HomeMy WebLinkAboutBLD99-0575 Final Deck - BLD Permit / Conditions - 7/12/1999 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
C3 U I !._ 0 1 14 40 P IE` iF4 M 1 11- FOR INSPECTIONS CALL. 427--9870
BETWEEN 5pm AND Sam 427-7262.
BLD99-0575 PARCEL s 1 2 3 30520006 5 PLAT" :EIEPLO DIVI BL.K : LOT : 65
JOB ADDRESS s 180 NE LARSON LAKE LN BELFA I R
OWNER : GARY JENN I NOS 2.75-6092
CONTRACTOR :
LEGAL s BEARDS COVE. DIV 5 SLK.: LOT: 65
CLASS OF WORK . . :NEW BEDR s 0 BATH i 0 TYPE AMOUNT BY DATE RECEIPT tTYPE 41OUNT BY LATE RECEIPT
TYPE OF USE . . . . sACC STORIES . . . . . . .. s1
OCCUP . GROUP . . . s U 1 BLDG . HEIGHT . . . 0 10f t PLCK S 38.66 KB 16125199 50119 `
TYPE: OF CONST . . :5N FIREPLACES . . . . : 0 IPRMT 1 59.50 NJP 67119/99 56853 1 1
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 Ism # 4.50 NJP 474909 56853
DWELL ,UNITS . . . . s 0 PARKING SPACES : 0 }
y INSPECTION AREA : 2. SHORE:L I NE? . . , . :N TOTAL: 152,68 VALULATIOR: 1924
SETBACKS-------------- TOILETS . . . . . . . . . . .. 0 FUEL TYPES----__.-.__.:_.._ BO1 LERS/COMP_.- - . MOBILE HOME---
FRONT . . .N 45 .ref t BATH BASINS . . . . . . s 0 0-3 HP . : 0
REAR . . . .S 27 .,Oft BATH TUBS . . . . . . . ., : 0 3-15 HP . : 0 MODELs
SIDE ( 1 ) .E 10 .0ft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTUs 0 15•-30 HP . : 0 -[MAKE._-.--,-_
SIDE (2 ) .W 12 .Oft WATER HEATERS . . . . : 0 FURN >-100K BTU : 0 30_.50 HP , . 0
SHRL I NE .N 0 .Oft CLOTHES WASHERS . . : 0 FURN - FLOOR— : 0 50+ HP . : 0 - YEAR--._---
AREA -------_-p --_- -- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . 1 0
LOT SIZE: . . : FLOOR DRAINS . . . . . : 0 VENT SYSTEMS —. % 0 EVAP COOLERS : 0 LENGTH : 0
BUILDING . . . . Osf DRINKING FOUNT . . . : 0 VENT FANS . . . < , . : €5 HOODS . . . . . . . : 0 VVIDTH . : 0
BASEMENT . . . : Olaf LAUNDRY TRAYS . . . . : 0 DOMES . INCINiO -SERIALII-•-
DECKS . . . . . . a 192sf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- - COMML . INCIN :0
GAR/CARP :? Osf GAPS DISPOSALS . . . : 0 <- 10000 oft . : 0 PELOC/REPAIR : 0
A'T/DT . s i URINALS . . . . . . . . . . s 0 > 10000 of"I . . 0 OTHER UNIT+ . s 0
M I SC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT 7E80"11PTIONsDECt.
PROJECT LICATION:UP SAND 11111. TO LARSON BLVD WEST ON LARSON BLVD TO [ARSON LK LANE RIGHT ON LARSON LK L1 IO SITE 12TH LOT 01 RIGHT ON EAST SIDE Of ROAD.
THIS PFFVIT BECOMES NULL AOD VOID If WORK GR CORSTRUCiiON AUTNORIZED 1S NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION ON WORK !S SUSPENDED FOR A PERIOD
Of 181 DAYS AT ANY TIME AFTER WORK !S ®MMENCED, EVIDENCE OF COITINUATICN OF WORK IS A PROGRESS INSPECTION 11111111 THE 180 DAY PERIOD, FINAL 116PfCTION BUST BE
APPROVED BEFORE BUILBING CAN BE CCCUPJ B.
