HomeMy WebLinkAboutBLD2001-00944 Final Garage - BLD Permit / Conditions - 11/5/2001 0MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: �360ja27 ss�0,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
7• RESIDENTIAL BUILDING PERMIT -/2
44
OWNER: ROBERT RIGGS 275-5135
CONTRACTOR: BILLS CONSTRUCTION RECEIVED: 9/11/01
SITE ADDRESS: 71 NE FERN WY BELFAIR ISSUED: 9/28/01
PARCEL NUMBER: 123292290030 EXPIRES: 3/28/02
LEGAL DESCRIPTION: SW NW NW NW TR B OF SIP#249 AF#318795
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
GARAGE NEXT DRIVEWAY AFTER NE 71 FERNWAY
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-1 Lot Size: Deck:
Type of Work: ACC Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building: Garage-Detached 768
Valuation: $14,531 Building Height: Occ. Status: Unknown Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make Length: Ft. Front: E 12.0 Ft. Shoreline: Ft. Water Body:
Rear: W 5.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: N 284.0 Ft. Shoreline Desig.: Not Applicable
Year: Serial No.: L Side 2: S 22.0 Ft. Com . Plan Desi .: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty, Type By Date Amount Receipt
Plan Check Fee KLW 9/11/01 $163.31 57352
Building State Fee JRN 9/12/01 $4.50 57511
Building Permit Fee JRN 9/12/01 $251.25 57511
EH Plan Review CEW 9/14/01 $25.00 57511
Planning Review Fee RAM 9/18/01 $38.00 57511
Total $482.06
BLD2001-00944 Please refer to the following pages for conditions of this permit. 1 of 2
I
CASE NOTES FOR
BLD2001-00944
• CONDITIONS FOR
BLD2001-00944
1) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X
2) This application is subject to uffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X C11 �
3) The use, handling and storage of hazardous mater' s 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 ma ffect your project.
X
5) Proposed structure or any portion thereof greater than 30" in height from gr de 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_ /�7
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:
DATE: �'2
BLD2001-00944 Please refer to the following pages for conditions of this permit. 2 of 2
1
cm;cnETE MECHANICAL MOBILE HOME
i Footings-SeftdC date Ribbons
e �o S �� 7-" Gas Piping date by
Fauidation walls date by Sm up
date by INSULATION date
by
B&SLAB insulation Floors Final
date by date by date
by
FRAMING WaDs FIRE DEPT.date by date by date by
PLUMBING Attic OTHER
Groundwork date by
date by WALLBOARD NAILING
D.W.V. date by
date by FINAL INSPECTION
Water Line
date by date / by /? date by
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REG I STERET) AS PROVIDED BY LAN A:
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REGIST. * EXP_ DATE
Cf-'01 B1LI.SC*IO1QR Ou/10/2001
UFFECT1V6 UATB 11/05f 1990
S L"' S COMSTRUCTION
PO BOX 1494
B UsrAIR MA 96520
BUILDMUG PERMIT 9 lcb o'mA-009yy
DATE Ih V
Planner Area A�
Parcel
CHECKLIST FOR PROPOSED CONSTRUCTION
Comp .Plan
Designation UGA RAC RCC X R For IH
Yes No
[ ] [X] Within 200 FT of SMP designated shoreline, wetlands,
etc.
Where?
[ [ ] Located near possible Critical Area, sazw�
What Kind? (Wetlands, Streams, Lakes, Slopes)
RLC already done?
Proposed construction within floodplain F # i3 5
[ ] Eagle nest A # 2-A
Six year moratorium
[ ] [ ] Multi-Setbacks
State road access needed
Commercial Development (parking standards, sign
ordinance, public works review, other applicable
agencies)
Mobile Home or RV Park
s 2Z
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PERMIT NO.: BLD
.• MASON COUNTY
BUILDING PERMIT APPLICATION �Iln
*Y 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 InoQe %fr �"' � � Contractor Name rJoS
Maili A c�ress {r' vV Mailing Address
City frAt1r State Zip Code qffS7M City &A(,�A jt— State � Zip Code
Phone 2 — ther Ph.( Ph.( 3Gn ) ZTS�.SQS her Ph.(U D )
Lien/Title Holder 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. Fire District
Legal Description N
Site Address(Please include street,name, stre number and city) GV' VJ P. D
Directions to site AJ J W Q► W a
Will timber be cut and sold in parcel preparation? (Yes/No)A)15
Is your property within 200' of the following: Body of Water (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB New_1,L Add Alt Repair Other Use of Building
Describe Work ti r-u)
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage —Attached Detached Carport Attached Detached
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-1 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.
F
X Date X ' Date
FOR OFFICIAL USE BE, ND THIS POINT
f � 57
Accepted by Dat — (� bmittal Amount Due '`,-� Receipt No.
DEPARTMENT ! W APPROVED pENIEp C(3NDIT1+3Ai GC1a S
Building Department 1Q
Occ Grou - onstr.
Planning Department LJ
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $1L, tc [
FEES
Building Permit Fee Site Inspection
Plan Review Fee c`3� EH Review Fee
Plumbing&Base Fee Planning Review Fee
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee L 5v
Ll
Violation Fee Pre-Paid at Submittal 0231 )
TOTAL FEES
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
f � (�
Name g 1,\S El') l)G 'i( ��PARCEL NUMBER 2S� "'2�. 'l a e C 1 t
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topographv
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line.
adjacent property line-) I , f-adjacent property line
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adjacent property line- I (-adjacent orooertv line
SAMPLE SITE PLAN
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adjacent property line4 ; I A�. \i (-adjacent property line
TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the
degree of slopes. See sample topography profile.)
SAMPLE TOPOGRAPHY PROFILE
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to AL
Signature Date