HomeMy WebLinkAboutMIS98-0549 Storage Only - BLD Permit / Conditions - 10/15/1998 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
rug ! C: U_ Il__ L._^ N l- C.3 U I<; p EF " tv'i 1 i FOR INSPECTIONS (:ALL. 427--9670
M I S90-0549 PARCI_!_ ;123301 4FS0000 PLAT - D I V : BLK i LOT :
,.108 ADDRESS : 1000 NE SAND HILL. RD BFI.FA I R
APPLICANT : MASON COUNTY PARKS EXT . 725
OWNER : MASON COUNTY PARKS EXT .. 725
LEGAL : N 314 OF NE Ex
PROJECT DESCRIPTION :
STORAGE ONLY OF MANUFACTURED HOME
PROJECT DUCAT I ON :
FROM NORTH SHORE' RD, 'f URN RIGHT ONTO SANDH I L V RV, GO 'I M 11..E : FAST SANDH I L.l. ELEMENTARY SCHO01 ,
PARK IS ON BOTH S I DFS OF ROAD, WELL HOUSE SITE IS ON THE RIGHT PAST FIELD #1 AND #2 .
PROJECT NOTES :
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1-YPF AMOUNT BY DATE P CE 113T
MHSG ffi 42 W Kr 1 Q11 15l9S ro
TOTAt.. 42 .00 R OR AGENT DATE
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MIS PTMT, royl 94IOtW COMPLIANCE TO ATTACHED CONDITIONS IS
REOU I RED
COACRETE 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 LNG by date by date by
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
F°i 0`:' 1`t IpV't 1 � C"� C)N C7r t `T { C�►1'tii�:->
Case No . i M!S98--0549
For ; MASON COUNTY PARKS
Page : 1
1 ) Proposed structure or anv portion thereof (Irester, than 30" ire he i slht f r ono rlrnde I i rie ,
roust maintain a minimum of 5 ' setback from all property 1 I ne s and easement lines and 10 '
Cetie.inty and State F1oad right of waves .
x. ! 1! _� _
2 ) PURSUANT '10 1994 UNIFORM BUILDING CODE , ALL SITE MUST BF MARICFD WITH APPROVFit NUMBERS
C)R ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE
STREET OR ROAD FRONTING THE PROPFRT Y . MASON COONTY BUILDING Di=PARTMENT REQUIRES 'CHAT
'THIS BE COMPLETED PRIOR TO CALLING rOR ANY SITE INSPECTIONS . A RE I NSPFCT I ON FEE , BASED
ON RATES IN TABLE 3A OF THE 1094 UNIFORM BUILDING (BODE: WILL. HE ASSESSED IF
OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR r0 REQUESTING INSPECTIONS
x
3) All approvod plot plans are required to be on-.site for- inspection purposes . It
Inspection is called for and plans are not on site, Approval WILL NOT be granted . In
addition, a Re-- I nspe et i on tee in the amount of $42 .00 per hour {m i n i rreuw 1 hour ) will be
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Y MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
charged and must be co i I ec:.•tod by th i r3 department prior to any further inspect Iona I,e i nq
performed `ar approval granted .
X___1" 't..
4 ) Thls permit Is Issued .for the storaq( only of h manufactisre(11 Rio bI I homes , there .;ha1
be no occupancy of this unit . B1ooking and tIe downs may be completed to allow for a
part IaI set up to begin white the boIIdInq permit isEiues are beairifl resolved .
X u 13
5) 'Approved per dimensions and setbaok s can s-ubm I tted
site P
X
6 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL, CODES AND OBC
R E sal)ty
,!!�T
7) CONSTRUCT I ON RI-10CE=SS TO BE f I FI. D COP AFC%TE D A,. F I III:D P R MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .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 FRAMING by date by date by
Walls FIRE DEPT.
