HomeMy WebLinkAboutBLD95-00806 Final Deck - BLD Permit / Conditions - 7/31/1995 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
I �
t3 lJ 1 t_ C7 I N C3 IP k fR M I T FOR INSPECTIONS CALL 427-9670
RF'IWFFN 5p►o AND E;ara 427--7262
BLD95-0806 PARCEL_ -32 1 2 7 53001 25 PLAT :LAPLO D 1 V : Bt_K t LOT -
-JOB ADDRFSSr V 511 DARTMOOR DR RHE:LTON
OWNER : BOB BENITP 426-3447
CONTRACTOR - DFTRAYS QUAL- 1TY FIUMF
LEGAL t LAKE 111FRICK 4 TRACT 175
CLASS Of WORK , tNFW BFDR - 0 BATH : 0 TYPE A10611 OY DATE A t C I I P I fi1YPf AMOUNT BY BALE if l►f
TYPE OF (1SE . :ACC STORIES . . . . . . . rO
OCCUP . GROUP . . . :7 BLDG , HC I GHT . . : 0 .01t f NCP 1 10.00 KS 07125195 39727
TYPE OF' CONST . . :7 FIREPLACES . . . . c O PAST 1 16.00 KS 47l25195 39727
OCCUP . t. OAD . . : 0 WOODSTOVFR . . . . : 0 Pl f•K ! f-.4 KS 01125195 39721
DWEI L. .UN I TS . . . , c 0 PARKING SPACES : 0 STFE 1 4.50 1+ #1125195 39727
INSPECTION ARF:At 3 ::Ii0RFUINE7 . . . . :N 101Atc 31.0f V'AINA11001c 960
._?142:Er.S^��^—'-�"^�': -:_Yl.�T2�.t'.'�^�E':2�y::GL�'R�:AC:.. ATi.�•L'LJIXYnC�x'q.t`R�Tt^..HLK�.
SETBACK,`, - - _.____._ -- TOILETS . . . . . . . . . . .. 0 FUEL TYPES-- -- -- BO I I.ERS!COMP--- MOBILE HOME--
FR0N1 . . . . 10 1 0f t BATH BASINS . . . . . . t 0 0- :3 Hp ' . 0
REAR . . . .N 10 .0ft BATH TUBS . . . . . . . . : 0 3-15 HP .. : 0 M(_)DFLt
SIDF ( 1 ) .F 12 .w t SHOWERS . . . . . . . . . . : 0 FURN - 100K BTU - 0 15. 30 HP . : G� F4AKF-
SIDE ( 2 ) .W 10 .0ft WATER HEATERS . . . .. t 0 FURN »100K BTUs 0 30-50 EIP . - 0
SHRI. I NF . 0 .Oft C1 O'f HES WASHERS . r 0 F UAN Ft OOR . . . - O 50-1- IIP : 0 YEAR
AREA _._.__ _ .. _.__.__- -__._ KITCHEN SINKS . . . . - 0 HEAT PUMP . . . . . . : 0
t.OT S 17F . . . FL-OOP DRA INS . . . . . . 0 VENT fiYSTFMS , . . . 0 FVAP COOL FRS : 0 1 FNGTH t 0
BUILDING, Osf DRINKING F0UNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . c 0 WIDTH . - 0
BASEMENT , 0 s f LAUNDRY TRAYS, . . . . c 0 t►nME.', . I NC I N r0 --%, FR I At #
DECKS . . . . . . . 160sP DISHWASHERS . . .. . . . , 0 AIR HANDLING UNITS--- rOMML. . INCIN -fO
GAR/CAPP :? Osf GARB DISPOSALS, 0 10000 0fm . r 0 REI OC/RFPAIH : O
Al /DT . r? URINAL.S . . . . . . , . . , : 0 > 10000 cfm . r 0 OTHER UNITS , t 0
M I SC 131 M F I XTURES t 0 GA;; 01J1 I-F TS . r 0
�cmm.:s:ssa:nx.ra+:.-tzr.�+�v-:r:.�+7e...._�..-an.-•.y-•-..-sa�rsx.x-rmvsrs•s�e.xasr:c�-sn.:c^esw.r.r:a-s2rnva:.aa._-r.. 'c:z-.::• .�:-.:a-:>�zreaivaax.�mcis.. -rxr�c�.en x.*.
