HomeMy WebLinkAboutBLD93-01578 Cancelled SFR - BLD Permit / Conditions - 1/6/1999 MASON COUNTY
. sr-
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
' F3 u I L_ D I hl C-a P F R tvi I T FOR INSPECTIONS CALL_ 427 -R670
BETWEEN 5pm AND Sam 427-7262
BLD93-•1578 PARCEI. :321275400070 PLAT :LAPLO DIV z BL.K s LOT
,JOB ADDRESS : E 840 OLDE LYME RD SHE:LTON
OWNER : M I CHAEL FR I CK 42.6-- 4037 PE1°1'
CONTRACTOR : VYRAM i D CONSTRUCTION 426^-4037 NULL & VOID' �Y EXPIRATION
EXPIRATION
LEGAL s LAKE LINFOICK 5 TO 14 ,cl� BY � )
ATE �A�
CLASS OF WORK . . tNEW BEDR : 3 BATH c 2 TrvE AMOUNT 6Y DATE RECEIPT Fr►E AMOUNT BY DATE RECEIPT
TYPE OF USE . . . i SF STORIES . . . . . . . : 1 .
OCCUP . GROUP . . . r? BLDG . HEIGHT . . : 0 .0f t PRNT I 315.00 !IS 19171194 37243 STFE 1 4.50 6 09121194 37243
TYPE: OF CONST . . :? r I RfPI..ACES . . . . r 0 RADII $ 6.06 KS 09121194 37243
OCCUP . LOAD . . . . z 0 WOODSTOVES . . . . e 0 PICK A 157.50 KS 09121194 37243
�,�..
DWELL. . UN I TS . . . . : 0 PARKING SPACES r 0 INN $ 45.09 KS 09121144 37243
INSPECTION AREA : 3 SHOREL. INF? . . . . sN INCH 1: 33.00 KS 19121194 37243 TOTAL c 591.10 VALVIATIONs 5349A
t•�C'�:SCSii4�^C.9CCt'�c3�'OIs.�Gffi�YST�Y�^�,9et"'iO3.: ... 'R'i�Sl9 ."�
SETBACKS---__.-.__------_- TOILETS . . . . . . . . . . s 2 FUEL TYPES- ..---__.-__- BOILERS/COMP------ MOBILE HOME---
FRONT . . .W 30 .Oft BATH BASINS . . . . . . , 2 : /ELE/ ! I : 0-3 HP . r 0
REAR . . . .E 10 .0f t BATH TUBS . . . . . . . . . 1 3-- 15 HP . c 0 MODEL :'?
L I DE ( 1 ) .N 10 .Oft SHOWERS . . . . . . . . . . z 1 FURN < 100K E37U : 0 15 -30 HP . : 0 MAKE- _-
SIDE (2. ) .S 10 .0ft WATER HEATERS . . . . : 1 FURN >-100K BTUs 0 30-50 HP . : 0 7
SHRL 1 NE .? frj .0f t CL-.OTHCS 6MASHF..RS . . r 1 FOAN �- FLOOR s 0 5t11+ HP , s 0 -YFAR-
AREA --- -- -- - KITCHEN SINKS . . . . : 1 HEAT PUMP . . . . . . z 0 ?
LOT S1ZE . .. t? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . : 0 EVAP COOLERS : 0 LENGTH 0
BUILDING . . . s 1148sf DRINKING FOUNT . . . : 0 VENT FANS . .. . . . . : 3 HOODS . . . . . . . . 0 WIDTH . : 0
BASEMENT . . . : 0,�.f LAUNDRY TRAYS . . . . .. 0 DOMES . INCIN :O -SERIAI-#- _.._"
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 1 AIR HANDLING ')NITS-- COMML . INCINsO 7
GAR/CARP :G 440sf GARB DISPOSALS _ . : 0 -- 10000 cf m 0 REL.00/REPAIR : 0
AT /DT .. :? URINALS . . . . . . . . . . , 0 > 10000 c,fni . : 0 OTHER UNITS . , 0
M i SC PL.M FIXTURES : 0 GAc; OUTLETS . : 0
PAOJECI OESCAIPTIAN:RESIDENCF
PkOJECT LOCATION:OUI HWY 3 TO 1ETT AT MASON LAKE ROAD TO RIGHT AT OLD LYNE ROAD, JUST BEFOR R.R. BRIDGE TO CULOESAC Al END OF ROAD.
fNi , PERNIT 8ECONES NULL AN" VO10 IF WORK ON COOST98CII00 AUTHORIZEO 13 NOT CONNENCED W'ITNIN 100 DAYS, OR IF CONSTRUCTION OR 108C 'IS SUSPFNOED FOR A PERIOD
{F '00 DAYS Al ANY TINE AF1ER WORK !ti COIINFNCEA. EVIDENCE OF CONTINUA11011 Di WORK IS A PROGRESS INSPECTION WITHIN THE 180 DAY PE1111). FINAL INSPECTION NU';T Ff
V:,APPIOVED BEFORE OP11,011IG CAN BE OCCUPIFO.
01rvfR OR AGENT: _ DAIS: /
ItI-PANT, rev. 13/31t91 COMPLIANCE TO ATTACHED CONDITIONS I REQUIRED
1
CONCRETE MECHANICAL MOBILE HOME
Footings-SetbabP- date oy Ribbons
date by Gas Piping OVWA f'y z date b
Foundation Walls date Set Up
date by INSULATION date by
BG/SLAB Insulation Final
� Floors
date by date by date by
FRAMING - Walls FIRE DEPT.
