HomeMy WebLinkAboutBLD99-00433 Final Office Remodel - BLD Permit / Conditions - 3/18/2000�T 11
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E3 aJ It- 0 I NC-11 PERM 1 T FOP INSPECTIONS CALL 427-9670
BETWEEN 5pm AND Sam 427-72.62
f3LO99--0433 PARCEL : 12332!5000052 PLAT :SAPLO D f V : SLK : LOT,
JOB ADDRESS : 22881 NE STATE ROUTE 3 BELF'AIR
OWNER : NORMAN WOOD 360--275--5885
CONTRACTOR : ROBINSON HOMES (360)801 11 '11
LEGAL : SAM S. THELER'S 001E 1 GAR IRS 11 22 S 02 Of ' TN 3 OF SP165# Af 1 38#189
CLASS OF WORK . . :REM BEDR : 0 BAT. 1 FT-1 'P +- AMOUNT 77 9ATI RECEIPT TYPE AMOUNT 8Y DATE of CIIr
TYPE OF USE . . . :COM STORIES _ _ ..: 1
OCCUP . GROUP . . B BLDG . HEIGHT O .0f t PICK 1 441.34 K1 115124199 51322 P11117 1 P.81.75 KS 17129199,h.19146
'. TYPE OF CONST . . :5N FIREPLACES . . . . : 0 PICK 1 65.00 KS 07128199 5114# PLM 1 14.it KS 17128011 51040
OCCUP . LOAD . . . . c 11 WOODSfOVES . . . 0 fit 1 296,56 KS 07128/99 51140 Pill 1 21,00 tS O712099 51#40
DWELL .UNITS . . . . . 0 PARKING SPACES : 0 111EC 1 42,0# KS O7128199 51640 Addit ioitl tees Rot 0010 here. .. . . . I
INSPECTION AREA ; 2 SHOREL. I NE7 . ,. . . :Iv ENCP 1 59.00 KS IN28194 51149 TOTAt , 2111.19 YRU/tAI ION: 176161
SETBACKS-.-- .___...._ _. __ ___ TOILETS . . A . . . . . . : 1 FUEL TYPES----------- BOfLERS/COMP___ MOBILE HOME--
FRONT . . .E 37 .0f t BATH BASINS . . . . . . : 1 : /ELE/ / / : 0-3 HP . : €9
REAR . . . .W 95 .0ft BATH TUBS . . . . . , . . : 0 3-15 HP . : 0 MODEL :
SIDE ( 1 ) .N 100 .0ft SHOWER(. . . ... . . . . . . . 0 FORN <- 100K BTU : 0 15-30 HP . : 0 --MAKE: -_W.._---
S I DE (2 ) .S 3 7 .0f t: WATER HEATERS . .. . . . 0 FURN >-100K BTU : 0 30-50 HP . : 0
SHRL I NE .N 0 .Oft CLOTHES WASHERS , . - 0 FURN -- FLOOR . . . : 0 100+ HP . ,. 0 -- YEAR'---- -
REA _._____.____._ _.__._ .- _. KITCHEN SINKS . . . . T HEAT PUMP . . . ., . . : 1
LOT SIZE . . : FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0
BUILDING . . . : 1428sf DRINKING SHUNT . . . : 0 VENT FANS . . . . . . : 2 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT . . . : 0,;f LAUNDRY TRAYS; . . . . : 0 DOMES . INCIN :O --SERIAL.#----
DECKS . . . . . . : 0sf DISHWASHE:RS . . . . . . . 0 AIR HANDLING UNITS_ - COMML . INCIN :0
GAR/CARP :C 110sf CARES DISPOSALS . . . : 0 <— 10000 Gfal - c 0 RELOC/REPAIR : 0
AT1DT . iA URINALS . . . . . . . . . . . 0 => 10000 ctm . c 1 OTHER UNITS . : 0
MISC PLM FIXTURES , 2 GAS OUTLETS . : 0
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PA6JIlT DESGPIPTION;OFFICT: PEI+OU£i
PROJECT lOCATION:IN BELFAiR ACROSS FRON ELEMENTARY SCROOI
a
41HIS PERMIT 6FCOMES NULL AN9 VOID if WORK OR CONSTRUCTION AVT11fR i2ED IS NOT COMMENCED 11THIN 181 DAYS, OR if CONSTRUCTION OR WORK IS SUSPE#/E# FOR A PERIOD
f 41 EATS AT ANY TIME AFTER 1O9t IS CO9M(1Cf6. EVIDENCE OF CONTINUATION OF 11O1K IS A PROGRE"S JASPECT1O0 1iTNIN THE 104 DAY PERIOD, FINAL INSPECTION MUST 9E
PPi VEfF. 8Ef�3RE DUIL8106 CAN Of OCCUP kO,
OWNER OR AGENT:._
Ito—Pol. rev: 1313f l91 COMPL i ANCE TO ATTACHED CONDITIONS IS REOU 1 RED
•
CONCRETE MECHANICAL MOBILE HOME
Footings k date by Ribbons
tb
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date y
BG/SLAB Insulation Floors Final
date _ - by date b date by
FRAN NG�m-i,s c. //• r• - y Walls FIRE DEFT.
