HomeMy WebLinkAboutBLD98-00099 Cancelled Deck - BLD Permit / Conditions - 1/5/2007 MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
B t.i I L C--► 1 IhI C-1 F? F " M I T FOR INSPECTIONS CAI ;. 427--967O
BETWEEN 5pm AND Sam 427--7262
RLD98- 0099 PARCEL. -3212754O0100 PLAT sLAPLO DIV : BL.K s LOT -
JOh ADDRESS, 621 E OLDE LY141F RD SHEL TON
IIWNER . DFININ I S MOOD 427-6579 PERMIT CATION
CONTRACTOP : VOID BY EX
LEGAL. s LAKE Li1fFRICK 5 TR III r4ULL &
DATE '
rLASE;; OF WORK . NEW BEDR : 0 .BATH : 0 r7. A11I064T B{ DkTE RE(:Eiri ti !ir 6� Us►E RECEIPTv .
TYPE OF USE . . . . :A0,C ti TOR I FPS . .. . . . . . .0
OCCUP . GROUP _ s 7 R1 [7G . liF I GHT . . s 0 .Oft PRNI I 35.Ob TR 82128l88 464113
TYPE OF GONSI . . s 7 F I REPLACES . . . . : 0 ;PICK f 14.0f IN 62?21I98 46483
OCCUP , 1, CLAD : . . . . 0 WOODST'OVES . ,. , s 0 'STFF f 4.SO If #2120198 46483 �
DWE1,L .UNITS . . . . : 0 PARKING SPACES : 0
1 NSPECT I ON .ARFA s # •)'HORFt., I NE? . . . . aN 53.56 YA101A'11011s 11?0
TOILE`fS . . . . . . . . . . s 0 FUEL TYPES—— —._ - DO11._ERSICOMP -- MOBILE HOME_._
FRONT f; 102 'Of t SA I H 'BAS I NS , . . , 0 s 0• 3 HP . , 0
REAR . > . ,W 40 .Oft BATH TUBS . . . . . . . . : 0 3-- 15 HP . : 0 MODEL ;
SIDE ( 1 ) .N 10 , OfIt c-41OWFIRS . , . . . . . . . . , 0 1' ORN - 1OOK BTU - 0 15- :30 HP . 0 -t4AKE_ _...
SIDE (2 ) .S 48 .Oft WATER HEATERS . . . . : 0 FI ORN 1O0K BTU : 0 30—50 HP . - 0
SHRL. I NE .N 0 .Oft CLOTHES WASHERS . t 0 Fl1 RN I,LOOR . . : 0 150 a- lip . : 0 YEAR
AREA ---- _. .__.__ ._ _.-. ____ KITC:HhN SINKS . . . . : 0 FEAT PUMP , . . . . . : O
LOT S I ZE . . . FLOOR DRAINS :. . . . . : 0 VENT SYSTFMS . . . . 0 EVAP ( OOL..FRS : 0 LENGTH - 0
BUILDING . . , : 01�f UAINKING FOUNT . . 0 VLFNT FANS . . . . . . : 0 HOODS . . . . . . . s 0 WIDTH .. : 0
BASEMENT . . : : N'sf LAUNDRY TRAYca . . . . s 0 DOMES , INCIN :Ft � T;RIAL.II- -
DECKS . . . . . . s Osf DIS14WASHERS . . . . . . s 0 AIR HANDLING UNITS- - COMML . INCIN :O
CAR/CARP :? 0sf GARB DISPOSALS . . . . 0 10000 ctmt - 0 FIELOC/REPAIPt 0
AT/ DT . :? CIR I NALS . . . . . . . . , , : 0 10000 cfrn . : 0 OTHER UNITS . - 0
MISC; P1 M FIY.TI-IRES : 0 GAS 01ITLF18 13
�+�'�'-W[�':+ZZ61T.�'R '«^..:':1C[Y{#"S_:,9fi33T.S.-'C'SP="wti':�"'::%SG9 L1101Y00C C'LIC::SR.L11�V:✓.•1i[i':X:t'+.."«2!]Q.�.'f4.:T91'2cK'N.'+C"L^l2i^".YY-<s'�"�""'FY2SiT.bR'�fY%^.,�?.OYt��:��Iti"-Y.'CG�SC.�::l:'i]S.J�.:f'S:ASCXLT.P4:..%S:.ffi:{Y'.":YC'GT:i'Yi1;..'93R' 'S 32'IlL4':1CSC:C'G""i:94R1.YL'.T"liK:^,.�.G'9Y.K*YKP�Yf'-.::.:
PROJFCT 1)ESCIIPIIOI;OfCK
PROJECT IOCA1100:141Y IFI LAKE 11011 1CK IURN OFF 10110 If11, 00 TO )1D1' I.YNf ROAD, IVA RIGHT GO 10 E 621_
THIS PElilf emmf5 NU11 AND VOID If 10A1 QI COISTIW ION AUTHORIZED IS NOT CONNEICFO MIT1111, 1$0 DAYS, DI if CONSTRUCTION OR MOAN 15 SUSPENO(O FOR A PERIOD
OF I$@ DAY& AT ANY TINE AFTER WORK IS COONFOCED. FU DEICE Of COITIN TION OF #OAK IS A P1061FS& 1I8PECT011 VITNII THE 180 DAY PERIOD. FINAI INSPECTION NUS1 ff
APPP9YFII AFFORE 89II11IN6 CAN R.f OCCUP;EO,
oA DATE
PANT, ► ev: 03131`�gi3 __.__ COMPLIANCE TO ATTACHED CONDITIONS 13 REOU I RED
CONCRETE MECHANICAL MOBILE HOME
ootings-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 by date by
jC 4uj CU e
GvJO�e `
1
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P F n f0 I _.t_ C'a C7 N t-) 1 T 1 0 N
Case No . - BI.D98-0094,
For o DENNIS WOOD
Page . 1
1 ) Propofed structure or arov portion thereof greliter than 30" in height from grade Wine ,
mu:31- maintain a m i n imt.im of 5 ' setback from all property I i nes , easements and 10 ' from
i i CoLk.+1t,y aind State Road r fight of ways .
