HomeMy WebLinkAboutBLD93-1163 Cancelled Temp. Mobile Office - BLD Permit / Conditions - 1/24/1994 1
MASON COUNTY PERMIT
Mason County Bldg. III 426 W. Cedar NULL V ID BY EXPIRATION
P.O. Box 186 Shelton, Washington 98584 DATE q9BY _,
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
11:11: IL...II Al. IL... IL::;U ::II:: 0,4 4..:.1 0=" 0 ::: 1::;il: 0'11'I1 ::II:: 11 FOR INSPECTIONS CALL 427-9670
BETWEEN 5pm AND Sam 427-7262
BLD93-1163 PARCEL : 123214200060 PLAT : DIV: ELK : LOT ,
JOB ADDRESS : . . . . . . . . . . . . . . .
OWNER : ALLEN SHEARER 206-275-3465
CONTRACTOR : OWNER IS CONTRACTOR
L E G A L : TN 6 OF SW NE 1 1112 SE FS 05295 OK l64A
CLASS OF WORK NEW BEDR : 0 BATH : 0 ITYPE AMOUNT 8Y 0 A T E RECEIPT TYPE AMOUNT 8Y 0 A T E RECEIPT
TYPE OF USE . . . . : MH STORIES . . . . . . . : 0
OCCUP . GROUP . . . : ? BLDG . HEIGHT . . : 0 . 0ft MHOF Z 116.00 KS 07/28/93 33381
TYPE OF CONST . . : ? FIREPLACES . . . . : 0 STFE 4.50 KS 67/28/93 33381
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0
DWELL . UNITS . . . . : 0 PARKING SPACES : 0
INSPECTION AREA : 1 SHORELINE? . . . . : N TOTAL: I04 .50 VALULATI0N: 0
SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME--
FRONT. . . ? 0 . 0ft BATH BASINS . . . . . . : 0 : ? : 0-3 HP . : 0
REAR . . . . ? 0 . 0ft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : BLAZER
SIDE ( 1 ) . ? 0 . Oft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 —MAKE------
SIDE ( 2) . ? 0 . 0ft WATER HEATERS . . . . : 0 FURN >=100K BTU : 0 30-50 HP . : 0 OFFICE
SHRLINE . ? 0 . Oft CLOTHES WASHERS . . : 0 FURN — FLOOR . . . : 0 50+ HP . : 0 —YEAR------
AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . . 0 86
LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 32
BUILDING . . . : 320sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 10
BASEMENT . . . : Osf LAUNDRY TRAYS . . . . . 0 DOMES . INCIN : O —SERIAL*----
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN : O M8618
GAR /CARP : ? Osf GARB DISPOSALS . . . : 0 (= 10000 cfm . : 0 RELOC /REPAIR : 0
AT/DT . : ? URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT DESCRIPTI0N:TEMP0RARY M08ILE OFFICE
PROJECT IOCATI0N:THR0U6H BEIFAIR HEADING FOR 8REMERT0N, TOP OF HILL 1/4 MI PAST RR TRESSEL, LOG YARD ROAD IS ON THE LEFT. SITE IS 960 FEET DOWN L 0 6 YARD
ROAD ON THE LEFT -OFI18E0ASACANYSIMLFTEVRIWCOENEEIECEOFTCONIUINO0C0RKNISDWR0GR ONS IOI HNTHET180OAWPER SFI INECIEUSppT BE8 Y T TIME RWOKIS MMCO. V0N TNATO FW AP ESSIPUTNWITIT Y 100. NAL SPT0NM
APPROVED BEFORE 8 U I L 0 1 N 6 CAN BE 0 C C U P I E .
h OWNER OR AGENT: DATE: 7-2clp" 11
6L0_PR4T, rev: 0 3/3 1/9 1 COMPLIANCE FO ATTACHED CONDITIONS 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 by date by date by
PLUMBING OTHER
Groundwork Attic
d date by
ate by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
1
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
MASON COUNTY
I
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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Case No . : BLD93-1163
For : ALLEN SHEARER
Page : 1
1 ) The use , handling and storage of hazardous materials or flammable and combustible
liquids in excess of 10 gallons is not allowed without the approval of the Mason County
Fire Marshal .