OWNE 91 AGENT:
r
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 7— Z —7�'7 by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
i date by date by date by
2 -5;r
A
I
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
ICI
Pli- RM 1 -r CONO I -T II ofv
Case No . : BLD99-0575
For : GARY JENNINGS
Page : 1
1 ) Structure must be setback 5 ' from all utility and drainage easements , a total of 10 '
from e�*cc operty line , or a variance trust be obtained from the Building Department .
2 ) 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
a l i C�.rrunv/ and State Road right of ways .
X
3 ) All approved plans are required to be on--site for inspection purposes . If Inspection
iscalled for and plans are not on site Approval WILL NOT be granted . In addition , a
He- inspection too in the amount of i*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
approzI anted .
A ) 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 6E
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
x 6
5 ) The approved plot plan Is required to be on-site for inspection purposes . If
inspection is called for and plot plan is not on site, Approval WILL NOT be granted . In
addition , a Re- inspection fee in the amount of $42 .00 per hour (minisnum 1 hour ) will be
charged and must be collected by this department prior to any further inspections being
Performed or, approval granted .
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
6) No Occupancy . This structure Is limited to U-1 use only . Any other use will be in
violation cf the Uniform Building Code and Mason Cousrty) ulatlons
unless a "Change of Use" permit Is approved . X ((TT//''
7 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND OCCUPANCY
IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION . ANY CHANGE OF USE OR OCCUPANCY
WOULD R SULT IN PERMIT REVOCATION . CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE .
X G -
8 ) Changes to approved building plans that effect compliance to the 1991 Washington State
Energy Code, 1991 Ventilation and Indoor Air Qualityy
Code, the Uniform Building Code and/or Mason Count Regulato ust
be approved by Mason County prior to construotlM _
9) CONSTRUCTION PROCESS TO BE FIELD CORRECTED A IRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x T
Case No . s BLD99-0575
PERMIT NO.: BLD 'V !
MASON COUNTY 6615
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 INFORMA ION I CONTRACTOR INFORMATION
Owner 1', .ary I-ex if I J1 Contractor Name
Mailing Ad ress I: var Mailing Address
City o.l.Fai/ State Zip Code City _State Zip Code
Phone(' L D ) 175(,ether Ph.( ) 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
PARCEL INFORMA N-12 digit Tgx Par c I No. / Ejl;wDistrict
Legal Description
Site Add ress(Please include streel name, street number and city)
Directions site D L q r
i O "n r � i s
Will timbkde cut and sold in parcel preparation? (Ye /No)
Is your property within 200' of the following: Body of WttI5,r (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB Ne Add Alt epair Other Use of Building
Describe Work `a
No. of Bedrooms 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 thig,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. changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
X Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL. REVIEW APP ED DENIED CONDITION CODE$
Building Department �y
Occ Group tJ Type Constr. V P J lN�
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $
FEES
.
Building Permit Fee ,�O Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing & Base Fee Public Works Review Fee
Mechanical & Base Fee Other
,—<'S�
Wood/Gas/Pellet Stove Fee Other
Violation Fee Pre-Paid at Submittal ( )
:::::�:�.:.::. �<:r::.,..•4•.::::<•........ TOTAL FEES
D
FORM 1
PLEAS E A
6UNTY PROJECT SITE INFORMATION
JUN
PER Case No.
t �¢ C
Name � � E�7' Ti4�l+l'1 �- ( PARCEL NUMBER �.33U S ,-1 0" -Da e YC'
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
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or wit in 100 feet of adjacent property line.
adjacent property line-� E-adjacent property line
I I
S{Pfi'c-
I
I , I
— I I
i'11 ay
I 4y
I
I 1 �
s
(V�
adjacent property line-) I �. g 0 I <—adjacent property line
SAMPLE SITE PLAN
adjar�nt property line--> ,� 3io� _ _ _ E-adjacent property line
D 30' r�SGRvE gel
� AL I
Wj smpt:c
1 ,
60,
I I
VACA1,,T I T c nrtwr� I
I P0.oPosC1]
—So'�
I 1 I
I \\ I
I � I
I
I \ I /DO"
I � I
L—e.LL
I I
I
I
I x /00. `�
I
I I�.GLL I
adjacent property lined ; \; Fad'acent property 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
dtstn..cm to
Sr1ruLtu.l�e_
&atar.cc to
V` Stopm a¢
pr 1 HS �t els+�..«
to ..
17 0 ►� S
Signature Date I