PROJECT DF.SCNIPTION;RICK
PROJECT LOCA11011:11GH1 ON OAR1110011 DR, SIAY RIGHT, AO HAIF Mitt, 101 IS OM THE IE11.
THIS PERMIT BECOMES NUI.I. ANO VOID IF WORK OR CONSTRUCTION AUfNOAIZED IS NOT COMMENCED 1111111 1110 DAYS, OR IF CO11511UC1101 OR 10fcf IS SUS11110 ft FOR I PERIOD
OF 180 DAYS AT ANY TIME AF►FR WORK IS CONNE101). FVIU NCE Of CONTINUATION O1 WORK IS A PROGRES" INSPECTION 11111111 THE Ing DAY P1111011, fIVAt fNS►ECTION MUST Of
APPROVED BEFORE 891t-0INO CAN OF .CUPIED.
91011 OR AGEN1t.._. ,�[( .._ �' (r' DAlfc_.
BID PRMT, rev, 03131191 COMPLIANCE 170 AT-fACHED COND 1 T I ONS IS REQUIRED
I 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 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 A51 Z J by date by
--- ------------------------
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PE RM 1 ..r C: C:)NL:.) 1 T 1 C3N
Case No . , BLD95-0805
For : BOB BFN177.
Paget 1
1 > Structure ust be setback 5 ' from all utility and drainage easem"nts , a total of 10 `
Tr each o arty line, or a variance rust be obtained from they Building Department .
x
2 ) Proposed structure or anv portion 1hpreof greater than 30" In height fror» tirade* 1Ifoo ,
must ainta;in a minimum of 5 ' setback from all property lines , easements and right of
i
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 pO
#1 Dvli >�e�rt2-- Phone# ZU� — �/�6
it Address s� �sc�M u c3/L lu v/ Fire District#
ity Q �v.� St Zip
Directions to Job Site
ro
Owner Mailing Address 3 1995
City Um St Zip
Lien/Title Holder 7M smwrim,-..
Address
Clty St Zip
#2 contractor Name t U,•v �iC ` �-�u�— Contractor Reg # i i uL f3e1—i 6(L),3
Address F—� 3 Z 1_r a tit Uxa'JJ xpiration Date .3 / L_ / 9.6
City St Zip VD't Phone # Z u q26-3YV2
#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)
�a5
#4 0
�galscription G U•�-��u� �i y y
#5 Building Square Footage: (existing/proposed)
1st 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 MO MANUFACTURED HOME INFORMATION
Model Year � Model
Length Width e[�al No.
# Bedroom # Bathrooms ` Type of Heat
P se 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 Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking 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
/ j �'i<_
I
Plumbing Fixtures ($3 each) FM Mechanical Fixtures ($6 each)
No. Toil is CIRCLE FUEL TYPE: Gas, Electric,
_Bath sins Heatpump, Other
_Bath Tu _ No. Units Fees -
-Showers Furn BTU
Hot Water H Heatpumps
Laundry Was r Vent Systems
_Sinks _ Spot Vent Fans
Floor Drains No. Boilers/Compressors
Laundry Basins — HP ;
Dishwasher No. Air Handling Units
_Disposal — cfm#
Urinals . Fire Protection t m
Other Auto. Fire Alar. Sys 50.00
Fixed Fire S p{�. Sys 50.00
Perm' Basic Fee 15. _ Auto Fire Sprink S" 25.00
T TAL PLUMBING $ No. Other f
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.
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
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 Codd. Hold
Approval
Planning: 1 j '` dti C.Ac M1�
� � �Z\
Environmental Health:
-Z`�`
rj
Building Plan Review
Z �
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
O/ Other
Building Valuation: 6 �p� TOTAL FEE 3�—