Loading...
HomeMy WebLinkAboutBLD95-00569 Final Change of Use - BLD Permit / Conditions - 11/14/1995 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 L) 1 1. L3 I NO U* IF--: R I`\A I 'T' FOR INSPFC'f IONS GALL 427-9610 BETWEEN 5pm AND Sam 427-7262 BLD95--0569 PARCELt321364290101 PLAT' i DIV . BLKt LOT : JOB ADDRESS F 61 AGATE RD SHEL TON OWNER : DAVID SCHIFFEI-61-FIN 426 -4926 CONTRACTOPi DISCOVERY HOMES 427--'zj605 LEGAL : IN 10-A Of NV ff TR A OF 3? $413 ?IN 1112 E112 11ASII CO JOS CLAS�� OF WORK . :0114 BEDR 0 .BATH : 0 'llpf A400111 BY CIAIF RECEIPT TYPE AVOUNI 81 PAIF RECEIPT TYPE OF USE — - -COM s,y on I us (+ OCCUP . GROOP . - t 7 BE FIG . HE I GHT O .Oft IPRVT S 50 00 &JP 06113195 39364 TYPE" OF CONST , .7 FIREPLACES . . . . : 0 Sift !1 4.50 Nip 0603195 39364 OCCUP . LOAD , 0 WOODSTOVES — . . ; 0 111cp f io.o# plip 06143195 39364 DWE L I. .ON 1 TS , 0 PARKING SPACES ; 0 INSPFGTION AREA : 4 SHORE t. INE7 . . . . ..Y 64.50 VAIVIA11111t 0 Sr-., TOILETS . . . . . . . . . . .. 0 FUEL. TYPE`;_._ ______ _._ BOILERS/COMP----- MOBILE 140ME---,- FRONT — 0 , 0ft BATH BASINS . . . . . . x 0 0 -3 tip . 0 REAR . . . . O ,Oft BATH TUBS , . . . . . . . x 0 3... 16 HP 0 MODEL -, SIDE ( l ) . O .Of t SHOWERSI . — I . — , r 0 FU14N < 100K BTIJ - 0 15 30 lip 0 SIDE (2 ) . O .Oft WATER HEATERS . . . . .- 0 FURN >-100K BTU 0 30-50 HP . r 0 SHR L I NE 0 Oft CLOTHES WASI-fERS , z 0 F UP N - F 1, OOR 0 tio+ tip 0 YFAR AREA KITCHEN SINKS . . 0 HEAT PUMP . . . . . . : 0 LOT SIZE . , t FLOOR OOR DPA INS s . . , 0 VENT SYSTEMS — t 0 UVAP (',001+1',"> r 0 1 F N G 1 H 0 BU I L.D I NG . . . Ost DRINKING FOUNT . 0 VENT FANS . — — : 0 HOODf . . . . . . . 1 0 W I DT11 - 0 BASEMENT , . . 0 c;-f I.AUNDRY TRAYS . . 0 DOMES , INCIN -0 SEP I At DECKS . . . . . . Os DISHWASHERS . . . . . . t 0 AIR HANDLING UNITS--- COMML . INCIN .0 GARICARP :G 495sf GARB DISPOSALS . . . ; 0 — 10000 ctm , 0 IIFA,OC/RFPAIR : 0 AT/DI' . -A UR I NALS . . . . . . . . . . . 0 > 10000 c f 111 0 OTHER I)NITS . : 0 1,41SC PLM FIXTURFSt 0 GAS OUTI FTS , - 0 PROJECT Of USE, GARAGE TO RITAII, SPACE #RQJFCT mAIION:PROCfEO 04 HWY 3 TOWARD Atl'N AND VA0 A RIGHT T11111 ON AGAII RD, PROCFfD ON AGATE 90 TO THE SECOND HOUSE ON flif Iffl, I'THIS PIERNIT AFCOVE RUH, ANO VOID If WORK OR CONSTRUCTION AQTI13RIZf6 IS NOT C611'11IENCEC WITHIN t60 DAYS OR If C018110C1101 09 WORK Is folISFEADED FOR -A PIA106 OF 180 DAYS PA ANY TINF AFTER WORK IS CONONC60, EVIDEOCI Of CONIINUATION OF WORK IS A PR06RFSS INSPECTION WITHIN THE If,# IIAY PERIOD. IINAI INSPECTION VUSI RE APPRO'I ED BEFORE BUILDING CAN 8E OCCUPIED, OWNER 04 IIAlf rev, C�,OMPLIA CE 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 INSULAPFN J12 date by BG/SLAB insulation Floors Final date by date date by FRAMING 50e,750-2r' _1�� by FIRE DEPT. date by Walls r, by date by PLUMBING date v1 Attic OTHER Groundwork date b ate b Y date WALLBqARQ NAILING date by dat b Water ne FINAL INSPECTION date by date �l_� Lf_qr by date by Ot V104tn C-64- Fj-x, 'S I R I MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 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 C 3 � - ,ems r — d= .f 0'rc.rluta4A 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 ❑ OKto , Department Date DI Inspector ■ oo * PnT MnV ' TH1qlm%, T' ,* m MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PF-7FZM I `i" C, C) IJF) I C I C4N1:3. Case No , : BLD95-0569 For .. DAVID SCHIEFFI.RI.t IN Page : 1 1 ) P, Chance of tine _aacess Approval must be granted by the Mason County Department of Publ is 1 Works . F!ar----M61*-1nformatlon contact Charreil Holcomb at (206)427-9670, ext . 