HomeMy WebLinkAboutBLD97-00169 Final Deck Cover - BLD Permit / Conditions - 4/23/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
B LJ I L_ U3 1 N Ci P 11=_ F-i M i -T FOR I NSPF C T I ONS CAI t 427...9670
BETWEEN Spm AND Sam 427-7262
BLD97--01430 PARCF.I_ ::321275300124 PLAT :LAPI.O DIV : Bl_.K c LOT :
JOB ADDRESS : F 531 DARTMOOR DR SHE LTON
OWNER ; ROBERT ESSON 426-4005
CONTRACTOR : LAND ASCPPFRS 426 -9922
LEGAL : I.AAF t1MERICA 4 TRACT 124 F 531 DAITNOOR DR
-.s.•.�'C�IyT•SSA.'Q.'�.-'+:.':XL�'9!7'r.'i.'.�`SMZ'isi3.'2:YSC:FT.32R'dCIDY1:d^S:>'.R.;!Dx7�A.'!'!Sc.�.:'.T:..`.i:�L'�.'1R.'�dR."IJtt'."tL`SYTAf'4X_'3TTJ^..:.1�.Y1�
CLASS OF WORK . . sNF'W 11FDRe 0 13ATH,, 0 TYPf ANOUNI 8Y DATE RfCEIPI TYPE 4100N1 BY BAIT RECfIPT1
TYPE OF USE . . . . !ACC STOR 1 Efi . . . I
OGCUP . GROUP _ :U 1 BL DG . HF I GH7 . . w O .Oft PINT 1 46.00 KS O4103191 44213
f YPE OF CONSI . . : 5N r 1 REPLACES . . . , c 0 PICK 1 19.40 KS 84103197 44263
OCCUP . I OAD . . . . c N WOODSTOVES . . : . : 0 jSTfE 1 4.4 KS 04103197 44201 I
DWE:I.I_ .UN I T'ti . . . . : 0 PARKING SPACES : 0
INSPECTION ARFA . tiIiORFL INV7 . . . . rN � 10IAI: 6R.90 VAtULAT10N: 1,15
:n�EiXTAC`fSMCiG'.�^12T.6X.=:X'.G�?�.::}iv�IP.F.S'C3�» �:.R �Rd�".IJGY'Y39R`.1^CC3St.�Yiiv^.';f�i2S.^�'.1C:S'4.Y
SEl-8At:K S-.._..__ _.:_._..._.._ _ TOILETS . . . . . . . . . . c 0 FUEL TYPF:;,_.. ___...__._._._.. 1301 !_.ERS/COMP--.._... MOBILE HOME _ _
FRONT . . .F 143 ,Of t BATH HAS INS . . . . - 0 0._3 flP . : 0
REAR . . . .W 10 .0ft BATH TuBs . . . . . . . . 0 3-• 15 HP . s 0 MODE L.
SIDF= ( 1 ) .N 10 .0ft S1-I0WFRS . - , 0 FUIIN . 10(1)K 13TU : 0 15 30 HF, , : 0 —MAKE
S I E)E (2 ) .S 15 .9 f t WATER HEATERS . . . O TURN > 100K BTU : 0 30 50 HP . 1 0
SHRI... T NEE . 0 ,oft Ct.OTi1ES WASHFRS . . s 0 F=URN - FLOOR , . . . 0 50-1- HP . c 0 YEAR-
AREA KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0
I OT SIZE _ Ft OOFI DRAIN.'- . 0 VENT SYSTEMS — , : 0 F VAP COOL.E:RS : 0 t.FNO,TH : 0
BUILDING — .- 1 808f DRINKING FOUNT .. . . . 0 VENT FANS . . . . . . c 0 I4000S . . . . . .. . . 0 WIDTH —c 0
BASEMENT , , 0 f l AtINDRY PRAYS , . . . : 0 DOMES . I NC I N :0 SER I Al �—
DECKS . . . . .. 0 f DISHWASHERS . . . . . . : 0 AIR HANOL I NG ON I IFS, COMML . 1 NC I N .O
GAR/CARPc7 Osf GARB DISPOSALS . . . . 0 ,, _ 10000 nfm . : 0 RF OC/RFPAIRi 0 I
AT/DT . :? URINALS . . . . . . . . , . . 0 > 10000 of►n . : 0 OTHER UNITS . : 0
MISC PIM VIXTUAF":" : 0 GA; OUTI. E`"fS : 0
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PROJECI HESCJIPfION:DECK COVER
PROJECT I.00A110N:NORIH ON HWY 3 10 MASPR I.AKf RD PtSI IFFT ON NA$911 LAFE 40 TO DAhIN00R RRIVE (AI JAKF 111fRIC91 RI4111 ON IjrRINi14R 1:= 1 '11
THIS PE9011 BECOMES NUIt ANO V019 IF WORK 01 CONSfIDCTION AU-TH®AtZFQ IS NOT CONNFACED IllfhlN 161 DAYS, OR If CONSFROC1101 OR WONN IS SUSPfAREH F01 A PERIOB {
OF 198 DAYS AT ANY 1101 AF1FR WORK 1s CONNENCfD- EVIDENCE OF CON1110ATION Of WORK IS A PRD6RESS INSPECTION WITHIN THE Is0 PAY PERIOD. FINAI IWIlPFC11011 111Sf 81
APPROVED BEFORE OPIL011I0 CAN RE OCCUPIED,
011IN R OR A6E41:
11111 ?141, rev; 83131101 rOMPI. IANCF TO ATT'AC11ED CONDITIONS IS RF01JIHFP
f
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b i
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by
FRAMING date by
Walls FIRE DEPT.
