ. N(., �N Nti5oN Co(i,N4y Gv' 13'-``
#5 Building Square Footage: (existing/proposed) T�-� of no
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / # bedrooms �_# bathrooms /
Garage_ 11 Carport / (Circle: Attached or etached' )
Other sq. ft. /
#6 Use of building QAR-fe- Describe work v
'7 1,0')
#7 Type of Job: New y Add Alt Repair
#8 MOBILE/MANUFACTURED HOME INFORMATION
Jq
Model Year Make Model , D
Length Width Serial No. %Iv-N
S6
99S
# Bedrooms # Bathrooms Type of Heat
Purchase Price $ RvlCl�s
#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
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences ,,
Structure Setbacks Driveways 1 �,
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street
in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
Car
3
i
r
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
l
i
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. UaL Fees
_Showers Furn BTU
_Hot Water Htr _ Heatpumps
_Laundry Washer Vent Systems
_Sinks _ Spot Vent Fans
_Floor Drains Boilers/Compressors
_Laundry Basins _ HP
_Dishwasher NgL 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
TOTAL PLUMBING NCL Other
Gas Outlets
Wood, Gas, Pellet 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 OF THE 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 DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
i
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: S(q6-J )-6 D 94 1J 3
Environmental Health:
Building Plan Review
Occupancy Group:ftA Type of Const'-�
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit 10
Plan Check 7.
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee q,50
Other
Other
Building Valuation: TOTAL FEE ( C,S