HomeMy WebLinkAboutBLD93-00957 Cancelled Foundation - BLD Permit / Conditions - 3/4/1994 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E:3 1..) ::N::: N..._ 1:3 :::N::: 14 4;:iai 1:,F 1::::: 1:.ti: 1'm'1 :::E: "I" F O R INSPECTIONS CALL 4 2 7—9 6 7 0
BETWEEN 5pm AND 8am 427-7262
BLD93-0957 PARCEL : 321322390011 PLAT : DIV: ? BLK : ? LOT: ?
JOB ADDRESS : E 130 STONEBRIAR PL SHELTON
OWNER : RAY MILLS 491-7026
CONTRACTOR : MILLS CONSTRUCTION 491-7026
LEGAL : Tr 1 of NW SW NY
CLASS OF WORK . . : NEW BEDR : 0 . BATH : 0 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT
TYPE OF USE . . . . : OTH STORIES . . . . . . . : 0
OCCUP . GROUP . . . : ? BLDG . HEIGHT . . : 0 . 0 f t FONO $ 15.11 TW 16/34/93 33191
TYPE OF CONST . . : ? FIREPLACES . . . . : 0 S T F E $ 4.51 TW 16/31/93 33191
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0
DWELL . UNITS . . . . : 0 PARKING SPACES : 0
INSPECTION AREA : 2 SHORELINE ?. . . . : N TOTAL: 19.54 VALULATI0N: 1
SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME--
FRONT . . . ? 0 . 0ft BATH BASINS . . . . . . : 0 : ? 0-3 HP . : 0
REAR .'. . . ? 0 . Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : ?
SIDE ( 1 ) . ? 0 . Oft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 —MAKE------
SIDE ( 2,1 . ? 0 . 0ft WATER HEATERS . . . . : 0 FURN )=100K BTU : 0 30-50 HP . : 0 ?
SHRLINE . ? 0 . 0ft 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 . . . : Osf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT. . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O —SERIAL#----
DECKS . . . . . . : 0sf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN : 0 ?
GAR/CARP : ? 0sf GARB DISPOSALS . . . : 0 <= 10000 ctm. : 0 RELOC /REPAIR : 0
AT/DT . : ? URINALS . . . . . . . . . . : 0 ) 10000 cfm. : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT 0ESCRIPTI0N:F0UN0ATI0N - RESIDENCE
PROJECT LOCATION:NORTH ON BROCKDAIE TO JOHNSON ROAD RIGHT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD
OF 181 DAYS AT ANY TINE AFTER WORK IS COMMENCED. EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD. FINAL INSPECTION MUST BE
APPROVED BEFORE BUILDING CAN BE OCCUPI 0.
11
G r /
OWNER OR AGENT: �"""_ Vim. ` DATE:
BlD_PRNT, rev: 13/31/91 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
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
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
F:.' F::::: F't M :"I::: ....N... 4: (") P4 1:::1 :::C:: ....N.... 1.: 0 P4
Case No . : BLD93-0957
For : RAY MILLS
Page : 1
1 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UNIFORM BUILDING
CODE
x ��
ALL CONSTRUCTION-MUST- ME-ET REQUIRED SETBACKS AS ESTABLISHED PER MASON COUNTY ORDINANCE
138-9a )A�ND MASON COUNTY SHORELINE MASTER PROGRAM IF APPLICABLE .
X //��
IF THE FOUNDATION IS PLACED IN VIOLATION OF ANY MASON COUNTY REGULATION , IT WILL BE THE
OWNERS LIABILITY TO REMOVE SAID CONSTRUCTION AT THE OWNERS EXPENSE AND TO DO SO WITHIN
THE ?Ih,E SPECIFIED BY THE BUILDING OFFICIAL
x //
X
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2 ) 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
INSPECT�IONNS
X
R
Permit No.
HEGF � WE MASON COUNTY UILDING PERMIT APPLICATION
L"'i 3 19L?4Y' l edar/P.O. Box 186, Shelton, WA 98584 4274670/1 V00-562-5628
PLEASE PRINT
#1 Gown RAL SERV4�ES�ELLS Phone# Ll 1 17 0 2- G
Site Address E t ik 0 5'M"L811iA1z P1_W"L Fire District#
City ri St Zip
Directions to Job Site N 0 ►.► {�sec loaf_ 40 k&h%
Owner Mailing Address Z►-3o rpm h M.
City t A 60 E-0 6 St !.J A+ Zip 11��-66 b
Lien/Title Holder DV
Address
Clty St Zip
#2 Contractor Name "yV iCA__� c-o-PS !; T_1vc . Contractor Reg# N
Address 1'1,0 5 4• r4 1 Expiration Date 4 / 10 7q
City St W,4 Zip '7V 5 0 6 Phone# zl'Yl_>0 2G
#3 If septic is located on project site, include records.
Connect to Septic? S Public Water Supplyv _Well
Connect to Sewer System?__V Name of System Ja- r✓$,eI+�2
(If residential, proof of potable water is required)
#4 Parcel No. -3 Zl 32- �3- q Did C
Legal Description
#5 Building Square Footage: (existing/proposed)
1st FIFO/ 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms_/ #bathrooms 2 /
Garage Do /_SA;F TT Carport / (Circle: Attached or Detached?)
Other sq. ft. /
#6 Use of building -� uAi d e i /1 << Describe work
#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 Indicate Directional by (N, S, E, W)
Name of Flanking Street in relation to plot plan
Name of Fronting Street
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Bath Tubs No. uDila 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 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
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 DEPA/RTMEN DEPARTMENT.
X OWNER l X BY
DATE C' `- 0,- DATE 3 '0 `93
FOR OFFICIAL USE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW I
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
Other
Other
Building Valuation: TOTAL FEE
Oil
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