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BLD2000-00310 Final SFR and Garage - BLD Permit / Conditions - 7/3/2002
Inspection Line (360)427-7262 MASON COUNTY PERMIT ASSISTANCE CENTER Phone: (360)427-9670, ext. 352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton, WA 98584 Nt$ � RESIDENTIAL BUILDING PERMIT BLD2000-00310 OWNER: EDWARD SMITH CONTRACTOR: RECEIVED: 03/20/2000 SITE ADDRESS: 550 E MIKKELSEN RD SHELTON ISSUED: /17/2000 11 PARCEL NUMBER: 321341390113 EXPIRES: /17/2000 LEGAL DESCRIPTION: TR 3 OF SP#2478(R) SEE SURV 8/32 + SP#784 E 550 MIKKELS PROJECT DESCRIPTION: DIRECTIONS TO SITE: RESIDENCE AND GARAGE MASON LK RD TO MIKKELSEN RD General Information Construction & Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: 5N Type of Use: SF Insp. Area: No. of Bathrooms: 2 Occ. Group: R3U1 Lot Size: Deck: Type of Work: NEW Fire Dist.: 5 No. of Stories: 1 Occ. Load: Building:1,112 Garage-Attached 576 Valuation: $69,076 Building Height: 14 Occ. Status: Unknown Basement: Cvr Porch 12 Manufactured Home Information Setback Information Shoreline & Planning Information Make Length: Ft. Front: W 20.0 Ft. Shoreline: Ft. Water Body: Rear: E 35.0 Ft. Slope: Ft. SEPA?: Model: Width: Ft. Side 1: N 25.0 Ft. Shoreline Desig.: Year: Serial No.: Side 2: S 23.0 Ft. Comp. Plan Desi .: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Dishwasher 1 Exhaust Hood 1 Plan Check Fee KLW 03/20/200 $450.78 52928 Hosebibs 2 Ventilation Fan 2 Adjust Plan Check Fee MJB 04/21/200 $4.06 53452 Kitchen Sink 1 Building State Fee MJB 04/21/200 $4.50 53452 Lavatories 2 Building Permit Fee MJB 04/21/200 $699.75 53452 Showers 1 Mechanical Fee MJB 04/21/200 $22.50 53452 Water Closets (Toilets) 2 Mechanical Base Fee MJB 04/21/200 $22.00 53452 Water Heaters 1 Plumbing Fee MJB 04/21/200 $75.00 53452 Bath Tubs 1 Plumbing Base Fee MJB 04/21/200 $20.00 53452 Clothes Washer 1 Planning Review Fee SLO 05/04/200 $38.00 53452 Public Works Review SLO 05/04/200 $31.10 53452 Environ.Health Plan PSD 05/15/200 $50.00 53452 Total $1,417.69 BLD2000-00310 Please refer to the following pages for conditions of this permit. 1 of 4 CASE NOTES FOR BLD2000-00293 4- CONDITIONS FOR BLD2000-00293 1) Proposed structure or any portion thereof greater than 30" in height from grad e, must maintain a minimum of 5' setback from all property lines, easements and 10' from all County and State Road right of ways. X 2) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which is proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that office to review future planned work which may affect ur project. X b 3) The use, handling and storage of hazardous mite 'als or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X � 4) This application is subject to V r and Landscaping requirements as established under Mason County Ordinance 1.03.036.X 5) All upland areas disturbed or newly cre by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 6) Approved per dimensions and setbacks on submitted site plan. X 7) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of$42.00 per hour (mini 1 hour) will be charged and must be collected by this department prior to any further inspections being performed or approval granted. X 8) PURSUANT TO 1997 UNIFORM BUILDING CODE, 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 AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X BLD2000-00293 Please refer to the following pages for conditions of this permit. 2 of 3 01 9) ` The approved plot plan is required to be on-site for inspection purposes. If inspection is called for and plot plan is not on site, Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of$42.00 per hour (minimum 1 h r ill be charged and must be collected by this department prior to any further inspections being performed or approval granted. X 10) ♦ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE O CUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x 11) Changes to approved building plans that effect compliance to the 1991 Washington State Energy Code, 1991 Ventilation and lndporpAir Quality Code, the Uniform Building Code and/or Mason County Regulations must be approved by Mason County prior to constructionX 12) CONSTRUCTION PROCESS TO BE I D CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMEN AND UNIFORM BUILDING CODE.x 13) All property lines shall be clearly identified at the time of foundation inspection. X p 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 commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occu e . OWNER OR AGENT: DATE: BLD2000-00293 Please refer to the following pages for conditions of this permit. 3 of 3 C MECHANICAL ' MOBILE HOME Fa pack date / (% b 'i'%' Ribbons date _2 `/- C� by t--� 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 /2- O / by c -� date OTHER by PLUMBING Attic Groundwork date b date by D.W.V. � WALLBOARD NAILING date `7��L7' ��� by _., 2,0 date by Water Line FINAL INSPECTIODV date "7W! by .,�5W date Q by date by `�� �l7 �/i-✓����Tip%✓ ,��r /vt��� /��/� . New 1 kt ,jG G -- L If7 v Fo7-Z,)'Tr0- i iF - AD ,-ems P it 40nige eL'J�a ; r ��� CEO 4 Z 62142-, 7 I K., • 1 o crr- - ti . t r. � �• 1. t � ' ! r I cj 277 -------------- On J; / { t i i� �1 t O i` 71177 w'. A i • s , • .R,.... r1� PERMIT NO.: BLD_ `Awr ( ASON COUNTY d� B DING PERMIT APPLICATION 3 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 elton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATIO k Owner zF,6Wo 2L) .-5M J7!`/ Contractor Name Mailing Address E' A00 Mailing Address City _.a 'ii!TDN State Jf & Zip Code City State Zip Code �+ Phone() Other Ph.(P[ny) 2.&-/ Ph.( Other Ph.( ` Lien/Title Holder 5r�i7.;144 Contractor Reg. # Address — Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connec to Sewer System Name of Sewer System Well Water System Name of Water System '"-5 KA lT N _J tit. PARCEL INFORMATION-12 digit Tax Parcel No. 12 Fire District Legal Description O Site Address(Please include street name, street number and city) ET LA0.0 �.� Directions to site 4_yAtAea Ak j13,t► 7D r Will timber be cut and sold in parcel preparation? (Yes/No) / Is your property within 200' of the following: Body of Water (Name) /fj Saltwater Lake River/Creek Pond Wetland Seasonal RunofT Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair gf'her Use of Building Oi E' Describe Work No. of Bedrooms_:�No: of Bathrooms SQUARE FOOTAGE-1st Floor/)/2i 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached .Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. o. of Bedrooms No. of Bathrooms Type of Heat P rice $ Replacement Unit ?(Yes/No) Installer Name Certification No. __. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the C6NTRACTOR'S AFFIDAVIT-]certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes all be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval first obtaining approval. Date_0 X Date --'"�"� FOR OFFICIAL USE BEYOND THIS POINT q Accepted by t �'�� DaJ.1W S bmittal Amount Due Receipt N5 -2- L DEPARTMENTAL REVIEW APPROVED DENIED '' CONDITION CODES Building Department A43 _-11 ov Occ Group R U Type Constr. 5k) 4 ,11 100 ,a Planning Department Environmental Health Department Public Works Department I Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee 5 '4 UFC Plan Review Fee ttt�s P I,oG Plumbing & Base Fee 5 Public Works Review Fee Mechanical & Base Fee Li SQ Other STDTc sd Wood/Gas/Pellet Stove'Fee Other Violation Fee Pre-Paid at Submittal >< ''': zs`. >>»? <.><>` »::>:::>::<>:<:»:::» :::•:...z .......::::.:::..............::::::::fi..::::.:..:::...:....;.::.»: : TOTAL FEES: �� =7 a PERMIT NO.: MASON COUNTY ` PLUMBING/MECHANICAL PERMIT APPLICATION , 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 � Shelton 360 427.9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Contractor Name Mailing Address t4WN IZ� wy- b`L -o �> Mailing Address City 54)2LT0►w State 0$ Zip Codg gec City State Zip Code Phonel3tov)t.}2'?-2V64lfher Ph.(�600) b-I Ph.( Other Ph.( ) Lien/Title Holder ::S. rn rYj Contractor Reg. # Address Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System 544•i.'iibir Q . PARCEL INFORMATION-12 digit Tax Parcel No. 3 Z 13 /1?�_/ G Fire District Legal Description 7Q ©Q !mk Site Address(Please include street name, street number and city) — Directions to site /j9,r dazze 1—,L. On T 7"2, AZIZ I- S- i / � Is your property within 200' of the following: Body of Water(Name) IU I A Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump Toilets Type of Unit No. of Units Fees Bath Basins Furnace Bath Tubs Heatpumps Showers _J_ 1 0© Vent Fans l 3,o0 Water Heater �[_ Propane Tank - Laundry Wsher Gas Outlets Sinks _� Wood/Gas/Pellet Stove Dishwasher / Direc Vent? Other Nosy 13,gas a Other L'7` _ Other Other I_ -13,S0 Base Fee -90,00 Base Fee TOTAL PLUMBING c5 vv TOTAL MECHANICAL H Li,SU i A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes s all be made without first obtaining shall be done in conformance therewith. No changes shall be made without approv first obtaining approval. Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. . . DITIfN CODESAEPARTMENTA€ M.EW APPROVE[ TrNIEC Building Department Occ Group Type Constr. Planning Department Other Other ES......... . . ...... ............... ................................................................................... Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES • �' " MASON-CObi-slTY PROJECT SITE INFOrmVIATION � /b zo 1K* Case No. Name U,�.�l� ���*Ll PARCEL NUMBER ?Z/34 pa Date SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensionsi 9 Fences Existing Structures j Driveways Structure Setbacks, Shorelines Water Lines 4 1 Topography !" Well Location (in* r g �dllacant ��y Drainage Plan Names of Streets` Easements Names of Fronting Streets 4 Septic System DRAW SITE PLAN BELOW Include adjacent pr es if on shoreline or within 16, feet of adjacent property tine. adjacent property line4 I I E-adjacent property line I � I I I I I r R► I L- I �� RiVe I I I I r l iD w.-w/n/Ty &IL-24 Tb I I 0 ' I I adjacent property line-) / ' Fadjacent property line rn IL1CIaZSk'rJ .;p' SAMPLE SITE PLAN ^-w adja t property lined �— 21.o' _ _ E-adjacent property line v sa' raESC_RvE gel .SEA_SD nJ AL. I H L CREE{G ' I HOM t \ I r% .Gf36.6N y I HOau� I ) PRO Po]LD S¢Qt:t I R\ I VACANiT I CA M A C.-cr, ;f Ili 30 P0.oPo�CD TAG.R=LLLTuAAL so I F—40--� \ y9• I I 1 I �--Bo• I I I adjacent property lined Fad'acent ro ert' line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE d15+.a"cm to Srt ruttl.�Y� d ca-t'a►,c.e. to 51 opa fic¢ t o re. Signature Date