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BLD99-0713 Final SFR and Garage - BLD Permit / Conditions - 3/1/2002
T MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 _ Ei tJ 1 1_ 1 hl G PERM 1 T FOR INSPECTIONS CALL 427--9670 BETWEEN 5pm AND Sam 427-7262 BLD99-0713 PARCEL : 123305300024 PLAT .BEPL.O D1V : BLK : LOT : 24 ,JOB ADDRESS : 61 NF SANTA MAR I A L..N BEL FA I R OWNER : DON CARSTENSEN CONTRACTOR : LEGAL : BfARDS COVE DIY 5 BLK: IOT: 24 CLASS Or WORK . . :NEW BEDR : 3 BATH 2 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEtPTl TYPE OF USE . . . . :SF STORIES . . . . . . . : 1 -4 OCCUP . GROUP . . . :R 3 U 1 BLDG . HEIGHT . . ; 0 .Oft PICK = 511.T1 KW 08104199 51085 MCH f 26.11 KS ^08131199 51423 TYPE OF CONST . . :5N FIREPLACES . . . . . 0 INC? 1 50.00 KS 38131199 51423 II0111 $ 22.11 KS 08/31199 51423 OCCUP . LOAD . . . . . .0 WOODSTOVES . . . . . 0 PINT 1 787.25 KS 18131199 51423 STFI f 4,50 KS 08131199 51423 DWELL .UNITS . . . . 1 0 PARKING SPACES ; 0 PIM 1 75,00 KS 08131/99 51423 INSPECTION AREA : 2 SHORELINE? . . . . :N PIM1 t 20.10 KS 08131/99 51423 TOTAL: 1498.48 VALULATION: 83882 SETBACKS---- ---_.--__._._____,_ TOILETS . . . . . . . . . . . 2 FUEL TYPES-.---_ _-..__._ BOILERS/COMP----- MOBILE HOME— FRONT . . .W 85 .0ft BATH BASINS . . . . . . : 2 : /ELE/ I / ; 0-3 lip . - O REAR . . . .E 20 .0ft BATH TUBS . . . . . . . . : 1 1 3-15 HP . : 0 MODEL : SIDE ( 1 ) .N 10 .0ft SHOWERS . . . . . . . . . . : 1 FURN < 100K BTU : 0 15- 30 HP . : 0 -MAKE-------- 16E (2 ) .S 13 .0ft WATER HEATERS . . . . : 1 FURN >-100K BTU : 0 30-50 HP . : 0 ,SHRL I NE .N O .Oft CLOTHES WASHERS . . : 1 FURN - FLOOR . . . : 0 50.1- HP . : 0 YEAR- - - AREA - --------_.__._____ KITCHEN SINKS . . . . : 1 HEAT PUMP , . . . . . : 0 LOT `•yIZE . . ; FLOOR DRAINS . . . . . . 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0 BUILDING . . . ; 1411sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 4 HOODS . . . . . . . : 0 WIDTH . : 0 BASEMENT . . . : 03f LAUNDRY TRAYS . . . . . 0 DOMES . INCIN :O -SERIAL #- - -- DE:CKS . . . . . . . 84sf DISHWASHERS . . . . . . : 1 AIR HANDLING UNITS-- -- COMML . INCIN :O GAR/CARP :G 415sf GARB DISPOSALS . . . : 0 <= 10000 cfm . : O RELOC/REPAIR : 0 AT/DT . :A URINALS . . . . . . . . . .. 0 > 10000 cfm . : O OTHER UNITS . : P MISC PLM FIXTURES : 5 GAS OUTLETS . : 0 PROJECT OESCRIPTION:RESIIfNCF AND GARAGE PROJECT IOCAIION:OFF Of N SHORE TARN RIGHT ON SAND Hill ELFT ON IARSON BLVD LEFT-00 LARSON LK DRIVE, RIGHT ON SANTA MARIA 2 LOTS ON LEFT. IBIS PERMIT BFCOMES MULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT CONNFNCED WITHIN 181 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD OF 180 DAYS AT ANY TINE AFTER WORK IS COMMENCED. EVIDINCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD, FIHAI INSPECTION MUST BE APPROVED BEFORE BUILDING CAN BE OCCUPIED,. DINER OR AGEMT: BLD-PRNT, rev: 13/31191 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED CONCRETE MECHANICAL MOBILE HOME Footings-Setback 4/e PJ-7- -`f'rs date by Ribbons date 3_3"Z 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 - -d by date / by date by PLUMBING OTHER Groundwork Attic date by date by I D.W.V. WALLBOARD NAILING date /G-d� by �f� date — / by Water Line FINAL INSPECTION > date by V1 date by date by - 2 _y ^Dv _ - - 3. 1 u%C qe�, 4-1- e AZ^- lA 5 a e n "V✓moo vc - Z�'-� « l�/�/^� � a� TO® 0 7�Dex�/7 Co R-961r...f Ti^ /yS�'AC.L}4Ti'�••� 09-a 9-oU : ar e ar daS arntcG i MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PF- R " I _1F CC) Nf-) I _r I (-)Nc:; Case No . : BLD99-0713 For : DON CARSTENSEN Page . I f ) This application is subject to Buffer and Landscaping requirements as established tinder Mason C rdinance 1 .03 .036 . X D 2 ) 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 M rshaj . X, 3 ) Provisions for surface/ subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels . Under the requirements of Mason Coijnty Stormwater Ordinance, either private ditches and drains will meet requirement,,; of the stormwater ordinance 0 r prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose . For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the Installation/construction of a driveway or access connecting from a Mason Countg Road, Contact the Mason County Public Works Department prior to construction at Ext 450 . 