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Home My WebLink AboutBLD95-01353 Cancelled Remodel - BLD Permit / Conditions - 3/18/1996 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 E3 U I L [7 1 N C3 P E R M I T FOR INSPECTIONS CALL 427-9670 BETWEEN 5pm AND 8am 427-7262 BLD95-1353 PARCEL :32132329O111 PLAT : DIV :? BLK :? LOT :? JOB ADDRESS : E 141 STONEBRIAR PL SHELTON OWNER : VIC STRICKLAND 426-2701 CONTRACTOR : BLOCHER 866-8888 LEGAL : TR 11-A OF S1 N1,N1LY OF CO Rif TR i OF SP #2267 E 141 STONEBRIAR PL CLASS OF WORK . . :REM BEDR : 0 BATH : 0 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT TYPE OF USE . . . . :ACC STORIES . . . . . . . :0 OCCUP . GROUP . . . :? BLDG . HE I GHT . . : 0 .oft IREMD $ 50.00 KS 03118196 41479 TYPE OF CONST . . :? FIREPLACES . . . . : 0 �CHOU $ 25.00 KS 03118196 4 14 79 I OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 S T F E $ 4.50 KS 03118/96 41479 DWELL .UN I TS . . . . : 0 PARKING SPACES : O �EHCP $ 10.00 KS 03118196 41479 I f INSPECTION AREA : 2 SHORELINE? . . . . :N TOTAL: 89.50 VALULATION: 01 SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME-- FRONT . . .E 5 .Oft BATH BASINS . . . . . . : 0 0-3 HP . : 0 REAR . . . .W 5 .Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : SIDE ( 1 ) .N 5 .Oft SHOWERS . . . . . . . . . . : 0 FURN < 1O0K BTU : 0 15-30 HP . : 0 -MAKE------ SIDE ( 2 ) .S 20 .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 . . . : 768sf 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;REMOLDEL LESS THAN 50% PROJECT LOCATION:BROCKDALE RD TOWARD UNION TURN RIGHT ONJENSEN RD LEFT INTO STONEBRIAR PLACE 2ND HOUSE ON LEFT. 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 180 DAYS AT ANY TIME AFTER WORK IS OMMENCED. EVIDENCE OF UNTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD. FINAL INSPECTION MUST BE APPROVED BEFORE BUILDING CA BE OCCU D. OWNER OR AGENT: i4telelell __ _ DATE: 3- Z f_FZ,' ACHED CONDITIONS IS REQUIRED MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PERM I T CONLQ I T 1 ONS Case No . : BLD95-1353 For : VIC STRICKLAND Page : 2 1 ) The use , handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire„ shal . X ((//�� 2 ) Proposed structure or any portion thereof greater than 30" in height from grade line , must ain a minimum of 5 ' setback from all property lines , easements and right of waysZ4, n X 3 ) Owner/ builder assumes all responsibility if drainfield area is encu be ed . X 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 #1 Owner L\�tc� -tr;c--k lull Phone# LfZ(o- 2--1 O l Site Addres \ Lk\ VP` , Fire District# City SVns-\k-0%& S Zip gSsSBl Directions to Job Site L o.P-FQ- Owner Mailing Address `E \'a \ S fo.i.br%e. City S \4Q%A St tWa zip lt8sgy Lien/Title Holder Oft AU /A Address City St Zip #2 Contractor Name 7So\nvAM ow. �oh� rac '%'n N ontractor Reg#5ol-ENu cx_'b1b6 Z Address ZSo S E. c / i ,,� �\d �� v sz. Expiration Date_ \l City CIA&Q.�4-0\n St v 1oL_ Zip �RSS Phone# (A21.— G-LO.1 #3 If septic is located on project site, include records. Connect to Septic?_,A5�r Public Water Supply ,0' Well Connect to Sewer System? .k�'— Name of System (If residential, proof of potable water is required) #4 ParceANo Z 1 3 Legal Description S w yy �J w #5 Building Square Footage: (existing/proposed) 1 st FI / 2nd A / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other / #6 Use of building �T �.�G�- Se w Describe work WAA S V% Z w.� !n -N No o o- No Lo.tar. Al¢o av ove ' onv ro �� a avo�jQ �Ya �v. rio wo Spdoa. #7 Type of Job: New Add Alt a- Y.- Repair Other #8 MOBILE/IVIANIJEACTURED HOME INFORMATION Modef_Wi ake Mo el ngt dth Serial o. # Bedrooms #Bathro s Type Heat Purchase Price$ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: �p 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 Ij APPLICANT TO DRAW SITE PLAN BELOW 30`f ` $O ZD' Lik O V Z APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW /+ (p,"e leaNr k J MocsUg- tC- -16:�la� No 1�0A\4, S I r 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 Handlinea 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 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 jo DATE DATE FOR OFFICIAL USE ONLY:Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: pffis qh Environmental Health: ? a1`L i Building Plan Review '�rJ I�-lLP Occupancy Group: Type of Const: Fire Marshal: Other: I FEES- Special Conditions: S S or, t�ZWAO f-rL e.;I1=_ Building Permit 2(16 (� 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 7 • ��