HomeMy WebLinkAboutBLD95-1643 Garage, Loft - BLD Permit / Conditions - 12/27/1995 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
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BLD95-164:3 PARCEL023212094420 PLAT : DIV - BLK % LOT %
JOB ADDRESS : NE 120 RIVIERHILL DR BFLFAIR
OWNER - L.OR I JONES 275-6080
CONTRACTOR : BRIKER CONSTRUCTION CO 692--9989
LEGAL : TO 42 OF E112 RE 1 1112 if TO 2 SP i51
CLASS OF WO11K . . :NEW BEDRs 0 .BATH 0 1YPf AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT
TYPE OF USE . . . . ;ACC STORIES . . . . . . . s0
OCCUP . GROUP . . . s? BLDG . H)= I GHT . . s 0 .Aft R(C 1 42.11 KS 42127195 41113
TYPE OF CONST . . s? FIREPLACES . . . . s 0 INC? 1 10,06 KS 12127195 41013
OCCUP . LOAD . . . . s 0 WOODSTOVES . . . . : 0 PANT 1 288.50 KS 12127105 41113
DWELL .UNITS . . . . s 0 PARKING SPAC:F S s 0 PICK 1 114.GO KS 12127195 41003
INSPECTION AREA : 1 SHORE L I NFL? . . . . :N STf[ 1 4.59 KS 12127105 41113 TOTAL s 459.50 VALVIAT10Ns 48555
SETBACKS-__._ _._._._-____-_. TOILETS . . . . . . . . . , : 0 FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME--
FRONT . . .W 50 .0ft BATH BASINS . . . . . . s 0 s s 0-3 HP . s 0
REAR . . . .E 35 .Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL :
S IDF( 1 ) .N 170 .Oft SHOWERS . . . . . . . . . . : 0 TURN < 100K BTt) : 0 15 -30 HP . s 0 -MAKE-•----�. -_..
,, SIDE (2) .S 40 .Oft WATER HEATERS . . . . : 0 FURN >-100K BTUs 0 30-50 HP . : 0
SHRL I NE . O .Oft CLOTHES WASHERS . . ., 0 FURN -- FLOOR . . . s 0 50+ HP . s 0 --YEAR---- -
AREA ------------- - --- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0
LOT SIZ_E . . s FLOOR DRAINS . . . . . 1 0 VENT SYSTEMS . . . : 0 FVAP COOLERS : 0 LENGTH : 0
BUILDING . . . : Osf DRINKING FOUNT . . . : 0 VENT F+ANS . . . . . . s 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT . . , s osf LAUNDRY TRAYS . . . . s 0 DOMES . I NC I N :O SERIAL.#--
DECKS . . . . . . s 0ST DISHWASHE:RS . . . . . . : 0 AIR 14ANDIING UNITS-- COMML . INCIN30
GAR/CARPiG 0sf GARB DISPOSALS . . . s 0 10000 csfm . s 0 RELOC/REPAIRS 0
AT/DT . s? URINALS . . . . . . . . . . : 0 10000 ofm . s 0 OT14ER UNITS . : 0
MISC PLM FIXTURE'St 0 GAS OUTLETS . : 0
PROJECT OEfiCRIPT1411;4ARAGF MITN LOFT
PROTECT tOCA110N011) BU FAIR HWY, RIGHT ON NEIKIRK, NE111RK TO RIVERNIII IEIT ON RIVERN11L TO FIRST k101 1`111ST HOME ON RIGHT.
THIS PERNIT BECOMES Wltt AND VOID If WORK 01 C011STIOG4101 AUTHORIZE/ IS NOT CONVINCED 111110 181 DAYS, OR IF CONSTRUCTION OR WORK 15 SUSPENOE9 FOR A PERIOD
Of 130 DAYS AT ANY TIME AFTER WORK IS COMMENCED, EVIDENCE OF CONTINUATION Of WORK IS A PROGRESS INSPECTION WITHIN THE 181 DAY PERIOD. FINAL INSPECTION MUST I
APPROVED BEFORE 9811/116 CAN Of OCCUPIED,
OWNER OR AGENTS DATE:
8l0_PINT, rev: 031,31191 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
CONCRETE �� MECHANICAL MOBILE HOME
Footings-Setback L 1 �" 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
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by [ date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
t' V' r-T V 1 1 'T (7:' (77 1`.1 F") 1 a" 1 Ca N
Fort LOR I .TONES
Page : 1
1 ) All upland arenas disturbed or newly created by construction activities 8ha 1 I be seeded,
vegetated r given some other equivalent type of protection against erosion .
