HomeMy WebLinkAboutBLD2000-01375 Final Replace SFR - BLD Permit / Conditions - 4/25/2001 Inspection Line (360)427-7262
MASON COUNTY PERMIT ASSISTANCE CENTER Phone: (360)427-9670, ext. 352
• Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
l
RESIDENTIAL BUILDING PERMIT BLD2000-01375
OWNER: KEVIN GUSTAFSON 426-7886
CONTRACTOR: ADAIR HOMES RECEIVED: 1
EXPIRES:
1//15/200
/2000
SITE ADDRESS: 121 E CATFISH PL SHELTON ISSUED: 05/15/2001
PARCEL NUMBER: 3213475961
LEGAL DESCRIPTION: LOT 15, SEC 34, TS21,R 3 W
PROJECT DESCRIPTION: ?J2( _'"j 5.�f b I S�' DIRECTIONS TO SITE:
RESIDENCE/REPLACEMENT HWY 3 5 MILES, LEFT ONTO MASON LK RD, RIGHT ONTO CATIFSH
LAKE, SITE ON L ABOT 1 MILE DOWN ROAD
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: 2 Type of Constr.: 5n
Type of Use: SF Insp. Area: No. of Bathrooms: 2 Occ. Group: r3 Lot Size: Deck: 24
Type of Work: NEW Fire Dist.: 5 No. of Stories: 1 Occ. Load: Building:1,704
Valuation: $89,223 Buil ing Height: 4 Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make Length: Ft. Front: W 171.0 Ft. Shoreline: Ft. Water Body:
Rear: E 237.0 Ft. Slope: Ft. SEPA?:
Model: Width: Ft. Side 1: N 193.0 Ft. Shoreline Desig.:
Year: Serial No.: Side 2: S 46.0 Ft. Comp. Plan Desi .: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 Plan Check Fee KLW 10/23/200 $47.00 54896
Hosebibs 3 Ventilation Fan 3 EH Plan Review NJP 10/31/200 $50.00 55078
Kitchen Sink 1 Building Permit Fee DLC 10/31/200 $923.75 55078
Laundry Tray 1 Building State Fee DLC 10/31/200 $4.50 55078
Lavatories 2 Plumbing Fee DLC 10/31/200 $75.00 55078
Lavatories 1 Plumbing Base Fee DLC 10/31/200 $20.00 55078
Water Heaters 2 Mechanical Fee DLC 10/31/200 $32.40 55078
Water Heaters 1 Mechanical Base Fee DLC 10/31/200 $23.50 55078
Bath Tubs 1 Planning Review Fee TW 11/06/200 $38.00 55078
Total $1,214.15
BLD2000-01375 Please refer to the following pages for conditions of this permit. 1 of 3
N&
• CASE NOTES FOR
BLD2000-01375
CONDITIONS FOR
BLD2000-01375
1) This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X
2) The use, handling and storage of hazardous ruaterials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval
of the Mason County Fire Marshal. X
3) 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 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 County 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 affect your project.
X
4) Proposed structure or any portion thereof greater than 30" in height frorra grade line, must maintain a minimum of 5' setback from all property lines,
easements and 10' from all County and State Road right of ways. X M
5) 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$47.00 per hour (minimu 1 hour) will be charged and must be collected by this department
prior to any further inspections being performed or approval granted. X -
6) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A
POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED
ON RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR
FAILS TO PO ,T ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS:
X 'LV{
BLD2000-01375 Please refer to the following pages for conditions of this permit. 2 of 3
7) The plan review corrections, along with the Energy Compliance Worksheet (when applicable) are part of the approved plans and must remain thereto.
It is the responsibility of the applicant to make the corrections indicated on the plans. Once the plans are marked APPROVED, they may not be
changed or altered without authorization from the Building Official. The permit holder is responsible to retain the complete approved set of plans on site
for the duration of the project. Failure to comply will result in failure of required building inspections. Every permit shall expire by limitation and
become null and void if the building or work authorized by such permits is not commenced within 180 days from the date of issuance, or if the building
or work authorized by such permits is suspended or abandoned at any time after the work is commenced for a period of 180 days.
