HomeMy WebLinkAboutBLD99-00176 Final SFR and Garage - BLD Permit / Conditions - 10/18/1999 •. - ' MASON COUNTY
Mason County Bldg. III 426 W. Cedar
' P.O. Box 186 Shelton, Washington 98584
1.,) 1 0 1 N C3 P !""" FA I' 1 FO11 I S'+u;:,1°t-:• f i t1N., .,ALL 427.-5670
BETWEEN 5pm AND Sam 427-7262
BLD99--0176 FARCE:L. :321347590092 PLAT ; D I V ,7 BL.K s? 1_0"T :?
,.IOR ADDRESS : 131 E MARJOR I E LN SHEL-"TON
OWNER : GORDON OSBERG 360--866-6132
CONTRACTOR : CENTERF I EL.D CONSTRUCTION 402 - 1000
LEGAL : TO 9 OF SURVEY 2196
CLASS OF WORK . . :-NEW BEDR : 3 BATH ; 2TYPE ANOUNT BY DARE RECEIPT ITYPE AMOUNT BY DATE NECE IPI�
TYPE OF USE _' . . :SF STORIES . . . . . . . .. 1
OCCUP . GROUP . . , -R3U1 BLDG . HE IGHT . . r 0 .0tt ;PP,I( S 64i.71 KI 93t22t99 49720 INCH
Y 1 6,5N Nip 640919� 51001 4
TYPE OF CONST . . :6N F I REPLACES . . . . : 1 MRCP $ 5U61 NJP 04119199 5OO1t {INCH S 51,25 NJF /4119199 56601
OCCUP . LOAD . . . . . 0 WOODS T OVES . . . . : 0 PRAT 1 497.25 Nip 0019199 51101 VC11 S 22.01 Nip 0019199 19199 150111
DVVELL .UNITS . . . . : 0 PARKING, SPACES : 0 IFEN S 111.00 NJP #4119i99 56001 ANdltimf feet not sAow» here.. . ..,
INSPECTION AREA : 2 Sf4ORE:L I NE7 . . . . :N ;PI.11 S 20,00 NJP 0019199 5O101 116TAh 1545,11 VA1.I11A1 ION: 121144
SETBACKS-------- ----- TOILERS . . . . . . . . . . . 2 FUEL. TYPES----- __. BOILERSICOMP.-----• MOBILE HOME_.
I:RONT . . .N 503 oft BATH BASINS . . . . . . : .f3 : /LPG/ I ` : 0""-3 HP . a 0
REAR . . . .S 60 .0ft BATH TUBS . . . . . . . . s 2 3-15 HP . : 0 MODEL :
SIDE: ( 1 ) .E 90 .0ft SHOWERS . . . . . . . . . . . 1 FURN 100K BTUs 0 15-30 HP . ,- 0 --
S i DE (2 ) .W 100 .Oft WATER HEATERS . . . . : 1 FURN >=10 0K BTUs 0 :30-50 HP . : 0
SHRL i hE .N 0 ..0f t CLOTHES WASHERS . , z 1 FURN -- FLOOR . . . : 1 50+ HP . : 0 .-.YEAR- ----- - -
AREA ---- --- -- KITCHEN SINKS . . . , , 1 HEAT PUMP . . . . . . . 0
LOT SIZE . . : FLOOR DRAINS - - ; 0 VENT SYSTEMS . . . : 0 E VAP COOLERS ; 0 LENGTH : 0
BUILDING . . . : 2100st DRINKING FOUNT . . . : kT' VENT FANS . . . . . . : 5 Ii00DS . . . . . . , s 0 VVIDTH . : 0
BASEMENT . . . s Osf LAUNDRY TRAYS . . . , : 1 DOMES . 1NCINs0 -SERIAL#-- -- .-
DE:CKS . . . . . . . 0sf DISHWASHERS . . . . . . : 1 AIR HANDLING UNITS- - COMI,AI- . I NC I N :0
GARICARP :G 606sf GARB DISPOSAL-S . . . : 0 <— 10000 r<'fm , s V, RE:LOC/RE:PAIR : 0
ATiDT . :A URINALS . . . . . . . . . . : 0 ? 10000 ctm . : 0 OTHER UNITS . : 0
M I SO PLM FIXTURES . 2 GAS OUTLETS , : 3
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PROJECT DEsc�11<TIaN alslfliEi6AkA&F
PROJECT LOCATION:
THIS PEI1111 BECOMES NULL AND VOID IF 1001 01"CONS1NUC1101 AUT9091?0 IS NOT CONNENCEII 111THIN 1S@ DAYS, OR if CONSTIV0 101 ON WORK IS SUSPENDED FOR A PERIOD
OF 4811 RAYS AT ANY T10 1`"T11f 1011t '13 CONNENCE,Q. EVIDENCi OF C11011NVATION OF MORL 13 A I'11O&ffSS INSPECTION 111N1N THE t60 DAY PERIOO. FINAL INSPECTION NHS4 f,
RPPROVED BEFORE 991[ppe 'r�JIN Bf 'O.CCL lEB.:
O>fNEI~` A6LNT; DATE: �1
RLD_PRIIT; reY" 03i31191 't:,'' COMPLIANCE TO ATTAGIIED COND I T I O S IS RE OU 1 RED
CONCRETE , MECHANICAL MOBILE HOME
Footings-Setback date `6-Z 5' - f e7
date - `7--S�1 by f .� by C ✓' Ribbons
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
FRAWNG
Walls DEPT.
