HomeMy WebLinkAboutBLD2001-01040 Final Shop - BLD Permit / Conditions - 7/16/2002 Line
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MASON COUNTY DEPT. OF COMMUNITY Pnsne:c(360)427(967004ext7352
DEVELOPMENT .-,��--oL
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
P14 Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2001-01040
OWNER: JIM KILDOW
CONTRACTOR: RECEIVED: 10/3/01
SITE ADDRESS: 410 E PROBERT RD SHELTON ISSUED: 11/7/01
PARCEL NUMBER: 221287690091 EXPIRES: 5/7/02
LEGAL DESCRIPTION: TR 9-A OF SURVEY VOL 2 PG 78 TR A OF SP#540 SEE SURVEY 6/35
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
SHOP HWY 3 TO RT ON PICKERING TO L ON PROBERT TO 410 E AT SHARP L
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.: V-N
Type of Use: SF Insp. Area: No. of Bathrooms: Occ. Group: U Lot Size: Deck:
Type of Work: ACC Fire Dist.: 5 No. of Stories: 1 Occ. Load: Buildin. .384
9
Valuation: $7,265 Building Height: 14 Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make: Length: Ft. Front: S 8.0 Ft. Shoreline: Ft. Water Body:
Rear: N 239.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: E 22.0 Ft. Shoreline Desig.: Not Applicable
Year: Serial No.: Side 2: W 110.0 Ft. Com . Plan Desi .: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee Ki w 1n/arnl .4QQ R1 9'i79;17
EH Plan Review r.Fw lniaml �95 nn 57R11
Building State Fee RARr: 1niwaml U 9;n 57R11
Building Permit Fee Mr. 1n/,>,i/n1 R19;Z 79; r%7R11
Planning Review Fee KC 11iRm1 r'2R nn 57R11
Total $320.36
BLD2001-01040 Please refer to the following pages for conditions of this permit. 1 of 3
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CASE NOTES FOR
t BLD2001-01040
CONDITIONS FOR
BLD2001-01040
1) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. Xy ,��oyrJ�
2) This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X
3) The use, handling and storage of h ardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of
the Mason County Fire Marshal. X
4) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact
adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the
stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further
information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access
connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which
is proposed to be located within 25'of a Mason County road right of way, it is suggested to contact that office to review future planned work which may
affect your prof t.
X
5) Proposed strZe or any portion thereof greater than 30" in height fr rade line, must maintain a minimum of 5'setback from all property lines,
easements and 10'from all County and State Road right of ways. X
6) All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). X
7) Approved per dimensions and setbacks on submitted site plan. X
8) All approved plans are required to be on-site for inspection pu oses. If an inspection is called for and plans are not available on site, then approval will
not be granted. In addition, a re-inspection fee in the amount of$47.00 per hour(minimum 1 hour)will be charged and must be collected by the Building
Dep rtment prior to any further inspections being performed or approvals granted.
X
9) 1 accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located in such a position as to be 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 re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or
con ctor ail to post the address on site prior to requesting inspections.
X
BLD2001 040 Please refer to the following pages for conditions of this permit. 2 of 3
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10) The"approved" plot plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" plot plan is not on site,then
approval will not be granted. In addition, a re-inspection fee in the amount of$47.00 per hour(minimum 1 hour)will be charged and shall be collected by
the uil in epartment prior to any further inspections being performed or approvals granted.
X
11) Pla e t f structure must comply with standards setforth per 1997 UBC Chapter 18 regarding descending and/or ascending slopes.
X
12) All changes to"approved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance
or r ulation, must be reviewed and approved by Mason County prior to construction.
X
13) All roperty lines shall be clearly identified at the time of foundation inspection. X
14) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mas ount ordinances and building regulations.
X
15) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for
action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
hol _er ha v revented action from being taken. No more than one extension may be granted.
X
This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period
of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection
must be approved before building can be occupied.
OWNER OR AGENT: auf� DATE: %f— 0.7 U/
BLD2001-01040 Please refer to the following pages for conditions of this permit. 3 of 3
lCOPXFIETE MECHANICAL MOBILE HOME
date by R+bbons
F -se rJ /? Gas Plpkv date by
Fourndation walks date set UP
by by
date INSULATION date
Bc3/SL AB Irtsvlatbn Floors<We by Fxtial
date by
date FIRE DEPT.
FRAMING Watts
date by date by date by
PLUMBING Attic OTHER
Gro mdwork date by
to WALLBOARD NAILING
D.W.V. date by
date by FINAL INSPECTION
date Lino by date �_/G '� by date by
,7�/G
IJ
1
PERMIT NO.: BLDI�RT( —1`10 D
MASON COUNTY
BUILDING 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
Owneryda"d 5 ,�? -,e- 120a-inxL 41 Contractor Name
Mailing Address���34 -4 1reetnc l- :Sr Mailing Address
City State ' - Zip Code 9g.S/Z City State Zip Code
Phone R66 Other Ph.( ) Ph.( Other Ph.(
Lien/Title Holder �1�4uc+l.�rrA 7,raa��.�� Contractor Reg. #
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic__ __Existing Septic Connect to Sewer
System Name of Sewer System Well__�/_Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. 2 1,218- 9i>Q q Fire District_
Legal Description
Site Address(Please Include street name, street number and city) v
Directions to site
Will timber be cut and sold in parcel preparation? (Yes/No)
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland �K_Seasonal Runoff Y Stream Slopes or
Bluffs T
PERMANENT RESIDENCE SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe Work
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other, sq. ft.``34
Garage Attached Detached Carport Attached�" e ached
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 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-I 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 - �' � t- Date -U / X Date
FOR OFFICIAL USE BEYOND THIS POINT
2�
Accepted by DateJ ,� —Submittal Amount Due J_ ` Receipt No.Qi
2a�-'z 2�
DEf'ARTtVlENTA <RVIW ROVED DENIED>' CONDITION coDEs
Building Department
Occ Group LA— Type Constr. V-1 Z3�
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing&Base Fee Planning Review Fee
Mechanical& Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal ( )
TOTAL FEES
t > PERMIT NO.:
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 i,i , Contractor Name � �=r
Mailing Address Mailing Address
City State n"". Zip Code City State Zip Code
Phone "t •} f,.y-t '. Other Ph.(� Ph.( Other Ph.0
Lien/Title Holder Contractor Reg. #
Address 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 "� �' �s.� w a�� }... .r�,,. ;ar ray
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 7 2nd Floor Basement Cages 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 t
Bath Tubs Heatpumps
Showers — � Vent Fans
Water Heater — Propane Tank
Laundry Wsher�— Gas-Rutlets
Sinks WgQd/Gas/Pellet Stove
Dishwasher Direct Vent?
Other Other
Other Other
Base Fee Base Fee
TOTAL PLUMBING 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-I 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.
)( ,. ' Date _L1.1 X c.^C , Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
z.DEPARTM IViEW:*. RR?FttJVIwD; C�Ef+ElEt3 ::::.::;:::'. GGit1ERiTION GODES:>
Building Department
Occ Group Type Constr.
Planning Department
Other
Other
. ...............................................
Permit Fee Site Inspection
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