X 0 I"�T
8) The approved plot plan is required to be on-site for inspection purposes. If inspection is called for and plot plan is not on site, Approval WILL NOT be
granted. In addition, a Re-Inspection fee in the amount of$47.00 per hour (rilirimum 1 hour) will be charged and must be collected by this department
prior to any further inspections being performed or approval granted. X
9) 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 UA
OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION.
CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
10) Changes to approved building plans that effect compliance to the 1997 Washington State Energy Code, 1997 Ventilation and I oor Air Quality Code,
the Uniform Building Code and/or Mason County Regulations must be approved by Mason County prior to constructionX /f 11
11) CONSTRUCTION PROS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM
BUILDING CODE.x nn ,,,,��
12) All property lines shall be clearly identified at the time of foundation inspection. X /�d4
13) All upland areas disturbed or newly _created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). X
14) Water quality got to be degraded to the detriment of the aquatic environment as a result of this project.
X
This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period
of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection
must be approved before buildin can b cupied.
OWNER O AGEN DATE 11415100
BLD2000-01375 Please refer to the following pages for conditions of this permit. 3 of 3
i CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date Z— 7— O by j_.,J 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 —L S J 1 by
`-� date by
FRAMING Walls FIRE DEPT.
date Y— t S D/ by date QRZ Z-2 3 o I by L date by
PLUMBING Attic OTHER
Groundwork ,�_Z�p L
date b date by
D.W.V.
WALLBOARD NAILING
date 3 _ )— D l by � —�
date �—�_o� by �Water Line FINAL INSPECTION
date I/ by date L-/— Z —v l by L date by
ZJ �2- � � ovrr 7o��1
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Building Permit # MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location /2. ( CCA 's k k-1
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items Listed below must be corrected to gain code compliance
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You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
❑ This is not a complete inspection Department
Date �' �d l Inspector -v
moos NovT Mo *V T 1 T A ,��
7lJ
3
PL A 1\.f
APPROVED
MASON BUILDING INSPECTOR
CHANGES SUBJECT TO APPROVAL
DATE
E L bU ,� v RAC
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154 T
`,;:-h�Y• � • ! ��:� �� � � � fit.
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(J\i �V),V
Rev?- %cRP 61 V /
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q MUST MEET ALL CURRENT
IRS PI?� WASHINGTON STATE CODES
SG�L� J '' � 90 ' (r�J�1�)
' x Cu�DE SAL
kcrIZI tl� G C j� �J THE IWFORw1AnbW ON THIS PLOT PLAN HAS BEER PROVIDED AWD
REVIEWED BY THE PROPERTY OWNER WHO.By SIG6UI�Q BELOW:ITS ACCURAM
ACKtW LEDGES AND AMPTS FULL RESPONSIBILITY
ENSURE THAT THE
AND COMPLETENESS RESPONSIBLE2.)IS RESPONSIBLE(JA-� -4 :r� _J IMPROVEMENTS TO THE SITE TAKE PLACE IN CONFORMANCESWITHAN CO
PLAN:3.)WILL ESTABLISH AU THE CORNER IRONS,LOT LINES AND CODE
` 1. _ J: REQUIRED SETBACKS REQUIRED OF THIS PROPERTY•ANY CHANGE(S)TO THIS
-7086 W k '�i> '+ '7i' PLAN MUST BE PRE•APPROW-0 BY THE GOVERNMENTAL AGENCIES WITH
£F 33 3 MID THE CONTRACTOR AND
JURISDICTION,THE MORTGAGE I.ENn �
V H AN V1 ES DOCUME TED. .
5 - HATE f�'I�"YT SUBMIT CHANGES FOR APPROVAL FR
PRIOR TO PERFORMING WORK 3Lbool— nATF
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F�RMIT NO.: BLD �IiwV
MASON COUNTY
BUILDING PERMIT APPLICATION P12b
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 f CONTRACTOR INFO MATION
Owner tc;4 Contractor Name ,�
Mailing Address 1 Mailin ddress
City t'1 State Zip Code City State Zip Code
Phoned `+,tether Ph.( � Ph. they Ph.
