HomeMy WebLinkAboutBLD97-0533 SFR - BLD Permit / Conditions - 8/12/1997 MASON .COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 1,86 Shelton, Washington 98584
U� LJ I L_ F_i I 1\1 C-9 #_`1 E: F1 11\4 I _v VOR IMSPECTIONJ CALL 427-0604
BETWIVEN 5pm- AND Sam 427-7262
BLD97-0633 PARCEL :320245090163 ALAT : DIV :7 BLIP; 0 L0TQ
JOB ADORESSi E 486 LIB BY RD_ SHELTON
OWNER : Rt CHAR. 93451
GONTRAGTORo
LFGAL : SHTR PUGET BOU40 VAOMS PTH Of TR Z A IL T 111 01 TAX 20
CLASS Of WORK , . QEW BED113 2 .6ATI-I I TYPE 19OULT OY tAIE RE01py TYPE A1001 8y DATE I
TYPE OF USE . . . . PSF STORIES . . . . — ol
occup . GROUP . . . 03 BLDG . HEIGHT . V ,Oft PtCK 1 167,40 TUJ OB112191 45100 nv t vv TIIJ 0311?11.7 45169
TYRE OF GONSTt w5N FIREPLACES . . . . 0 Fth t 41,55 T4j 04/12107 0160 �PLCE;
0 t 26.00-10d 0a11201 45169.
_" �'OVAW LOAD _ r 0 WOODSTOVES . . . . s 0 01 t 30.25 TAJ 08/12191 45169
DWA L .U N I f S , . . : 1 PARKING SPACES : 0 ISIFE t 4,50 lad 42II2191 15100
ANSPECTION AREA 7 4 SHORELINE? — . t N 1PRIII l 329,50 10 00112111 6169 TOTAW 01,00 V1I001109: 3994?
L=
SETBACKS-------------- TOILETS . . . . . . . . I FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME—-
FRONT _ & 100 -Oft BATH IAASINS . . . . . . I 4ELE/ 1 0-3 Hp . : *0
REAP . . . & 7 .Oft BATH TUBS . . . . . . . . t 0 3-15 NP . : 0 MODEL
& ID01kil 400 .0ft 'SHOWERS . . . . . . . . . . t I FURN < 100K BTU : 0 1600 Hp : ; 0 -MAKF------
SIDE (2 ) .S 150 ,Oft WATER HEATERS — . % I PORN >-100K BT0 0 30-50 Hp . i 0
150 .Oft KOTHES WASEnS — z I FURN - .FLOOR . . . e 0 50+ PIP . : 0 -YEAR____._... -
A {EA- -------- -------- KITCHEN SINKS . . . . a I HEAT PUMP < . . . . i 0
LOT SIZE _ : FLOOR 011AIPSIS . . . . , w 0 VENT SYSTUMS — v 0 FVAP COOLERS : 0 LENGTHa 0
(1VILDING — t 8320 DRINKING -FOUNT , , , ; 0 VENT FANS . , , s 2 HOOK . . . . . . . i 0 WIDTH . i 0
BAST. MLOIT . . . . Osf LAUNDRYARAYS . — t I DOMES . IN6100 -SERIALf----
DFCKS . . . . . 196sf DISHWASHERS . . . . . . i I AIR HANDLING UNITS-- COMML . ANCINQ
GAIRICARP :0- 00 GARB DISPOSALS . : 0 <- 10000- ofm . t 0 RELOCINEPAIR : 0
AT/ITT . sA URINALP . . . . . . . . . . 2 0 > 10000 cf% . j 0 OTHER- UNITS , : 0
MO SC QM FIXTURESt 0 GAS OUTLETS , : 0
PION! OESCSIPTIOSIESIDENCE
PROJECT LOCAMONAEM AT AGATE SIORF TO LIBBY RD RIGHT T01'410 (POSI WITH ADDRAS IT 10WH DRIVE, -1001 AT lREtIf PUMP1100SE.
1119 PERAIT 6ECORES NVQ AND V41D IF WIT OR COPSYRUCIIOM WWRIZCt IS POT C19MEOCEO W110111 19O CkPaiS Oi IF CONSTRUCTION OR WORF Q SUSPENDED Fjj A PERIOD
OFjlaa DAYS IT ANt 1111E AF7F11 WORX is dommup. worky-pr ;0NT1Il1pATIpn OF Wolf( ISA P90RESS ,I9SPE:CT1041IThIN TOE 100 VAV PER160. FMAL IBSPEiTtOP AUNT 81
APPROVED affQRE 81HI-Of0i CAII-:PE, OrvOPIFO.
too!