450 .X 2 ) Temporary. erosion control measures must; be implemented to prevent water rlualIty de(Iradat I ad iacent waters or wet I and:. < X 3 ) Par,k i ntl shott'l d be sraff 1 u i ent -for 3 n o r m a l park i ncr stra l I s (9 feet by 20 feet ) and 1 handicap parking sta l I ( 12 .5 feet by 20 feet ) with serf f i c i ent maneuvering aisles . Hand i orap st a l Is should be of a smooth , flat _ aoe and should be signed with the International Symbol of Access . X 4 ) Apt.roved per s i te-p i an . X_____r.. . 5 ) Proposed structure or any portion thereof greater than `10" in height from grade line, mu�:t ma i�t irJ: a minimum of 5 ' setback from al 1 property I Ines , easements and r i qht of ways 6 ) rhere wfl- be no increase in sewage flow, as there wi11 be nopublIc restrooms and no added ,.u►rn� e0S . X 7 e 7 ) 1 . PROV I LW' DNF ( 1 ) 5t.B . , 2A 1011C RATED FIRE EXTINGUISHER NEAR AN EXIT DOOR . t CUSTOMER: David L. Schiefelbein and Maureen Beckstead E. 61 Agate Rd. Shelton, Washington 98584 1 Phone: 426-4926 Legal: Parcel No. 32136-42-90101 Tr. 10-A of N.W. SE, TRA of SP #413, PTN Wes E2 Mason Co. JDG i CONTRACTOR: Discovery Homes, Inc. / P.O. Box i969 Shelton, Wa. 98584 f Phone: 427-5605 / / �l�`�iIr� ff✓� 1A� R f` (rRXp AA y INA o 7D"re P� DR,V E' WAYS Idil-j— ZE AV C To fV-t.,3w fa6-W 4Y ACC£ D;F N,�A-VE go A DRAIN ROGfk ,DFAIN �+ 11`— 1 F�113 RiC 'pep°r17) 1 „ 10 00 040 Qip S v���'0 4 a�ooGC�0 a DO ,94 � PIPE0 ooGQ April 27, 1995 Mason County Department of Health Servic (� D Ms. Pam Denton, R.S. MAY 0 1 1995 Environmental Health Specialist P.O. Box 1666 Shelton, WA 98584 4EALTH SERVICES RE: BLD95-0569 PARCEL NUMBER 32136-42-90101 Dear Ms_ Denton_ Thank you for your letter of April 25, 1995 regarding our request for a building permit and our proposed change of use_ Your letter was addressed to my husband, David Schiefelbein, though I am the one spearheading this project and will be sole proprietor_ My full name, phone, and address appear below in case you have additional questions. Regarding the change of use, I plan to remodel a 495-square-foot garage under our residence into a retail storefront_ It will retail items such as birdhouses, nestboxes, fountains, birdbaths, and related supplies, seed, and wildlife-oriented gifts_ I spoke either with you or another woman in your office last month about our business and you were very helpful_ It was explained to me that, because I will be the sole proprietor and there will be no other employees, I will not be required to add a bathroom_ Because I will not allow the public upstairs into our existing bathroom, there will be no additional sewage flow, and therefore no need to upgrade or replace our septic. In the event I chose to construct a bathroom for the public's use, I have did some research on three other, similar, small businesses that have bathrooms_ They averaged 433 square feet, had an average of six customers per day, and an average of seven customers per week used the bathroom_ Because of the low frequency of bathroom use, I am not considering adding one at this time_ Please let me know if there are more questions I can answer- I will be glad to phone or come in to see you again. Sincerely, '--)�k4�, �a--& cl4c��� Maureen A_ Beckstead 426-4926 E_ 61 Agate Road Shelton, WA 985 MASON COUNTY BUILDING DEPARTMENT PLAN REVIEWER AND INSPECTOR CHECKLIST �r /0 /3-3 1994 NON-RESIDENTIAL ENERGY AND 1991 V&IAQ COMPLIANCE Permit Number 5 6t) Address GCS k9C - Jhe%yl &( q Name on Permit Space heat type C' i/9,6� a,ure�.