HomeMy WebLinkAboutBLD95-0972 Interior Remodel - COM Permit / Conditions - 8/21/1995 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M U 1 L_ 0 1 IV G P F R M 1 -r FOR INSPECTIONS CALI 427-9670
BETWEEN Spm AND 8am 427-7262
BLD95--0972 PARCEL : 12.3294300010 PLAT c D I V : BLK : LOT :
JOB ADDRFSS : NE 23701 STATE ROUTF 3 RFUFAIR
OWNER : JEFF MCVICKER
CONTRACTOR :
L EGA c TO 1 OF S1 SF
CLASS OF WORK . . :ALT BEDR 1 0 BATH : 0 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT
TYPE OF USE . . . . :COM STORIES . . . . � . . :fd
OCCUP GROUP . . . :7 BLDG . HEIGHT . . : 0 .0f 1: (REYD 1 50.00 TN 08121195 41996
TYPE OF CONST 1? FIREPLACES . . . . : 0 Siff. 1 4.50 TV 0812119S 49196
OCCUP . LOAD . . . . 1 0 WOODSTOVES . . . . : 0 CHOU 1 25.80 TN 09121195 49916
OWE.LL .UNITS . : 0 PARKING SPACES 1 0 INC? I 19.00 T1 08121/95 40916
INSPECTION AREA : 1 SHORFL 1 NE? . . . . 1 N TOTALI 89.5N VAt UtAT ION: 52550
�-� - =Vm ,
SETBACKS-_-- ------------ TOILETS . . . . . . . . . . 1 0 FUEL TYPES----------- BOILERS/COMP---- MOBILE HOME-
FRONT . . . 0 .oft BATH BASINS . . . . . . 1 S 1 : 0--3 lip . . 0
REAR . . . . 0 .Oft LATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL: :
SIDE ( 1 ) . 0 .Oft SHOWERS . . . . . . . . . . : 0 FURN 100K BTU : 0 15-30 HP . : 0 MAKE- - -
SIDE (2. ) . O .Oft WATER HEATERS . . . . 1 0 FURN »100K BTU1 0 30-50 HP . : 0
SHRL I NE . 0 .Oft CLOTHES WASHERS . . : 0 FURN - FLOOR . . . 1 0 50-I- HP . - 0 -YEAR---
AREA --____.___ .___..___ KITCHEN SINKS . . . . : 0 HEAT POMP . . . . . . 1 0
LOT SI.ZE . . c FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 FVAP COOLERSc 0 I.ENGTFI : 0
BUILDING, . . . : 08f DRINKING FOUNT . . . : 0 VENT FANS . . . , , : 0 HOODS . . . . . . . 1 0 WIDTH . : 0
BASEMENT . . . : OSF LAUNDRY TRAYS . . . . 1 0 DOMES . INCIN :O --SERIAL#--- -
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS--- COMML . 1NCIN :O
GAR/CARP :? Osf GARB DISPOSALS . .. . : 0 <— 10000 afm . a 0 REL..00/REPAIR : N
AT/DT . :? URINALS . . . . . . . . . . , 0 > 10000 cfm . : 0 OTHER UNITS . : 0
MISC PLM FIXTURESr 0 GAS OUTLETS . : 0
PROJECT DESCIIIPTIO101H1101 ALTERATION
PROJECT tOCA1101:HYW 3 AFTER NITCHEII. LUNBER OF 23101 HWY 3
THIS PERNIT BECOMES NUIL AND V011) It WORK OR CONSTRUCTION AUTHORIZED IS NOT CONNENCED 1111119 160 DAYS OR if CONSTRUCTION OR WORK IS SUSPINDEO [OR -A PFRI00
OF 180 OATS A; ANY TINE AFTER WORK IS CONNENCEB, EVIDENCE OF CONTINUATI9N Of WORK IS A PROfRFSS INSPECTION WITNIN THE 188 DAY PE1100. FINAL INSPECTION MUST 8
APPROVED BF.FOAE BUILDING CAN BE OCCUPIED,
OWRF'R 0R AGENT:' �. - ' — —JA
DATEc.
=�--- _.
81.0.1`14T, rev, 03131/11 COMPLIANCE TO ATTACHED CONDITIONS IS REGUI'RED
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 \ ate by date by
FRAMING �— Walls FIRE DEPT.
date 2 by date by date by
PLUMBI G I Attic OTHER
Groundwork
date b date by
D.W.V. WALLBOARD NA ING
date by date � h—y Cl by
Water Line FINAL INSPECTION
\\
date by date � 3 _cI j by L✓ date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Pi_ RM 1 T C, C3NC:x 1 `I 1 0kN ;.
Case No . : BLD95-0972
For : .JEFF MCVICKFR
Page : 1
1 ) Approved per site-plan .
2 ) Parking should be sufficient for 9 normal parking stalls (9 feet by 20 feet: ) and 1
handicap parking stall , ( 12 .5 feet by 20 feet ) with sufficient maneuvering aisles .
Handicap stalls should be of a smooth , flat surface and should be signed with the
I nternat i ona h Symbol of Access .
