HomeMy WebLinkAboutBLD94-1772 Final SFR - BLD Permit / Conditions - 6/28/1996 MASON COUNTY L 7Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
B U I !_ 0 1 N " Y F. Fi M 1 .lift FOR I NSPFCT F ONS CALL 427--9670
BETWEEN 5Pm AND Sam 427-7262
BLD94-1772 PARCEL : 123303390090 PLAT : DIV : BLK : LOT :
JOB ADDRESS : HE 1472. MISSION CREEK RD BEL.FAIR
OWNER : SYDNFY JOHNSON 2.75-6734
CONTRACTOR : STE'PHE=N JOHNSON INC 2.75--6734
LEGAL. : IN 1 OF GOVT LOT 4 TN 2 1F SP 1114 FS 1412.5:C Nit 0579
CLASS OF WORK ;NEW BEDR : 3 .BATH : 2 TYPE AMOUNT fI DATE RECEIPT TfPE ANOUNT BY DATE RECEIPT
TYPE OF USE . . . . :SF STORIFS . . . . . . . : 1
OCCUP . GROUP . , . c 7 BLDG . HE 1 GHT . . : 0 .Bf t PHIT 1 331,11 TN #2121195 31413 $IFE 1 4.50 TW 12121195 31413
YYPE OF CONST . . :7 FIREPLACES . . . . s 0 PICK 1 165.11 TV 02121195 38413 ENIP 1 51.11 TN 02121195 36413
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . ,. 0 _ PIN 1 39,00 TN #2121195 38413
DWELL .UNITS . . . . : 0 PARKING SPACES t; : 0 NCR 1 33.01 TN 02/21195 31413
INSPECTION AREA : 1 SHOREL. I NE7 . . . . ' 1. RAIN 1 1.10 TV 12/21195 31413 TOTAL: 629.51 VALILATION: 58181
SETBACKS-------------- TOILETS . . . . . . ... . c 2 FUEL TYPES----------- BOILERS/COMP---- MOBILE HOME--
FRONT . . .N 5 .Oft BATH BASINS . . . 2 : : 0-3 HP . c 0
"I REAR . . . .S 5 .0f t BATH TUBS s; 2 3- 15 HP . 1 0 MODEL :
SIDE ( 1 ) .E 5 .Oft SHOWFRS . . . . . . . .... . e 0 FURN < 100K BTU : 0 15-30 HP . : 0 14KE- ---- -
SIDE (2 ) .W 5 .Oft WATER HEATERS': .,.', f 1 FURN >-100K BTU : 0 30-50 HP . : 0
SHR*4 NE . 0 .01t CLOTHES WASHERS . . : 0 FURN - FLOOR . . . : 0 50+ HP . : 0 u---- --
AREA --•--------------- KITCHEN SINKS;: . ... : 1 HEAT PUMP . . . . . . : 0
LOT SIZE . . : FLOOR DRAINS . . . ; . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 t. ;TH : 0
BUILDING . . . : 1232Sf DRINKING FOUNT . .'. : 0 VENT FANS . . . . . . c 0 HOODS . . . . . . . : 0 WIV ' 1 . : 0
BASEMENT . . . : Osf LAUNDRY TRAYS: .:.'" .;: 0 DOMES . INCIN :O -SEH .AL#----
DECKS . . . . . . : Osf DISHWASHERS .'. : :`' . : 1 AIR HANDLING UNITS-- COMML . INCINtO
GAR/CARP :G 528sf GARB DISPOSALS . .. . : 0 10000 elm . : 0 RELBC/REPAIR : 0
AT/DT . :7 URINALS . . . . . .. . .". . : 0 } 10000 elm . : 0 OTHER UNITS . : 0
MI SC PLM F 1 X7URE.3 : 0 GAS OUTLETS . : 0
PROJECT DESC11IPTIO111ESI0EICE
PROJECT LOCATION0.4 11IFS IP MISSION CREEK ND LANGE GREY BAN$ ON LEFT, TURN RIGHT ON PAVED DRIVEOP RILL 111'.
THIS PEINIT BECOMES NIII All VOID IF HONK OD CONSTNICIION AUTNONIZED IS NOT COINENCEI WITNIN i81 DAYS 01 IF CONSTRUCTION OR HONK 13 SUSPENDED FOR A PERIOD
Of 191 DAYS AT ANY TINE AFiEN WORK IS CONNENCED. EVIDENCE OF CONTINOATION OF WORK IS A PROGRESS INSPRI10 N WIT$IN THE 100 DAY PERIOD. FINAL INSPECTION NUST BE,
A M OVEI BEFORE 89118116 CAN BE OCCIPIEI.
i
OWN ON 0111c DATEc
°'° °sift -_ '° COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date (_-Z 3- j by I J Ribbons
date -/- 7- 5S by 1� Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Gt C; b 3 Final
date by date (Q- -9 S by { ,- date by
FRAMING Walls FIRE DEPT.
