HomeMy WebLinkAboutBLD93-1240 Final Office Additon - BLD Permit / Conditions - 1/12/1994 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
IF:T L) ":II:: IL... N:3 I*. t%4 I;ii n F> 1: F..: 1"I'l _:M:: I F O R INSPECTIONS C A L. L 4 2 7—9 6 7 0
BETWEEN 5pm AND Sam 427-7262
BL093-1240 PARCEL : 123294100090 PLAT ., DIV: BLK : LOT:
JOB ADDRESS : NE 23861 HWY 3 BELFAIR
OWNER : REID REALTY 275-2868
CONTRACTOR : ISOM CONSTRUCTION 377-1669
L E G A L : TR 9 OF ME SE EX TR 9-A FS 15273 BK 164A
CLASS OF WORK . . : ADD BEDR : 0 . BATH : 0 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT
TYPE OF USE . . . . : COM STORIES . . . . . . . : 0
OCCUP . GROUP . . . : ? 8 L D G . HEIGHT . . : 0 . 0ft ISTFE $ 4.51 KS 09/24193 34014
TYPE OF CONST . . : ? FIREPLACES . . . . : 0 IPRMT $ 123.51 KS 09J24(93 34614
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 P L C C S 80.28 KS 0 9/2 4/9 3 34114
DWELL . UNITS . . . . : 0 PARKING SPACES : 0
INSPECTION AREA : 1 SHORELINE?. . . . : N TOTAL: 208.28 VALULATION: 15036
SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS /COMP---- MOBILE HOME--
FRONT . . . E 60 . Oft BATH BASINS . . . . . . : 0 : ? : 0-3 HP . : 0
REAR . . . .W 5 . Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : ?
SIOE ( 1 ) . N 60 . Oft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 —MAKE------
SIDE ( 2 ) . S 60 . Oft . WATER HEATERS . . . . : 0 FURN )=100K BTU : 0 30-50 HP . : 0 ?
SHRLINE . ? @ . Oft CLOTHES WASHERS . . : 0 FURN — FLOOR . . . : 0 50+ HP . : 0 —YEAR------
AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 ?
I LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0
BUILDING . . . : 320sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O —SERIAL#----
DECKS . . . . . . : 0sf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN : O ?
GAR/CARP : ? Osf GARB DISPOSALS . . . : 0 <= 10000 cfm . : 0 RELOC /REPAIR : 0
AT/DT . : ? URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT 0ESCRIPTI0N:0FFICE ADDITION
PROJECT L0CATI0M:8ELFAIR HI6HWAY
THIS PERMIT BECOMES NULL AND VOID IF WO OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 181 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD
OF 181 DAYS AT AN E AFTER WORK IS M ENCEO. EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 181 DAY PERIOD. FINAL INSPECTION MUST BE
APPROVED 8 E F 0 R I D NG CAN BE 0CCUP ED.
OWNER OR AGENT: !� DATE: p� <
BL0_PRAT, rev: 13131/91 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
i
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date /0-/-5-3 by Gas Piping date b
Foundation Walls :s a 10 to date by Set Up
date 0 V / -//-�2by L INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date 07K, by v .J date�� r by ` date by
PLUMBING + / 5 3 OTHER
Attic
Groundwork date &Z'/- < <'�`��by -�
date b
D.W.V. WALLBOARD NAILING
date ,. by date by
Water Line FINAL INSPECTION
date by date j_ IZ-,il( by L date by
+ ll 1f i M 1b� S
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Case No . : BL093-1240
For : REID REALTY
Page : 1
1 ) The use , handling and storage of hazardous materials or flammable and combustible
liquids in excess of 10 gallons is not allowed without the approval of the Mason County
Fi Mar hal .
X T�
2 ) Proposed structure or any portion thereof greater than 30" in height from grade line ,
mus ai tain a minimum of 5 ' setback from all property lines , easements and right of
wa
X
3 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305 ( C ) AND SECTION 513 , ALL SITES MUST
HAVE APPROVED NUMBERS OR 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 REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPECTION FEE BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNH /CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INS CT S .
X
4 ) AREQ NMTRTCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC
X
5) Changes to approved building plans that effect compliance to the 1991 Washington State
Energy Code , 1991 Ventilation and Indoor Air Quality
Code , the Uniform Building Code and/or Mason County Regulations must
•
be approved by Mason, County prior to constructionX
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 a FIRE,DEPT.
I` date by Walls by date by
PLUMBING Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
I
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 �� 2q0
PLEASE PRINT I
#1 Owner TV Phone#
Site Address ie- .7- 3 6 o3 Fire District#
City �j P /�' St IV z Zip 96-.s'2
Directions to Job Site
Owner Mailing Address w
City St ? Zip **_7
r
Lien/Title Holder
Address
City St Zip
#2 Contractor Name �S,n 4.1 .� 2 ... Contractor Reg#
Address 7- y z z Expiration Date-/
City e- ✓o St rev -z- Zip Z- Phone#3 77- /6G i
#3 If septic is located on,project site, include records.
Connect to Septic? ✓ Public Water Supply_ Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No.I 23 z 9 - - o o 05- O
Legal Description 4.2, 6E - 2 3 P-(. ( w. -3
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI % Loft /
Basement / Deck / #bedrooms / #bathrooms /
Gar a e / Carport / (Circle:Attached or Detached?)
sq.ft.
#6 Use of building o 4;; 1 C. e— Describe work
#7 Type of Job: New Add V-_" Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION P)��
Model Year Make Model
Length Width Serial No.
# Bedrooms # Bathrooms Type of Heat
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 A)co h 2-
I
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 Indicate Directional by (N, S, E, W)
Name of Flanking Street
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
® s S e-1
-7
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3 eachl Feg 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 FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT. q
X OWNER X BY /L G
DATE DATE
FQEt OFFICIAL USE ONLY Accepteet byY
Bate
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
�U�U
Environmental Health: 6� 2�. i f-6-V�-�
Building Plan Review. &,,=tz�t A? SiZZf
Occupancy Group: Type of Const: _
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee Li
Other
Other
Building Valuation: 5- 654 0 TOTAL FEE