HomeMy WebLinkAboutBLD97-0493 Storage - BLD Permit / Conditions - 7/3/1997 X MASON COUNTY
7, f
Mason County Bldg. III 426 W. Cedar L ,�
P.O. Box 186 Shelton, Washington 98584
3 t_! I I_._ t:1 I N cx I-, E_. It hvi I i _ t: ids. t't_�. i ! JN ::i.L 12.7—9 6 7 0
BETWEEN 5pm AND Sam 427-7262
IC.D97--0493 PARCEL :321361400010 PLAT : DIV : BLFC : LOT :
►OR .ADDRESS : F 6400 OUTS 3 SHEL.TON
OWNER :, GEORGF 377--6002
CONTRACTOR : PETERs
LEGAL : SE NE SELY OF R11 E64111 NWY 3
(1. ASS OF WORK , :7 BEDR : 0 BATH o 0 YPE ANOUNT BY DATF RECEIPT TYPE ANOUNI BY PAT[ RECEIPT!
"(Y P E OF U S F . . . . ..7 STOP I E:S . . . . . . . .0 �:,-_�.- :;�4-,�T:--� =_110=. ,��: >�,;,�,�:�,1
OCCUP CROUP , . . :7 BLDG. HEIGHT . _ : O .Oft PONT 1 421.50 NJ? 01103191 44847
Y YPE ,IPF GONST . .. :? FIREPLACES . . . . : 0 PICK 4 210.75 0,1? #7103197 44847 ,
OCCUP . LOAD . 0 WOODSTOVFS . . . . e 0 STFE I 4.5C N,IP 07163191 44647
DWFLI.. .ON 1 T5 . . . . : 03 PARKING SPACES 0 ENCP 26.01 UP 07143147 44847
INSPFCT !ON AREA : 0 SHORELINES? . . . ::' TOTAL: 462.75 YAIIILATION: 01
._ - TOIL.ETS . . . . . , . . . . : 0 FUEL_ TYPES-.---- -------- _ BOIL.E'RS/C0MP•----_ MOBILE HOMF_..
FRON 1' . . .N 180 .01f t BATH BASINS . . . . . . . 0 : 0-3 lip . , 0
REAP , . . .S 112 .Oft BATH TUBS . . . . . . . . : 0 3--15 HP . : 0 MODFL. a
S I Df f 1 > .E 3301 .0tt SHOWERS . . . . . . . . . . 0 F1_LRN •. 100K BTU : 0 15- 30 HP . : 0 MAKE-
S I DF t 2. 1 .W 600 .0tt WATER .HEATERS . . . . : A FURN >=100K BTU 3 0 30-50 E1P 0
SI1RL. L NE . 0 .01t CI.OTHFS' WASHERS , . : 0 FURN •- FLOOR , . . : 0 50+ HP .. 0 0 YEAR.
IREA _._.__ ..W_ __..... ...___. KITCHEN '.SINKS. . . . : 03 HEAT PUMP . . , , . : 0
i OT S L 7E . . : FL.00R DRAINS , .x, . . . 0 VENT SYSTEMS . > . :. 0 F:VAP COOLERS : 0 1 F NG TH : 0
BUILDING . . . , Osf DRINKING FOUNT . . . . 0 VENT FANS . . . . . . : 0 HOODS . . . . . . .. : 0 WIDTH . :' P
BASEMENT . . . : 0-;f I.AUNDRY TRAYS . . . . : 0 DOMES . 1NC1N :0 1:4RIA1.� . ..
DECKS . . . . . . Osf DISHWASHERS . . . . . . + 0 AIR HANDI- I NG UNITS— COMML . 1 NC I N ,0
GAR/CARP :? Os1T GARB DISPOSALS . ., : 0 <— 10000 cfm . : 0 RFI.00/REPAIR : 0
AT/OT`. :? URINALS . . . . . . . . . . : 0 > i0000 cfm . : 0 OTHER UNITS . : 0
MISO PLM FIXTURES :- 0 GAS OUTLETS . : 0
'emeR�b'a�taHLc[�r<�rrr.�cun��,:'hWWs*xtO1zs9CShc5�i6:. �raC.dtlLC:�R:Gs'1P-0!c:Ysvaa::urmac>+G'.�mTa.:.sascses+xNCZYtx�'aBCttss-r.:.:s6ts]Ir-'x7a^»
04ECT OESCIIPtIONiSTORAGE $1119116
OJECT LOCATION:TAKE STATE 4001E 3 VAST AGATE 00AD, 31191 AS YOU S110,11 IE . 1HE 11111 ORIYEYIAT IS UN I1E RIONT SIDE, SNARED DRIVEWAY WITH T 6400, ;402
IS PER111 BECOMES 1011 AND VOID IF WORK 08. C_ 11SLP1C1110 AUTHOR17.E0 IS 001' CONNENCFO WITNIR I80 DAYS, 01 IF CONSTRUCTION OR WOPK 1S SUSPE.NDF8 F01 A PFROO ,-
180 DAYS Al ANY LINE AFIF.R WORK IS COVNENCED. kVIOFNCF OF'.CeN11NUA1ION Of WORK IS A '_PROGNFSS 141SPECT100 11T.HIN THE 180 DAY PERIOD, FINAI INIPECTION N9.1 RE
110VE0 BEFORE RUILDING CAN BF OCCUPIED,
41ER AGENt e ° - d_....._ , _�_. . . OA1Er.. .
0" P1M1, ,4ev c 0313111i C;OMPI, I ANCE TO ATY'AC"ED COND T I ONS Is REOU 1 RCD
4,
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 by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date b 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
RO. Box 186 Shelton, Washington 98584
P E R In/1 1 T' C. C3 N[-) 1 '"r 1 Car N
:ase No , BL.D97--0493
Fort GEORGE O 'DAY
Farce S 1
1 ) The undersigned property owner is -aware of the urrcerta I my regarding Mason County 's
dewsIopmeent regulations created by the Growth Managment Hearings Board 's Order oY
October 2 , 1996, and In r..ansideration of Mahon County 's willingness to proceed with
processing of applications which might be affecIted by the Order , the undertiigned
property owner nesreby agrees to waive any lawsuit , action , or claim for damages against
Mason County which ma arise out of Mason County ' s aotion,; in acceptance, processing
and/or issuance of sueh permits or appprovals (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 "light later make the
County ' s permitting actions invalid .
X
1 ) The use, handling and storage of hazardous wa ter i a l s or f i t+mmah l e and combustible
liquids In excess of 10 gallons is not allowed without the approval of the Mason County
Fire Marshal .
X
1 ) Proposed StruCtUre or any portion thereof greater than 30" In height from grade l iffe ,
must maintain a minimum of 6 ' setback from all property lines , easements and 10 ' from
it 1 1 Cc,),unty and :,tat a Pond right of wa�ls
X
1 ) All approved plans are required to bee on-site for inspection purposes . If Inspection
Is called for and plans are not on site, Approval WILL NOT be granted . In additifen , a
Re- inspection fee in the amount of $32 -00 per hour (m i n lmom i hour ) will he charged and
must be collected by this department prIor to any further Inspections being performed or
approval granted .
X
i) No Occupancy . This s'1r,ijc1 tire3 Is, limited to 0• 1 rrses only Any other, +tsea wi l i be its
violation of the Uniform Building Code and Mason County Regulations
unless it "Change of Use" perm I t i s approved. X ._ anti... w. . .�_._�..... _.: .. ._.._._ _... __..,.._,._..
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
datc- 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
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. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
I AS
AND LE'
N G 8 -E FROM THE STREET OR ROAD FRONTING THE PROPERTY ,. MASON COUNTY BUILDING
DEPARTMENT REQUIRFS THAT THIS BE COMPLFTFD PAIOR 10 CALLING FOR ANY SITE INSPECTIONS , A
REINSPEcrION FEE BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING ("ODE WILL. BF
ASSESSED IF OWNE'A/rONTAACTOR FAILS TO POST ADDRFSS ON SITE PRIOR 'TO HFOUE-STING
INSPECTIONS .
X
ALL. CONS F'RUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND U3G' REGUInFMENTS .
X
Owner / builder assumes all responsibili.ly It duistritield area lt<
enc,timberecl .
AL
CI ��JE MECHANICAL MOBILE HOME
F.oe�ings-Setback date by Ribbons ,
date 8/--g-2 by Gas Pip;.Ig date b
Foundation Walls date by Set Up
daie by INSULATION date by
BU/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 by date by
D.W.V. WALLBOARD NAILING i
date by date by
Water Line FINAL INSPECTION
date by date S` ,_ _c�� by I date by
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Permit No. s�
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 0�
(Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269) �
PLEASE PRINT
0
#1KwnAeir, G� � O` .�y Phone#dress E 4W. , {i ��lbc>-1'E' �7_ _ Fire District# _�St Zip_ 04
Directions to Job Sit
a) 411 400 40
Owner Mailing Address a405 Vim` ,C�_ Awe,
City rl> .WA-<A e-- St i VA Zip
Lien/Title Holder
Address "gyps �,/�,�„ 'O—A A.
City 0-� moo•, St V,/"\ Zip
#2 Contractor Name %k--r f-(s Contractor Reg#n)� k r l M i
Address no i g.• yzz N,, Expiration Date/
City St—\,,-VAZip ����� Phone#
#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)
#4 arcel •No.- �1�L - t�A - Oo0 t 0
egal Description - 34, '� 21. N. R.• 2)Q- w,1� rn�*b�, C-E7� _ P\P. ki .�� Stti
#5 Building Square Footage:
1st FI 2nd FI 3rd FI Loft Basement 0
# Bedrooms G # bathrooms O Deck 0 Other
Garage a Carport C (Circle: Attached or Detached?)
#6 Use of building Describe work
#7 Type of Job: New ✓ Add Alt Repairr? n w
—V L!2 U U
#8 MOBILE/MANUFACTURED HOME INF TION MAY 0 51�7
Model Year Make odel
Seri No.
# Bedrooms # Ba s Type of Heat H;:AI.TH SERVICES
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 Fences
Existing Structures Driveways
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
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3.35 each Fee Mechanical Fixtures ($6.75 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
B th Tubs No. Units Fees
Show s Furn BTU
_Hot Water r\ _ Heatpumps
Laundry Washer _ ent Systems
Sinks _ Sp Vent Fans
_Floor Drains No. Boilers , ompressors
_Laundry Basins _ HP
_Dishwasher `.M 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 FORA 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
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 VC++
FOR OFFICIAL USE ONLY: Accepted by: � � Dater
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health
OWNER/BUILDER TO ASSUME ALL
RESPONSIBILITY IF DRAINFIELD
AREA IS ENCUMBERED.
Building Plan Review
Occupancy Group: Type of Const�-
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit 1�l.So
Plan Check old 7
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee q.G5 s
Othery NL). Y/LT-)-)
Other
Other
Building Valuation: �03,Z� TOTAL FEE �j