X._. ,.
2) "lemporary erosion control measures must be implemented to prevent water quality
degrad t n of adjacent waters or wetlands .
X
3 ) Approv"d per site--plan and setbacks shown► on drawing . X
4 ) Subject to conditions of Resource Lands and Critical Areas (RLC ) Checklist notification
I+ttt r
5) Proposed structure or pportions thereof with an projection over 30" In height from grade
line, must maintain a 5 ' separation distance between adjacent structures and that
fur t t rojection .
X
6) All approved plans are required to he on-site for Inspection purposes . If Inspection Is
called for and plans are not on site, Approval WILL NOT be granted . 1n addition, a
Re- Inspection fee in the amount of $30 . 0 per hour (minimum 1 hour ) will be charged and
must be collected by this department prior to any further, inspections being performed or
approval qr nted
7 ) No Occupancy . This structure is limited to M- 1 use only . Any other use will be in
violation of the Uniform Buildin Code and Mason Cou ty Regulations
unless a "Change of Use" permit Ts approved . X _
8 ) The use, handling and storage of hazardous materials or flammable and combustible
liquids in excess of 10 gallons Is not allowed without the appr(,vaI of the Mason County
Fire: Marshal .
X_,,r, ,,
9 ) ALL CONS CTION MUST MEET OR EXCEED ALL LOCAL CODES AND URC REQIJiREMFNTS .
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
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
10) Changes to approved P.O. Box 186 Sheltqn, Wq§�, [r)gton 98584
Washington State
Energy Code, 1991 Venti ; Quaily
County
t3l I
! or to con . cructlonX be approved =Mason Co
11 ) AL-L. CONSTRUCTION MUST MEFD OR EXCEED LOCAL CODES . IF ANY QUESTIONS, PLEASE
CALL. THIJS 0 ICE BEFORE CONSTRUCTION .
---
12 ) THIS STRUCTURE IS CONSIDERED UNHEATED SPACE (NOT TO EXCEED I WAIT/SOOARE FOOT OR 3 .4
BTU/HR/SG(IARE FOOT) . AT SUCH TIME THIS CONDITION CHANGES, A CHANGE OF USE PF M T D A
MECHANICAI. PERMIT SHALL BE APPL. IFD FOR AND APPROVED PRIOR TO THE CHANGE , X
13 ) Owner/builder assumes all responsibility it drainfield area Is
encumbered .
X
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
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
Page No. 1 CASE HISTORY FOR�CASE NO.: BLD95-1643
LORI JONES
NE120 RIVERHILL DR BELFAIR
02/21/96
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
BLDA010 Application received / / / / 11/14/95 11/14/95 KW
BLDA100 Approved For Issuance / / / / 11/30/95 DONE KS 12/01/95 KS
BLDA500 (F) Issue building permit / / / / 12/27/95 DONE KS 12/27/95 KS
BLDB110 Structural Plan Review 11/22/95 / / 11/27/95 DONE SAC 11/27/95 SAC
BLDB120 WSEC Compliance Review 11/27/95 / / 11/27/95 unheated project, see condition on permi COND DC 11/27/95 DPB
BLDB130 Planning Review 11/14/95 / / 11/21/95 DONE AHB 11/22/95 AHB
BLDB134 RLC Checklist Review / / / / 11/21/95 NO CRITICAL RESOURCES BUT LOW AREA TO DONE AHB 11/22/95 AHB
EAST COULD DRAIN OVER SE CORNER OF JONES
PROPERTY. AHB
BLDB135 Addressing / / / / 11/15/95 DONE GMM 11/15/95 GMM
BLDB200 Environmental Health Review 11/27/95 / / 11/30/95 This has no plumbing, no septic records DONE PSD 11/30/95 PSD
in the file. See condition.psd
BLDC155 Final inspection 02/20/96 02/21/96 02/21/96 CORRECTIONS: FAIL LW 02/21/96 LAW