date by date by
PLUMBING date by OTHER
Groundwork Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date t./, -?3 97 by L✓ date by
I
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Piro Ron I -F c: c0NT�l A _- I c►N !l
Cane No . : BL D9`/-.0169
For : ROBERT FSSON
Page : 1
1 ) Th" unde•rs ionerl T-)roperty nwner is aware of the rrnoor to l nt / reTtardi rrct Mason County ' s
development regulations created Lay the Growth Man.agment Near i nets Board 's Order of
October 2, 1996. and in c ons irlerzat i on of Mat;Qn county 's wi 1 i i nkiness to procreed with
processing of applications which might be of feact ed bV the Order , the unde►rs i gned
pproperty owner, hereby a(rrees try waive arty lawsuit , notion , or c t a Im fordamfageF aqa i n-it
Jason CountV wh 1oh may ar 1 se out. of Mason County ' s actions in acoeptanc;e, processing
and/or, 1 asuanne of such permits or approvals ( hereinafter "permitting act i on��" 1 , which
damages are attributable to the County ' s decision to take permitting actions despite
the risk that changes to the CountV 's development regulations might later mr:rke the
County 's penn) t_ng actions invalid .
X
2 ) Structure must tic setback 5 ' from all irti l itv and drainage easea►ent�: , fa to-tat of 10 '
from each proper line , or a variance must be obtained from the BuIIdInq Department ,
3 ) Propo sell structures or any portion thereof cheater than 30" iri height from grade tine ,
must maintain a minimum of 5 ' setback from all property l i neAs , easements and 10 ' fr(-Ai
X all County anal, Str�_t.e Road r lght of ways .
4 ) At I approved plans are r egi.r i reel to be on- site for r n.: peat i on p+rrpo;�es . I f I ns,pect. I can
is called for and plaf►s are not on site. Approval Witt NOT be granted . In addition , a
Re- inspection fee In the amount of $32 ,00 per hour (minimum 1 hour ) w i 11 be charged and
must he co iected by they department prior to any further Inspections being performed Sir
approval gr ante-d
5 ) PURSUANT TO 1994 UNIFORM BU i L.I) I NG CODE , SECTION 305(C ) ANt) , i; (-; T I QN 513 , At.1 S 1"TE`�- MUST
HAVE APPROVED NUMBERS OR _ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEGIBLE FROM THF- STREET OR ROAD FRONTING THF ' PROPERTY , MASON COUNTY BU11.DINo
DEPARTMENT" REQUIRES THAT FHIS BE COMPLETED PRIOP TO CALLING FOR ANY SITE INSPECTIONS . A
RE I NSPE CT I ON FFE , RASFTI ON RATE: IN TABLE 3A OF THE 1994 UNIFORM 901 L. h I NC CODE Will BE
ASSESSED IF OWNER/CONTRACTOR FAILS -TO POST AL)DRFs', ON 5I TF PRIOR TO REQUESTING
INSPECTIONS .
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
X L
6) ALL CONS'.F13UCJA t'sN WVVI AFET OR F'XCEEO At i_ I OGAt CODFti AND UBG RFQIJ I PFMFNI S .
X_..._
? ) Changes to ap1►rc,ved hui Ic1Ir►g pIarts that vffeot comp iance to the 1991 Washington 'State
Fnergy Codt4 1991 Ventilation and Indoor Air Qua t i t
code, the Urfifarm FluI1dinci Codes and/or Mason Cr�mtyY 40qu1atiorb must
be approved bV Mason County prior to c onstruct i anX__�__._� .�_.�. .w.__.
8 ) CONS TRt)CT I ON PROCES`3 Tn BE. F I E I D COP PFC f'Ffr AS R&OU 1 . F D PER MASON COUNTY 110 1 i Ia 1 N{,
F.A PARTMENT AND UNIFORM BUILDING CODE: . x_..__
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 Ow r C C �c:f� C Phone#
Site Address�_S I <c.s—fm r� Fire District#
ity �h �. � a--yL WA St !/�19- Zip % S
Directions to Job Site , Also 4 k
4 LA/a _ mAD r /G
Owner Mailing Address
City St Zip
/Title Holder
Address
Clty St Zi
E/C
#2 ContractorName �J�'r/�� �� iA&r- Contractor Reg#
Address s,�e' %V3 0 Ex iration Date
City Sh St A"A- Zip Phone#
#3 If septic is located on roject21ric
, include records.
