HomeMy WebLinkAboutBLD99-00289 Cancelled Garage - BLD Permit / Conditions - 11/8/2001 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E3 I J I L_ 0 1 N C3 PERM 1 _T FOR 1 NSPE CT I ON2, CALL 427--8670
BETWEEN 5pm AND Sam 427-7262
BL1399-•0289 PARCEL :321347590092 PLAT : DIV :? BLK :? LOT :7
JOB ADDRESS : 131 E MARJORIE L.N SHELTON
OWNER : GORDON OSBERG 36O--866-6132 PERiiIT
CONTRACTOR : CENTERFIEL.D CONSTRUCT16R .� 402-1000
NULL AVOID BY EXPfRATION
LEGAL : TR 9 OF SUAVE 2f91 ,
• �.-�:.—�: _.:ram .___:... : _.__ ____
CLASS OF WORK . . :NEW BEDR ; 0 BATI,_ 0 TYPE AMOUNT BY DATE RECEIPT iTYPF AMOUNT BY GATE RECEIPT
TYPE OF USE _ :ACC STORIES . . . . . . . :0
OCCUP . GROUP . . . :U1 BLDG . HEIGHT . ; 0 .Bf t PLCK t 110.46 KW 04119/99 51003 , -_ PA-)
TYPE OF CONST . . :5N FIREPLACES . . . 0 PANT 1 262.25 NJF 0413#199 50125
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . ; 0 SIFE 1 4.50 NJP 94131t95 50125 1
DWELL. .UN I TS . . . . : 0' PARKING SPACES : 0 EHCP 1 51.10 NJP 44130/99 50125 f
INSPECTION AREA : 2 SHORELINE? . . . . :N TO'Att 481.21 VAtUI A110N: 17482
SETBACKS------------ ------ TOILETS . . . . . . . . . . : 0 FUEL TYPE -"----- BOILERS/COMP----- MOR I LE HOME--
FRONT . . .N 50 .Bft BATH BASINS . . . . . . : 0 0- 3 HP . : 0
REAR . . . .S 20 .Oft BAT14 TUBS . . . . . . . . : 0 3- 15 HP . : 0 MODEL :
SIDE ( 1 ) .E 40 .Oft SHOWERS . . . . . . . . . . : 0 FURN < 100K ETU : 0 15--30 HP . : 0 -MAKE- -_.---
SIDE (2 ) .W 10O .Oft WATER HEATERS . . , . : 0 FURN >-100K BTU : 0 30-50 HP . : 0
SHRLINE .N 0 .Oft CLOTHES WASHERS . . : 0 FURN • FLOOR . . . : 0 504 HP . : 0 ...YEAR------
AREA --------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0
LOT SIZE . . e FLOOR DRAINS . . .. . . 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0
BUIL.DING . . . : Bsf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT. . . ; Osf LAUNDRY TRAYS .. . . : 0 DOMES . I NC t N :O --SERIAL*---.-
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS--- COMML . INCIN :O
GAR/CARP :G 924sf GARB DISPOSALS . . . : 0 <:- 10000 cfm . : 0 RELOC/REPAID : 0
AT/DT . sD URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : 0
MISC PL.M FIXTURES : 0 GAS OUTLETS . : 0
PROJECT DESCIIPT10N:6ARAEF.
PROJECT LOCATION:NASON LAKE AD RIGHT ON CATFISH LAKE RD LEFT ON CATFISH LANE LEFT ON MARJORIE LANE.
THIS PEIMIT BECOME ' MILL AND �016 IF WORK 01 CONSTRUCTION AUTHORIZED IS NOT COMNENCEO WITHIN 181 DAYS 0R If CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD
OF 181 BAYS AT ANY T ME AFTER JORK IS COIRENCfD. EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 150 DAY PERIOD. FINAL INSPECTION MUST Er'
APPROVEO MORE 8VIt1L.NG CAR 8E OCCUPIED. ,
OWNER 00 AGENT: ._ DATEI L,
6t0_PP.NT, rev; 03131!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 Final
date by Floors
FRAMING date by date by
Walls FIRE DEPT.
date PLUMBING by date by date by
Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by ,date by
40
ec-
I —
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
1=�' ERM I T CON0 I T I QN S
Case No . : BLD99-0289
For : GORDON OSBERG
Page : 1
1 ) 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 (minimum 1 hour ) will be charged and
m}ast; be collected by this department prior to any further inspections being performed or
apprbva i gran' ed .
X `
2 ) PURSUANT TO 1994 UNIFORM BUILDING, CODE . ALL SITES MUST HAVE APPROVED NUMBERS OR
ADDRESSES PROVIDED IN SUCH A P021TION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE
STREET Q_R. ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT
THIS Bf COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED
ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF
OWNEFICONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS .
X
3 ) THIS STRUCTURE IS CONSIDERED UNHEATED SPACE (NOT TO EXCEED 1 WATT/SQUARE F00 OA 3 .'4
BTU/HR/SQUARE FOOT) . AT SUCH TIME THIS CONDITION CHANGES, A CHANGE OF USE PER IT AND A
MECHANICAL PERMIT SHALL. BE APPLIED FOR AND APPROVED PRIOR TO THE CHANGE . X
4 ) The ap raved plot plan is required to be on-site for inspection purposes . if
inspec iort. is called for and plot plan Is not on site , Approval WILL NOT be granted . In
additi n, � Re- Inspection fee In the amount of $42 .00 per hour (minimum 1 hour ) will be
char�dd.',., an must be collected by this department prior to any further inspections being
perf Vr7l,
d or approval granted .
X
5 ) No Occupancy . This structure Is limited to U-1 use only . Any other use will be in
violation of the Uniform Building Code and Mason C� ;ty- fl eguiations
unless a "Change of Use" permit is approved . X
61 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 OR OCCUPANCY
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
y r-r--
x
7 ) Changes to approved building plans that effect compliance t'a the 1991 Washington State
Energy Code, 1991 ventilation and Indoor Air Qualit�y
Code , the Uniform Buliding Code and/or Mason Count Reguf �Ylons must
be approved by Mason County prior to constructio U
i
8 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS R!<artt'RED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x
i
_.) ) The use, hand'ri.ng and storage of hazardous materials or flammable and combustible
liquids in *)(cess of 10 gallons is not allowed without the approval of the Mason County
F ire Mar..sha i .
10) 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 , ether 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 furthe►, information regarding this ordinarioe and the REQUIREMENT to
obtain an ACCESS PERMIT for the installation/construction of a driveway or access:
connectin from a Mason Counter Road, Contact the Mason County Public Works Department
prior to.)3onstruction at Ext 450 .
For any,`,,, nstruction which is proposed to be located within 25 ' of a Mason County road
righj,-- ay, it Is suggested to contact that office to review future planned work which
maw afi&,6,t your project .
X _
11 ) Proposed structure or any portion thereof greater than 30" in height from grade line,
must mairl. 9in , a minimum of 5 ' setback from all property lines , easements and 10 ' from
all Cou.aAtty and State Road right of ways .
X
12 ) Owner/builder assumes all responsibi I ity if drainfield/reserver area i �'
encumbered . '
X ___- ----- -�
PERMIT NO.: BLD
• MASON COUNTY t9
BUILDING 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
AFPLIC INFORMATION CONTRACTOR INFORMATION
Owner Contractor Name[rt,nZ ec�'r,e\� C c-r-at oc'Z ur, 1-�,C-
Mailing Address \ Mailing Address')pe) 4•ruT<c - A n,i,fU QZA,5. 9:f35,
City �Iii, State\A, Zip Code c\%90-7— City I- Rce State UA Zip Code %I;*!,
Phone `0 4,\WL Other Ph.('5(-)p ) g2"S,.-0 )ther Ph.(7,6p ) ?�°t-V%2k4
` Lien/Title Holder Ony�,2_ Contractor Reg. #
Address Expiration \0 / -I\ / a1
SEPTIC/WATER SYSTEM INFORMATION- nnect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System
PARCEL INFORMATION-12 digit TtXI.Parcel No. 3`l. \ /--)L ' gQo�2 Fire District_
Legal Description .e
Site Address(Please include street name treet number and city) \�2, i C 1-tbrt S ZO
Directions to site-- - Ay_ °5ac� 1-ct l��e. u� t .c.y�t c�(� CutG-.� Vc.��e 6Z
P 04-' ( C.X, dY� 1-e Q- 1 or-, i CSC .-e 4h
Will timber be cut and sold in parcel preparation? (Yes/No)
Is your property within 200' of the following: Body of Water (Name) JN Saltwater
Lake River/Creek Pond Wetland Seasonal R, Siff Stream Slopes or
Bluffs
I
I
TYPE OF JOB New Add Alt Repair Other Use of Building ca
Describe Work e Corry
No. of Bedro=s No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd"Ffoo� -'1=pft Basement--- Deck-Other - sq. ft.
