HomeMy WebLinkAboutBLD95-1704 Cancelled Carport - BLD Permit / Conditions - 2/1/1999 MASON COUNTY pFRN11T
� EXPIRATION
Mason County . Ili 426 W. Cedar NULL &�Vp1nn` By((L U
Bldg. P v
P.O. Box 186 Shelton, Washington 98584 pAT
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ES i if ' 1 ! t h_�! I i ! LlI{ ! N�Pf (:T 1 0N1 :.,%i I 12 P —141 Tq
ii-TWFEN 5L:m AND Sam 427-7262
�a 81.1395-1704 PARCEL c 12,330520001 PLAT s BE PLO DID' : BLK � 1.0T : 15
1 JOB ADDRESS ,- NE. 40 dCHOONIr•R PI_ BELFA I
OWNER : WILLIAJ SUTHERLAND, 360-275-3972
CONTRACTOR :
LEGAL c IFARDS COVE DIV 5 RIKs I.Ol: 15
CLASS OF WORK . . :NEW BEDR c 0 BATIi c 0 TYPE ANOUNI BY DATE. RECEIPT TYPE ANOUNT BY DATE RECEIPII
'TYPE OF O S F . . . . :A C C STORIES . . . . . . . s O .---------: :. �� =-�:---�-
OCCUP . GROUP . . c 7 BLDG . HEIGHT . . s O .Oft PANT 1 54.00 KS /1112196 41020
TYPE OF CONST . . s? FIREPLACES . . . . . 0 PICK 4 21.50 KS 01102196 41620
OCCUP . LOAD . . . , s 0 WOOCSTOVES . . . . : 0 SIFF 1 4.50 KS 01102196 41920 1
GWEI_I_ .UN I TS . . . . c 0 PARKING SPACES s 0 fNCP I tA,BA KS 011#2196 11070
INSPECTION AREA : 1 SHORFL I NE 7 . . . . sN TOTAI s 94.00 VAI UI AT ION: 460E
SETBACKS-------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS/COMP----- MOBILE HOME - -
FRONT . . .N 15 .0ft BATH BASINS . . . . . . : 0 : : 0- 3 HP . : 0
REAR . . . .S 9 .Oft BATH TUBS . . . . . . . . : 0 3 -15 HP . : 0 MODFL. .
SIDE ( 1 ) .E 5 .Oft SHOWERS . . . . . . . . . . s 0 FURN < 100K BTU , 0 15-30 HP . s 0 MAKE- -
SIDE (2 ) .W 9 .Oft WATER HEATERS . . . . : FURN >-100K BTU : 0 30-50 HP . : A
SHRL INE . O .Oft CLOTHES WASHERS . . c 0 FURN •- FLOOR . . . : 0 50+ HP . : 0 - YEAR---- -- -
AREA -------- -------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . . O
LOT SIZE . . : FLOOR DRAINS . . . . , : O VENT SYSTEMS . . , : 0 EVAP COOLERS : 0 1E:NGTHt 0
BUILDING - - Osf DRINKING FOUNT . : 0 VENT FANS . . . . . . % 0 HOODS . . . . . . . : 0 WIDTH . s 0
BASEMENT . . . c Of:f LAUNDRY TRAYS . . . . s 0 DOMES .. INCIN :0 -SERIAL#- --
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCINiO
GAR/CARP :C 480st GARB DISPOSALS . . . : 0 --- 10000 afm . : 0 RFLOC/RFPAIR : 0
AT/DT . :D URINALS . . . . . . . . . . : 0 > 10000 rfm . % 0 OTHER UNITS . c 0
MISC PLM FIXTURES „ N GAS OUTLETS . : 0
PROJECT DESCRIPTION:CARPORT
PROJECT IOCATION:BEARDS COVE RIGHT ON WHITE N06II WITH BROWN fRIN (SAND"111 i0 IARSON LFF1 10 SCHOONER LOOP RIGHT 10 SCHOONER PLACE RIGHT JUST 100111 ON
RIGHT.
THIS PfRNII BFCONFS NUIL AND VOID if WORK OR CONSTRUCTION AUTHON171D 1., NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PFRIOD'
OF fit DAYS AT ANY TINE AFTER WORK IS CONNINCElt EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD, FINAL INSPECTION #931 BE
APPR�Vfp BEFORE 80110106 CAN BE OCCUPIED.
