HomeMy WebLinkAboutBLD95-01563 Final Deck - BLD Permit / Conditions - 12/1/1995 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
F-I. L1 1 t._. C) 1 N C3 P E R M I T` FOR INSPECTIONS CALL. 427-9670
BETWEEN 5pm AND Sam 427-7262
BLO95--1563 PARCEL t 123315100045 PLAT :BEPLO D 1 V : BLK : LOT : 45
JOB ADDRESS : NE:. 821 I_ARSON LAKE RD BFLFA I R
OWNER : GEORGE HOLMGREN 275-5337
CONTRACTOR : HOLMGREN CONSTRUCTION 275--5337
LEGAL_ s BFAROS COVF DIY I BLI: 1.011 48
CLASS OF WORK . . :NEW BEDR : 0 .BATH : 0 TYPE ANOUNT BY DATE RfCTIPT T+f?f" ANOUNI BY DATF REC11P1'l
TYPE OF USE: . . . . :ACC STORIES . . . . . . . :0 ��
OCCUP . GROUP . . . :? BLDG . HE I GHT . . : 0 .Of t ?Rol 1 16.EE KS 11129195 46927
TYPE OF CONST . . t? FIREPLACES . . . . s 0 PICK 1 6.50 KS 11128/95 46827
OCCUP . t.t`TAD . . . . : 0 WOODSTOVES . . . . : 0 .TFE 1 4.5E KS 11128195 4682T
DWFL t .UN I TS . . . . : 0 PARKING SPACES t 0 ENCP 1 10.00 KS 1112819S 40027
INSPECTION AREA t 1 SHORELINE'? . . . . sN TOTAL: 31.80 VAtUTATION: 64893
.Z:SSS+�Y1.SHiY16'GE.:T."RS�ST�S�'ffiQC2.'R1tAi'4iM3R5"'�^�''-'.�90.'"'YG: �:L.'LLl� .. ."`Y:'h'.:�'�S.R'S'SCLi'�:�•+L51.�
SETBACKS-- ------------- TOIt.ETS . . . . . . . . . . : 0 FUEL TYPES- --------.--- BOILERS/COMP--___
14O81LE HOME-..--
FRONT . . .E 50 .0f t ETA iF1 BASINS . . . . . . . 0 : 0--3 HP . - 0
REAR . . . .W 13 .Oft BATH TUBS . . . . . . . . : 0 3-- 15 HP . : 0 MODELt
S F DE t 1 ? .N 10 .Oft SHOWERS . . . . . . . . . . s 0 FURN <: 100K BTUs 0 15--30 HP . : 0 -MAKE--.._ --.
S1DEt2 ? .S 20 .Oft WATER HEATERS . . . . s 0 FURN >-1O0K BTU : 0 30-60 HP . : 0
SHRLINE: . 0 .Oft CLOTHES WASHERS . . : 0 FURN FLOOR . . . : 0 504 HP . : 0 --YEAR- -
AREA ---- --- -_--- ---- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . ... . : 0
LOT SIZE . . : FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 i"VAP COOtERS : 0 LFNGTH : 0
BUILDING . . . ; Osf DRINKING FOUNT . . . t 0 VENT FANS . . . . . t 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT . . . : Qlsf LAUNDRY TRAYS . . . . s 0 DOMES . INCINtCn FaERIAL#-- -
DECKS . . .. . . . : BOsf DISHWASHERS . . . . . . , 0 AIR HANDLING UNITS- - COMML . INCINiO
GAR/CARPt? Osf CARET DISPOSALS . . . : 0 <— 10000 cfm . : 0 REI.O(,'/REPAIRt 0
AT/DT . :7 URINALS . . . . . . . . . . t 0 > 100O0 oft . , 0 OTHER UNITS . : 0
MISS' PI.M FIXTUTTES : 0 GAS OUTLETS . s 0
PROJECT DISCO IPTION:DFCK
PAOJECI IOCA)IONtNORTH SNORE RD, R191 ON SAND Hill. RD, EEFT ON (ARSON BtVD, IEfT ON 1ARSON IAKF ROAD
THIS PERMIT 8ECOWES NULL AND VOID IF WORK 01 CONSTRUCTION AUTHORIZED IS NOT C011E10E9 WITHIN 186 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PFR109
Of 180 DAYS AT ANY 111E AFTER WORK IS CONNENCED. EVIDENCE OF CONTINUATION OF #OAK IS A PROGRESS INSPF�T100 WITHIN THE 180 DAY PERIOD. FINAL INSPfCTION NUSI BE
APPROVrR REFOAF BUILDING CAN 8F OCCUF1f8.
ram- A
OWNER OR A6ENTt--_.� _ DATE: � • .,. .: Z.
BL8.PR1'1 . ter: f313I191 COMPLIANCE TO ATTACHED CONDITIONS 18 REQUIRED
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
PLUMBING date by OTHER
Groundwork Attic
date by
D to V b WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date Z - S- by G^✓ date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P F4Rm I T` coNri i `r i oNs
Case No . : BLD95-1663
I For : GEORGE HOLMGREN
Page : 1
1 ) Structure must be setback 5 ' from all ut i I ity and drair►:ac, a easements a tonal of 10 '
from roperty line, or a variance must be obtained from the Building Department .
