HomeMy WebLinkAboutBLD97-00204 Final SFR - BLD Permit / Conditions - 10/22/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
t P.O. Box 186 Shelton, Washington 98584
F3 IL) 4 1__ r3 i N 4 v F' k= n M 1 T' FOR INSPECTIONS CALL 427- 9670
BETWEEN 6pm AND F3am 427-7262
Rt..nwr- [0204 PAPCEL. :321 362. 190191 PLAT : D I V : BL.K s LOT :
.JOB AI)DRFSS : E 221 DEER CREEK AD SHELTON
OWNFR s JEFFERY GREENF IELD 3!52-- 7641
CONTRACTOR: ADA I R fIOMFS 05?-- 7+641
LEGAL r TO 14 Of it. NW 0 SE Of F$ 1892313
CI..ASS OF WURK . . sNF:W REI1Re ;i .fil�Tllr i` � E.� AVO IINT�BY � DATE A�Ef1 :PT !FYPAMOUNI Ot,' UATE F �1`1
TYPE OF USE _ . :SF t TOR IE€-y . . . . . . . . 1 :�r�x<:•�������-':�-x
OCCUP . GROUP . 1. 2 bLDG . HE I CH 1.. , . : 0 .Of t �EHCP 1 26.40 NJP 03126197 44164 �STFE 34,50 NJP /3128197 441F4
TYPE OF CONST . . s 7 FIREPLACES . . . . : 0 PRAT 1 544.98 NJP 0306197 44164 �
CICCUP . LOAD . , _ .. 0 W00DSTOVES . . . . : 0 PICK 1 272.25 NJ? 03126197 44i64
DWE LL . UN 1 TS . . . . : 0 PARKING SPACES s @ IPtV 1 50.25 NJP 03/25197 44164
INSPECTION AREA : 4 SHORFL. INE7 . . :N YCN 1 43.15 Nip 031?6197 44164 ITOTAtt 441.1`5 V41t11AT1ON: AI
SETBACKS-- _._ ___ _._....__ _r TO I LETS . . . . , . , . . 2 FUEL TYPES.- - - _ ..._ _.- BO1 LERS/COMP------ MOBILE HOME--*
FRONT . .E 92 Of t. RATH BASINS . . . : . . : 11' s 0-- ', HP ' t 0
REAR . . . .YV t 25 .0ft BATH TUBS _ . . . . . . 2 3- 15 HP - t 0 MODEL : r
SIDE ( 1 ) .N (if) aft SHOWERS — _ . . . . . , 0 FURN w 100K BTU— 0 15-30 HP, r 0 --M??KF
S I DE (2.. ) .S 41 10f t WATER HFATEI1ti . . . 1 FURN >-100K STO : 0 30-50 HP . r 0
SHRL I NE . 0 .0f t CLOTHES WAStiE RS . , . 1 FURN FLOOR . . . : 0 f)iO+ ►IP , : 0 -_-YF'AR-
AREA __._. ___..__._... KITCHEN SINKS . . 1 HE A PUMP . . . . . . . 0
LOT SIZE . . FLOOR DRAINS . — . : 0 VENT �"YS'TI:M`. . . . : 0 F VAP COOLERS .- 0 I FNG71i : 0
BUILDING _ - 1 920s f DRINKING FOIJNT' . . . : 0 VFN"T, FANS . . . . . . s 4 HOODS . . . . . . . : 0 WIDTH . : 0
BASFMENT . . , : 0!.,'-t I AUNDRY TRAYS . . . . : 0 DOMES , I NC I N :0 -SER I At II•- -
DECKS . . . . . . . Os f DISHWASHERS . . . . . . : 1 AIH IIANDL i NG (JN I TS-- - COMML . I NC: I N r0
GAR/CARPsG 440sf GARB DISPOSALS _ - 0 max: 10000 af►a . : 0 RFIOCIPEPAIR : 0
AT/DT . :A URINALS . . . . . . . . . . ! 0 ? 10000 cfm . : 0 OTHER UNITS . : 0
M1SC FILM VIXTURES : 0 GAS OUTL_FTS . ; 0
PROJECT DESCRIPTi0N:1ESIDfNCE .lNO GAR.AEE
PROJECT !OfA110NsHWY 101 NORT?, 131 SHF{TO4 F)1I, PAST I911BERVIIS 0010 HOY 1 10 AILYN, DEERCREEK RD 01 I.FF1 OFF HWY 3 .2 10 fS S1Tf (;N IEFT.