1. THE WALL NAILING SCHEDULE CALLS FOR
8d NAILS 4 INCHES O.C. ON PENAL EDGES ON
2 OF THE WALLS.
2. SIMPSON POST TO BE CONNECTORS WERE
CALLED OUT BETWEEN THE RAFTERS AND THE
POSTS AND THE BEAM SUPPORTING THE FLOOR
JOISTS AND THE POSTS. SEE ENGINEERING ON
SITE FOR LOCATIONS AND TYPE.
BLDC220 Hole inspection 01/08/96 01/09/96 01/09/96 DONE LW O1/09/96 LAW
I
DATE:
BUILDING PERMIT CHECKLIST
/KK Sil E ADDRESS
If site address is not listed, customer needs to be given a site address form.
FIRE DISTRICTS
Please make sure the fire district is included in the application information. Refer to map located at counter.
Q/ DIRECTIONS TO JOB SITE
Needs to be as complete as possible (i.e. major roads, is house on left or right side of road, etc.). Be sure to read for
clarity (Landmarks, signage, owners name on mailbox, etc.?).
LIEN/TITLE HOLDER
Who holds the mortgage (Bank or name of private owner holding contract)?
CONTRACTOR REGISTRATION # AND EXPIRATION DATE
This information needs to be provided. The Building Department may be able to research expiration information if
customer does not know it. We must have a signature in 1 of the 2 boxes, either the applicant or the contractor.
El SEPTIC RECORDS
r
A B
WATER COMMUNITY PRIVATE
SEPTIC EXISTING DESIGN APP.
DEV REMODEL NEW
STATUS
PARCEL #
Parcel # must be included or researched through Gateway.
BUILDING SQUARE FOOTAGE
Verify that boxes are filled in. If there is a garage, verify whether it is attached or detached. Include square footage
information for mobile homes (you can multiply length X width to determine number).
USE OF BUILDING
Is it a residence, garage, greenhouse, etc. . .?
DESCRIBE WORK
(i.e. mobile home addition, addition to a house, etc. . .) NOV 13
TYPE OF JOB
Verify appropriate boxes are marked. HEALTH SERVICES
[] i MOBILE HOM F
priat MATION
Verify appro xes are marked. If factory order, please put factory order # in mobile home serial #. If unit was
assembled pr' r to June 15, 1976, refer to procedures handout for "Obtaining Installation Permits for Mobiles
Assembled Prior to June 15, 1976."
SHORELINES
if anv water is on or adjac t o property within 200 feet, x9 must be complete. Once permit is entereo info
idemark, it will be routed the Planning Department. It property is not on water, then out `none" or n;a
i
SITE PLAN DRAWING
Must have setbacks from all nronertv lines. easement lines and structures. Drainfields septic tank location,
outbuildings, e1c. .
TOPOGRAPHY DRAWING
If property is flat write "flat" on the topography section. If house or structure is near a slope or hill, drawing must
reflect this.
El PLUMBING/ME(! CAL ,
This form must co pleted for any structure with plumbing and mechanical excluding mobiles/modulars.
OWNER OR CONTRACTOR AFFIDAVIT
Owner or contractor must sign affidavit statement and date it.
ACCEPTED BY
Whoever is accepting permit information must sign your initials and date form on the bottom of page 3 or use date
stamp and initial on back of permit.
PRINTS
Need two sets of prints unless it is a stock plan. For stock plans, we only require one copy.
WATER A E�CY
For new rest es and mobiles. PRIVATE WELLS MUST HAVE WELL LOGS OR CAPACITY TEST AND BACTERIAL
TEST. If t ey are on a public water system, verify the water system is in compliance with State requirements.