date L- Z 3 5 — by C date by
PLUMBING date by OTHER
Groundwork Attic
date `/- 7- SS by t date by
D.W.V. WALLBOARD NAILING
date (�- �- 5 by date'--) by �
Water Line FINAL INSPECTION v c� c.C,
date _Z 3_ 5 S by [ —� date tw G' S by ` ✓ date by
' C-/- 7- s s
(-J� � r
y Z z _9-
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PERM 1 T CCJN [.7 ! r I
Case No . : OLD94-1772
For : SYDNEY JOHNSON
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
Fire Marshal
2 ) Pro,ied s ructure or any portion thereof ,greater than 30" in height from grade line
must maintain a minimum of 5 ' setback from all property lines , easements and right o+
u,
u
3 ) All approved plans are required to be on site for Inspection purposes . if Inspection is
called for and plans are not on site Apppproval WILL NOT be granted . In addition , a
Re- Inspectinn fee in the amount of SAO .00 per hour (minimum 1 hour ) will be charged and
must be collected by this department prior to any further inspections being performed or
piSUANT
ova ' granted .
4 ) PU O 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 Bt 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 OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
(INSPECTIONS
y`C`
5 ) No ccupancy . This structure is limited to M- 1 use only . Any other use will be in
violation of the Uniform Building Code and Mas n ou t Regulations
unless a "Change of Use" permit t s approved .
6) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOC L C4DES ND UBC
�Q i RETIE TS
7) Ch ges t 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/car Mason County Regulations must
i
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 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
8) CONSTRUCTION PROCESS TO BE FIELD COR E T RA PER ASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BU1L..DING CODE '
i
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 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
Permit No.
MASON COUNTY
F'; 1994 BUILDING PERMIT APPLICATION
OA/n
13ENERA! o 426 W. Cedar/P.O. Box 186
, Shelton, WA 98584 427-9670/1-800-562-5628 (��
PLEASE PRINT �ERVICEq - __
#1 #er c o'er Phone # ZC) Cc �- 2ress 0 7Z tM ,' Sror �.- ,L Fire District#Q� `4 N /2 C-J.a- 98 SZ B St Zip
Directions to Job Site e s o cor
h i/ ( Loo
Owner Mailing Address it)c_ /300 vir S-s oh
City af % � ,2 (1,41 )A B St Zip
Lien/Title Holder / /'4
Address
City St Zip
#2 Contractor Name �7`e rJ GQ� O h S�� tic. Contractor Reg # J+eP(' "LL�J
Address ,S S "o�, C'�- Expiration Date Ca / ( / `,5_
City IPA St Gc)/+ Zip (TgSL6 Phone # Z?S 6 7 3 V
#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 arcel No. 12 330 - 33 - 9 D
egal Description
#5 Building Square Footage: (existing/proposed)
1 st FI t 7-3 Z / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms- __/ # bathrooms 2— /
Garage S2-S / Carport / (Circle: Attached or Detached?)
Other sq. ft. /
#6 Use of building ic- c e ti ce-- Describe work
#7 Type of Job: New ( Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
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
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
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. 2 Toilets �P CIRCLE FUEL TYPE: Gas, Electric,
Z- Bath Basins 6e Heatpump, Other
Z Bath Tubs 6_ No. Units Fees
Showers Furn BTU
Hot Water Htr :3 Heatpumps
Laundry Washer _ Vent Systems
Sinks Spot Vent Fans fl
Floor Drains No.. Boilers/Compressors
_Laundry Basins HP
I Dishwasher 3 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 $ C-C, . 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
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $ �j 3 —
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 APPROV L FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPART
X OWNER X BY �^�--
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review
Occupancy Group: n -=Type of Const: SAz
-
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit 3 ,36
Plan Check /0
C��
Plumbing Fee
39
Mechanical Fee 33
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
� 336 e�
"`'• Site Inspection
Building State Fee •-.
Other
t
Other
Building Valuation: S o ovv TOTAL FEE
k �
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_ --STEbNEN 0 NS N--IN : �- -
.E.701;M1 10 EE R
BE 9 52
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CEDAR
P.O. Box a I
Beifair gash. 98528
October 5, 1994
TO WHOM IT MAY CONCERN:
This statement acknowledges that Lot 2 of Short Plat 914 Parcel #
owned by John and Sydney Johnson is eligible for domestic water supply from
Cedar View Tracts Community Club a class "A" system I.D.#06151A.
CedarView Tracts Comm. Club
Jim Jesfield, President
14
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MUST MEET OR EXCEED
1991 STATE ENERGY CODE
MUST MEET OR EXCEED
1991. VEN'TILAI'ION CODE
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` 1 991 STATE ENERGYCODE
STEPHEN JOHNSON, INC.
f HL 701 MISSION CREEK ROAD � (Z�Z � ��`1 Z�5- Co
6ELFAIR,WA 98528 ;h
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3a(QS ALL CONSTRUCTION MUST MEET
OR EXCEED CAL CODES. IFANY
QUESTIONS PLEASE CALL THIS
`�' ECG LOCAL
OFFICE BEFORE CON STRUCTI(IN •
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