HomeMy WebLinkAboutBLD98-0799 Final ACC Dwelling/Addition - BLD Permit / Conditions - 2/16/2001 MASON COUNTY
�Y Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E l N,.J I !._ L f a T\j CA P 1K`: V4 t F 0 N' i N":=PEG 1 t a: A t
BETWEEN 5pm AND Saen 427--7262
E?1LD98 0799 PARCEL : 123292290030 PLAT r D I V : BLK : L OT ;
,1013 ADDRESS : )'f NE FERN 'i>N'Y OF I-FA 11-1
OWNER : ROBERT HLGGS
CONTRACTOR : IF VOSU UNT[ RPR I SE S 876._505
LEGAL r Si 10 Of IV TR 8 Of SP #249 Aft 316755
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CLASS OF WORK . . :ADD BFDL1 : 1 BA Ill, 1 ITYPE ANOONT BY DATE RICE IPT�TYPE A10011 83 DATE RECEIPT
TYPE OF USE ;SF STOR I ES . . . . . . . . 1
OC:CUP . GROUP . . rR3 BLDG, HE I GHT - . , O ,Oft PtCK S 326. 19 KW 09111119 0966 NCH $ 7.00 KS 09114198 48292 �
TYPE OF CONST . . c5N F I REPLACES . . . . : 0 At(, $ 44.00 K"s 09114i98 48292 NCllt $ 7?.08 KS >3R114198 48292 I
OCCUP . LOAD — ,. : 0 WOODSTOVES . . . . s 0 PROT $ 502.15 K" 09114199 18?92 SIFE 4 4.50 KS 09114198 48292
DWELL. ,UN I TS . . . , : f PARKING SPACES : O Pill $ 49.00 KS 09114196 48292 FOCI` $ A11,00 KS 09114194 48292
INSPECTION AREA ; 1 SHOFIF1. 1 NCB' . . . . :N !P11i1 1 20,00 KS 041t4198 44242 TOTAL: 1126.04 VALIItAHONr AIT44
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SETBACKS--_._.__...__.._._.__...._ T0I (+TS . . . . . . . . . . : i FUEL TYPES--- ____._.._...___ SOILERS/COMP- -- - MOBILE HOME— -
FRONT . . .W 100 -Oft BA'TII SAS IN:.S . . , . , . r f : !FL.E1 / 1 0...3 HP : : 0
REAR . » . .F f 80 .Oft SATH TUBS . . . . . . . . : 1 3-1 5 HP . : 0 MODEL
SIDE( 13 .tx 75 .Oft SHOWERS . , . . . . . . . , O VURN .: 100K. BTL) r 0 15._30 HP , .- 0 MAK17 _._.
S I DE t 2 t .N 200 .Oft WATER HEATERS . . . . : 1 f URN >-100K BTU !. 0 30-50 HP . : 0
yHRL.. INE: .S O .011 t, C IL01HES WASHERS . , : f Ft.111N -. FLOC>R , . , , 0 504 HP , r 0 YEAR
AREA KITCHEN SINKS . . . e 1 14EA'T PUMP .. : . , . r 0
LOT S 17_.E . , . FI OOR DIRA I NS 0 VENT SYS"TE lAS . . > r 0 EVAP COOLERS : 0 I..FNGTII r 0
BUILDING _ -. 800s t DRINKING FOUNT - - 0 VENT FANS . . . . . : t HOODS . . . . . . . r O WIDTH . -. 0
BASEMENT . < . . Ost LAUNDRY TRAYS _ . . 0 DOMES , INC: IN :O
DECKS . . . . . . . Os t DISHWASHERS . . . . . . : 1 AIR HANDLING UNITS— COMML. . I NC I N :0
GAP/CARP :? 0st GARB DISPOSALS 0 <— 10000 ofm . : 0 AFL.00fREPAIR z 0
ATIDT . t3 URINALS . , . , . ` 0 > 10000 oft . ; 0 OTHER UNITS . : 0
MIS4, PI..M FIXTURESr 0 GAIS OUTLETS . 0
c;s:.F;::�.ss;>c:rsi;m•:�x+aracsr^�::s....-rs^:�ce.;:�xicat:Esc-,s:rar;:r�;ss.:rx;.uti..-,�:.xa;,xe:�^xz:s'c�:ar.rtsr.�W^.:_.r_�sr.:esxxz-.�v...c�:.::r»:.+.:.�.rmrc:�.azx=srmac-:nn-r_...:.Faal.tic!ere:.ws_-r�aaec2r:�x..arzccaa�aarxr,-r+a.w-^zzr.._:r..s.= .. ..
PROJECT DISC$IPT log!Acc avellieq 1 ADOIffON
PROJECT LOCATION:Nt1RTHSFIORE 09 TO SANG H11.1. RA GO Rf@HT; 00 TO FERNWAY TtIRN MIGHT, FIRST DRIVEWAY TlIRO Iffl.
