Loading...
HomeMy WebLinkAboutBLD97-00539 Cancelled Utility Bldg - BLD Permit / Conditions - 1/6/2000 MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 EB ILI I L_ [-)o I N la P F-: Fi Ivl 1 1 011 I INSPECT I UN.S CALL. 4.17-9670 BETWEEN 5pm AND Sam 427-72�ERM�'�r BLDcr7-0539 PARCEL :3213222000241 PLAT c i? 1 `% ; `�� ti JOS ADDRESS r F 951 �JFN!`FN RD SHF11 TON p{ULL & V011) �,Y p1RAT1ON UWNERr TOM DEI.ONG 427-0735 BY I CONTR AC TOP : DATE I LEGAL r TA 2 OF Al 11 I !�H'.Y-FaTJnp�'St"LL�6Zi.."-i�SS.r':.'141'.FYYK4142iTC".F'�'R.YYF.L -'n:'9f.1:f1S1St•.'Sai].SC'Cx'1T2�"'Y3:1.:�n:z..•.1.71:."S:'�L•.'f:3'� CLASS OF WORK . . :NFW BEAR r 0 .13ATH : 0 I1YPF AMOUNT RY DATE RECEIPT TYPE AMOUNT BY DAYF RFCEIPTi TYPE OF USE . . . . ..ACC ;TOR I ES . . . . . . . :O OCCUP . GROUP . . . :? BLDG . HEIGHT . . : 0 .Of t NIT 1 4 i.58 KS 81111191 4088 'TYPE OF CONST . . s? F 1RFPL.ACFS . . . . a 0 JPLC!! 1 39.09 KS 07111197 44909 OCCUP = LOAD . . . . . 0 WOODSTOVE"S . . . . r 0 iSTff t 4.51 KS 8/111197 44908 j DWFI.1 , UN ITS . . . . : 0 PARKING SPACES : 0 JFHC► t 76.10 KS 87/I I197 44904 INSPECTION AREA : 3 SHONFL INE? . . . . :N 1PLM 1 23.45 KS 1!/11197 44998 TOTAI: 190.45 VAIULATIPN: 181?51 'zes..asr.�:--srcrz�sas:.s+.:..:�-ax::an-:src.•a+. ._ uses:.ss�sx.�ssr..aa.-+�eace.wss-:rna.^..r.�.:;r.�...�e._�� SETBACKS- - -- -- -- --- TOII.XTS . . . . . . . . . . r 0 FUEL TYPES---------- BOILERS/COMP. _ - MOB ILF H014E FRONT . . .E 10 .0f t BATH BASINS . . . . . . r 0 : 0­3 HP . ; 0 REAR . . . .W 5 .0f t BATH TUGS . . . . . . . . r 0 3— 15 HP . : 0 IAODEL : SIDF ( 1 ) .N F, 'Oft SHOWFPS . , . .. . . , . . . : 0 FURN < 100K STU : 0 15-30 lip . : 0 ..MAKE SIOE ( 2) .S 5 .Oft WATER HEATERS . . a 0 FURN »100K BTU : 0 30-50 HP . : 0 SHAI. I NF . 0 .Plf t CI.OTFIES WASHERS . . : P FURN - F1.00R . . . : 0 50 s HP . : 0 YEAR ARFA - - - ---______.__-- KITCHEN SINKS . . . . : A HEAT PUMP . . . . . . : 0 LOT S 1 ZF . . c FI 00P DRAINS . . . . . . 0 VFNT SYS'FFMS r 0 FVAP COOLERS : ilk I f-NGTH 0 BUILDING . . . r 1100sf DRINKING FOUNT . . . : 0- VENT FANS . . . . . . : 0 HOODS . . . . . . . r 0 WIDTH . : 0 BASEMENT . . . : 0sf LAUNDRY TRAYS . . . . 1 0 DOMF'S . INCIN :O -5ERfAt 41-- -- DECKS . . . . . . 0sf DISHWASHERS . . . . . . , 0 AIR HANDLING UNITS--- COMML . INCIN :O GAR /CARP :? Osf GARB Oi SPOSAI S . . . r P _•_; 10000 ofm . : 0 RFl_OC/REPAIR : 0 AT/DT . :? URINALS . . . . . . . . . . . 0 > 10000 cfm . : 0 OTHER UNITS . : 0 MISC PI.M FIXTURESc 0 GAS OUTLFTS . • 0 m.-�i.,'.a'a•�Yra^.':Szs'�'.:3::»r.�-cxr.:-^cc-..aCcx'J➢�.:'.azxRss.92•T:..,'T:+a:c�cz'..lxT3:ms-:�.x:.^a.'�-r.•aicF.�u�'iaas as,._'yaxrQs-Y..-Sy.cT�'saaa.Y�cTIIC�.ae��a.•a'.'lSs•+t;taefcc'!•-n'II�Ta�LRISIfr-s:x.^am¢t:-zay.:Yrr...^^xZ:.-x::.'t-�T.'J':�s:x:-•r.�..�s^as�i:: PROJECT OE,�CRIPTIONIUTILITY RU11.010.6 PROJECT 10CATION:TROM :HEITPN, TAKE RROCKDALE 10, DRIVE PAST OAK PARK. DRIVF PAST MCEIAN PRAIRIE INIERSEC1100, TURN RIGHT ONTO JFNSEN RD, DRIVE PAST STONEIRIAI, STAY Of MAIN AO 1ST DBL 110E ON LEFT (SIGN AT DRIVEWAY E 951) - THIS PERMIT BECOMES NULL AND VOID if 1019 01 CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR If CPNSTRUC11011 01 10kX IS SUSPFNDED FOR A PFRI00 Of 181 DAYS AT ANY TINE AFTER 1019 IS COMMENCED, EVIDENCE OF CONTINUATION OF 10.19 IS A PAOGOFSS INSPECTION 'WITHIN THE 186 DAY PF1!O0, Filk INSPECTION HOST BE APPROVED BFFORE BUILDING CAN BE OCCUPIED. J1NER OR ASENIt " DATE: BLO_PRMT, rev: COMPI. I ANCE TO ATTACHED CO ND 1 IONS IS REQUIRED CO14CRETE 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 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 I J 1 ` ' MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F-1F VT I -F C: C:)NC) 1 T- 1 (-3N -`;3 Case No . i Bl_D97-0539 ror , TOM DFLONG Pages 1 1 ) The iindersIgited property owner i - aware of the uncertaInty regardinq Mason County ' s development reggulations created by the Growth Managment Hearings Beard 's Order of October 2 , 199 , and in consideration of Mason County 's willingness to proceed with processing of applications which might be affectod by the Order . the undersigned property owner hereby agrees to waive any lawsuit , action, or claim for damages against Macon County which may arise out of Mason County 's actions In acceptance, processing and/or issuance of such permits or approvals ( hereinafter "permitting actions" ) , whirah damages are attributable to the County 's decision to take permitting actions despite the ri .,^ that changes to the Coont.y 's development regulations might later, +Waite the Xou V 's-permitting actions Invalid . 2 ) The usR , handling and stornge of hazardous materials or flammable and comtsustible liquids In excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal . 3 ) Proprsed structure or any portion thert�of greater than 30" In height from cirade line . must oral toin a minimum of 5 ' setback from all property lines , easements and 10 ' from a I�I� s�upr and State Road right of ways . 4 All approved plans are required to be on- <, i to for Insppen t i on purpose s . If i nspeot i on is called for and plans are not on site, Approval WILL NOT be granted . In addition, a Re!-- Inspection fee in the amount of $32 .06 per hour (n+ i n imum 1 hour ) will be charged and must be collected by this department prior to any further inspections being performed or approva P grant ed . 5 ) PLIAStJAN'I TO 1994 UNIFORM 51,1I1DING CODE , SECTION 305(C ) AND SECTION 513 , AI-1. SIIFS MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIVED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND L.'G I BLE i'ROM THE STREET OR POAD FRONTING THE PROPkRTY . MASON COON TY BU i i_I:)1 NG PAR FNT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING rOR ANY SITE INSPECT 1 LSNS . A MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 H .-N i iA4 FA I k-0 1 o R E S I ING I NSPFC'fkON-, X 6) Any chations In con struotican f;hall he rev IetwPd by enorecordner (of record and stibmitted lit writing to the Mason County Building Department prior r to construction . 7 ) AttX C?Q -',TRUCIION MOST MEET OR FXCEFD At.t. LOCAL CODFI., AND UBC, RF011IRFMF ,-'�NT , X 8 ) Changes to approved bui Idiwl plafts that ettect -,ompl lance to the 11991 Ww-,hingtoa St�Ate Energy Code, 1991 Ventilation and Indoor Air Quality "'ode, the Uniform Bui IdIP9 Code andfor, Ma, on ('.',c)untv F be approved by Mason Co o County prior t constructlorix-4 le"ul 05� if'rl" must 9) CON S-TRUCT ION PROCEISIS TO FAE F IIEIA) CORPH' IF1 FIFOUIRED 1+1­1 MA,-;ON COUNTY BUILDING DFPARTMENT AND UNIFORM BUILDING CODE 10) Dijehar�te from -the two (,,(',, Id water faucets must be propev' IV draiiied Into the scq)t ic system , I M a -12 . t Y /• .. • a , .r i.,, , • . • Cots ✓ c+ WP f ... T•',apoly '!F I�y�'���.'.,r •e. r., Y ._ �}�.`�'`� f r � � i c�.�-�'�r`t i+ 5,i x ';�it�� d��1'��i'IEz' ��•µ'�y�. � 7 ��� .'A ( _ .. if y ! rti '/i ' '� 1 �� � r 57+� pTM• �r .� �.;�a. y /► ( d T ' i. � '� J Icy .L.,f. d.,�,._• r:��.J`.� ;�. '� I,. r � � � r 4 r f.l`'sY`Y' I ���` •n +' .o s�il+� a � S� •� .,�•. V:;•'� ^�'w� �Y •Y cer� .rSkk ,,Y � _ � :�.. Y r� 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 U #1 TOA4 Q0,LQu!7 Phone# q.13-o-733- ite Address E q s 1 dTEA1SfA1 /Q0, Fire District# City SgIn v St %'-'A _zip. yf1S�IM Directions to Job Site E/QNA 5HEL7-z9,f/ o T,g0 och/144F fia , /'I LE BAST akt PARR Drive P^T AlcEu eti &ZkfF j,v7E/{ 5,UcZV� I TuW 64677 f-W- XL S `/m 0,u LF,4T_('X1kv cK Owner Mailing Address P a$o X 6 31 City Sh-rMe r stkzp 99fsq Lien/Title Holder A6z& OF Address SY57FA1 �©le Clty &VXS#DEA,R 1W St CA1AW?