-� BUILD NG ENVELOPE Insp. Slab insulation R- (sec. 1311.5) ql1 T-1 n)G• - Sffolie-r /G.8.A vA ( ) Below grade exterior wall insulation R- ( ) Under slab duct insulation R-3 .3 (table 14-5) FRAMING INSPECTION Standard air seal (sec. 1314. 1) (� ) Horizontal and overhead glazing (see glazing sc dule attached) Max. U-value 410 vertical, max. U-value 0A1f-- overhead. Attic ventilation (1 sq. ft. net free area per 15b sq. ft ceiling area) MECHANICAL SIMPLE SYSTEM (� ) Equipment type and capacity EIer-+Y;-,-, c�Jl ►l loo r + ( ) Efficiency:EER SEER IPLV HSPF COP ( ) Outside air intake, exhaust outlets and relief outlets equipped with automatic dampers. (sec. 1412 .4.1) ( ) Economizer, provide 100°s of the design supply air as outside air. ( ) Mechanical ventilation CFM (V&IAQ, table 3-4) ( ) Duct sealing (sec 1414.1) ( ) Separate air distribution systems (sec 1424) INSULATION R-O 7/cam 3. 3 3,u* (� ) Wall insulation (above grade) R- 021 Batts face stapled (tab1 13-1) (� ) Vapor retarders on walls ( ) Vaulted ceiling insulation R- Batts face stapled, vapor retarder & 1'l airspace. ( ) Supply and return Air duct insulation: R- (table 14-5) (Vapor retarder required on all mechanically cooled ducts.) ( ) Pipe insulation: R- (table 14-6) FINAL r s • ' • Floor insulation R- 6 mil black polyethylene (table 13-1) Q' Ceiling insulation R- _ (table - ( ) Penetrations (sec. 131 �(1' -j R� lY1 rarn��eKKXT�1100y' � ) All supply outlet or other to 1na1 vice tested and b Documentation supplied to Mason County Buildiing Inspector. COI (�. ) Ventilation supply ducts tested to meet V&IAQ requirments. ( � ) Service water heater placed on R-10 pad in unconditioned space or on concrete floor. �r ) Service water pipe insulation 1" closed cell insulation (table 14-6) ( ) Deadband control capable of 5 degree minimum. (sec. 1412.2) ( ) Clock setback, capable of seven different day types per week. ( ) Microprocessor heat pump control (sec 1412.5) LIGHTING Lighting compliance method Prescriptive' Lighting Power Allowance System Analysis �V ) Lighting controls in all areas separated by ceiling height wall. Alor^Mcbff (v ) Single switch not to exceed 80t of 20 ampere circuit. (16 AMPS) 0ee1,Yr:, (v ) Individual daylight zone controls for overhead and vertical glazing (v ) 24 hour exterior lighting on timed switch, photocell or comb. ( , ) Lightincr schedule. Maximum Allowed Lighting Wattage (Interior) Location Allowed (floor/room no.) Occupancy Description Watts per ft'•' Area in ft' Allowed x Area e /ao •From Table 15-1 (over)-document all exceptions taken from footnotes Total Allowed Watts O Proposed Lighting Wattage (Interior) (May not exceed Total Allowed Watts for Interior) Location Number of Watts/ Watts (floor/room no.) Fixture Description Fixtures Fixture Proposed r �r Total Proposed Watts may not exceed Total Allowed Watts for Interior Total Proposed Watts Maximum Allowed Lighting Wattage (Exterior) , Allowed Watts Area in ft' Allowed Watts Location Description per ft'or per If (or If for perimeter) x ft'(or x If) Covered Parking 0.2 W/ft2 Open Parking 0.2 WHO Outdoor Areas 1 0.2 W/ft' Bldg.