El WSEC & V IA CO[7E
Required for residential, additions and commercial buildings. Energy Code compliance form needs to be
COMPLETE fy heat source (no wood or pellet stoves are permitted as primary system). Window schedule must
be filled o t and reflect what appears on submitted building plans. If applicant has decided to go with the PUD in a
Long Term Super Good Cents program, we require a copy of the signed agreement with the utility.
ROAD ACCE P MIT
If you will be a sing your driveway from a County road, contact the Public Works Department in Mason County
Building I, 4 -967 extension 450. Access from State Highways requires Department of Transportation approval.
Contact office (206)895-4753 (Port Orchard).
ACCEPTED BY:
-//,"� Y�
DO NOT ACCEPT PERMIT APPLICATION HOUT PRINTS AND REQUIRED DETAILED INFORMATION (SETBACKS,
ADDRESSES, PARCEL # AND WATER).
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ESOURCE LANDS & CRITICAL AREAS 64ECKL13Ta<,:4��:
Permit Number
RLC#
Owner Parcel Number` — -(f7►(}
t23
❑ 1. Saltwater/Lake 20 z acres Designation
Name of Waterbody
❑ 2. 'Rivers, streams, or creeks
Type of Water
❑ . 3. Lakes or ponds less than 20 acres in size..
❑ 4. Wetlands: -Areas.that are inundated or saturated.by.surface ater that.' '
under normal circumstances support vegetation adapted foraife-in such
conditions as the following:' Marshes, bogs, and swaiiips. . .
❑ 5. Slopes greater than.15% or 8.50
• ❑ 6. Floodplain 4�
❑ 7. Seismic Hazard Area
❑ 8. Aquifer Recharge.Area
❑ 9. Other
��1 '
Comments: )"� f /7',1�ij��iQ?r(la
94.e
Authorize Signature Date
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shetton, WA 98584 427-9670/1 800 562-5628
PLEASE PRINT
#1 C*ner Phone# -
Site Address Fire District#
City St 1ele _Zip
Directions to Job Site oo -
,.P,_,_,, 7/ �L � �uJ .4ii t�.S//LL :Zi .�i.7s''�,•/.r/r �i.Ps'T isH.07�
Owner Mailing Address
City ,d 157,r-,o,"-e St Zip p8'�>
Lien/Title Holder 4/%'11 46;7SIC2
Address
Clty St Zip
#2 Contractor Name , ,P�,��,P CiOiLJS �L/NT1i N� �� Contractor Reg#,c4k'iX.fl CCo.�sds
Address /y�Y1 �.,s ,o<, ���� Expiration Date .3 //6�
City ��:s: �� StZip ,98' ,Y, Phone #
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply_y��Well �,Q/I�E ,��_
IV
Connect to Sewer System? Name of System �20
3& 'T7C
(If residential, proof of potable water is required)
#4 arcel No.,/;133 - ae - 5�i�s�?D
� egal
DescriptionT2 4J,2 — e/,2 k) /a. M LO `j"2 C;2
#5 Building Square Footage: (existing/proposed)
1 st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage S!2�-ge' /�_Carport / (Circle: Attached Detached?
Other xl,�T sq. ft. /
#6 Use of building ����GE � i�sE a.i;�E Describe work�1o,��rS
#7 Type of Job: New ✓ Add Alt Repair Oth r
LS (lug#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model NOV 13 M
Length Width Serial No.
# Bedrooms # Bathrooms Type of Heat
Purchase Price $ HEALTH SERVICES
#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 4z- �
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 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
IV ti
P�L
ro �
I miN Q � �
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
E16V �5Yru� ppopcba
O
�EL,6V t2
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 FRO.M THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: GG ` Date: -f
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health: KA7 �v �Z Cc VCJ4 iQ A-- 0Q&,-fJk,
Building Plan Review
rlt��
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan CheckQ
i
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee 4i 5C 6
Other
Other
Building Valuation: 6z7 TOTAL FEE �i