2 ) All tipprovec) p i anF, are regtf i red to be on. site fc�r i nrappeut ion purposes, . It i n^pect i con
Is called for and plans are not on site, Approval W W I_t_ NOT beraritee�l . In �tdd i t i oti , a
Re- i nspe�ct i can fee In the amount of $32 .00 per, how. (in i n i nitim I hoer ) w i 11 be char-qe .! rind
must he collected by this department prior to anv further inspections he i nq performed or
approv41 g( an-i ed .
a ) PURSUANT TO 1994 i.!N 1 FOREA RU 1 LO I NG COOL ,, SFCT I ON 305(C ) AND SUCTION 543 , ALL SITES MOST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND t_FG I BLE FROM THE STREET OR ROAD FRONTING THE PROPPRTY . MAf.30N COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIG BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPECTION FFE , HASE D ON RATES IN TABLE 3A Of THE 1994 UN I F Of1M BUILDING CODE WILL BE
ASSESSED IIV OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO RE_OUESTING
I NSPECT WNP ,
4 ) Lt. ERUCT ION MUST MEET OR EXCEED AL 1 LOCAL CODE,', AND UBC REOt.i1RErAfN7S
5 ) CharilllVVges/ to approuNd building plans that effect compliance to the 1991 Washington {:state
Energy C'*Ode, 1991 Ventilation and Indoor Air Qualityy
Code, the Un i force Building Code and/or Masan Count Re►gu i at. i nnc: must
be approved by Mason County prior to con str tic tion
f ) ALL_ CO) TR C'T I ON MUST MEF1 OR EXCEED LOCAL COVES . IF ANY QUESTIONS, PLEASE
CALL T S FFICE BEFORE CONSTRUCTION .
---- ----- --- --- ------ ----- -------- -------- - -
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
RO, Box 186 Shelton, Washington 98584
7 ) CONSTRUCTION PROCESS TO BF FIELD CORRE'jr D A /. E u ►REU PEP, MASON COt)N't Y BUILDING
DEPARTMENT AND UN I FORe.1 BUILDING CODE .
8 ) Acceisr; to the Sept Ic tank and pump 01amher, cannot be restr Icted for purposes Of
Operation and Maintenantce . Owner assumes all rer,ponsibllity If drainfIeld area and/or
r H i of e f ref.erve area are encumber t'-d .
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670
(Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269)
PLEASE PRINT
#1t*te
�} /Li A) [ .� LU 6 .0 7 Phone# a-7.. � 79
ddress L 2/ ,� c L 7)F, L +-1 t�L: R'D, Fire District#
�µ 1= 'L p 995
Directions to Job Site «� L l/Yt [�Ic� / C- 1- /L) a
'714 R A) E fT }n 'r-Z 61. D Lf M ILD
Owner Mailing Address L
City St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name UBI #
Address Contractor Reg #
City St Zip Phone# Expiration Date
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
Conn ct to Sewer System? Name of System
(If re dential, proof of potable water is required)
#4 arcel No:�/—a
L gal Description /(.A ,'4' r 4 —�L [J - -� L�� 1 y
#5 Building Square Footage:
1st FI 2nd A 3rd FI Loft Basement
# Bedrooms # bathrooms Deck Othe
Garage Carport (Circle:Attached or Deta d?)0-0)e
#6 Use of building ��� Describe work
#7 Type of Job: New Add Alt Repair Other O
#8 MOBILE/MANUFACTURED HOME INFORMATION V
Model Year Make Model
�O
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.Q
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Sbow following on the site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Drainage Plan Wells
Septic Systems Easements
Proposed Improvements
Name of Side 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 ($3.45 eachl Fee Mechanical Fixtures ($7.00 eachl
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
B Basins Heatpump, Other
Bath Tu No. Units Fees
Showers Furn BTU
Hot Water Htr Heatpumps
_Laundry Washer _ Vent Systems
Sinks _ Spot Vent Fans
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 17.25 uto Fire Sprink Sys 35.00
TOTAL PLUMBING $ No. Oth
Gas Out is
Wood, Gas, Ilet 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 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.OEPARTMENT. 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: mpg
Z/i I
Environmental Health: s 1►"a
00
Building Plan Review
• 2—l�
Occupancy Group: V Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
!(00 x 7= 1, 120 Building Permit d
3 S• °
Plan Check �.CX..)
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee ( ,5-'Z�
Other 45NO,
VGA
Other
Other
Building Valuation: 14 /E-b TOTAL FEE
Show following on the site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Drainage Plan Wells
Septic Systems Easements
Proposed Improvements Indicate Directional by (N, S, E, W)
Name of Side Street in relation to plot plan
Name of Fronting Street
-FIAPPLICANT TO DRAW SITE PLAN BELOW
rvi vv�> [ b
I
v "K) f
\ � I
/'1 6 "
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
j q11j
I �
j p �
D