IRIS PERMIT BECOMES Nutt AN0 VOID IF 1009 OR CONSTANCTIOM AUTPORIZED IS NOT COMMENCED WITHIN 180 HAYS ON 1F CONSTAUCTION 09 WORK IS SUSPENDED FOR A PERIOD
OF 160 DAYS AT ANY TINE AFTER WORK 1S C01INENCf1l. FVIOf,NCF OF CONTINOATION Of WORK IS A fROGAESS INSPECTION 11TH14 THE 110 DAY PERIOD. FIINAt INSPECTION MIIST 8E
AFPROVED BEFORE 8011.01NG CAN 8f. OccofiFB.
OWNER GR AGEt4T: M'� - (, DATE: `� t
AID PBH , rFv 1 '13119, COMPLIANCE TO ATTACHED CONDITIONS IS REAt-IIRED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date -;)0 - 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'TA . date l� ( - j► by j-/2 date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. ? A WALLBOARD NAILING
date J by T,r date by
Water Line FINAL INSPECTION
date Ir by date-16-Zro( by, 4� date by
Ed w`c' / l�ifC c
�-77i7/ cc/may Tf?,
;2 4 Zm/ J5lSS�sO
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P FF VA IV) ( r N " I _T, 1 10 N
Case No . i BLD980799
For : ROBERT RIGGS
Paget I
1 ) Approved per di mans ions and setbacks on submitted site plan . X
Proposed structure or any portion thereof greater than 30" in height from grade tine ,
muot maintain a minimum of 5 ' setback from all property lines, easements and 10 ' from
all County and State Road right of ways .
33 The hand I i nq and storage of tii.,ardous, mat er I a I s or f IfAmmable and combustible
liquid-,, in exoess of 10 gallons Is not allowed without the approval of the Mason CountV
Fire Marshal
X
4 ) The appi icant sha I I subat it a I etter to the Department of C omm ii n I t y De v e I ripme nt s t a t I nq
that thq proposed residenne shall be for family use and not f,.>r rental or lease .
X
A I I approved p I ans are r equ i reed t o be on--s I to f or I nspeot i on purposes If Inspection
Is oalled for, and plans are not on site Approval WILL NOT be ranted . In addition , a
Re-- Inspootion 'Fee In the amount of *42 .'66 per hour (mintmom 1 ?our ) will be charged and
must be collocted by this department prior to any further inspections being performed or
approval granted .
PURSUANT 'TO 1994 UNIFOPM BUILDING CODE , ALL, SITES MUST HAVE APPROVFr) NUMBERS ori
ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE
STREET OR ROAD FRONTING THE PROPERTY , MASON COUNTY BUILDING DEPARTMENT REGUIRES TfIAT
THIS BE COMPL.ET'FD PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED
ON RATES IN TABLF 3A OF THE 1994 UNIFORM BOILDING CODE WILL BF ASSESSED IF
OWNER/CONTRACTOR FAILS TO POST ADDPESS ON SITE PRIOR TO REQUESTING INSPECTIONS .
X
7 ) The correct ion list , alonq with the Fnergy Compliance Wc)rksheet (wheo applicable ) is
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
part of the plans and must remain attached thereto , it is the responsibility of the
ap pt dr:int t.o make corrections indit sled on tht� 6cen:, from the c.r>rrect ican t fists . Ors+. e
ttIe plans are marked APPROVED they may not be cUnged or altered without authorization
from the Building Official . the permit holder, is responsible to retain the: complete
approved set of plans on site: for the duration of the project . Failure to comply will
result in failure of required building inspeotions . Every permit shall expire by
limitation and become null and void if the building or wor authorized by such permits
Is not oermmenc:ed within 180 days from the date of issuance, or if the building or- work
authorized by Duch permits is suspended or ba_ndoned at any time after the work Is
commenr,ed for a period of 180 days. X
8 ) The approved plot plan Is required to be on--rite for inspection pur oses . If
Inspection is called for and plot plan Is not on site, Approval W I Lr NOT be granted . In
addition, a Re- inspection fee in the amount of $42 .00 per hour (minimum 1 hour ) will be
charged and must be oo l l ected by this department prier- to any further t nr;pect i ons being
performed or approval granted .
x / "!!;- L
9 ) ALL. CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL_ CODES AND UBC REQUIREMENTS AND OCCUPANCY
IS L I M I TEt) TO FHF PERMITTED AND APPROVED CLASSIFICATION . ANY CHANGE OF USE OR OCCUPANCY
WOULD RESULT IN PERMIT REVOCATION . CHANGE OF USE MUST' BE APPROVED PRIOR TO CHANGE .
10) Chancres to approved building plans that effect compliance to the 1991 Washington State
Energy Code, 1991 Ventilation and Indoor Air Gust Ityy
Code, the Uniform Bul lding Code and/ or Mason County ReclulFation must
be approved by Mason County prior to constructionX__� �.