1 For any construction which Is proposed to be located within 25 ' of a Mason afon County road right of way, It is suggested to contact that office to review future planned work which may ffect our project . X 4 ) Proposed structure 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 10 ' from X all our ty nd State Road right of ways . _ 5 ) Structure must be setback 5 ' from all utility and drainage easements a total of 10 ' from r, a c h pr Id X (�ferty line , or a variance must be obtained from the Building Department . 6 ) Owner/builder assumes all responsibilit y if drainfield/ reserve area Is encumbered . —— ———————— --- MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 7 ) Approved per dimensions and setbacks on submitted site plan . X__? \ 8 ) All upland arras disturbed or newly created by construction activities shall be seeded, Xegetttl eA o� given some other equivalent type of protection against erosion . 9) All approved plans are required to be on- site for inspection 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 $42 .06 per hour (minimum 1 hour ) will be charged and must be collected by this department prior to any further inspections being performed or approval granted . X 1) M- C 10) PURSUANT TO 1997 UNIFORM BUILDING CODE , 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 AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL AE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . X C 11 ) The correction list , along with the Energy Compliance Worksheet (when applicable) Is part of the plans and must remain attached thereto . it is the responsibility of the applicant to make corrections indicated on the pplans from the correction lists . Once the plans are marked APPROVED they may riot be changed or altered without authorization from the Building Official . itle permit holder` is reponsible 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 by limitation and become null and void if the building or work authorized by such permits is not commenced within 180 days from the date of issuance, or if the building or work authorized by such permits Is suspended or a andoned at any time after the work is commenced for a period of 180 clays , X � � 12 ) Proposed structure or portions thereof with an projection over 30" in height from grade line, must maintain a 5 ' separation distance between adjacent structures and that MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 r = , � AA 13 ) Changes to approved building plans that effect compliance to the 1991 Washington Stato Energy Code , 1991 Ventilation and Indoor Air Quality Code , the Uniform Building Code and/or Mason Countyy "igAkl ttlons must be approved by Mason County prior to construction X 14 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTFR-- A%RE .iUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE . x Case No . : BLD99-0713 i PERMIT NO.: BLD MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Vo Al Cot j"' 2 Al S'C A/ Contractor Name SC < "'�' Mailin Address w/ W Mailing Address City StateW- Zip Co, a9231 1J- 4i, y State Zip Code Phone( Other Ph.( ,(� Other Ph.( ) Lien/Title Holder Contractor Reg. # Address .--- Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System_(Name of Water System t3 eQ, V e PARCEL INFORMATION-12 it Tax Parcel No.di J ��3 / / 0 °1. Fire District Legal Description CQ 11, is L Site Address(Please include street name, street number and city) /l .t` o UG Directions to site 0 F of At. ChbtCFw Inrl 't cw N i If - f wv ! A La f L o a o�v t Q. - T a Ae S/} A, is Ma a - Lott a N Will timber be cut and sold in parcel preparation? (Yes/No)_) Is your than 900' of the following: Body of Water (Name) '1 f Lake ir/Creek on a anSeasonal un Bluffs /r TYPE OF JOB New Add Alt Repair Other Use of Building N• L -AMR e-S Describe Work aM No. of Bedrooms__3_No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF,180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X A Date 0 9- ` X Date FOR OFFICIAL USE BEYOND THIS POINT f Accepted by Date Submittal Amount Due 7/ Receipt No.g� DEPARTMENTAL.IREVIEW APPROVED DENIED CONDITION COPES Building Dep ment 7-M Occ Grou T e Constr.s V 6� — a� - Planning Department Environmental Health Department Public Works Department I Fire M shal Valuation $ U �� FEES Building Permit Fee 7� 5- Site Inspection Plan Review Fee �- UFC Plan Review Fee Plumbing & Base Fee o'D Public Works Review Fee ga Mechanical & set Fee 40 Other s `/3) cc Wood/Gas/Pellet Stove Fee Other C' it Violation Fee Pre-Paid at Submittal TOTAL FEES I I PERMIT NO.: MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair(360)2754467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORM Owner A,* Gal k-sTc. u S e W Contractor Name c1-4- Mailing Address &6f W Mailing Address City s.w State, Zip Cocle._123 J.tL City State Zip Code Phone ^( '7,C U Other Ph.(___) Other Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. /,C3 / CEO D Fire District Legal Description / �"� n I Is ( �. S C d v e l3 G L TCk% '- Site Address(Please include street name, street number and city) 4z L (_ .S/�, M a 0 It Directions to site t-c.rti l., ,T off Alai-1h 6 ku}�:e 6AoF Te ,1.4.te. L J=kll ---Le f T' Opt/ to Is your property within 200' of the following: Body of Water (Name) ------vo(/Ca Saltwater Lakes River/Creek Pond Wetland./Vd_Seasonal Runoff_,6eC StrearwVQ Slopes or Bluffs rTYPE OF JOB New \/ Add Alt Repair Other Use of Building o U -Q Location of Fixtures/Units ist Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG Natural Gas I eatpump Toilets _ Type of Unit No. 6f Units Fees Bath Basins 0— _ Furnace Bath Tubs �_ Heatpumps Showers 1_ Vent Fans (o �� _oQ Water Heater / toe Propane Tank To— Laundry Wsher 7 " Gas Outlets Sinks �� Wood/Gas/Pellet Stove 0— Dishwasher $ Sl Direct Vent? Other / A Other&Ce- — Other Other 19 Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL Z "O A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. Q first obtaining approval. X "1 �`12° .' IZA. Date '�! ?- X -Date- FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. E7EPAR7(VEENTAE iREV[EW APPROVED DENIED � � ,.� CONDtT10 CODES Building Department Occ Group Type Constr. Planning Department Other Other TEES Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. 1� Name /l! Col`^S e,� Q N PARCEL NUMBER 2.33a:S3'Od cyl�b e '-'2 SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S. E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System �-'77 DRAW SITE PLAN BELOW Include adjacent ro erti7sof on shoreline or within 100 feet of adjacent property line. adjacent property line- I l'�� H /46LHta I ► t �' , Fadjacent property line 0 I U k I � I I I I I I I I I I I m S I � rz v rt Pi-© oo S cd ; a eS. IUy I ' I adjacent property line4 ' r I Fadjacent property line Lk ��►-� e SAMPLE SITE PLAN adjacent property line4 f-adjacent property line D 3a" rR�SerAV& gel SE.IA[o w/AL I I a L _�EPTSL__,I Cru�K � I f 5b' LE i H O L4-1 E I ) Frio Pas.D sm Pt:C. R I � � I R , VACAKiT I T I i o' I I(� I VM1cPosCD I `\ T A4R ZCLLLTLLAAL 50 I F—40 I , 1 I B O" I �\ I I � I I I I i r".eLL I I I I kt /00. - I adjacent property lined Fad'acent ro ert line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE dtst�r.cm to A c4css 76 '1_ ��T dc5'ta r C.e- f. Slop¢ a¢ 4o t r �— C C _ r Signature 1 Date