HomeMy WebLinkAboutBLD96-0122 Cancelled Ribbons and Tie Downs - BLD Permit / Conditions - 2/10/1999 MASON COUNTY _ PERMIT
Mason County Bldg. III 426 W. Cedar L & VOID ey EXPIAATION
P.O. Box 186 Shelton, Washington 98584 D A E�a•IJ BY t
Im Li 1 t-_ 171 1 N f_a p E. T-2 M 1 `"r FOR INSPECTIONS CALL 427-9670
BETWEEN 5pm AND Sam 427-7262
RLD96--012.2 PARCEL 1 1 2330530003 1 PLAT 1BEPLO D I V : BLK . LOT 1 31
.1013 ADDRESS : 1091 LARSON LAKE RD RE:LFA I R
OWNER : MAX WALKFn
CONtRACTOR :
LEGAL : MLAND$ COVE WIV 6 811(1 i011 3t
pc:.,�rax�a:-rsars=:xxa�t:z. .. -•;:�:�ar-r_�c.y
CLASS OF WORK . . :NEW BEDR 1 O .BATH : 0 TYPE AIiAONT CY DATE RECEIPT iTYPE ANOUOT 8Y OAIf RECEIPT!
TYPE OF USE, ,. . . :MH "';I OR I ES . . . . . . . .i1
OCCUP . GAOUP . . . .7 BLDG . HEIGHT _ : O .Oft SIFF S 4.60 CPR W2101196 4123t I
TYPE OF CONST . . :; F 1 f4i=PLACES . . . . : 0 1`1111 ! 16.00 CPO W2109196 41239 }
OCCUP . LOAD — _1 0 WOODSTOVES . . . . 1 0
DWEL!_ .UNITS . . . . 1 0 PARKING SPACES : 0
INSPECTION AREA 1 1 SHORE L I NE7 . . . . 1N 107AL1 10.150 VAIDEATION: 0�
SETBACKS-•-------------- TOILETS . . . . . . . . . . . 0 FUEL TYPES--__-_,------- BOILERS/COMP----- MOBILE HOME ---
FRONT O .Oft BATH BASINS . . . . . . . 0 : : 0-3 HP . : 0
REAR . . . . 0 .Oft BATH TUBS . . . . . . . . , 0 3 15 HP . : 0 MODFL1
SICE ( 1 ) > O .Oft SHOWERS . . . . . . . . 0 FURN < 100K BTU: 0 15-30 HP . : 0 --MAKE -
SIDE(� ) . 0 .Of t WATER HEATERS . . . . : O FURN —100K BTU 1 0 :30--50 HP . - 0
SHRL. INE: . O .Oft CLOTHFS WASHERS . . : 0 FURN - FLOOR . . . : 0 501• Hp . : 0 --YEAR--• ----
AREA KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0
LOT SIZE . . - FLOOR DRAINS . . . . . 1 0 VENT SYSTEMS . . . : 0 E:VAP COOLERS : S I.ENGTI-1 : 0
BUILDING . . . ,- OST DRINKING FOUNT . . . 1 0 VEIN FANS . . . . . . 1 0 HOODS . . . . . . . 1 0 WIDTH . t 0
BASEMFNT . . . 1 Ogf LAUNDRY 1RAYS . . . . : 0 DOMFS . INC1N :iA
DECKS . . . . . . : Osf DISHWASHERS . . . . . . . 0 AIR HANPL I NO UNITS- COMML. . I NC I N :O
GAR/CARPt7 Psf CiARB DISPOSAL$ _ . O — 10000 oft . . 0 RELOC/REPAIR . 0
AT/DT . 1? URINALS . .. . . . . . . . . : 0 > 10000 ctm . 1 0 OTHER UNITS : 1 0
FA I SC PLM F 1 XTURES 1 0 GAS OUTLF T S . 1 0
:vQs:;:us:aaar.:.:Via. mtoasrs•c:'�7eoramaana:c:s:zax:aan ors..aaa:sm°s+w+nmac-xrn� +:r..ccrasr.
