HomeMy WebLinkAboutBLD95-00659 Cancelled SFR and Garage - BLD Permit / Conditions - 1/19/1999 - MASON COUNTY .
Mason County Bldg. III 426 W. Cedar L C,
P.O. Box 186 Shelton, Washington 98584 7 (j 1
l3 IJ 1 1.... C,J► 1 N 43 P E_ R Iv1 I T FOR INSPECTIONS CALL 427-9670
BETWEEN 5pm AND Sam 427-7262
BLD95-0659 PARCEL : 123305300028 PLAT :BEPL 0 D I V : BLAERMITOT t 28
JOB ADDRESS ! NE 121 SANT.A MAR IA IN BELFA IR NULL &A V D BY EXPIRATION
OWNER : GEORGE HOL.MGRFN 275-5337 DATE ��BY
CONTRACTOR : HOLMGREN CONSTRUCTION 275-5337
LEGAL : BEARDS COVE DIV 6 BLKt LOT: 28
CLASS OF WORK . . :NEW BEDR : i BATH : TYPE ANGUNT BY DATE RECEIPT TYPE AN08RT BY DATE RfCfIPT
TYPE OF USE . . . . :SF STORIES . . . . . . . : 1
OCCUP . GROUP . . . :7 BLDG . HF I GHT . . t 0 .Oft PRNT 1 348.06 CPR 06128195 390501
TYPE OF CONST . . :7 FIREPLACES . . . . : 0 RADN S 8.00 CPH 06128195 390501
OCCUP . LOAD , . . . t 0 WOODSTOVES . . . . t 0 PLM 8 42.00 CPR 0612810S 399561
DWELL .UN ITS . . . . : 0 PARKING SPACES : 0 NCH $ 39.06 CPR 06128195 399501 I
INSPECTION AREA ; 1 SHORELINE7 . . . . tN STFE ; 4.50 CPR 06128195 390501 TOTAL 441.50 Vh[ULATIONz 646081
SETBACKS.-_-.--------------- TOILETS . . . . . . . . . . c 2 FUEL TYPES.- ------ - ----- BOILERS/COMP---- MOBILE HOME--
FRONT . . .S 58 .Oft BATH BASINS . . . . . .. t 2 0--3 HP . t 0
REAR . . . .N 20 .Oft BATH TUBS . . . . . . . . z 2 3-15 HP . : 0 MODEL :
SFDE( 1 ) .E 23 .Aft SHOWERS . . . . . . . . . . : 0 FURN K 100K BTU ;. 0 15-30 HP . : 0 MAKE-- -..--_.-
S1DE (2 ) .W 23 .Oft WATER HEATERS . . . . t 1 FURN >-100K BTU : 0 30-50 HP . t 0
SHRL. INE . 0 .01t CLOTHES WASHERS . . : 0 FURN - FLOOR . . . . 0 50+ HP . z 0 -YEAR- - --
AREA ------------------ KITCHEN SINKS . . . . : 1 HEAT PUMP . . . . . . : 0
LOT SIZE . . : FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 FVAP COOLERS : 0 LENGTH : 0
BUILDING . . . : 1400sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . t 0 WIDTH . : 0
BASEMENT . . . : Osf LAUNDRY TRAYS . . . . t 0 DOMES . I NC i N :O --SER I AI-#------
DECKS . . . . . . : 09f DISHWASHERS . . . . . . : 1 AIR HANDLING UNITS- - COMML . INCINiO
GAR/CARPzG 484sf GARB DISPOSALS . . . : 0 <.- 10000 rftn . : 0 REL.00/REPAInt 0
AT/DT . t7 URINALS . . . . . . . . . . : 0 > 10000 cfm . z 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT DESCRIPtION;RFS18fNCE,6A1A6E
PROJECT IOCAI1pN;NORTH SHORE, RIGHT ON SAND Rill, IEf) ON (ARSON IAKE BIVD, LEFT ON (ARSON itAf RD, RIGHT ON SANTA NARIA IAM.
THIS PEANII BECOMES NULL AND V016 IF WOTK OR CONSTRUCTION AUTHON17EG IS NOT CONNENCFN NITRIN IN6 OATS OR iF CONSTRUCTION OR WORK IS SUSPENDER FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS CONVINCED. fVIU1,1 Of CONTINUATION Of WORK IS A PRO6RfSS INSPU 110N WITHIN THE i80 DAY PERIOD. 110A1 INSPECTION MUST BE
APPROVED BEFORE BUILDING CAN BE OCCUPIED,
OWNER OR AGENT:. . _ ._.__ --_. DATE:.
SLB,-Pill, rev; 03131191 `1 COMPLIANCE TO ATTACHED CONDITIONS IS RFOU 1 RED
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
r
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PP RM 1 T' C. UNCa I 1 I CGNS
Gase No . : BLD95-0659
For : GEORGE HOLMGREN
Pages 1
1 ) The use, hand Iing and storage of hazardous mat er1aIs or fIamrmahIe and comh(istibie
liquids In excess of 10 gallons is not allowed without the approval of the Mason County
Fire Marshal .
X
2 ) Proposed s ructure or iy portion thereof greater than 30" In height from grade I I ne,
must maintain a minimum of 5 ' setback from all property lines , easements and right of
w
X
3) Structur must be setts k 5 ' from all utility and drainage easements , a total of 10 '
fr eaoh
X roper _X I i ne, or a variance mirct be obtained from the Building Department .
•
41 All app ved plans ar`, required to be on-site for, Inspect Ion purposes . if inspection is
called for and plans are not on site Approval WILL NOT be granted . In addition, a
Re- Inspection fee in the amount of $Ao .00 per hour (minimum 1 hour ) will be charged and
must be collected by this department prior to any further inspections being performed or
app oval granted .