OWNED OR AGEQ, 0 A 7 F
BL0JI1111, rev efluld, COMPLIANCE TO ATTACOED CONDITICiS Is REQUIRED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foindation 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
n�:
MASON,,COUNTY
Mason County Bldg. 111 . 426 W. Cedar
P.O. Box 186 Shelton;Washington 98584.
Ca No —, BLD97-0533
Fors HICHAND PARRET'r.
Page,- 1
I I'lie use, lip i I I nc- and storam Aznrdous materials or flantmaWc and ombustible
-,n c g 4e , of hF
j i -�,Pexoess of I o ga I ions Is not at I owe;d without the 'approva I of the Mason County
F Ire Map silia I
X
-ucture or anv portion thereof g -in
2 ) Proposed t i , r6ater thc 0" in height Trom grade I in
must mia Viftal n -a fal " imum OT 5 ' setbook from all property .[ Lnes, easements aw! 10 -iron)
all C-6qatV and 'State Road r 1 g ht of w�,,i y s
X
The (woposed projeot wtust be, oonsistent with 'a l"i app I I cab I e pry I 10,1 es a 11 d other
erov 1 9 1 ons of the Share I I die thanagement Act , Its rules , and the Mason County Shoreline
laster Program .
I S I me as a p
This rjarli e/apt i3 b-elng permitted fat th,:J.' :r I mn r V rer.�, idanoe . Prior to
instaiJallon car construction of a OP 0 ti,iU residence/a6cessory living quarter , a Shoreline
t� h be approved by h4a:sori County
'for substa&Lial Deve'lopment, S orlik�
X 1�r 1�1
4 ) A.A.) aof�rpvad plans aro requi.red to be on-site, for ln�p east iofi - .Purl:)0se9— respect I Oil
I �y oarled for and plans arc., not oil site Aj WILL
.,iprova.l WL NOT:--6� granted . in adds t I on, a
Re- lnspeatlon too In the ammurit% of $30 ur 2 .06 per ho (min (main 1 riom,) will be, oiiarqed and
colleoted bijhl's department tar ior,,to anj( further .) nspeations being performed or
X
5) PURSUANT TO '1994 UNIFORM BUILDING CODE , GECT4,014 305(C) AND SECTION 513 , AI. L, SITES MUST
FIAVE API` R0VF-J)-.AUMBE-R8 OR ADDRESSES PROVIDED—IN' SUCII A POSITION AS TO BE PLAINLY VISIBLE
AND I-Erz,161-I-E VROIA TI-IE STREET OR ROAD MASON COUNTY BU I LD I No
DEPARTMENT REQU I RES, THAT. THI-S BE GOMPLETED CALLING- FOR ANY SITE INSPECTIONS . A
REINSPEC11AON FEF , BASED - ON RATES IN*'T A fil-E -,3A �F 19,94 1JN I FORM DO I Lill NG CODE W I L L BE E.
L IS T AD R TE PRIOR TO REQUESTING
ASSESSED IF 01411MERICONTRAOTOR-FAI P0 D O�4 I
ONS
CONCRETE MECHANICAL + _t 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
aRAMING 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
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 ShpIton, Washington 98584
X
6) The correction lis t lo wit a h the Energy Comp orkshoot (when applloble) Is
part of the plans &hAmstng rdialn atta t ched horeto . i a
t Is the responsibility of the
appiloant to make corrections Indloated on the pfans trom the correction lists . Woo
t e plans are markied APPRDVED, they may not be changed or altorpd without authorization
from the Building OffloW . The permit holder is reponsible to retaip the oomplete
approved set of plans on si.fe for the duration 6f the project . Faliqre to oomply will
result In failure of required building ins ghee ti ran, , Every permit Rhall expire b\1
limitation and become null and void If the bra VIdinag or. work authorized by o"gh permits
Is not oommenoed within 180 days from the dpte of isouance, or It the build o or work
authorized by such permits Is suspended oq abandoned at any time after the Ar'', le
opmmenood for a period oT . 100 days .
1 ) ALL QQNS UCTION MUST MEET OR EXCEED ALL LOCAL 'CODES AND UBC REOUIREMENTS .