lAOJEGT OESCRIlTIOA:Ni880NS F110 TIE DOWNS ONLY
PAOJECT LOCA119#40118 SNORE PD. 10 SAND HILL 1990 LEFT Of HILL 10 LARSON TURN LEf'1 DP HI!t TO LARtiON LAKE NO. 'RAN LEFT GO 10 CHAIN 14ANK ON RIGHT. ACED
REALTY SIGN 0 01601,
IRIS PERMIT 9LCONES NULL AND VOID If WORK OR CONS1100 10N AOTHORI7ED IS NOT COMNfNCfD WiThIN 1611 DAYS, OR If tC1181400 10N OR WORK IS SOSPENDFO FOR A PFRIOO
Of t80 6A`S AT ANY 1111F AFTER 1011 IS CO110'4011, EVIDFNCf. OF CONTINUATION Of 101K IS A ?908RFSS INSPECTION WITHIN THE 186 PAY PEA109. FINAL 'INSPECTION MOST 4F
APPROVED REfORF 9011111IG CAN BE OrCUPIF0.
OWNER OR AGEOT: DAit:
i A anur �_ sI I., .Ra.— -- - �� , 1. .^►'C r A' +!A '� I* T 1 c
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 FRAMING by date by date by
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
1-3
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be--J-JC- IIne C,0 e"
• V,: LL^Y / �c�., e ie 1 L4-0- �jy (�•- top c
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I
f MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P F_' F-1 M 1 _I. C (3 N D i `T 1 t7r N
Case No . : BLD96-0122
For : MAX WALKER
Page : 1
1 ) All approved plans are f eyu i red to be on-site for Inspection purposes . If Inspection
Is crall4d for and plans are not on site , Approval WILL NOT be granted . in addition , a
He- inspection fee in the ramount of $30 . 00 per hour (minimum 1 hour ) will be charged and
mot; t be collected by this department- prior to any further i nspect i ons being performed or
approva ! granted .
X
2 ) PURSUANT TO 1991 UNIFORM BUILDING CODE SECTION 305(C ) AND SECTION 513 ALL SITES MUST
HAVE APPROVED NUMBERS OP ADDRESSES PR6VIbF'D IN SUCH A POSITION AS TO St PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTIAENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RE I NSPi'CT 1 ON FEE , BASED ON RHTFS IN ]ABLE 3A OF THE. 1991 UN I FORMA BUILDING CODE WILL BF
ASSESSED IF OWNEA/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
I NSPECT I ONS .
3 ) AL.L. CONSTPUCY I ON MUST MEET OR FXGEED AI.L. L.UCAL CODES AND UBC RFQU i RFMENTti .
Y.
4 ) REQU I RFD INSPECTIONS ( Footing 1 nsUot l vn--pr I eur to pour , ue t�-up Inspection-prior to
skirtin Final fnspection-prior to occupancy ) . I have received a '"TV o1 the General
I of of mra on rend Gu i c1e I i nez3-Mab4 I elManutactur~ed thus i nc) i n :ts 1 I rat. I cans srndout for
detailed descriptions or all required inspections on my mobilelmanufactured home
Installation . I hereby assume a 11 responsibility for the scheduling of these required
inspections . If these reeirr i red i itsperot i ons are not requested, inspected and s i gnPd
otf (approved ) by the inspector in the prescribed order , I undmr-stand that reinspectron
fees and an hourly Investigation fee pursuant to the 1991 UBC , Table 3A will be assessed
In addition to may of l g i na l pot,m i t fees to resolve any quest i onAb l e praot i cess or
rotleAms that have been discovered . I farther understand that this Investigation wi l l
e schedu 1 ed as time allows . Until resolution of any/all problems too occupar►cy ( F i na l
Insveotion ) will be granted for the residence .