X -
5) PURSUANT 1991 UNIFOQ BUILDING CODE , SECTION 306(C ) AND SECTION 613 , A1.L. 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
REINSPFCTION FEE BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUIIDING CODE WItL BE
ASSESSED IF OWNED/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
6 ) The corroc;q�60n list , a104 with the Energy Compliance Worksheet (when a plioable) is
part of the plans and must remain attached thereto . It is the responsibilityy of the
applicant to make corrections indicated on the plans from the correction lists . Onoc the
plans are marked APPROVED they may not be changed or altered without authorization from
the Building Official . Toe permit holder is reponslble 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 inspections . Every permit shall expire y l imitat ion and
r
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
1.-ecorne I, l i i a t I vu i 6.1 I 1 t he Liu I Id i nt Ut -s irk auttior i zeti icy uoh i liv, <:otitirit.iit (':d
within 180 days from the date of issuance or if the building or, work authorized by such
permits is suAiv . or abandoned at any fime after, the work is commenced for a period of
180 days . X
7 ) No Oroupancy . This structure is lirniteti to M-1 use only . Any other, use will be in
violation of the Uniform Building Cade and Mrrson Ccunty Regulations
unless a "Change of Use" permit Is approved . X
8 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC
RE 1 M S
9) This is a non-heated addition ( seperated from the existing home by exterior doors or,
windows or both ) and by being designated as such is exempt from and will not be
r.onstruate to meet min mum Washing ton State Energy Code requirements .
X -
10) Changes to approved building plans that effect compliance to the 1991 Washington State
Energy Code, 1991 Ventilation and Indoor Air Quality
Code , the Unlrorm Building Cade send/ or Mason County ris must
be approved by Mason County prior to constructionX-_dNnLft '
11 ) ALL CONSTRUCTION MUST MEED OR EXCEED LOCAL. CODES . IF ANY QUESTIONS; PLEASE
CU.kH S OFFICE BEFORE CONSTRUCTION .
12) CONSTRUCTION PROCESS TO BE. FIELD CORRECT 1IRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x_V
13 ) THIS PROJECT WILL MEET THE LONG TERM SUPER GOOD CENTS REQUIREMENTS At" AGREED UPON WITH
THE ELECTRIC UTILITY SERVICING THE PROPERTY . INSPECTIONS FOR ENERGY CODE COMPLIANCE
( INSULATION h INDOOR VENTILATION) WILL BE PERFORMED BY A UTILITY REPRESENTATIVE AND THE
FINAL INSPECTION PERFORMED BY UT ! t. ITY STAFF MUST BE SIGNED OFF PRIOR TO THE FINAL
INSPECTION PERFORMFD BY THE MASON COUNTY BUILDING DEPARTMENT . If changes occur- and you
deci< e not to meet with the t_TSGC program, contact the MCBD at extension 284 to arrange
en et? romp t 1 anc:e . _
x
t4b �5 � 64 R�1
�,(, �� Permit No.
MAS� COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 t- tp
PLEASE PRINT d
#1 OwKer e--0 e o\NrvN Phone# 2-15 — 533-7
ite Address Fire District# 2.
City e\ c az Y St Zip c:�8528
Directions to Job Site No�-�\", o•,,
�.,ors o.r. \.,o.\�.t 3\y a . \•,e�-�- o� �a.t-s o v\ ��.\�� \Z���CZ:�.y.�- o�
Owner Mailing Address -d -—B -7 S
City 53 e\-R-a"t- St a Zip �'J8S2 3
Lien/Title Holder V3 a W e...
Address
Clty St Zip
#2 Contractor Name o v� c Cohtvc-�Z o`^ ��- Contractor Reg# Nit--MG�I�6gr12
Address P20 o n -7 �e) Expiration Date -7
City St Zip g852sv 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 residential, proof of potable water is required)
#4 arcel No\2-33�
Legal Description
#5 Building Square Footage: (existing/proposed)
1 st FI \Aa4 / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms 3 / #bathrooms Z /
Garage 4Q,4 / Carport / (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building S����� ���•�:.\y ��5�,e�«_ Describe work
#7 Type of Job: New Add Alt Repair Other
#8 MOB ILE/MNNUFACTYRED HOME INFORMATION
Model Yeaa Model
Lengthh Serial No.
#Bedrooms # Bathrooms Type of Heat
Purchase Price$
#9 Indicate by circling the ap lic ble source if any water is on or adjacent to subject property:
River Pond Creek r+e Vqand 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
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbina Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
. No. Toilets CIRCLE FUEL TYPE: G Electric,
Bath Basins Heatpump, Other Ck k c `
2- Bath Tubs No. Units Fees
Showers Furn BTU
Hot Water Htr Heatpumps
Laundry Washer Vent Systems 8
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 $4/�2. )0� 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.
A
X OWNER X BY —
DATE Vh DATE yns
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
[Approved Cond. Hold
Approval
Planning:
5/I 5
Environmental Health:
Building Plan Review S T�l,--- PLAN 0C`C(<7S-9,bR f
G�Y-9s
Occupancy Group.�� Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit 3418
Plan Check
Plumbing Fee 17ZZ, 0 0
Mechanical Fee OQ
Wood/Gas/Pellet Stove
Radon Monitor Q O
Violation Fee
Site Inspection —
Building State Fee , 57-0
Other
Other
Building Valuation: (�7. (r,��, TOTAL FEE
i
1
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'�'��'''"'
.00
CIO TFF
oof
i
1
1
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Yo
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TOPOGRAPHY PROFILE:
Direction: Scale: Approval: for office use
Building Permit number: Building:
Owner/Applicant: Date of Planning:
application: Env. Health:
Parcel Number: