HomeMy WebLinkAboutBLD95-1323 Pumphouse - BLD Permit / Conditions - 10/2/1995 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
1 lJ i IL_ E) I N C! PERM 1 T FOR INSPECTIONS CALL. 427-9670
BETWEEN 5pm AND Sam 427-7262
BLD95--1323 PARCEL -32134429003-1 PLAT s D I V .? BI-K s? LOT -?
,IOB ADDRESS (In it - A SHELTON
OWNER : CARR 1 E JOW 851 --81 30
UNTPACTOR : VISION CORPORAIION 427-0081
LEGAL. TIT A OF SP M31 SEE SP 1662. A RLA 193-79
Ct ASS OF WORK . :NEW BFDR r 0 .BATH : 01 1YPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT
TYPE~ OF USE . . . . :ACC STOR #ES . . . . . . . .0 M�- � -
OCCUP . GROUP . . t? BL-DG . HEIGHT . . - 0 .01t PRMT 1 20.50 KS 1010?195 40391
TYPE OF CONS'T . . :? FIREPLACES . . . . s 0 PLCK 1 9.00 KS 10/02195 49391
OCCUP 16AD . . . . : 0 WOODSTOVES .'. . . : 0 STFF 1 4.50 ►'S 10/0719S 40391
DWELL .0NI1S . 0 PARKING SPACES : 0
INSPECTION ARENA : 3 SHORE tNE:? . . . , :N 1OMI 33.16 YA.10101100c 1070
+sic... .. ..rc:._-.. .'_•r.ar._sma�: crxn;svax xu'z...e.-:.=.^„rY.:sas:'rcar :aC:.%+x�zxrsas�ut rt:•.:cr;s�.r:..r..+..s:' .._.
SETBACKS - - - _--- --- TOILETS . . . . . . . . . . : 0 FUEL. TYPES--- ____.__... BOILERS/COMP--__ .. MOBII.F HOME_.-
FRONT . . .N 5 .Ott RATH BASINS . . . . . . .. A : 0-3 HP . s 0
REAR . . . . G 5 .oft BATH TUBS . . . . . . . . : 0 3--15 HP . : 0 MODEL. s
SIDE ( 1 ) .F 5 .Oft SHOWERS . .. . . . . . . . . H F11FIN < 100K BTU : 0 15-30 lip . 1 0 - MAKE•--. .- - .,-.
S 1 DE (2. ) .W 5 .Oft WATER HEATERS . . . . : 0 FURN >-1010K BTU i 0 30-50 HP . s 0
SHRL I NEB O .Oft CLOTHES WASHFRS . . . 0 FURN - F t OOF1 . . . . 0 150+ HP : r N YEAR-- - -
AREA - - - -__...____._---__ KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0
LOT S 1 7E . . r FLOOR [BRA f NS . . . . . � 0 VENT SYSTEMS . . . : 0 E VAP COOLERS : 0 1 ENGTH : N
ZUILDiNG . . . - 120sf DRINKING FOUNT . . . : 0 VENT FANa . . . . . . s 0 HOODS . . . . . . . . 0 WIDTH . : 0
BASEMFNI' . . . : osf LAUNDRY TRAYS . . . . s 01 DOMES . INCIN :O
DECKS . . . . . . : 08f DISHWASHERS . .. . . . . : 0 AIR HANDLING UNITS-- COMML . 1NCIN :O
GAR/CARP :? 0st GARB VISPOSAL_S . . . r 0 <— 10000 rfm . s 0 REt 0C/REPAIR : 0
AT/DT :? URINALS . . . . . . . . . . : 0 > 10000 c;fm . s 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
LSD^ 'Y'..'^}':i'1Tll't:.: ..S-••.S�S'::«SSJC. ..::.ve^...'Z'"3'Y:i^.II'cS'Yf.•^a1'wlt'•.,,Yw.C+SbSR'�YA�:'i:`XL'HS.7FRZCS'._^`M:Y':'�:+S:Y.^:'=;Y:a`.4:c'�..'_•SY"".^.1: ...?. "t:?.. . ._R."Y'.R',:':CS�.T.'.� 9fa¢C'.'Za6:SY.:CtYX.3>S_T-T3^SC3:.:5Y-N:.'G:aYRC::.^S.-�'LSSYt.t.OW6Y:x.. :.w1iG
PROJECT OFSCIIPTION.PUMPHGUSF FOR WEiI
PROJECT LOCATIMOFF HWY 3 MASON LAKE RD 118 Milf PAST' GOLF DRIVING TAM TURN RIGHT ON CAIFIBN tK RB APPROX 111 11M GRAM RD 10 IEFT 00 ALL THE NAY 10 tN�
OF GRAM RU TURN LEFT TO I'MO 116111 GO 10 FOP OF ROAD,
THIS PERMIT BECOMES NULI AND VOID If WORK OR CONSIRU.CTION AUTHORI1fD IS NOT COMMENCED W1111I0 IBO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED [OR A PERIOD,
OF 1N1 DAYS AT ANY TIME AfIER WORK IS COMMENCEO, EYt9E110E Of CONTINUATION Of WORK IS A PROGRESS INSPECTION WITHIN THi: 130 DAY PERIOD, FINAI INSPECTION MUST BI
APPROVfO FIFORf BUIIDING CAN Of OCCUPIED.