date B— Z S - 5 ? by e
( `— da $- ( (�S by date by
PLUMBING
Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date 8`-Z 5. - 5 by C �- date 7-Z S-f by
Water Line /� FINAL INSPECTION q
date by date /p— --�j f by (/ date by
1
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GL r S S
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PERM I -V CC)NIE) I 'T' I (':) N "
Case No . : BLD99-0176
Fori GORDON OSBERG
Page : I
1 ) Owner /builder, assVaies all responsibility if drainfield area is
en o timber-ed .
X ,
2 ) This application
\ I s subject to Buffer and Landscaping requirements as established under
Mason County . r'dlance 1 .03 '036 .
X
3) The use, handling a orage of hazardous materials or flammable and combustible
0 liquids In excess lions is not allowed without the approval c)f the Mason County
X
Fire Marshal .
-n4!/�0 t gallons
4 ) 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 srolfic
purpose . For further information regarding this ordinance and the REQUIREMEN to
obtain an ACCESS PERMIT for the installation/construction of a driveway or access
connecting from a Mason Count Road, Contact the Mason County Public Works Department
prior to constructi at Ext 490 .
For any constructi6u� hloh is proposed to be located within 25 ' of a Mason County road
right: of way, it lsisu rsted to contact that office to review future planned work which
may affect your ).�e
X
5 ) Proposed :,;tr 6ture or any portion thereof greater than 30" In height from grade line ,
must maintii a)minimum of 5 ' setback from all property lines , easements and 10 ' from
all County 'Wt State Road right of ways .
X
6 ) All upland areas disturbed or newly created by construction activities shall be seeded,
vegetated or given some other equivalent type of protection against erosion .
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
x
7 ) All a77roved plans are required to beon- site for inspect ion purposes . If Inspect i on
Is eat led for and plans are not on site Approval WILD. NOT be ranted . 1n addition , a
me- inspection f the amount of $4e .0t1 per hour (minimum 1 hour ) will be charged and
must beuta t ! ecYed by I i s department pr i car to soy further I nspect I ons ksA I ng performed or
approval grante�l� �
8 ) PURSUANT TO 1994 UNIFORM BUILDING CORE ALL SITES MUST HAVE APPROVED NUMBERS OR
ADDRESSES PlaQ")ED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE
STREET OR AVAD F TING TI,i1 PROPEfITr , MASON COUNTY BUILDING DFPARTMENi REQUIRES THAT
THIS BE COWI.E ED RIOR TO CALLING FOR ANY SITE INSPECTIONS . A RE1NSPECTION FEE , BASED
DN RATES IN' Tr1 LE 3A OF THI^ 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF
OWNERICONTRA T R FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS .
X
9 ) The correction list , along with the Energy Compliance Worksheet (when applicable ) is
part of the plans and must remain attached thereto It is the responsibility of the
appplicant to make corrections indicated on the plans from the correction lists . Once
tkre plans are marked APPROVER, they may not be changed or altered without authorization
frcm the Building Official . The perwit holder Is reponsible to retain 'the complete
approved set of p I an:� on site for the duration of the project . Failure to comply will
result in failure of required building inspections _ Every ppermit shall expire by
limitation and become null and void if the bull r work authorized b such permits
Y
Is not commenced within 180 clays from the date f is uanse, or If the building or work
authorized by such permits is suspended or abandonedrat any time after the work is
Commenced for a period of 180 days . X
10) The approved plat plan Is required to be on-,site for inspection purposes . if
inspection is called for and plot plan is not nn site, Approval WILL. NOT be granted , 11-1
addition , a Re- Inspection fee in the amount of $42 .00 per hour, (minimum 1 hour ) will be
charged and t be collected by this department prior to any further inspections being
performed ap oval granted .
X �
11 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND OCCUPANCY
I5 LIMITED TO THE PERMITTED AND APPROVER CLASSIFICATION . ANY CHANGE OF USE OR OCCUPANCY
PERMIT NO.: BLD
MASON COUNTY v
BUILDING PERMIT APPLICATION �jIZ
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 r
Owner Contractor NameMailing Address ''�� as = �� Mailing Address \
City OWMONlk State kl& Zip Code ��c r1_ City \. ,ic e i A State to/A Zip C de 5c>2,
Phone Other Ph. 1 Y-ether Ph.(;I-in ) 7%61- t%Z*
Lien/Title Holder Ok Contractor Reg. #C^ Q.1T£C-14 01--yC Ij
Address 2 Expiration I1-
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System ZName of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. c\ 2 Fire District
Legal Description ep•k �, tut_V,o
Site Address(Please include street name, street number and city) jr,3 � �c c�oc:� 1-co,nQ. �.ck92!L
Directions to site �,e E- A`lu cyn,� v c )
J
Will timber be cut and sold in parcel preparation? (Yes/No) 1\11_
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 Add Alt Repair Other Use of Building
Describe Work CayrhNcvc.T—V4tr7eru\ 4rog,aeAcC , IA
No. of Bedrooms�_No. of Bathrooms SQUARE FOOTAGE-1st FlooriljQ(_2nd Floor IT
3rd Floor lU '+ Loft_1A Basement %&f Deck Other sq. ft.