' OWNER (A AGENT: DATFs)CTo
__ �-
oil-PANT, rev, /3131191 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED '
CONCRETE MECHANICAL MOBILE HOME
Fuotings-Setback date by Ribbons
date by Gas Piping date h
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
Case No . : BLU95- 1704
For ! W I LL I AM SUTHERL.AND
Page : 1
The use, hand 1 i ny and storage of hazardous mat er ± a I s or f I nmmab I e anci combust I b 1 e
liquids In excess of 10 gallons is not allowed without the approval of the Mason County
Fire Marshal .
Xr'
, ? Proposed structure or any portion thereof cheater than 30" in height from grade line,
must ma nta I m i n.iAUP. of k' setback f ram all property lines , easement ti and right of
WaVs
Structures mu b,e;setba k 5 ' front all ut i 1 i t and drainage ea`semetits a totFa i of 10 '
fr9�/ er& h t -1 or a variance must be obtained from the Building De:partme*nt .
X
Proposed structure or iortions thereof Wf h an projection over 30" in height from gradeswp; l i ne, must maintain a o ' s t,q n d i st$ ape_ between adjacent structures and that
furthest pro jets ion . X.__
Approved per s i te--p i an . X ' '� `- • �'"'� c
6 ) All approved p l arcs are required to be ones 1 tes for inspection purposes . If i nspeot i on Is
called for and glans are not on site Approval WILL NOT be granted . in addition , a
Re-- inspection fete In the amount of $10 .00 per hour (minimum 1 hour ) will be charged and
must be co l I e,.cted by th (s department prior to any further inspections being per . -)rmed or
approval grgited
PURSUANT TO 1991 JINIFORM BUILDING CODE , SECTION 305(C ) AND SFCTION 513 ALI. SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO B� PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RFINSPECTION FEE , BASED ON RATFS IN fABL.E 3A OF THE 1991 UNIFORM BUILDING CODE WILL BF
ASSESSED IF OWNER/_CONTR.ACTr)R FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
i NSPE..CT I ONS
X _
4
----------7
• MASON COUNTY
Mason County Bldg. III 426 W. Cedar
ALLrSTRAI P,0. pL �g l,a6 Shlt�n, Wa � Qnlita5a4 tv1E NTS
`�X
9) Changes 'to approved building plat, t ;,at ry f"(.; t c(t;opl iance to the 1991 Washington State
Energy Code , 1991 Ventilation and Indoor Air Quality
Coda , the Unifcorm Building Code and/or Mason County Regulations must.
be approved by Mason County prior to construct i onX_�P ;
1'Od CONSTRUCT ION PROCESS TO BF F I ELD CORRECTy,�AS ~� �tl'COUNTY BUILDING 1
DEPARTMENT AND UNIFORM BUILDING CODE .x_Gr ls:`
1,1 ) Owner/bu I I der su re al l r spons i b i l i ty It dra i n-r i e l d area Is
encumbers
ti
I `
MRTRYTf�
01iPermitNo.i MASON COUNTY
UILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
#1 w / Atid Phone#
Address Nf YZ' Fire District# ?—
Ui St Gc/A Zip 9'7 'v28
Directions to Job Sit B A t 62 e VE
C
�7
O er Mailing Address ,C 40
City 'ZEL PA/RI St 1lJ/4 Zip gX'5 oA$
-4ioWTitle Holder ' 4J/1-1/A,! 5V7TOtORJ- 4A.A.0
Address&—r 40 -%14 Belf,10 2 M,4 aR
Clty St 4e-A Zip485�2 8
#2 Contractor Name AJ Contractor Reg#
Address Expiration Date
City St Zip Phone#
#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 resid htial, proof of potable water is required)
cel No. 's Q_- 'a -�
L gal Description � A� p S Co vc 1 ✓; J� .� �T t
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / bedrooms / #bathrooms /
Garage / Carport /Circle:Attached o etached
—
Other sq. ft. /
#6 Use of building 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 A)D
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 in relation to plot plan
Name of Fronting Street
APPLICANT TO DRAW SATE PLAELOW
c4v� X43
FC �.
G D
r�
l/ SEPTIC
Mo ,L IN00JE
APPLICANT TO DRAW TOPQGRAPHY PROM BELOW
I r �20;X V%7 Cam, ro-rA
Q$o.�)g cio
y
506 l
3# tdC,
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d /�
Plumbing Fixtures ($3 each) Fee 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*asher _ Vent Systems
_Sinks * Spot Vent Fans
_Floor Drain§f 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 APT OVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DE RTMENT. DEPARTMENT.
X OWNER �� X BY
DATE DATE
--7777771
FOR OFFICIAL USE ONLY: Accepted by: �� � Date: r �'
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: = Iy1
Environmental Health: 1'
Building Plan Review
1N
J
Occupancy Group: L 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
Other CD
� Other
Building Valuation: TOTAL FEE