date ��il�/� ���' '9 T ,
PLUMBING by date 12 Ap- 71 by date OTHER by
Groundwork Attic
date -I U]�
date by
D.W.V.'5fv 3'>gl.7W CoN i 1- - WALLBOARD NAILING
date by date Z ^ Z -nQ by /?
Water Line FINAL INSPECTION ??
date r/-. - by date _ by l!` date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PjERm i T Cc-) NCi i -r I c) N
Case No , : BLD99--0433
• For : NORMAN WOOD
Page : 1
,1 ) Approved per dimensions and setbacks on submitted site plan . X_____ .�
2 ) Temporary erasion control measures must be implemented to prevent water, quality 1
degradation of €ad jaoent waters or proper t l e% . Silt fencing or straw matting must be
n:sta l l e3d and main ainaA unt: i i upland vegetation has become established .
3 ) Proposed structure or any portion thereof greater than 30" in height from grades tine,
must maintain a minimum of 5 ' setback from all property lines , easements and 10 ' from
all County nd ate Road rIcght of gays
4 ) Provisions for :surface/ subskfrfaces drainage control must be implemented with new
construction or development on site and MUST NOT adversely impact .adjacent parcels .
Under the requirements of Mason County Stormwater Ordinance, private ditches and drains
to retain and Infiltrate a 6-month storm would meet the requlrements of the stormwater
ordinance or prior approval may be granted to use an existing utility and drainages
easement dedicated for that specific purpose . For further information regarding this
ordinance, contact the Mason County Public Works Department prior to construction at
( 360) 427-9670 Ext 50 .
5) This application is subject to Buffer and Landscaping requirements as established under,
Mason County O d nan e 1 .03 .036 .
X
6 ) The use, handling and storage of hazardous: materials or f l awm,ab l e and combustible
liquids in excess of 10 cgallons Is not allowed without the approval of the Mason County
F"t re Marshal .
1 . PROVIDE A 2A 108C RATED RIRE EXTINGUISHER ;OCATED ADJACENT TO THE EXIT DOOR .
2 PROVIDE A LEGIBLE ApEjFIESS
X dl,f
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
0 ) Ownertbuiider assumes all responsibility If drainfieldtreserve area is
encumber tzu�_ -
X ,,
9) Aft approved plans are required to be on--site for ins pec:t i can purposes . If Inspection
is called for and plans are not on site Approval WILL NOT be granted . In addition , a
Re- I nspe ct I on 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 gr .ed
1tate'
10) PURSUANT TO 1997 UNIFORM BUILDING CODE ALL .SITES MUST HAVE APPROVED NUMBERS OR
ADDRESSES PROVIDE IN SUCH A POSITION >`;S 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 BE.
ASSESSED IF OWN /CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTION
X
1 1 ) The approved plot plan Is required to be on- site for Inspection pur poses . It
Inspection is called for and plot plan Is not on site, Approval WILL NOT be granted . In
add i t i ors , a Re-- Inspection 'fee in the amount of $42 .00 per hour (minimum 1 hour ) will be
charged and must be collected by this department prior to any further Inspections being
per-formed orals prov I grante+'.I .
12 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND USC REQUIREMENTS AND OCCUPANCY
IS LIMITED TO THE PERMITTED AND APPROVES) CLASSIFICATION . ANY CHANGE OF USE OR OCCUPANCY
WOULD RE/ IN PERMIT REVOCATION . CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE.'_ .