.2
nWNL R OR RGf NT: "" DATE:
BtU PRM], rcw: 03 .3ttlt COMPLIANCE TO ATTACHED CONDITIONS ISREtIUERED
CONCRETE MECHANICAL MOBILE HOME
Footiags-Setback date by Ribbons
date Gas Piping date b
Foundation Wall date by Set Up
da a by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by
PLUMBING date by OTHER
Groundwork
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
Case No . ; BLD95-1323
Fort CARR I E= BLACK
Page : 1
1 ) Proposed structure or• any portion thereof greater than 30" in height from (�rrade line
must maintain a minimum of 5 ' setback from all property lines , easements and right o
ways/.'
X
2 ) PURSUANT` "TO 1991 UNIFORM BUILDING CODE , SFCT I ON 305(C ) AND SE C'I I ON ' 13 , ALL. SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BF PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE'. PROPERTY . MASON COUNTY BUILDING
P PARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RE { N 7PEC;T I ON FEE BASED ON RATES IN TABLE 1A OF THE 1991 UN I FORM BUILDING CODE: WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
3 ) All approved pinny are required to be on- site for In%pection purposes . If inspection Is
trailed for• and plans are not on site, Approval WILL NOT be granted . In addition , a
Re- I nspeot i on free In the amount of $30 .00 por hour (m i n i mi.im 1 hour ) will be ottarged and
must be collected by this department prior to any further inspections being performed or,
approval granted .
X :
4 ) ALL CONSTRUCTION MOST MEET OR EXCEED ALL LOCAL. CODES AND UBC
REGOIREMENTS
CONCRETE MECHANICAL MOBILE HOME
Footiegs-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
da.e by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by
PLUMBING date by 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
B U I L C7 I N G P E R M I T FOR INSPECTIONS CALL 427-9670
BETWEEN 5pm AND Sam 427-7262
BLD95-1323 PARCEL :321344290031 PLAT : DIV :? BLK :? LOT :?