X � S
2 ) 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
x
3 ) Proposed structure or portions thereof with an projection over 30" in height from grade
line , must maintain a 5 ' separation distance between adjacent structures and that
furthest projection . X_ ;-is
4 ) THE TEMPORARY OFFICE WILL HAVE NO INTERNAL RESTROOM FACILITY WHICH WOULD NECESSITATE
THE USE OF A WATER OR SEPTIC SYSTEM . A PORTABLE TOILET WILL BE AVAILABLE , LOCATED NEXT
TO THE OFFICE AND WILL BE PUMPED AND SANITIZED ON A WEEKLY BASIS .
5 ) TEMPORARY PLACEMENT OF OFFICE VALID ONLY UNTIL 07-28-94 .
I
I
I
2 times the he; nr of Structure Tap of =rrr = r��'�f;1111=
13' Max. Slope ca of
a
Footing
i
Faca Not to ezra e C 40�,'�-
of Tae of
Structure Slope 3iN1
BUILDING OFFICIAL MAY APPROV
TYPICAL STRUCTURAL SETBACK ALTERNATE SE7BAC}6 a CLEARANCES
Sccie I" 2 20'
Sample Site Plan
241•
133' 14
/ T
40' 32' 20' 1
o PROPOSED -
RESIOENCE
1, es•i• C
fntta
£DGE OF BANK Semi Twk 2
m 68'
24. Q
• o
40. O o
h �� 5' oriel p a
Mirt.S,seft ex We11(3ee 121
238' 1
U
TYPICAL SITE PLAN ►" = 20a
J. OOE 1406 Mason U. Or.
N
Permit No. jP
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 Owner _ / gl h �cerer Phone# �2�.�; "2 7
Site Address Z,f- sr ` �`.� y �,-sr �o cad' Fire District#
City _ '6� /".r St G��Zip
Directions to Job Site
i�� /y //' %Y /r1
''/
, _�� �T ',le 5 %� T.S f GO 7-
Owner Mailing Address //e,•, S�e�,-,� O ,da,� ��j
City �t x2l;;; r St 6t�5 Zip
Lien/Title Holder //P„ `5� ,-�r tk,,, //4 s o.-1
Address.
City /X /{�;r St Zip
#2 Contractor Name Contractor Reg#A//'4'W S 1;,4er
Address G' ��a,� ��� Expiration Date
City ,Q1114.r St L✓' 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 Parcel No. / - </o2D - UU,�,!U
Legal Description 7T.,""6 o 7'�' ,SGJ
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport 1 (Circle:Attached or Detached?)
Other sq.ft.
#6 Use�ofPuilding 42Q Describe work
V/7 Lti
#7 Type of Job: Gw w Add Alt Repair Other
#8 �4 MOBILE/MANUFACTURED HOME INFORMATION
Model Year IFAC Makes erModel G/e-, �u/dam
Length , 3,;� Width 1�> Serial No. 117
# Bedrooms _# Bathrooms Type of Heat /7
Purchase Price$ ,579 GU 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 OtherZ�&
FShow following on the site plan
nsions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines "O;c 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
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
I
J
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
_Bath Tubs No. Units Fees
Showers Furn BTU
_Hot Water Htr _ Heatpumps
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
TOTAL PLUMBING $- ' No.. 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 TOTAL MECHANICAL $
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
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 DEP TMENT. DEPARTMENT.