13 ) Proposed structure or portions th6feof Oyth an projection over 30" in height from grade
I i ne, must maintain a 5 ' separat Iro 01 s ance between adjacent structures and that
furthest projection . X __. _ t=._
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
14 ) Changes to approved building plans that effect compliance t 1.he 1991 Washington State
Energy Coda, 1991 Ventilation and Indoor Air Quatityy � (�
Code, the Uniform Bu i Id i n Code and/or Mason County Regu l at , =n y�,C
be approved key Mason Coun�y prior to construct ionX '� 1%
1 5 ) CONSTRUCTION PROCESS TO BE. FIELD CORRECTED AS REQU I eEp VSON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x
Case No . ; BL.D99-0433
PERMIT NO.: BLD
MASON COUNTY 5 2y
BUILDING PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9 70 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION_ CONTRACTOR INFORMATION
Owner d N k aoo-, Contractor Name (/;.Z D IVKS
Mailing Add ess . O. Ox Mailing Address
City � W tate Zip Code Z Citya/fl��y/P.uJ State Zip Code
Phone( �D) f they Ph. • llt : Q1-4 Ph.( (on ),917 LOSVOther Ph.(
Lien/Title Holder k.,5y Ait/ Contractor Reg. # , 8 riyH Ar-n33 8 f
Address Expiration^/ / /7
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Conne t to Sewer
System Name of S er System Well Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax P�a[cel No. l / 000 Fire is ct
Legal Description "�]� ;L.Z S /rF)F O/
Site Address(Please include street name, street pumber and city) E
Directions to site /A/ XeX FA/ fito.5,I— • / o0
Will timber be cut and sold in parcel preparation? (Yes/No)
Is your property within 200' of the following: Body of Water (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other VUse of Building t0F /C
Describe Work YM,O E's L
No. of Bedrooms__Q No. of Bathrooms I SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other crRp p,,,cjL_C i)S'o ss_ sq. ft i to s-C-
Garaqe 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-1 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 a in conformance therewith. No changes shall be made without
approval. Q first o ainin approval.
X Date / X' Q oy� DateFOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date (. Submittal Amount Due ��Receipt No. 6=,
DEPART _ NTAL'REVIEW APPROVED >DENIED CONDITION CODES
Building Department
Occ Grou Type Constr.
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $
FEES
Building Permit Fee r /
Plan Review Fee UFC Ian evi Fee
Plumbing & Base Fee
Mechanical & Base Fee Other
57
Wood/Gas/Pellet Stove Fee Other
Pao 4
Pre-Paid at Submit MI ( C
7-30
::::::::: ........ TOTAL FEES
l
Tue May 18 11: 43: 36 1999
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FORM MUST BE COMPLETED IN INK PERMIT NO.:
PLEASE PRESS HARD MASON COUNTY
PLUMBING/MECHANICAL 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 AlanYl.u[SLe,--- Lv(_)od Contractor Name
Mailing Address Mailing Address
City State Zip Code City State Zip Code
Phone( Other Ph.( Ph.0 Other Ph.0
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. / / Fire District
Legal Description
Site Address(Please include street name, street number and city)
Directions to site
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building
Location of Fixtures/Units 1 st 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 Heatpump
Toilets �_ 7 " Type of Unit No. of Units Fees
Bath Basins _� 7 •' Furnace
Bath Tubs Heatpumps �. En
Showers Vent Fans
Water Heater Propane Tank
Laundry Wsher Gas Outlets
Sinks _� Wood/Gas/Pellet Stove
Dishwasher Direct Vent?
Other S.5-0 Other ,A HU B
Other Other
Base Fee ZO- Base Fee LZ —
TOTAL PLUMBING jci.5Q TOTAL MECHANICAL=
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-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 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 Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPAR7MEfVT U REVfEV1! APPROVED DENIED ....:i ....s G 1h[FlifIQN.Gd:GfES
Building Department
Occ Group Type Constr.
Planning Department
Other
Other
......
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.
Name � �"'` �'� DIQ���/� PARCEL NUMBER °f., °�L' ,j�J-+�iCr�52pate .5-/T— 9 9
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
11 Names of Fronting Streets Septic System
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line.
adjacent property line- , I f-adjacent property line
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adjacent property line- I I <—adjacent property line
SAMPLE SITE PLAN
adjacent property lined 3to' E-adjacent property line
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SEASG.J AI. i• h ,� _�TSL_ I
CREEK \ I t% fi MOM E i G4SEN
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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
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5hrucfiL�Yt
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Signature Date