JOB ADDRESS : E 409 CATFISH LAKE RD Unit : A SHELTON
OWNER : CARRIE BLACK 851 -8130
CONTRACTOR : VISION CORPORATION 427-0081
LEGAL : TR A OF SP 12438 SEE SP #662 A BLA #93-79
CLASS OF WORK NEW BEDR : 0 BATH : 0 !TYPE AMOUNT BY DATE RECEIPT jTYPE AMOUNT BY D.A'EECE
TYPE OF USE . . . . :ACC STORIES . . . . . . . :0 I
OCCUP . GROUP . . . :? BLDG . HEIGHT . . 0 .Of t ' RMT # 20.50 KS 10102195 40391
TYPE OF CONST . . :? FIREPLACES . . . . : 0 IS' TFE
PICK S 8.00 KS /042/95 40391
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 $ 4.50 KS 10102/95 40391
DWELL .UNITS . . . . : 0 PARKING SPACES : 0 i
INSPECTION AREA : 3 SHORELINE? . . . . :N TOTAL: 33.00 VALULAT !ON: 020
SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME-
FRONT . . .N 5 .Oft BATH BASINS . . . . . . : 0 0-3 HP . : 0
REAR . . . .S 5 .Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL :
SIDE( 1 ) .E 5 .0ft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 -MAKE------
SIDE (2 ) .W 5 .Oft WATER HEATERS . . . . : 0 FURN >=100K BTU : 0 30-50 HP . : 0
SHRLINE . ,O .Oft CLOTHES WASHERS . . : 0 FURN - FLOOR . . . : 0 50+ HP . : 0 -YEAR- -----
AREA ------------ ---- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . :. 0
LOT SIZE . . : FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0
'BUILDING . . . : 120sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN :O -SERIAL.#----
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN :O
GAR/CARP :? Osf GARB DISPOSALS . . . : 0 <= 10000 cfm . : 0 RELOC/REPAIR : 0
AT/DT . :': URINALS . . . . . . . . . . : 0 ? 10000 cfm . : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT DESCRiPTION:PUMPHOUSE FOR WELL
PROJECT _OCATION:OFF HWY 3 NASD\ LAKE RD 118 MILE PAST GOLF DRIVING RANGE TURN RIGHT ON CA'.'SH LK RD APPROX 118 MILE GRAVE: R; TO _EFT GO .Ate THE WAY TO "'D
OF GRAVEL RD TURN LEFT TO FIRST RIGHT GO TO END OF ROAD.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CCNSTRUCT!ON OR WORK !S SUSPENDED 'OR A PERIOD
OF 160 DAYS AT ANY TIME AFTER WORK IS COMMENCED. EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS !NSPECTiCN WITHIN THE 180 DAY PERIOD. FINAL INSPE4TION MUST B
APPROVED BEr- _ . _ cD.
OWNER OR AG
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P E R IVI I -F G 0 _.
Case No . : BLD95-1323
For : CARRIE BLACK
Page : 1
1 ) Prnnnspr_i structure or any portion thereof greater than 30" in height from grace line
stain a minimum of 5 ' setback from all property lines , easements and right oY
2 ) PURSUANi 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 cj"At
3 ) All approved plans are, required to be on-site for inspection purposes . If ; nspection is
called for and plans are not on site , Approval WILL NOT be granted . In addition , a
Re- Inspection fee in the amount of $30 .00 per hour (minimum 1 hour ) will be charged and
must be collected by this department prior to any further inspections being performed or
-ranted .
,TRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC
NOP"C R� Per it No.
MASON COUNTY
BUILDING PERMIT APPL�T
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562&628
1
PLEASE PRINT
#1 Owner C «e-/� Phone#
Site Address T E- I Fire District# 5
City St Gy, - Zip }9S2?'�z
Directions to Job Site �4S G L d ! S AI
+ n( e4 i - L A=1 � .mac /
f2 Ly`'d OF Lr / /Z�[ Z+s�-v L�G�� tr ���ST
Owner Mailing A dress Y
City "�Zz-- G St Z&0- Zip
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name ILIL S;oar C-W415w,4�. � Contractor Reg# l/i5i'vL �f-O�yT�
Address S 'L- + W _�`fi�9�-Waal /�l✓ Expiration Date 03 (mil 9
City ,e l -� St cj—' Zip S�5,e Phone#�3G��27"�'s"�'37
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No.�- �f` - 00 L' % _
Legal Description c9F 5/k-y7- OIAtT 'P�.2`/ 3a' �i�t,+J �y Sr�Y Sec-34 1/141�C/4
#5 Building Square Footage: (existing/proposed)
1 st FI / rr 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle: Attached or Detached?)
Other sq. ft. /
#6 Use of building �t�i✓►� f4-rx ' LE- �a�2_ 1�J�21� Describe work ('cwCwf- 7Z
#7 Type of Job: New_ Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No.
# Bedrooms # Bathrooms Type of Heat
Purchase Price$
#9 Indicate by circling the applicable source if any wat is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake Marsh--S-altwater 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
fA,,,-&L 32- 134 g003/ ;i I
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
-1 —
P � �
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Bath Tubs 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
(�L1a bv'
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ No. Other
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 15.00
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 ilia
DATE DATE S
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review '�,
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 L/
Other
Other
Building Valuation: TOTAL FEE