OWN ER/CONT;R AC TOR( In(fl ::ate �vhiato ) SIgisatitre X._�
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
fi) Ali mobile/manufactured home landings or decks must be freestanding ( self supporting ) .
The largest landing or deck permitted without drawings or a building permit is 36" x
8" Any landing or deck that is 30" or more in height from walking surface to flnish
grade requires a guardrail . Any landing or deok that has Q or more risers requirgr a
handrail . Any landing or deck larger than 36" x 36" must be permitted which requires
structural draw i rigs and a building porn i t aop i i coat l ort This 1 nsta l l at i on Permit does
NOT ioolude any landing or deck larger than the 36" x 36" size .
X
b) Proposed strunture or any portion thereof greater than :30" in height from grade line,
must maintain a minimum of 5 ' setback frote all property lines , easewentts and right of
x
7 } Changes to approved tuilding plans tht►t effect: compliance to the 1991 Washington State
Energy Code, 1991 Ventilation and Indoor, Air Qualityy
Code, the Uniform Building Code and/or Mason Count yy Re,, iatiany el.gst
be aporov+ed by Mauon County prior to construct i onX ^
6) ALL CONSTRUCTION MUST MEET OR EXCEED LOCAL CODES . IF ANY QUESTIONS, PLEASE
CALL T!: J-i_. S F !CE BEFORE CONSTRUCTION .
x
9) CONSTRUCT i ON PROCESS 10 BE F i FLD CORRECTED AS REQV I RFD PF14 MAFON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE: , x
t
Permit No. _ ' L-c)1 a?
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 Owner .-WA,)( 6JAL/«-k_ Phone# 3G0 - a27s— 6r/�3
Site Address /!31/ Z'4 �.L:f4. Fire District#
City —St I"- Zip
Directions to Job Site rTf� �iyai TG J 4,y6 ,//
z/Z 7-vrAv L£FT CJ {7 1-4/ l
a GCk i e
G '4i eta --4L t
Owner Mailing Address
City St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name _J M (�) IAt)s7- Contractor Reg# 'TMPC0*0ff10
Address /3 3 S (cZ(2,�2I�I'/ DC Lam' S r" Expiration Date 5
City 190rF St tit/,4. Zip Phone#
#3 If septic is located on project s=' ater
ecords.
Connect to Septic? Pupply ell
Connect to Sewer S m? Name of em
(If residentia,L,pfoof of potable water is quired)
#4 Parcel No. _
Legal Description
#5 Building Square Footage: (existing/proposed)
1 st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / bathrooms /
Garage / Carpo / (Circle:Attu r Detached?)
Othe sq.ft. /
#6 Use of building 0647 Describe work lC^
#7 Type of Job: New Add Alt epair Other
#8 MOBILE/MANUt�FACTIHOME INFORMATION
Model Year t�= ake 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 y N, , E, W Indicate Directional b S
Name of Flanking Street )
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
NO B11-c G°*�°�
APPLICANT TO DRAW TOPOGRAPHY PR O PROF
ILE BELOW
i
I Plumbing Fixtures ($3 each) Foe Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, El e ric,
—Bath Basins Heatpump, Other
Bath s No. Units Fees
I
j Showers _ Fur BTU
Hot Water Htr Heatpumps
_Laundry Washer Vent Systems
Sinks Spot Vent Fans
_Floor Drains No. Boilers/Compressors
Laundry Basins — HP
Dishwasher N Air Handling Units
Disposal _ cfm#
Urinals No. Fi Protection Systems
—Other Auto. Fire larm Sys 50.00
Fixed Fire Sup . ys 50.00
Permit Basic F 15.00 _ Auto Fire Sprink Sys 25.00
TOTAL UMBING $ 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
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.
X OWNER X BY
DATE DATE o;2 —1� " y
! OFFICIAL USE ONLY Accepter keyµ —_ — Date
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review i
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
Other
Other
Building Valuation: TOTAL FEE