X OWNER �_. X BY
DATE � DATE
FOR OFFICIAL USE ONLY: Accepted by: Date: I — zf� — �
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
so 2--
Environmental Health: 3— '3 f2e604 eck A k+(c)c-S
6
Building P n evie I-aw, je
f�
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
T/�6 7 7-61 R2iE z 0r1'1 C� i''r L� Building Permit
P4v,:-, A10 �'G/� ��' �� � Plan Check
NEC/S5 ) R 23- i� 1 Or' A Plumbing Fee
u )A-7-aL d(2 5�(G Sl l ✓ I/( Mechanical Fee
TP w 1-lam Wood/Gas/Pellet Stove
-De A�/A i LA8c,r--
-M —1 J-�-e Ckg::�G g� cAtJjp Radon Monitor
ll� I 1�>�c a In 'olation Fee
�/�� �'y�r✓ L'1�-- 15 Site Inspection
Building State Fee
Other.
Other
Building Valuation: TOTAL FEE
HwY 3
Ok
of �->2 �f'� iiN S2 5• V' ` � yT
N ICA C
/co,
�C Fl I
i •2
•z 13
O
N
G,,C or �I s -Z'I,
I
0
tAl C�)
r
N
400,
APPLICANT NAME: /-►7C��Y�
BUILDING PERMIT CHECKLIST
TE ADDRESS
- f site address is not listed, customer needs to be given site address
rm.
DIRECTIONS TO JOB SITE
Needs to be as complete as possible (i.e. major roads, is house on left or
right side of road) Be sure to read for clarity. Landmarks - Signage -
Owners Name on Mailbox ?
LIEN/TITLE HOLDER
\. Who holds the mortgage? (Bank or name of private owner holding contract)
`2. CONTRACTOR REGISTRATION # & EXPIRATION DATE
This information needs. to be provided. Building Department may be able to
research expiration information if customer doesn't know it. We must have
a signature in 1 of the 2 boxes, either the applicant or the contractor.
N�3. SEPTIC RECORDS
Septic records should be included or be sure to inform customer of $25
record research fee for Environmental Health. If no records are available,
00 make a notation on the form "No Records". If septic was just perked, please
indicate in upper left corner.
-�51e-qf EXISTING SEPTIC
Remind customer they need to have their tank pumped and
determine whether their system meets code (sanitary survey or parcel
review?) . They will probably need to show reserve for their septic.
4. PARCEL #
Parcel # must be included or researched through Gateway.
5. BUILDING SQUARE FOOTAGE
Verify that boxes are filled in. If there's a garage, verify
whether it is attached or detached. Include sq footage
information for mobile homes (you can multiply length X width to determine
number) .
6_qjC4.1USE OF BUILDING
Is it a residence, garage, greenhouse, etc. . .?
_^ DESCRIBE WORK
(i.e. mobile home addition, addition to a house, etc. . . )
7. TYPE OF JOB
Verify boxes are marked.
8. MOBILE HOME INFORMATION
Verify boxes are marked. If factory order, please put factory order # in
mobile home serial #. If unit was assembled prior to June 15, 1976, refer
to procedures handout for "Obtaining Installation Permits for Mobiles
Assembled Prior to June 15, 1976. "
- 9. SHORELINES
If any water is on or adjacent to property within 200 feet, #9 must be
complete. Once permit is entered into Tidemark, it will be routed to the
Planning Department. If property is not on water, then put "none" or "n/a".
1
2 times the h6V of Structure Too of
13' Maz,-x Sloop scuca of
a Faotirq
Faca of Tae of CNat to esc:eC 40'-�1-
Structure Slaoe 3W
�E BUILDING OFFICIAL MAY APPRQy-
TYPICAI" Si AUCTURAL SETBACK ALTERNATE SE713ACXS g CL—c
ARANCES
SCC1e I"
Sample Site Plan
2 41'
t33' 14 T�
4Q' 32' 20' 1
PROPOSED n ,
• `r RESIDENCE
L Oau• G
ntt,a
EDGE OF 8A N K Sectic
m 68• o
J
2a. T C
• o
C dd Q O
SLaQ E Stop
03 j� W c
ma--i S'34mc t Wool Nte 123
23a' 1 U
TYPICAL
SITE PLAN 1" = 20'
J. DOE 1406 Mason U. Or.
N