1 i ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQU I PER turn,ON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x ..,!/
E � E � V ED
2 y 199t
A�1
Ci
z�2z�
' v _
1,4 PERMIT NO. BLD i�
-4AS N COUNTY
d- 9 BUILDING PERMIT APPLICATION
3
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275-467 Elma 360 482-5269 Seattle ZO6 464 6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner K' Contractor Name I o ,,rTE'/?PiC','SFS
Mailing Address -0, /3 0A Mailing Address/& 1P41r'j,kj Any L V— r
City Stateli/A Zip Code ;2.4 City ��RGH�RO State! rA Zip Code `'7/7
PhoneQ r) )�275--513 sr Other Ph.( )124-Soy, Other Ph.(�
Lien/Title Holder Contractor Reg. # 1 j6!/DSE It G fs S-Alt)
Address Expiration / 5-_1
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. / � ;t `'I /�/ . D l� 0 Fire District
Legal Description : r, �� o +�` ,e7" P« T �1�q
Site Address(Please include street name, street number and city) 7/ w,6 F�'�,i/wAy - �E� ,, ,,z; 4,
Directions to site/1/npPT►fSNojPe 9 h At;i 4eD d; 70 F`EiP.yw �
Will timber be cut and sold in parcel preparation? es/No)
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 Adder_Alt Repair Other Use of Building 40a e-'c/:.✓(r Ski_,cd_
I Describe Work f '5 -- '
No. of Bedrooms / No. of Bathrooms / SQUARE FO TAGE-1st Floor 2nd Floor -
3rd Floor Loft Basement Deck _ Garage Carport
Other —sq. ft.
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-1 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 Date X ,, Q- Date
FOR OFFICIAL USE BEYOND THIS POINT
;Z'1 /
Accepted by i Date�Submittal Amount Due Receipt No. �� CD
DEI ARTMENTAL»t E1f� W AP.Rov�A DENIEI] :«<: ONDIT.10 CODE
:..:.::.......
Building Department 3/-GS ? DuE>'cE�c EN
Occ Group Type Constr.
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuafi $
FEES
Building Permit Fee 507 2 g Site Inspection �
Plan Review Fee 3Z,�,.79 UFC Plan Review Fee
Plumbing & Base Fee O° Public Works Review Fee
Q Zo--
Mechanical & Base Fee Z 6 SC> Other �� z
Wood/Gas/Pellet Stove Fee Other
Violation Fee Pre-Paid at Submittal ( Q)
.... TOTAL FEES
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
APPLIC T INFORMA ION CONTRACTOR INFORMATION
Owner 0 R ' S Contractor Name
Mailin Address -v, / Mailing Address
City F/��'� State Wl� Zip Code 98 5-2,f City State Zip Code
Phone(.3& 5/37 Other Ph.( Ph.( Other Ph.0
Lien/Title Holder Contractor Reg. #
Address Expiration
SEPTIC INFORMATION-Connect to New Septic Existing Septic_p---_Connect to Sewer System Name of
Sewer System 4!r
PARCEL INFORMATION 12 digit Tax Parcel No. n 3 d Fire District
Legal Description,). o T" 3 o-f S&,ogZ _1¢j 2�4
Site Address(Please include street name, street number and city) -:z / .rJ� flyr✓.4� f`frs,`Q
Directions to site uQE ,04,11 14,
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_k,-' 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump
Toilets a' Type of Unit No. of Units Fees
Bath Basins —�- Furnace
Bath Tubs r* Heatpumps
Showers Vent Fans
Water Heater Propane Tank
Laundry Wsher Gas Outlets
Sinks 7 Wood/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-[certify that I am exempt from the require*r� of the CONTRACTOR'S AFFIDAVIT-1 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 Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
.. f3EPAR7(VIF1+lIA :REVfEW APtsROVED: . ::;DEfJIED. .DNRITICJTV COf)E5
Building Department
Occ Grou TypeConstr. a—
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 ( )
TOTAL FEES
Violation Fee
MASON COUNTY PROJECT SITE INFORMATION
R
Case No.
k
Name /PoBERT W G GS PARCEL NUMBER/7 a ?,?-J= Date
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
I site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System
DRAW SITE PLAN BELOW Include adjacent propei ties if on shoreline or within 100 feet of adjacent property line.
adjacent property line- I ?j� I E-adjacent property line
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adjacent property line4 I ' E-adjacent property line
SAMPLE SITE PLAN
I adja t property I line � IIIIII 1D�
fi H3O1n0n'b sR�_S C�RLPvrE_ ——I ge�JI�il
FadjacGHeanat 1prop
er
tyline
30' r
SEA-SE A" L
CREEK cw�j PRoPosaD npt:c
VACANNT 1 PM1oPosC1] /
"0'
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p I I c.-aLL
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1 � /00' —�
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adjacent property line-;� i a"• 'Ilc \; <—adjacent properf' 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.)
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SAMPLE TOPOGRAPHY PROFILE
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rj J 2 -7� cim-ta rcr- to
' S10Pd --o¢
if
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E. Signat Date
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