HomeMy WebLinkAboutBLD99-01000 Final SFR - BLD Permit / Conditions - 8/7/2000r:.-'.^-.er-.--,.-^-r...�...-.�.... �-=ate•.-.--,. _ � � -._
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
B iJ 1 L_ D I N S P E R M I -r' FOR INSPECTIONS CALL. 427-9+670
BETWEEN 5pm AND Bain 427-7262
BLD99--1000 PARCEL :321 3543001 1 0 PLAT s D I V : BLK. : LOT .-
JOB ADDRESS : 128 E ECLER RD SHEL'TON
OWNER ; GE RALD I NE SH I NEMAN 42.6-3415
CONTRACTOR : NORTHOMFS INC 253-972-2791
LEGAL - TR 1 f 1 0 $N S€
CLASS OF WORK . . :NEW BEDRs 3 .BATH : 2 TYPE AMOUNT 6Y DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT
TYPE OF USE . . . . :SF STORIES . . . . . . . : 1 _____ .. � , ,�, Y�Y• ��� ::
OCCUP . GROUP . . . sR3U1 BLDG. HEIGHT . . : 10 .off PICK Z 592.96 KN 11102199 52113 INCH1 t 22.99 KS 12117199 52294
TYPE OF CONST . . :5N FIREPLACES . . . . : 1 Ifficp It 50,00 KS 12107199 52294 F1RP t 42./1 KS 12/07199 52294
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 1PRMT t 912,25 KS 12107199 52294 ITCH t 38.50 KS 12107199 52294
DWELL .UNITS . . . . : 0 PARKING SPACES : 0 Pik t 96.1/ KS 12117199 52294 SIFE t 4.50 KS 12111199 52294
INSPECTION AREA : 2 SHOREL. INE7 . . . . .Y IPLIII t 2/./8 KS 12107199 52294 TOTAL: 1770,21 VALULATION: 104819
Sf TBACKS-- ------------ TOILETS . . . . . . . . . . : 2 FUEL TYPES----------- BO I LERSf COMP----- MOBILE HOME--
FRONT . . .E 5O .0ft BATH BASINS . . . . . . : 3 :/ELE/WD / / : 0-3 HP . : 0
REAR . . . .W 95 .0ft BATH TUBS . . . . . . . . : 2 315 HP . s 0 MODEL :
'SIDE ( 1 ) .N 65 .0fit SHOWERS . . . . . . . . . . : 1 FURN a 100K BTU : 0 15- 30 LIP . : 0 •-MAKC� -
SIDE (2) .S 85 .0ft WATER HEATERS . . . . : 1 FURN >=100K BTU : 0 30-50 HP . : 0
SHRL INE .S 85 .oft CLOTHES WASHERS . . s 1 FURN -- FLOOR — : 1 50+ 1•IP , : 0 --YEAR-- - _- ,- . -
AREA - ____. ___ _._______. KITCHEN SINKS . . . . : 1 HEAT PUMP . . . . . . : 0
LOT SIZE . . : FLOOR DRAINS . . . . . a 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0
BUILDING . . . : 1760sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . » 3 HOODS . . . . . . . : 1 WIDTH . s 0
ErASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 1 DOMES . INCINsO -SERIAL.#-
DECKS . . . . . . . Osf DISHWASHERS . . . . . . : 1 AIR HANDLING UNITS--- COMML- . INCIN :O
GAR/CARPsG 678sf GARB DISPOSALS . . . : 0 <- 10000 efnr . : 0 RELOC/REPAIR : 0
AT/DT . :A URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : i
MISC PL.M FIXTURES : 0 GAS OUTLETS . : 0
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PROJECT DISCO IPT100.RESIDENT[At.
PROJECT L.00ATIONsS MILES N Of SHEITON ON NNY I AT MILEPOST 9 TURN RIGHT ON ECLEO RD 4991T TO END OF RD :2ND DRIVEWAY ON RIGHT AFTER 170 YARDS.
THIS PERMIT BECOMES N ND VOID IF NUR% OR CONSTRUCTION AUTHORIFED IS NOT COMMENCED WITHIN 180 DAYS, OR If 0STRUCTION OR WORk IS SUSPENDED FOR A PERIOD
Of 180 DAYS AT ANY TIII TER WUNK�TS f.OMMENCEO. EVIDENCE OF CONTINUATION Of WORK IS A PROGRESS INSPECTION 111010 THE 181 DAY PERIOD. FINAL INSPECTION MUST 81
APPPAOVEO BEFORE 6UIL0 BE CUPIE0
0114e OR AGENT: vs_ _ d: . - �f ,'"�.� _ DATE:.___1�=
81.8 4NT, rev; 03131/91 COMPLIANCE TO ATTACHED CONDITIONS IS REOU I RED
;ONC RETE MECHANICAL MOBILE HOME
Footings-Setback ) date by Ribbons i
date 2- 2 ,--00 by L✓ Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
iBG/SLAB Insulation Floors Final
date by date by date by
FRAMING FIRE DEPT.
Walls /f-Z/ �Xc date - C) C) by `� date aS�'Z 2 -fib by T date by
PLUMBING OTHER
Groundwork Attic
date by date by
D W WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date✓ —L)-�6a by f date g'- �%p by T date by
�S^ ZL -� �S�,c�C y p �.l F/�9�i- f,9'
0
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PF PM I T 0t7N0 1 T 1 G) N `._
Case No . : BLD99-1000
For : GERALDINE D SNINFMAN
Page . 1
1 } This applic tr is subject to Buffer and Landscaping) requirements as established under
Mason Coun - I nance 1 .03 .036 .