/
date ` Ac:t ro date-�5�z by
date by
PLUMBING ,;` Attic OTHER
Groundwork
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
cey►gnn>�pr�ov�ht o z�u
V
Page No. I CONDITIONS/CORRECTIONS FOR CASE NO.: BLD93-1578
MICHAEL FRICK
E840 OLDE LYME RD SHELTON
03/12/96
1) Flammable & Combustible Liquids -- The use, handling and storage of hazardous materials or
flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of
the Mason County Fire Marshal.
X
2) Sideyard Setback -- Proposed structure or any portion thereof greater than 30" in height from grade
line, must maintain a minimum of 5' setback from all property lines, EASEMENTS and right of ways.
(Total 101)
X
3) POST ADDRESS -- PURSUANT TO 1991 UNIFORM BUILDING CODE, SECTION 305(C) AND SECTION 513, ALL SITES
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 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO
POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
X
4) ALL CONSTRUCTION -- ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS
X
5) Changes to Approved Plans -- Changes 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 Regulations must
n be approved by Mason County prior to constructionX
I Gas Pipe Pressure Test -- The owner shall have available on site for inspection by Mason County, a
report indicating the name and license number of the installer, the amount of pressure at the time
of testing and the length of test time. This report shalt be signed by the person conducting the
test.
Propane Tank -- If the tank size is between 125 and 500 gallons you must follow these guidelines:
1. Tank is to be 10 feet from any buicting, public way or property line.
2. If the tank is exposed to probable vehicular damage, provide
protective bollards.
3. All weeds, grass, brush, trash and other combustible material
shall be kept a minimum of 10 feet away from LP containers.
Xe&/
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 e
PLEASE PRINT �t t�
#1 Owner /�/�',t�,G,l,�L � C.C� Phone#
Site Address -4OT 7e2 S .C�9.Y.E .<//yl,(�fl'��Fire District#
City St Zip
Directions to Job Site Z — A/—
Owner Mailing Address
City St_21P_)A Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name�y�.�I�Jl/�1 �( 5�.f� 7%�� Contractor Reg#�
Address �A���7� �C/� T1/�l .E�/_�, Expiration Date_ /_,,:�78
City 5fi66l7224✓ St U,41 Zip 9FfS Phone# 4&Zyg
#3 If septic is located on project site, include records.
Connect to Septic? f� Public Water Supply ✓ Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No. 'a2/-2 7- 5V - OOD 7O
Legal Description ,LOT 70
#5 Building Square Footage: (existing/proposed)
1st FI / -3r 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms �f2 #bathrooms
Garage Carport / (Circle:Attached or Detached?)
Other sq. ft. /
#6 Use of building ,,��5/Z2 /�C' Describe work //Lb
S� l/ d W
#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 Dimensions Flood Zones
Existing Structures Fences �1
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
APPLICANTJO DRAW XI,.E PLAN BELOW
plp �
/U rCl
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3.45 each Fee Mechanical Fixtures ($7.00 each
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
howers Furn BTU
H Water Htr Heatpumps
Laun Washer Vent Systems
Sinks Spot Vent Fans
Floor Drain Boilers/Compressors
_Laundry Basin HP
Dishwasher No. Air Handling Units
Disposal _ fm#
Urinals No. Fir Protection S stems
Other _ Auto. ire Alarm Sys 50.00
Fixed i e Supp. Sys 50.00
Permit Basic Fee 17.25 _ Auto Fire rink Sys 35.00
TOTAL PLUMBING $ No. Other
Gas Outlets
Wood, Gas, Pellet ove
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 17.25
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 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 DEPARTMENT. DEPARTMENT.
OWNER v X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review f)?r- '-7,1.:f C-//i e,-) 4�F
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
33 C, - �y s
��9Z Building Permit 6Z SD
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee f�
Other
I
Other
Other �G
II
Building Valuation: 3 1 TOTAL FEE
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each
No. .L Toilets CIRCLE FUEL TYXjq, ectric, ,,
.2 Bath Basins Heatpump, Other
1 Bath Tubs J No. ni s Fees
/ Showers 3 Furn BTU
Hot Water Htr 3 _ Heatpumps
Laundry Washer 3 Vent Systems c
Sinks Spot Vent Fans o
_Floor Drains No. Boilers/Compressors
_Laundry Basins _ HP
Dishwasher No. Air Handling Units
_Disposal cfm#
_Urinals No. Fire Protection Systems
Other Auto. Fire Alarm Sys 50�00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ LJ4
I J No.. Other
Gas Outlets �p"
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 1, $��
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- X
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION. I 0
l � `
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. DEPARTMEN .
X OWNER X BY L
DATE DATE
FOR OFFICIAL USE ONLY:Accepted by: � � bate:
I
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: )d hel 1 ►Mtnyo S► (/i2��Wv� Se gC f�
Environme tal Health: .5.1 t6 r v s s-c c� wet( s,
T/�/�
Building Plan Review rYlUc*,:k' rfleeC ta1z71r.-5L,,L->Pz (1�
Occupancy Group :-3 m-J-Type of Const: SIJ
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check 15�.
Plumbing Fee �S.do
Mechanical Fee 3 3,D
Wood/Gas/Pellet Stove
Radon Monitor 6.6u
Violation Fee
Site Inspection
Building State Fee 5 D
Other.
Other
Building Valuation: TOTAL FEE