Connect to Septic? P Water Supply Well
Connect to Sewer Syste Name of System
(If residential, proof of otab water is required)
7 el
No. �� - 5 3 -_
Legal Description Zy Z
#5 Building Square Footagg: (existing/proposed)
1st FI / - 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq.ft. / ' ' .tom O S� '
#6 Use of building ST i{� Describe work-CA
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Ma a Model
Length Width Serial No.
# Bedrooms #B oms Type of Heat
Purchase Price$
#9 Indicate by circling the applicable source if artywalpeis on or adjacent to subject property:
/n River Pond Creek Stream Wetland Lake arsh 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
Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 each
t
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
math Tubs No. Units Fees
Showers Furn BTU
_Hot Water Htr \ — Heatpumps
—Laundry Washer ;' Vent Systems
_Sinks Spot Vent Fans
_Floor Drains No. �., Boilers/Compressors
/Dh
ins �/ — H
I No. Air Handling Unit cfm#
No. Fire Pro' i S stems
— Auto. Fire arm Sys 50.00
Fixed Fir Supp. Sys 50.00
Permit Basic Fee 16.75 _ Auto Fire Sprink`Sys 35.00
TOTAL PLUMBING $ No. Other
Gas Outlets
Wood, Gas, Pellet Stove
i
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
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 OFTHE 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 EPARTMENT. DEPARTMENT.
X OWNER w -C2�� � �✓ X BY
DATE 2&�� 2- �z DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: +!11,A — � �Jcv �1� n�r✓�S
Environmental Health:
J °11
Building Plan Review -3_z7-9-7
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit y6 0 0
Plan Check f U°
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee So
Other
Other
Building Valuation: /J-O- 7S /5 7 5 TOTAL FEE
�SSD�
,5 31 �a✓fm�o r .�r
PL 70' she�fn�
N
N
PL 22S' �N�trq Fences PL '2Z5'
E_xist1ny EV in
f Dec. K + _ M 9 9j
t % �� Home �
/FY
porch
orrb� 4 ' C,
Der
C o ve le.*
cover -
�E Free -s-bmdLng
NOTES:
1. Lot I Z 4 LK Li rrer is k
D i v.4 Voi (o Plats Fkges
19nA 19f.
2,, ponce Lora-+Ion W''+hin
grope,-ty L.iheS �p�►'oX.
3. Scale I�� ■ 20�
P L 70'
GARY YANDO,DIRECTOR
SON.STA v-
A �, DEPARTMENT OF COMMUNITY DEVELOPMENT
v
S T i PLANNING -SOLID WASTE-U ITI TILES
9 N Y y BLDG. I • 411 N. 5TH ST. • P.O. BOX 578
of 1864 SHELTON,WA 98584 • (360)427-9670
DISCLAE%4ER/WAIVER OF COUNTY LIABILITY: PERMITS ON EXISTING LEGAL LOTS OF RECORD,
LAND DIVISION APPROVALS,SHORELINE PERMITS, VARIANCES,AND SPECIAL USE PERMITS:
The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created
by the Growth Management Hearings Board's Order of September 6, 1996, and in consideration of Mason County's
willingness to proceed with processing of applications which might be affected by that Order,the undersigned property
owner hereby agrees to waive any lawsuit, action, or claim for damages against Mason County which may arise out of
Mason County's actions in acceptance, processing and/or issuance of such permits or approvals (hereinafter"permitting
actions'),which damages are attributable to the County's decision to take permitting actions despite the risk that changes
to the County's development regulations might later make the County's permitting actions invalid.
Date (Parcel No. or Legal Description)
Property owner's signature(Notarized)
(or the County may accept the signature of the owner's authorized agent upon proper proof of authorization)
ACKNOWLEDGEMENT CERTU41CATE (INDIVIDUAL)
STATE OF
COUNTY OF
On this day of 'K 0)Q , in the year,before me XA fWU Notary Public,
personally appeared T4)h)U_\A7 - 12MWpersonally known to me to be the person whose name is
subscribed to this instrument, and acknowledged that he/she executed it.
WITNESS my hand and official seal. -For County use only-
-do, N Revieiyed b licant on
i'CANE P %� L I
1,k -X�� �� \�,s Af
� �`S�IOII� ;�\�1 (bate)
No ry's signature 2; tAOTARy, Staff Initial:
My Commission Expires. — (�: r "i
PUBLIC
N�•;O 06
�C�-WAS1r\NN�' F
1