3 ) Applicant shall clean out existing drainage catch hasir► and pr«perly dispose of
materials removed . This catch basin shall be kept: in good working order to route runoff
C-afe !y I to the highway drainage fneiIities .
4 ) All approved plans are required to be on-site for inspection purposes . If inspection Is
called for and plans arR not on site Approva ! WILL NOT be granted . In addition, a
Re- Inspection flee In the amount of $10 .0 per hour (minimum 1 hour ) will be charged and
must be collected by this department prior to any further inspections being performed or
approval Vgranted .
5 > PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECTION 513, ALL SITE,' MIDST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLF
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
RE1NSPECTION FEE BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BF
ASSESSED iF OWNEA/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
6 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL_ CODES AND UBC
REQUIREMENTS
7) Changes to approved building plan, that etfroot compliance to the 1991 Washington State
Energy Code. 1991 Ventilation and Indoor Air Quality
Code . the Uniform Building Code and/or Mason County ReQu tions must
be approved by Mason County prior to constructionXiZ _
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 by date by
MASON COUNTY
Mason County Bldg, III 426 W, Cedar
\ P,O. Box 186 Shelton, Washington 98584
ALL CONSTROCI i t,a# 1ti,ju';> I M". [) UH EXCEED LOCAL CODES . IF ANY QUEST 1 ONS, PLEASE
LL THIS OFFICE BEFORE CONSTRUCTION .
9> CONSTRUCTION PROCESS TO BE FIELD CORRf CTED AS REGU i ED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .
10> 1 . PROVIDE A 2A 10BC RA-rED, 511 DRY CHEMIC:AI, FIRE EXTINGUISHER LOCATED NEAR AN EXIT
OR
POST OCCUPANT' I__OAD SIGN - OCCUPANT LOAD 43
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 FRAMING by date by date by
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
VvID � � 17
4VO' 'Vne- Permit No. Z
_-` ASON COUNTY ilw &' d-'
t7
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 AM. JErr /'SIG vle- -e Phone# t 206)
S etddress lVE �370/ Fire District# -1
ity cGLLLrgIP— St UJA Zip w5Z91
Directions to Job Site A&VV 3 AF7C-C InITc%l-E& Lu y,be/ V2e -�73-7o/ A,4 tU 3
9E LFAilz. LyA of6ir) �
Owner Mailing Address -Tr-",anrr
City St Zip
Lien/Title Holder L), got, 17avi6
Address &06 iog07h AvE
City L7rLLr-VyE- St wa Zip 4SSOD'1
#2 Contractor Name Awl,--/G TEc� 1~iyi��/�IL�, ZnIL Contractor Reg # og1Z/G7'/OfSE173
Address 1///7 Z771 Zlt� L4J Expiration Date c23 / /,& / 9lo
City C601h UL St W'4 Zip 91Rozi Phone# C206 �`74,-/Ss24/
#3 If septic is located on project site, include records.
Connect to Septic? Wh Public Water Supply ✓ Well A/l3LiG worer L-IELLF �/L
Connect to Sewer System? Name of System
(If reside tial, proof of potable water is required)
#4 r I No.1 at a -N 3 - coo I r C
gal Description 'T✓ C"��_
#5 Building Square Footage: (existing/proposed)
1 st FI 7814 Z4 / 4160 2nd FI / 3rd FI / Loft /
Basement / Deck / # bedrooms / #batl)ms
Garage / Carport / (Circle: Attached or Detached?) M
Other sq. ft. /
#6 Use of building 5W1uticu/LH -1hetP . OW,0D_Z— U-) L- Describe work .Z2,-er1v2
4a6rIP011 1O a7f/LF� L: 2'-7'L'?0F_'V
a ,iUcLUJL i� !7t9Lr res df Lrxyc-, / mcs n,r� r�arLl!��v�J L!Ya/U Intk-7"u122
��'�L":�7'lZc.7['
#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
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
15-
s
t x rc-7 suawxY- -
t ti
a
v M
SLbPE ov- u1a214 � 3
C
12?
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Lo-7 IS 1=LA37
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
th Basins Heatpump, Other
_Bath Tombs No. Units Fees
Showers ~ Furn BTU
_Hot Water Htr H pumps
Z_Laundry Washer Vent Systems
Sinks Spot Vent Fans
_Floor Drains No. Boilers/Compressors
_Laundry Basins HP
_Dishwasher No. Air Handling Units
_Disposal cfm#
_Urinals Fire Protection Systems
_Other Auto. Fire Alarm Sys 50.00
Fi d Fire Supp. Sys 50.00
Permit Basic F e 15.00 Auto Fi Sprink Sys 25.00
TOTA LUMBING $ No Other
Gas Outlets
Wood, Gas, Pellet Sto
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 $
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 LL/I �
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
L Approval
Planning:
Environmental Health:
B-Zl-O►
Building Plan Review
B-ts- F
Occupancy Group: i-1-Z— Type of Const: SN
Fire Marshal:
Other:
Special Conditions: FEES
C-ftnN4646 4 <
Building Permit tzt--v-
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee , S O
Other
Other
Building Valuation: TOTAL FEE