Garage-JEp&J5 Attached} " Detached Carport Attached Detached
(,o
MOBILE HOME INFORMATION-Make ATK Model Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ 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-1 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 shall be made without first obtaining shall be n conIfoancererewith. No changes shall be made without
approval. ,,,�,�. first o tai i appro
- X Date 2. ",� Q A+X Date-
/
\ _ FOR OFFICIAL USE BEYOND THIS,.POW
r
Accepted by ° Date Submittal Amount [?vfr /. Receipt No.
DEPARTMENT REVIEW APPROVED DENIED CONDITION eQDlw5
Building Department W t-< .ST • C o N D .
Occ GroupR-3/(4-L Type constr. SN 4-G-9 S
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
ZI Oo R.--3 !bq, 571b
Valuation $ 1Zf t O(44 ('O(* u-(
FE.S
. -
Building Permit Fee z s Site Inspection
Plan Review Fee ADS . . Sd UFC Plan Review Fee
J'
Plumbing & Base Fee 101 c _ I zf oo Public Works Review Fee '� f
Mechanical & Base Fee q4 7,f.f2•tc G( �S Other ST•
Woo /Ga Pellet Stove Fee
4 z. Other f., to n/
Violation Fee Pre-Paid at Submittal
> < TOTAL FEE s
t
f
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON C _ JNTY PROJECT SITE IN_ _ RMATION
Case No. G1 Vo
Name mo o, C ,�,�?�� - PARCEL NUMBER?>�L\3y,17cnnC(2Date A\\
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line.
adjacent property lined I I Fadjacent property line
I I
I
'7l
l olp_
I �1 i 1 I •� I
I
O I
Ir�n'n� ra I R�^� � a•� � •�'� `'�` I
adjacent property line-) I E-adjacent property line
SAMPLE SITE PLAN
ad'a1 nt property lined 3io' _ _ Fadjacent property line
I D 30" rR�SCRvE gel
SEAC�wJ Al— I• ti L _-LPTSC_.__, - 1.
CrZEe►C I \ A fi HOM t i Cs adt.J
\ HOcu G.
1 ,
I I4-- bo'
I 1
VAGfvT I T C,ArtA� I
P0.oPoaCD v
�\ T A"=LLLTLLAAL 50
1 I
I
� 1
80 I
'—� I
1 �
I
I � I
L—e-LL
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I I
I /DO• -� I
I Lw_.e_LL I
adjacent property lined i ' a'- \i Fadjacent properl�y 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
cl;s t'a r,LG *O
Slopm --c¢
-4
dit+a�ca
ignature D to
c.
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 A dress Mailing Address
City `.1 State -, K, Zip Code 151� City State Ip Cod
Phone( t, _2!.�Other Ph.( Other Ph.( �1QA
Lien/Title Holder C'�1, ,r. 1;o,p �� .�3 �,_ Contractor Reg #1�,��Tcar
r
Address Expiration / /
I
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
r
,
PARCEL INFORMATION-12 digit Tax Parcel No. -7 9rn QCX:)g 2 Fire District
Legal Description --pep k ti �\"".pry
Site Address(Please include street name, eet number and city)
Directions to site
Is your property within 200' of the following: Body of Water (Name) to Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
s
r
TYPE OF JOB New Add Alt Repair Other Use of Building
Location of Fixtures/Units 1st Floor_____,,L_2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHA�ICAL UNITS Fuel Type: Electric
Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump
Toilets )4, °0 Type of Unit No. of Units Fees
Bath Basins ZI• ° Furnace
Bath Tubs 'Y� 7, 14. °p Heatpumps
Showers T 7• pO Vent Fans -- 5 �13a — x
Water Heater �_ -7 . 00 Propane Tank q s
Laundry Wsher�_ 1. 00 Gas Outlets
Sinks _ 2 1%1. 00 Wood/Gas/Pellet Stove t CIO
Dishwasher _�_ 1• eo DirecfVent?
Othertjts SIBS 'L Ib• °O Other
Other b Other
Base Fee 't0• ° Base Fee Z7 o0
TOTAL PLUMBING 11,I• °O TOTAL MECHANICAL(oV• _T
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-]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 shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. _ first obtaining appro val.
X ^'� t'A ate ( ( X _ Date a
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL:REV1EW ..APPROVED DENIED CONDITION CODES
Building Department
Occ Group Type Constr.
Planning Department
Other
Other
FEES
... .... ... .
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
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