(by facade) 0.25 W/ft' Bldg.(by perm) 7.5 WAf Note:for building exterior,choose either the facade area or the perimeter method,but not both) Total Allowed Watts Proposed Li hting Wattage (Exterior) (May not exceed Total Allowed Watts for Exterior) Number of Watts/ Watts Location Fixture Description Fixtures Fixture Proposed Total Proposed Watts may not exceed Total Allowed Watts for Exterior Total Proposed Watts 1 GLAZING Plan Reviewer- Fill out this glazing section or attach a window schedule to this checklist. Inspector- Verify window information during field inspections. Include skylights, glass doors and all other glazing on this form. Use rough opening area for calculations. Date Size Quantity Area S . Ft. U-Value Manufacturer Rev. Insp. 4L0 8°5° 1 LIO VOY 46 AIERn /C } Total glazing area: ! �� Tota conie area. Percentage glazing: S Q Verified: DOORS Plan Reviewer-List opaque doors by type(solid core,insulated,etc.)quantity,U-value,and manufacturer. Inspector- Verify door information during field inspection. Date Type/Quantity U-Value Manufacturer Rev. Insp. 40 awn eo.-� Signature of Building Inspector: Date of Final Inspection: i MASON COUNTY BUILDING DEPARTMENT 1991 WASHINGTON STATE ENERGY CODE AND VENTILATION AND INDOOR AIR QUALITY CODE OWNER ;'4jq l/?Cf11 TELEPHONE COMPLIANCE INFORMATION TYPE OF PROJECT: O NEW RESIDENCE O ADDITION q)REMODEL O OTHER l\ AREA(SQ.FT.) 1ST FLOOR 2ND FLOOR HEATED BASEMENT Note: Heated basements must be insulated and finished to meet minimum energy code requirements. TOTAL SQUARE FOOTAGE OF CONDITIONED (HEATED) AREA y 9y COMPLIANCE METHOD: O PRESCRIPTIVE PATH -- circle option -- 1 II III-'1Si V VI VII VIII Glazing percentage (total glazing area divided by total conditioned area) O COMPONENT PERFORMANCE -- Chapter 5 — attach documentation and worksheets ( ) SYSTEMS ANALYSIS -- WATTSUN 5.2 -- attach documentation and worksheets WATER HEATER ( ) Electric water heater ( ) Gas water heater HEATING SYSTEM: ELECTRIC RESISTANCE () Electric Central Furnace (Electric Wall Heaters ( ) Baseboard Units () Radiant Panels ( ) Other OTHER FUELS O Heat Pump with electric furnace O Heat pump with gas furnace O Gas Furnace O Oil Furnace ( ) Other () Boiler System (indicate type) Make Model Size AFUE HSPF VENTILATION SYSTEM: () Spot and Whole House ( ) Central Ducted System ( ) Integrated with Furnace ( ) Heat Recovery System (air to air heat exchanger -- heat recovery heat pump) GENERAL NOTES: Your building plans should indicate certain compliance measures: framing to be used (standard, intermediate, advanced); type of vapor barriers being used; location of furnaces, hot water tanks and other equipment; location of solid fuel burning appliances, fireplaces and thei:combustion air duct runs; and termination points of exhaust ventilation fans. WINDOW & DOOR SCHEDULE WINDOWS INCLUDE ALL WINDOWS, SKYLIGHTS, SLIDING GLASS DOORS, FRENCH DOORS AND STORE DOORS. ANY WINDOWS IN DOORS (LESS THAN 50% OF AREA)MUST BE TAKEN OUT OF THE DOOR AREA AND PUT INTO THE WINDOW AREA ON THE SCHEDULE. BRAND MODEL U-VALUE QUANTITY SIZE TOTAL SQ. FT. w%w/lcL9 Q 30 'Doe r T ✓�r�' rj -a l FA 8P. Co 4, cv� .7D � - 4 TOTAL wINDOw AREA z/ DOORS BRAND MODEL U-VALUE' LOCATION SIZE TOTAL SQ. FT. I TOTAL DOOR AREA 5 G" ,�i9 Real leaded fjass '� •' -._._ .. ; „ �-- , ----- u+•►KI z+K2 u+K3 #+K4 x+K5 ar+K6 K7 x+K8 K9 K10 Kll K12 K13 #K14 LITE OPTIONS a available in Replaceme:.:;-0011,5rem-.