X
8 ) Changeo to approved building plans fhat effect oomplianoe to the 1991 Wash ipgton State
Energy Code 1991 Ventilation and Indoor -Air Qua lit
Code , the U01 for m Building Cede and/or Mason County Negulaticons - must '
be approved by Mason County prior to oonstrwotionX
9) , CONSTRUCTION PROCEGS TO BE FIELD CORRECTEDAS MEOU111ED VAR MASON- COUNTY BUILOING
DEPARTMENT AND UNIF01114 SUIL01MG -COOKx_ ---------------
NCRETE Ewfe.-ed by s/-- MECHANICAL = ' MOBILE HOME
Fo ngs-Setback date -1 6 Ribbons
data 2 1 5 by (W Gas Piping date b
Fotmdation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors C £ P Final
date by date �j-a by �b {�Y date by
FRAMING FIRE DEPT.
date 01 - (G cr --\ by Walls
PLUMBING date QV4��-41,1 cby date by
Groundwork
Attic /+cc"• OTHER
date by
date bye:
D.W.V. WALLBOARD NAILING
"�
date Ij /G q'l by date by C
Water Line y. : FINAL INSPECTION ,
date by date // ! by �fG� date by
Cr,,z-,r:d 0,,� Apy, is-,x .-Inc ricc-7C- � `oo�L.�.�c� a ..r v fAI'S
J �
Z2 91 GGYYN
"El Li AL ) e.. C'oryec,E,�s .
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION ,
426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670/1-800-562-5628
(Calling From: Seattle 464-69.68, Belfair 275-4467,-Elma-482-5269)
PLEASE PRINT
#1 w n e r Phone# 4q 7 7S
ite Address ;, Jl psii/y/J Fire District# \ .
City �dl�GiG:✓ St ZIov�
Directions to Job Site C .��� 7- 2G1 G ��
Si/�/I!�iy i ,lJ o c�,�/�21U/, - i v2v /�� l'.Pl;/�✓ �lir„2�������s'�
Owner Mailing Address
City St Zip
Lien/Title Holder A47 l-
Address
City St Zip
#2 Contractor Name Contractor Reg#
Address Expiration Date
City St Zip Phone#
#3 If septic is located on prole ite, include records.
Connect to Septic? y Public Water Supply Well
Connect to Sewer System? Name of System 51�:JWZ ic
(If residential, proof of potable water is required)
#4 *Parcel No
escription� �ji�/ 7"72
#5 Building Square Footage:
1 st FI - $32.. 2nd FI 3rd FI Loft Basement
#Bedrooms ara-_- _ #bathi'.,:;.;is /✓' Deck Ok
. Other
Gara a . .-' ° Carport (Circle:Attached or Detached"?)
#6 Use of building �.WS�fL, _ =r y Describe work
#7 Type of Job: New y Add Alt Repair Other,
#8 MOBILE/MANUFACTURED HOME INFO MATION
Model Year Make Mo el
EM Width. Serial N nn
#Bedroom #Ba room Type of Heat91, M t�j
Purchase Price$
Indicate by circling the applicable source if any water is on or adjacent to roperty:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Show following on the site plan r
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Drainage Plan Wells
Septic Systems Easements
Proposed Improvements
Name of Side 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
.i�
Plumbing Fixtures ($3.35 eachl Fee Mechanical Fixtures ($6.75 each) `
No. Toilets CIRCLE FUEL TYPE: Gas, lectric,
Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
a Showers Furn BTU
Hot Water Htr Heatpumps
Laundry Washer _ Vent Systems
( Sinks L. Spot Vent Fans
Floor Drains No. Boilers/Compressors
Laundry Basins _ HP
Dishwasher No. Air Handling Units
_Disposal _ cfm#
Urinals No. Fire Protection Systems
Other 1 _ Auto. Fire Alarm Sys 50.00
/ PP•Fixed Fire Su Sys 50.00
_ Y
Permit Basic Fee 16.75 _ Auto Fire Sprink Sys 35.00
TOTAL PLUMBING $y3 5 5 No. Other
_ Gas Outlets
Wood G ellet 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 16.75
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD is
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 OFTHEORDINANCEREQUIREMENTSREGU-
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 A ENT. DEPARTMENT.
X OWNER , X BY
DATES DATE
' f e
FOR OFFICIAL USE ONLY Accepted by Date
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: W47
Environmental Health:
Building Plan Review
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: —FEES—
$32x `f6 = 3Q� 277— Building Permit
Plan Check Naw P L#&4+ okb 5 7. '0+
Plumbing Fee y3 55
Nl=u _ �/ Mechanical Fee 25
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee
C 15 y Y.- f .—S� /O 5c,C4
�� r ?r 5 Other
Other
Other ✓ a�
Building Valuation: TOTAL FEE m