Lien/Title Holder r , m Contractor Reg. #
Address' 1 &I all A Expiration / /
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic_l.-�Connect to Sewer
System Name of Sewer System Well__L,�Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. / / Fire District
Legal Description
Site Address(Please include s reet name, str et number and city)
Dire c ions to site
� ,fL
Will timber be cu and sold in parcel preparation? (Ye No
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE 0'' SEASONAL RESIDENCE❑
TYPE OF JOB Ne Add Repair Other Use of B ilding
Describe Work
No. of Bedroom o. of Bathrooms SQUARE FOOTAGE-1 st Floor2nd Floor
3rd Floor oft Basement Deck Other sq. ft.
Gafa_V- Attached Detached C Attached Detached
E
LE HOME INFORMAT,bN-Make odel Model Year--r-�----
h \Akdth Serial Nfl: No of Bedrooms -No. of Bathroomsof Heat utchase Price $ Replace a nit ?(Yes/No)
ler Natfte -- 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-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
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 approval. 61 �
X Date X ''�\ —k}�{�J( I Date Io t
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by 1 Dad2w u mittal Amount Due Receipt N .
DEPARTMENT EVI APPROVED pNIEp CQfVDIT1fJN GQl? S ..
Building Department O L.
Occ GroupType Constr. S
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $ a.
FEES
Building Permit Fee %;8.'57 Site Inspection
Plan Review Fee S fp�,� Ll O-P EH Review Fee
Plumbing&Base Fee 7 vi Planning Review Fee
Mechanical&Base Fee i3A� Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal ( oo )
TOTAL FEES
o
777
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 INFORMAT CONTRACTOR INFORMATION
Owner v " i' i �'" 'nz�,- ak�)(-Q)r�rl Contractor Name '--ice.t ' ��--
Mailing Addy ss Maili eSs � '--
tr
City 1 pp�t�o Zip Code City t�to "" Zip Code
PhoneL Lf c-16(3vbther Ph. Ph. Other,F?IV
Lien/Title.,Holder I i IC V1 Contractor Reg. # c
Address+ Expiration / /
00
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION-12 digit Tax Parcel No. /` / Fire District
Legal Description L i r`-2 / 7 Site Address(Plea�e include eet n�rp� st, numb r and cit
Directions to site . `tt 1.
L E / l CLV—
Iss 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
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,jof Fixtures Fees LPG Natural Gas Heatpump
Toilets Type of Unit No. of Units Fees
Bath Basins ��"� Furnace
Bath Tubs —� Heatpumps
Showers — — Vent Fans —��
Water Heater —�— Propane Tank
Laundry Wsher x-, - Gas Outlets
Sinks Wood/Gas/Pellet Stove
Dishwasher — — S Direct Vent?
Other 06 3 5 Other
Other '7�� 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 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 approval.
n
� ? ��Yn °
X Date X .. �" Date /Q
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTNIEtVTAf # E1i[EW <:.` 1iPPROVED DENIE[? NRtTION CODES
Building Department
Occ Group Type Constr.
Planning Department
Other
Other
E ......a::
.. .....
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
I
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name `.J�" , PARCEL NUMBER Date
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicatlong 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 System11 L
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line.
adjacent property line4 1 S 1 E-adjacent property line
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adjacent property line- I <—adjacent property line
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SAMPLE SITE PLAN
adjacent property line-� D 3zc' . 30. ���Rve E-adjacent property line
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.sf..aso.JAL �• M iL _ «__��3�J
HOM t
CREE{G
I F Sti �_ I i�ousa.
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VAGn.,T T C„ MAGI S I
30 1 i
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A&RILLLLTuJkAL '--5o'
90• I
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80, —fit I
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adjacent property line-it ; ► c \; E-adjacent propert' 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.)
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SAMPLE TOPOGRAPHY PROFILE
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51op¢ -f•c¢
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Signature Date