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BLD97-00714 Final Garage - BLD Permit / Conditions - 1/2/1998
MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F3; L,I I L. F-I I N 0% p F- rl h/1 I -T FOR INSPFc-I- IONS' U.'ALL 427- 9670 BETWEEN 5pin AND Sam 427- f262 01-097--0714 PAHCFI .-321322390004 PLAT : DIV -? BLK -? LOT 7 JOB AnDRFSSt U 171 STONUBRIAR P1 8"F L'TON OWNERi LAWRENCF 432-0972 ('0NTRA(*,70R POTTER LEGAL ?AII 3-0 Of MA 092-98 (SW 11*1 TO 4 OF SP 12253 I iti SIONERPIAN PtACE AMOUNT 9Y PAU RECEIPT CL,nSS OF WORK , NE W BFDA 0 BA TIi . 0 rypf k0"111 RY DATE 9 f c F I p T'TTY P'l, TYPE OF USF — cArC STOP IFS . . . , -0 �cz,-�—.__r.,1 1--�1-1-14ems. r,��P U,—t—-—-— OCCUP , GROUP — "? BLDG . HEIGOT — r 0 .oflt JPRVI 1 1.4,50 V.$ $7174191 44901 TYPE OF CONST . FIREPLACES , — t 0 IFICK t 5130 KS 0711st87 44,481 O(XtIP . 1- OAD , - , - 0 WOODSTOVES . . .-. z 0 51rF s 4.S4 KS 01124197 14991 DWELI- J)NITS . . v 0 PARKING SPACFS - 0 p(lp 11 ?6.60 K3 0717401 44981 INSPECTION AREA - 3 SHOR F,1. 1 NE? . . . . :N 01A[i 211.80 VA[I)LATIO"! 140411 TO I LETS . . . . . . . . . . 0 FUEL TYPES,----- 80ILER01/COMP----- MOB I L F NOME-- 1`1 RONI 10 .Of t BATff BASINS . . . . . . 0 0-3 1111 ;h PEAR . . . E 70 .Oft BATH TUB(.. . . . . . . . . a 0 3--'15 HP . 0 MODEL r I1.)F( 1 ) N 70 ji,f t `tit-IOWERS . . . . . . . — , 0 FJJR N < 100K SIIJ 0 15- 3 0 HP . ; 0 --MAKE--- I DE �2 ) S 25 'Oft -- S WATER HEATERS . . . . s 0 FORN >-100K BTU 0 30-!50 HP 0 S SHRI I NE O -Oft ('I-O`TNEe WASIIERS . c 0 Ft I R N - Fi. OOR 0 5 0+ Hp , : 0 - y I-A A- AREA I( ITC14EN SINKS . . . . 0 HEAT POMP . , . . . , a 0 1.01 S17E — i-I OOR DRA I ISIS I . . . . .. 0 'ENT SYSTrMS — - : 0 EVAP COOLFRS ; 0 I. ENG fH 0 131)1 LI)I NG 1040st DRINKING FOUNT . - 0 VENT FAN . 0 HOODS . 0 W I DTH 0 BASEMENT a 0,3 f LAUNDRY TRAYF, . 0 00MUS IN(' INtO DECKS . . . . . . Ost DISHWASHERS . . . . . a 0 AIR HANDLING UNITS-- COMML I NC IN 10 (4AR/CAnP :7 0qf GAPB I)I SPOf-,AI S . . . 0 --- 10000 0 t m . 1 0 RIF L 0C RE PA I R . 0 AT/0T it UP I NALS . . . . . . . . . - 0 > 10000 cffp . ; 0 OTHER UNITS . : 0 MISC PLIA 1`011-IRESt 0 GAS OI.JTLFTt> , - 0 PROjff1 iO;JI1O1-HORIfi ON BROCKDAIEJ11 10 Jf NSFN. RD [AC1011 JINSENRD 14 11011FBI114P FIA0 4 ON S100811AR PtA'f To 1, 111 1013 PLRIIII BECOMES NULL ANO VOID IF WORK 01 COASTRUCTION AU11011119 IS NOT CONVENCED WITHIN 184 GAYS, 01 if 01STRUC11011 09 10K IS SUSPENDED FOR A -1010a) Of 169 DAYS At ANY TIME AFTER WORK If; COMNEII(ED, EVIDENCE Of COPUNIATION OF 1049 IS, ), PROGRESS 10SPEC11011 WITHIN THE 186 DAY PFUDD, FINAL INSIOLCII011 110S) BE APPROVE# Rfl`31F 801t,0106 CAN It OCrIPIflB. CONCRETE �2 OteE�55Tr/ MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date `f 7 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 Attic Groundw y date by date l� b D.W.V. WALLBOARD NAILING � date f date by Water Line FINAL INSPECTION date by date �70 by 1 Idate by 0/c- 1 / - -/ - Z', z :-/Z 0- 0 AA/ 0 a 1 EtOJAN!. ONDITIONS, I RE s QUIRFI) MASON ' COUNTY' Mason County Bldg, 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P F-'. U4 f\4 I '-V C. C":) N In I -v I C)N :C-:,, Case No . r BLD9'1--0714 Unr I.,AWRt-,N('E IIANNA Page 2 1 Th I s app I I cat I on I s 54ub .iect to Buffer sind I ands oap I ng r e(lu I rements an; es t atki lshe,i sinder Mason uitV Ord inanne 1 .03 .036 . X 2 ) The use, hand I I ttj and stora e of hazardous muter I d I s, o and flamable an combustible liquids in excess of 10 rya iIons is not allowed without the approval of the Mai:on County Fir X 3 ), Proposed str"c,�tsire or any portion thereof qreatckr than 30" in It 6 1 rj ht from o r a(i e i i no%, must maIntain a minimum of 5 ' setback from all property lines , easements and 10 ' From a I I Go. ,and State Poad riqht of ways . X 4 ) All approved plans are !-#uquired to be on- site for Inspe(.