date by date bydate by
PLUMBING Attic OTHER
Groundwork
Bats by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
Permit NoMAS�NPC0r69t---t1(-
BUILDING PERMIT APPLICATION -
84 427-9670 1-800-562-5628 1
426 W. Cedar/P.O. Box 186, Shelton, WA 985 /
§P-
(Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269) i j�
'LEASE PRINT � Y ;�
6 CEc6
#1 O er e'n �'` Phone# �D v
Fire District#
Site Address I coo nc1
City�/ i� ��/2- St Zip
Directions to Job Site F.� / �j2, (A)u 06)7 n
/�I ILIA, Tl-{ U ,�7� D� m �.�f fc�— 10eVAy`
�vD 1�{�tll s l'�lU,�/� L�1f �� oA)
v
Owner Mailing Address � 472
City St l, Zip qgs-5--e-1
Lien/Title Holder
Address
City St /� Zip
#2 Contractor Name lif jCf�fti� l�Oz�z � ��G<<� S Contractor Reg #Atwlz ` ,�1
5�u&;
Address D `i Expiration Date
City a-(d Moi!4 St JA.7�4- _Zip , �, Phone# `2j"�-� S(
#3 If septic is located on pr ject site, include records. /
Connect to Septic? Public Water Supply Well t/
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
Legal Description UJ Lcly(
#5 Building Square Footage:
1st FI 2nd FI 3rd FI Loft Basement
# Bedrooms # bathrooms Deck Other
Garage Carport (Circle:Attached or Detached?)
#6 Use of building �� Describe workl/f,
( L
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year I Make Model ��1 i � -f l �jJ 1 Z �1
Length Width Serial No. D 1 1:K
# Bedrooms # Bathrooms _Type of Heat ja2gN�'
Purchase 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 ) !t
Plumbing Fixtures ($3.35 eachl Fee Mechanical Fixtures ($6.75 each
t
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
j.
_Showers _ Furn BTU /
_Hot Water Htr _ Heatpumps
Laundry Washer _ Vent Systems
_Sinks Spot Vent Fans
Floor Drains/ No. Boilers/Compre8sors
Laundry Q�sins
Dishwasher No. Air Handli�cl Units
_Disposal _ cfm#
U nals No. Fire�Protection Systems
is
Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 16.75 Auto Fire Sprink Sys 35.00
TOTAL PLUMBING $ /0. 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 16.75
WORK IS SUSPENDED OR ABANDONED FORA PERIOD
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 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 BU DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE I � — DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
r
MAnproval
ond. Hold
Planning: '' GG %�!�'✓��"✓PLC ✓�` �� ��
Environmental Health: k iA
c> >
Build g Ian Review l
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee
Other A-W U, R L7'�J 3
Other
Other
Building Valuation: TOTAL FEE
Permit No. ,
MiASON COUNTY
BUILDIM PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670/1-800-562-5628
(Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269)
PLEASE PRINT
#1 O er Phone# (o v
Site Address Fire District#
city //L St 113-a' zip
k�7)
Directions to Job Site 2 A)u Q
. e OXJ
Puz !L- 06 i E4
Owner Mailing Address
city f f 1�7D�U st U Zip
Lienfl-itle Holder
Address
City St Zip
#2 Contractor Name Contractor Reg#f'/q�1Vf&jt4sd7VAJ
Address 1,06)3 Expiration Dated f
City f St�Zip Phone#
#3 If septic is located on pr lect site, include records.
Connect to Septic?1(Public Water Supply Well (/
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
# � 33D. -�-
r Legal Description N rV
#5 Building Square Footage:
1st FI 2nd FI 3rd FI Loft Basement
#Bedrooms #bathrooms Deck Other
Garage Carport (Circle:Attached or Detached?)
#6 Use of buildin r lescribe wo
V -now
#7 Type of Job: New Add Aft Repair Other
NNW
Model Year I Make Model `L`7 ACT .' g-7 :5/ �-
Length Width��Serial No. L41 1 g
#Bedrooms #Bathrooms Type of HeatNA
Purchase 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 Others� �
Show following on the site plan
Lot Dimensions Fences W
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Drainage Plan Wells
Septic Systems Easements
Proposed Improvements Indicate Directional by (N, S, E, W)
Name of Side Street
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
'0�
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
4"-cam
Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 eacW
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 sins _ HP
Dishwasher No. Air Handling Units
Disposal _ cfm#
/Permit
als No. Fire Protection Systems
er _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Basic Fee 16.75 Auto Fire Sprink Sys 35.00
TOTAL PLUMBING $ ,1� 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 16.75
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
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 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 BU DEPARTMENT. DEPARTMENT.
X OWNER I� X BY
DATE fu — DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Af proval
Planning:
Environmental Hea h:
10
Build g Plan Review
l �
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee ,
Other 62i U, A(
Other
Other
Building Valuation: TOTAL FEE
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