IBIS PFANI) BECONE£ 191L AND VOID IF WORK UR CONSTRUCHON AUTHORIZEO IS NOT CONVENCEO WITHIN 161 DAYS, R31 IF CO':ISTRUCT14N OR WORK IS SUSPENDED FOR A PERIOD
OF 160 DAY' AT ANY 1111E AFTER WORK IS COMMfNC:EO. EVIDENCE OF CONFINNATION OF VORR 1S A PROGRESS INSPEC110N 111011 1`11E 139 DAY PERIOD. FINAI 111�PEC110N VUST BI
APP110YEO BEFORE SUILDIN6 CAN BE OCCOPIF.9;
OWNFP OR ACFNI: ti. ' l/ "'""._ _..._. _. _. .
P__PRN I, re-it 0313/1141 v COMPLIANCE TO ATTACKED CONDITIONS IS REOU I RED
f
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date ,�)c L � by Gas Piping date b
Foundation Walls t r date by Set Up 771�
date by INSULATION date by
BG/SLAB Insulation Floors Final
f date ' by date by date by
FRAMING 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 /Q date by
0-r i 2« III 1i�G✓ iAwx J e6i//c c J� ��7 /1 ;>
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P V. F-4 INA I T C. in N f_) 1 '1 1 C3 N
Case No . t BLD97 -0204
Fort JEFFERY GREENF IEt D
Payea 1
1 ) Once the hour e is bu i 1 t the ex i st i nq mobile home will need to be removed from the
property or the plumbing fixture cs rernoved . If heath residences are nocup i ed at the same
tIfile, 'tle well wi 1 l need to be hro-Aght into oompl >ance as a 2- party water, sv steain .
x-----
2) The enders i gned property owner Is taware of the unoerta i my re►clard i ncl Masan Cotintyy
e q development ru i at i ons created by the Growth 14 anagme3nt Hearings Board 's Order of �
October 2 1996 , and I n nons I derat i on of Mason County "s w i I I I tigness try proceed w i t h
processing of appp 1 l cations wh i t h might be affectead by the Order , the undersigned
pproperty owner- heareby raclrees to waive any i awsti It. , action , or claim for damagc}t against
Mason County which may arise out of Mason County ' actions In acceptance processing
anti/or issusanoe of such permits or approvals thereinafter "permitting doilons" ) , which
damagf# -s are attributable to the County 's decision to take permitting actions d*f spIte
the risk that s,hangeF; to the County ' „ development reclulatrons might later make the
Cou V 'S permitting ant i ons i nvra I i d .
� ) The use, hand l in() and storage of hazardous materials or flammable and combustible
liquids in e#xoes:y of i0 gallons is not allowed without the approval of the Mason County
Fire Mar €.ha l .
x w _1 tr
4 ) Propo^, ed structure or, any part ion thereof greater t han 30" In he fight from cyrrade I i tie,
must maintain a minimum of 15 ' setback from all property lines , ceasoments and 10 , from
all Co ty and State Road right of ways
X
5 ) App I I cunt ac.k now I ed es t hat t h I s deve 1 opment 1 ss Saab I eot to pea I I c i ens and i,e qu I at I OAS )f
Maason,. Cf-Toty Compre?ens 1 ve Plan and Dover I npment Regli 1 ,11 1 ons .
i x �
fi ) ThI appl i ,., ation i , .ubieact to Riiffear and I. and`;capinq rrqulroments Fas ecktkahI It3hf-d under
Mason County kDrd i nance 1 .03 .0;36 .
1
BUILDING PERMIT # C)ZO('
7
DATE 3
Planner Area j 1
CHECKLIST FOR PROPOSED CONSTRUCTION
Yes No
[ ] Within 200 FT of designated shoreline, wetland, or
associated wetland
Where?
[ 7 [ ] Proposed construction on/over/in wetland
[ ] ] Proposed construction within floodplain
[ ] Eagle nest
[ ]1 [ ] State road access needed
( ] [ ] Commercial Development (parking standards, sign
ordinance, public works review, other applicable
agencies)
[ ] ( ] Mobile Home or RV Park
[ 7 [ ] Exempt from building permit application
] ( ] Exempt from SEPA process (WAC 197-11-305, WAC 197-11-800)
[ l ( ] Meets all requirements (which section (s) of SMP does
proposed construction pertain to?)