X �'
2) 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
F J r e Marshal - ""--•—
3 ) Provisions for surface/ subsrirface drainage control must be implemented with new
construction or development on site a.nd 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 Count yy 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 your project . .-
45 ' Proposed structure or any portion thereof greater than 30" In height from grade line,
must maintal -t-n*w4m of 5 ' setback from all property lines , easements and 10 ' from
all County Mate Road right of ways .
5 ) Owner/ builder assumes all responsibility If dralnfieid/reserve area is
encumbered .
X
f ) All approvod plans are required to be on-site for ins ection purposes . If Inspection
is called for and plans are not on site, Approval WILL NOT be granted . In addition, a
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
13 ) Approved per dimensions and setbacks on submitted site plan . X
14 ) Material excavr•esIdeuce may be used for backfiil . A11 excess material will be
removed . !eL
-
X
Case No . : BLD99-1000
i
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3-"�� PERMIT NO.: BLD
MA rNCOUNTY tL-
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
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner Contractor Name 44j6Z�2j,24a, :; 44,4C
Mailing Address ,4>, /), �,� ?F�f -7 Mailing Address .rem 3 s7-
City �ThiV State(�� Zip Code �7,P�,��f City �:144 Stater¢� Zip Code
Phone(34,Z)#2,6-?fir/s Other Ph.( iz?',Other 156.(� 4
Lien/Title Holder uaA1,r- Contractor Reg. 441
Address Expiration r / /z
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing S c Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No.?2 4;_3 S /,�d Fire District
Legal Description
Site Address(Please include street name, street number and city)i2Q �p nA /-J
Directions to site
Will timber be cut and sold in parcel preparation? (Yes/No)_L
Is your property within 200' of the following: Body of Water (Name) Saltwater_
Lake River/Creek Pond Wetland Seasonal Runoff Str am Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building X! s�� L
Describe Work 5
No. of Bedrooms�_No. of BathroomsZ_ SQUARE FOO AGE-1st loot 2nd Floor
3rd Floor Loft Basement Deck Other ;!�,'4� p��-� sq. ft.�_
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make 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-1 certify that I am currently registered as a
Contractor Registration Law RCW 1,8.27 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
confor there o changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
appro I. first obtaining approval.
IL ,�,Ve l/ -7T
X Date - ? X Date
---�,� FOR OFFICIAL USE BEYOND THIS POINT
Accepted by 1 1Z DatJ_1!�)_ Qtl1?1pittal Amount D e Receipt N .
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department K
Occ Grou U TypeConstr. SO rll IS Q
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $ O`IF �SlQ_ 00
_.
FEES
__.
Building Permit Fee Site Inspection
Plan Review Fee Sia UFC Plan Review Fee
Plumbing & Base Fee Me, 00
Public Works Review Fee
Mechanical & Base Fee O D Other -St+rz
Wood/Gas/Pellet Stove Fee Other
Violation Fee Pre-Paid at Submittal
TOTAL FEES
X -
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 E //>/ _P , Sh 47AI✓ Contractor Name lAe
Mailing Address i9X 7 Mailing Address so3
City ��E L7TjQ� Statet" Zip Code S City State ,-,,4 Zip Code
Phone 3i<<•Zther Ph.O Ph.( 3) ^?-252.ADther Ph.(W )N�` -
Lien/Title Holder ,A01'1C Contractor Reg. #
Address Expiration
SEPTIC INF )RMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION-12 digit Tax Parcel No. =s z 69O// Fire District
Legal Description
Site Address(Please include street name, street number and city)
Directions to site Al. 5 ii% ili 7- D AI "�
7,vc)6,6 /C / U
Is your property within 200' e following: Body of Water (Name) OA.L'/�1n�/7 A-34Y Saltwater_
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
l 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 /9,r—, Type of Unit No. of Units Fees
Bath Basins ? Furnace -
Bath Tubs �--L1/1
iow ,2 / Heatpumps
Showers Vent Fans C��so
3 t D
Water Heater � _ Propane Tank
Laundry Wsher Z— Gas Outlets
Sinks _ Wood/Gas/Pellet Stove
Dishwash r / 7 _ Direct Vent?
Other 3 Other ?%A,., * 1Vewe Q.SD
Other Other ros Ao so
Base Fee Q' 0•0O Base Fee .D
TOTAL PLUMBING t1kkW, TOTAL MECHANICAL ;=, .so
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
conform c h o changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approv �N FircT". first obtaining approval.
rj��X Date I P—q X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
— mm_
DEPARTMENTAL iiE1TtEW :APPROVED RENIED 4 GQR(Rt#IQTV C.O. 5
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
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD
MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name CAD//VF .ID. PARCEL NUMBER 22./33-�3 e5K111D Date /D
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
site plan
Lot Dimensions Z/#cX 23 3 Fences t"
Existing Structures ,vio 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 line4 I f-adjacent property line
� 233
ic
� o
1.6
N 1
I
adjacent property line-) ' <—adjacent property line
SAMPLE SITE PLAN
adja t property lined 2 4. E-adjacent property line
D 30- r Rve-
gel
.gE.ILCo wl AL. I a L _�PT1L__,� J
I Cr�1G �j, POlOMPs 6Do I Gnaeni
I. 1 (4 — ,
I*-- 6 0� --/30--�1
I I
VACAANT I T GArtAG� I %
I i
Ili I PNOPOSCD I /
�\ T A6RZCLLlTLLRAL 50/
I F—40—� \ 90• I .
I
I
I � I
I \ I
t_...e.LL
I I
/00'
I • f t.t_ I
adjacent property line-i, I \; E-adjacent 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
d15ta.,c0- fin
ruGtla.Y�
d s t'a r+Lt. to
•Zpl �$� � S�opa to¢
dis+anc�
Y o t.
t3 �Izov 1
/O 2 9
Signature, Date