} 1
Garage T R At ached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make del Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of heat Purchase Pricp $ 1 r7N Replacement Unit ?(Yes/No) i
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-1 certify th empt from the requirements of the CONT CToR'S AFFIDAVIT-I certify that I am currently registered as a
ArequireTfor
ion aw CW 18.27 a am aware of the ordinance contrac r in the St to of Washington and that I am aware of the ordinance
h permit is issued an that all work will be done in requ a gul ing t or hich this permit is issued and all work
it cha shall be m e without first obtaining shal a ne in rna -therewit No changes shall be made without
first tai i g ppr I.
Date t \0k6 Date 1a1 A'<
OFFICIAL USE BEYOND TRI P yt ,
e -Accepted by Dat 7- �" ubmittal Amount Du� eceipt No
qDo,-)
tJEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department -ao-4q
Occ Group U ( Type Constr.6 p
Planning Department
Environmental Health Department
Public Works Department
� I
Fire Marshal
I
Valuation $
FEES
Building Permit Fee loo�, Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing & Base Fee Public Works Review Fee
Mechanical & Base Fee Other
Wood/Gas/Pellet Stove Fee Other
Violation Fee Pre-Paid at Submittal ( )
..........:.....::::::.::::.
:.:�:::.;.;;::;::::•.::::...;.;;::.:::. SEEM
........... ... ......... TOTAL FEES
i::Y r:?ii:i:::::i}j?;::::?ii::i:{::;;i;i:::iiiii::iii:%:j}';
ASONCUNTY PROJECT SITE INORMATIO
Case NO�E— X,
Name _c U.
i
�—; i C �� PARCEL NUMBER12 'A-12`1nn Date 3 \�
FNames
HOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E.W in relation to the
site plan
sions Fences
tructures Driveways
Setbacks Shorelines
es Topography
tion (including adjacent) Drainage Plan
Streets Easements
Fronting Streets Septic System c�
DRAW SITE PLAN BELOW Include adjacent properti .,S if on shoreline or within 1 feet of adjacent ro ert line.
pro 00
adjacent perty line-)
(-adjacent property line
I I
I �
I / 1
270
ao a p--,mT _
_ mans
FLvw 1 , I N
XP
� �_—• I I i rD
1
p L _
&gut.,�,�.� � -70` t
m
1
QL
16
adjacent property line4 � r
Fadjacent property line
SAMPLE SITE PLAN
adja t property line—>
3 Lo'
bu^L 1 a 3,. �a�zclzv� I Fadjacent property line
CREEK \ c I HOM
�1 n
=-1-
'IPilo Pastp ¢.PtlC-
b�'----
VA G rvT I 7�
III\ I GARAfd I
I P0.oPoyCD R 1
��.�� \� � A6RZGLLLfLa-fiAL
1
1
I I
80
I L dLL
I \
adjacent 2roperty lined
Fadjacent 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
tS�-iC�h�c+aM dls+a—r-a. +o
ru,,Ltl,a.Ye-
d;zt,Y'Cf- 1-0 ,
� 51opa �c¢
dii+ancm ,
f o ,L i
Signature P
D
I I I I I �tt-Ct�t tf+1 �
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD
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
APPLIC NT INFORMATION CONTRACTOR INFORMATION
Owner Contractor Name
Mailing Address Mailing Address S
City' State 4.1 Zip Code 14,-- Z City State_aL Zip Code
Phone -<<V Other Ph.(Sf yb ` � Ph.( j Other Ph.( a
Lien/Title Holder_ Contractor Reg. #
Address Expiration ,' / z\ /
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION-12 di it Tax Pariell No._ \ l��/-7 50GC)c,9-2 Fire District
Legal Description
Site Address(Please include street name, treet number and city)
Directions to site e
Is your property within 200' of the following: Body of Water (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New LX Add Alt____Repair Other Use of Building
Location of Fixtures/Units 1st Floor / 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHAWCAL 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 i Furnace
Bath Tubs 1 Heatpumps
Showers Vent Fans
Water Heater �_ Propane Tank l—
Laundry Wsher _� Gas Outlets
Sinks -A Wood/Gas/Pellet Stove
Dishwasher Direct Vent?
Other Other
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
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-1 certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contracto in the State f WVn a that I am aware of the ordinance
require nts for which this permit is issued and that all work will be done in require_
_
r tin th w rk for this permit is issued and all work
confor nce therewith. No changes shall be made without first obtaining shall e d in con ce therewith. o changes shall be made without
appr first o prova.
� to � � Date 24r,
a
F4 OFFICIAL USE BEYOND TH18 POIN�\Vl
Accepted by Date Submittal Amount Due Receipt No.
DE A1t1IHEFtVTAE fi 1/tE1+1k:< APPROVED DENIED CONDITION:CODES
Building Department
Occ Group Type Constr.
Planning Department
Other
Other
FE
... .._
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