--tion put-poses . it Inspeotion Jt3 called for anti plaos are not on site, Approval WILL NOT be granted . In addition , a Fe- I nspoot I on f ee I n the amount of t32 00 per hour (m i n Imum 1 hour ) will be oharged and must he oo I I evtod by th i s department pr i or to any f ur Lher i nspeot i tins he i nq performed or appr; granted X F) PURSUANT TO 1994 UNIVORM DOILDING CODE , S�FGTION 30E, ((, ) AND SECTION 513 , ALI.. "'ITFS MUST HAVE APPROVED NOMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND FGIBLE FR()IvI THE STREET OR ROAD FRONTING THU PROPERTY . MAC ON COUNTY BU I 1 1)1 NG DEPARTMENT REQUIRES THAT THIS BF COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REIN,",',PECTION FEF . BASED ON RATES IN TABLE 3A Of THE 1994 UNIFORM BUILDING CODE W i t i BE ASSESSED IF OWNFA/CONTNACT()R FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING I NSPE W' �l X MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F) No Occupan^y . This structure is I incited to U-1 it ty • Any other uue wi I t be Ifi violation nt the Uniform Ru i I d i nK Code and Mason Re�c�u I at i ons un i ess a "Change of U,:e" permit i'a apprcived . X ;_� 7 ) ALL C UCT I ON MUST MEFT OR EXCEED AI-L. LOCAL CODES AND UBC REQUIREMENTS . X GARY YANDO, DIRECTOR srgTFo ' sU �, DEPARTMENT OF COMMUNITY DEVELOPMENT N = PLANNING - SOLID WASTE - UTILITIES �o N Y o~ BLDG. I • 411 N. 5TM ST. • P.O. BOX 578 SHELTON,WA 98584 • (360) 427-9670 1864 DISCLAIMERIWAIVER OF COUNTY LIABILITY: PERMITS ON EXISTING LEGAL LOTS OF RECORD, LAND DIVISION APPROVALS, SHORELINE PERMITS, VARIANCES, AND SPECIAL USE PERMITS: The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created 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 andJor issuance of such permits or approvals (hereinafter"permitting 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 might later make the County's permitting actions invalid. 1 q - �5 j 3 g -L�2c-- -- �666-/// Date (Parcel No. or Legal Description) r Prope wner'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- Reviewe b, ap I, (D a Notary's signature Staff Initial: My Commission Expires: Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670/1-800-562-5628 ' (Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269) n,_ p� PLEASE PRINT #1 a w v rvi c P 9/ �l,'2a �.�� Aft1 l 1,� Phone# Z - G 9 7 ZZ e Address 15 / 7/ S�©HP b� �4 P) Fire District# ity ✓, St 4"cg Zip 98S'a' Directions to Job Site m t,, ry c.kJ. 42 S vp*- Foal L @" Owner Mailing Address r- /7 / ✓ a r City StiP dam, -Aa, St LJa Zip 98S— Uep,Cfitle Holder O 1`J -I er Address City St Zip #2 Contractor Name h1,4417.6 CO�s� c 7 1� Contractor Reg#11.G�i�s e- -1,2467 Address 33. " x Expiration Date City Ae r St Zip lL"? Phone#361d -15FS'2 #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) # el o. e - - _ egal escription 5 o r F 004��5 �, /f ly w 1 SF=c j T 2i N #5 Building Square Footage: 1st FI 2nd FI 3rd FI Loft Basement #Bedrooms #bathrooms Deck Other Garage 19 414 Carport (Circle:Attached o etached? #6 Use of building Describe work #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTU ED HOME INFORMATION D N H n� Model Year Ma Model �UN � 4 ��� Length Width Serial No. #Bedrooms Bathro ms Type of Heat Purchase Price$ HEALTH S!-77',1/!CES #9 Indicate by circling the applicabLttla if any water is on or adjacent to subject property: River Pond Creek StreamLake Marsh Saltwater Seasonal Runoff Other Show following on the site plan Lot Dimensions Fences Existing Structures Driveways S 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 E == 5e- r-ass 7�' ` PROVED f� S BUILDING INSPECTOR CHANG S SUBJECT/TO APPROVAL 77 U ti S/�, �,ro/�yI'u✓ �L APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3.35 eacW 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 _ IMP 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 16.75 Auto Fire Sprink Sys 35.00 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 16.75 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 DEPARTMENT. 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: M 7/1 OWNER/BUILDER TO ASSUME ALL Environmental He. RESPONSIBILITY IF DRAINFIELD AREA IS ENCUMBERED. Building Plan Review � �� .,A� S n4 PZ-o, j s r Occupancy Group: "��-i Type of Const: N Fire Marshal: Other: Special Conditions: FEES Building Permit 1.29 Plan Check , Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Violation Fee Site Inspection Building State Fee Other�,(l , C 7,j-L Other Other 1 Building Valuation: Iq TOTAL FEE ! .