[ ] [ ] Variance or Conditional Use Permit required
[ 7 [ ] Exempt from Shoreline Substantial Development Permit
process (Wac 173-14-040)
I ] [ ) Exempt from Substantial Development, but within Army
Corp. jurisdiction (WAC 173 -14-115)
{ J I ) Address needed
iDJ
Plot Plan
Existing road
Christto Existing
And Parking
Dorothy Area
Proposed Tolias
ramp Cabin
330'
�s
Existing Concrete bulkhead Proposed new concrete 15.5 tidal level
bulkhead
Christto and Dorothy Tolias
Peal Passage E 113 Old Olson Rd.
—Flood - - Ebb Shelton. WA 98584
Phone (206) 329-8870
Page #4 Of 4
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3Go `��Z L -5.2,E 3 THE INFORMATION ON THIS PLOT PLAN HAS ELL IN
REVIEWED BY THE PROPERTY OWNER WHO,BY SIGNING BELOW:1.)
7-Ax P,01WELL ACKNOWLEDGES AND ACCEPTS FULL RESPONSIBILITY FOR ITS.ACCURACY
AND COMPLETENESS:2.)IS RESPONSIBLE TO FNSURE THAT THE
IMPROVEMENTS TO THE SITE TAKE PLACE IN CONFORMANCE WITH THIS
S I rf &b&z/rS S PLAN:3.)WILL ESTABLISH ALL THE CORNER IRONS,LOT LINES AND CODE-
REQUIRED SETBACKS REQUIRED OF THIS PROPERTY ANY('HANGE(S)TO THIS
E �a ! PLAN MUST BE PRE-APPROVED BY THE GOVERNMENTAL AGENCIES WITH
w A , `J 5�7 JUNISDICTION,THE MORTGAGE LENDER ANQ TH' I�TI'wCTOR AND
DCCU N1ED.
N DA1E
OWNER
DATE
Permit No.
MASON COUNTY
FEB 28 97 BUILDING PERMIT APPLICATION D'
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT 44i �ji-.t-i 11 — --'�2kj-GU Is
#1 rite
er 1 -f'1 Phone# ( �(G�� I
Address. 1 Yr 12 Fire District#
St Zip
Directio s to Job Site ` /
V t
a i
Owner Mailing Ad r ss 1Ed
City St�-' Zip
Lien/Title Ho der t l c,
Address YV
CItY Stj-"�zip
#2 Contractor Name l 1 f Contractor Reg# - 7
Address GA3 Expiration Date ) D"/� 07
City 1/V� Sf��Zip Phone#
#3 If septic is located on pro ct 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.pq��- 7�_- Cid / /�
Legal Description L k 3 vi L
T v— 19 n E, n cv 5 c rn w ,T e— i9 3.e. n o w Te, o
#5 Building Square Footage: (existing/proposed) ! 'au
1st FI /_ 2nd FI / 3rd FI / Loft _/
Basement / Deck / #bedroom / _#bathrooms / Z-
Garage Carport / (Circle(Attache or Detached?)
Other r� sq. ft. /
#6 Use of building S`►- F� Describe work'
Yam.` SM 61/t 6�
#7 Type of Job: New Add Alt Repair Other
M6bUA,-H6M E On 5t� , WI I 1 b.e_.
#8 MOBILE/MANUFACTURED HOME INFORMATION '
Model Year Make Model i4p �'�' �m
Length Width Serial No. 15 tioI��•
# Bedrooms # Bathrooms Type of Heat ITI'L
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 Flood Zones
Existing Structures Fences _
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements Indicate Directional b N S E W
Name of Flanking Street y , , , )
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
vS
Plumbing Fixtures ($kearhl Fee Mechanical Fixtures ($6 each
No.-2--Toilets CIRCLE FUEL TYPE: Gas, Electric,
_!�,8ath Basins Heatpump, Other
Bath Tubs No. Units Fees
_Showers Furn BTU
Hot Water Htr _ Heatpumps
Laundry Washer _ Vent Systems
Sinks _ , Spot Vent Fans
_Floor Drains No.. Boilers/Compressors
_Laundry Basins I-Ip
_____Dishwasher 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 --#5•.09- — Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $;p 5 No. ptlIer
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
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $ j•?,j
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 I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE 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
FOR OFFICIAL USE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
� G// l /y�i'<✓J
Planning: �7"��'K, 11/J �
,L4 4C-, o Zv ✓/�
Environmental Health: �v
IN
Building Plan Review
Occupancy Group:�Z-� Type of Const:' "
Fire Marshal:
Other:
Special Conditions: $$.�� FEES
59'{B Building Permit
Plan Check 2�2z
Plumbing Fee 5o.th�
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE 1