&iRZip_T10 1 DO10 C o,v 5rRu c i,o.v 7o 13 F_ W vE O y Aw4 i r_H'4 i #2 Contractor Name Contractor Reg# Address Expiration Date City St Zip Phone# #3 If septic is located on project site, include records. Connect to Septic?4_Public Water SupplyXZO Well t�0 Connect to Sewer System?AZO_Name of System (If residential, proof of potable water is required)#4CearcelNo. 32 - 22 - 00020 i p-2 or nuJ ntA) egal escription4 ThdT P10J.Tlev of rhE N,W 414 A"TER pE IhF_ xl. iv,4axgrF2,S,Eni-y TOw.l-Wd 2► AIVXr�) RAV66 3 wcSr W,M• 14) .Avuov 60, #5 Building Square Footage: (existing/proposed) 1st FIl'l 0 / 2nd FI 3rd FI ---f----- Loft —i Basement --- -- Deck #bedrooms/ t!) #bathrooms/ O Garage Carport ---f---- (Circle:Attached or Detached?) Other - -_ -----sq.ft. / #6 Use of building s]'4/��G�, (r/9/�fl�E, t�T7L,T� 73u iLp1�v9 Describe work CeNgf 4t of CD.v C rE7',�' Fo�c.v jZigTia-y f /�l ss,��-r,3Lf_ srFFL a�( r:u4 f(i� Q,u Foc(.r�n 1�i'i o.� #7 Type of Job: New V 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,WELL 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 F1UTjpF 5-, -7 fcrE � r(-� Y Fl 4i w iTh ,l,/Dl�lS11 dr FX t;U Mzq Tha 1 'Fh e a ti LY w ,1T 6/A O,) )h e p a r s E�- ! 5 T h 2 do 5-rrF,4m5) Ski OE � or Ko-oPl'v) yF-A1- MtivD, B u i O I v f 5 ITE i T5F�F IS ,VS T &td-d e �,�• Th y �r�l�cTo!�. w 1.1 c Hoc I( w rTh T/��� s!T D FE FOr E 6ex-I RU C77'o,u I3e� ):jS . P►umbinp Fixtures ( 3 35 each) Fee Mechanical Fixtures ($6 75 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 �ttc.-i� _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 16.75 _ Auto Fire Sprink Sys 35.00 TOTAL PLUMBING $ 23.4J,5' 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 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 DEPARTMENT. DEPARTMENT. X OWNE c X BY DATE / y ! DATE FOR OFFICIAL USE ONLY: Accepted by: Date DEPARTMENTAL REVIEW FOR OFFICE USE ONLY ;57� � zo Planning: Environmental Health: b i�L' I,�Al2(;�s- �E207i1 `Tfita 2 Ocpt-n LOA"Ir— !. A Building Plan Review 0. - � Occupancy Group: Type of Const:-. J) Fire Marshal: Other: Special Conditions: FEES Building Permit 7 S° Plan Check Plumbing Fee Z1s 2-3- Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee so Other �Wtj, HC-Ft4, �. Other Building Valuation: Zlgo- q,z,5= 1 OI'15 TOTAL FEE GARY YANDO, DIRECTOR P�oN.sraTFo IWO AU z DEPARTMENT OF COMMUNITY DEVELOPMENT O T z PLANNING - SOLID WASTE - UTILITIES Gov N Y Doti BLDG. I • 411 N. 5TMt ST. • P.O. BOX 578 1864 SHELTON, WA 98584 • (360) 427-9670 DISCLAIIv1ER/WAIVER OF COUNTY LIABILITY: PERMITS ON EXISTING LEGAL LOTS OF RECORD, LAND DIVISION APPROVALS, SHORELME PERNUTS, VARIANCES, AND SPECIAL USE PERMITS: The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations creatod 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 (heminxfier "penititting 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 ought later make the County's permitting actions invalid. Date (Parcel No. or Legal Description) S Property er's signature(Notarized) (or the County may accept the signature of the owner's authorized agent upon proper proof of authorization) ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL) STATE OF COUNTY OF On this _day of , in the year , before me Notary Public, personally appeared personally 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 - Reviewed by applicant on Notary's signature (Date) My Commission Expires: Staff Initial: J