X_
2 ) Proposed structure or any port ion thereof greza l ear t hart :10" 1 n he i ght f rom grade l i ne
must maintain a minimum of 5 ' setback from all property lines , easements and right of
4 Xays�``
3 ) A ! I approved plans are required to be on--site for inspection purpose''_ It Inspection is
called for and plans are not on site, Approval WILL NOT he granted . in addition , a
Re- I nspeot i on fee in the amount of $A0 .00 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-- � :___ __.__
4 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 30 5(C ) AND SECTION 1:0 3 , ALL. S I TES 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 IN TABLE 3A OF THE 1991 ►►NIFORM BUILDING CODE WILL. BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPE TIONS .
t
X t -
5 ) The use, handling and stora a of haaardout�; materials or flammable and combustible
liquids in excess of 10 gallons is not allowed without the approval of the Mason County
Fir! s0al .
X
6) ALL f�RNSTAUCT I ON DUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQU I RrMENTS .
X_ '
Changela to approved building plans that effect compliance to the 1991 Washington State
Energy Code, 1991 Ventilation and Indoor Air Quality
Code , the Uniform Building Code and/or Mason County l o�as must
be approved by Mason County prior to constructlonX
MASON COUNTY
Mason County Bldg. III 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
8) CONSTRUCTION PROCESS .l O BE FIELD CORREh;l k QF\ A�QU I RED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x )
9) Owner/builder assumes all responsibility if dralnfleld area is
enoun r
x
V t/r vp
—
O Permit No. at
MASON COUNTY
BUILDING PERMIT
I APPLICATION
ttCedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-.- 282
#*ite
er Geo�t • �o�w.v�t-c.•�. Phone# C %*') "Z'15-5337
Address N�, F�Z1 4,Atboy. \..0.1�+t 'Qog Fire District#�j,a1r4�.'ir St wA- Zip %�Zs
Directions to Job Site 1J o`r�t�. S�otG �. �'��� o Sa►w1 t�� 'Ct o o.�►
eh �.►oetio�. "��v l �,.t�� e� �rto v� �+e.Y.� �►o e..
Owner Mailing Address -?. -7AS
City "��.�c�ie- St wa• • ZipabaSZ16
Lien/Title Holder
Address
City St Zip
#2 Contractor Name Contractor Reg# kO\-M6►010'I1MS
Address `Q•O •755 o%- -Se) Expiration Date n / \C. / 05S_
City 'SNO.Ac o St Wo- - Zip 0Z`br*ZO Phone#C'2A6) Z-:%S 53377
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
C nnect to Sewer System? Name of System
f residential, proof of potable water is required)
# Parcel No.\Z-33\ - 5\ - 000�5
Legal Description Z% Co.►L �1v'�ti� %", \.,& �S
#5 Building Square Footage: (existing/proposed)
1st FI ��"'f� 2nd FI / 3rd FI / Loft /
Basement / Deck 1F3X1 #bedrooms / #bathrooms/
Garag - Carport (Circle: ttache r Detached?)
Other sq.ft. /
#6 Use of building �sbt�t � ;�escrib work
Ex
#7 Type of Job: New Add Alt Repai7,�ffi`er \
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year a Model
Length Width Seri o.
# Bedrooms # Bathro s Type of Heat
Purchase Price $ Q
circling the applicable source if an water is on ad'acent to sub'ect ro ert
#9 Indicate by 9 PP Y 1 1 P P Y
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Permit No.
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 Phone#
Site Address Fire District#
City St Zip
Directions to Job Site
Owner Mailing Address
City St Zip
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name Contractor Reg#
Address Expiration Date
City St Zip 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 Parcel No. - -
Legal Description
#5 Building Square Footage: (existing/proposed)
1 st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq. ft. /
#6 Use of building Describe work
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make 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 D.,,nens;ans Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements Indicate Directional by (N, S, E, W)
Name of Flanking Street in relation to plot plan
Name of Fronting Street
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath asins Heatpump, Other
_Bath Tub No. Units Fees
Showers _ Furn BTU
Hot Water Htr _ Hea mps
Laundry W sher Vent Systems
Sinks Spot Vent Fans
_Floor Dr,in No. Boilers/Compressors
_Laund B r$ _ HP
Dishwas No. Air Handling Units
_Disposal cfm#
Urinals No. it Pro ction Systems
Other _ Aut Fire Alarm Sys 50�00
Fixed i Supp. Sys 50.00
Per t Basic Fee 15.00 _ Auto Fire Spr k Sys 25.00
TOTAL PLUMBING $ 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.
X OWNER X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: tojr 1, -; _Seljac.C1Rs
1012:3
Environmental Health:
IV
Building Plan Review C C)
/d�Z y/4s
Occupancy Group:_ Type of Const: -
Fire Marshal:
Other:
Special Conditions: FEES
00
Building Permit
Plan Check S�
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: 270 TOTAL FEE