-RK"- r� sew + available in-DI7 m-D3,lam�"D.. -D2 Kl-M6,K8-D3 K3-D39.K4D2.KS-D28, K6-D21,K8-D32. K15 K15W = 3 K17SE '� available in 2'6'width. 'R Amber `�' I -' ► av itlable in 90 minute fire door slscem. . ` 1 J uith operating � � - i K14C is a Celebrity Seres'"Gle.Lead came B ar speakeasy- F', I� '. on exteriori it bus SKS—BeyeleJ {+ ventilated d wnh screen - chip K15LB K15BB K16 K17 *K18 K25 SI IiKI SK2 SK3 SK4 SK5 and4u glass with brass ss n ca ine PLANT-ON DOORS "D" SERIES in 2'6", 2'8"and 3'0"widths. ,. R a+►D1 •133 **D6 D10 D12 D13 D19 D20 D21 D40 +D44 +D45 +D46 +D47 ••D 8 D60 o available in Replacement Door System-"RD"Series. TRANSOMS + available in 3'6'width.D16 and D17(not choum)also available in 3'6"width ",fable in 90 minute fire d—system • available in 3 late D41.9lite D42 and 12 lite D43, o ventilated with screen. Interior transom casings •• not available in 2'6'width, are availahle ir.the ` - (ofbwing styles: 11f�� All glass units available with insulated glass standard.Consult distributor for Colonial 1 1' other glass options.Plant and lite arrangement may vary on some 2'6"sizes. 11/161 x 2-1/4'(WM356) till IJI Half Round Transom Elliptical Transom available for 2'8'aid 3'0'doors-L 11/16•x I-1/I"(ti'M35U .:_..- SD10—The same lite design as SKS in a full length lice. a-ilable for 218"and 3'0'doors two lY sidelites and Courtyard Series,-patio doors n 5'0'. Rauch SDI SD2 SD3 SD4 SD5 SD6 SD7 SD10 wvh a 4-9/16'pmb.Pre-cut.Pre- 5'4'and 6'0'widths.Precut.pre-mitered and p,dnlird 3' 11/16'x 2-114'(WM327) ,rl'ered and pre-drilled 2'jamb ietrb—ndcn arc ev.ul.+hly. :116-s_ i\\'\1115, COURTYARD SERIES" PATIO DOORS in double or triple units- emendersammilabk 1-5TANLEY ," helps you do things right° spy nDo> System Division of The Stanley Works C5 \ l5 C20 C25 C30 1225 Fast Maple Page No. 1 CASE HISTORY FOR CASE NO.: BLD95-0569 DAVID SCHIEFELBLEIN E61 AGATE RD SHELTON 05/30/95 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA010 Application received / / / / 04/25/95 04/25/95 KW BLDS009 Fire Marshal Review 05/04/95 / / / / 05/16/95 TW BLDB110 Structural Plan Review 05/04/95 / / 05/10/95 DONE DH 05/10/95 DWH BL"120 Moc cal*fsoft ftvfew 05/15/ / / / / 05/16/95 TW BLD8130 Planning Review 0 / / 05/04/95 5/3/95 Retail space to be used to sell DONE GBM 05/04/95 GBM wildlife items such as bird feeders and baths, nesting boxes, etc. Three parking spaces proposed plus handicaped. The existing cut between two driveways will be filled and paved to allow two-way access off Agate RD. BLDB134 RLC Checklist Review / / / / / / 04/25/95 KW BLDB135 Addressing / / / / 04/26/95 DONE GMM 04/26/95 GMM BLDB200 Environmental Health Review 04/25/95 / / 04/25/95 Need more info..need septic records and HOLD PSD 05/09/95 KS tank pumped and need to give more details about the proposal.What type of business. Possibly need to upgrade water system to community water system. psd INFO ADDED TO THE FILE. BLDB200 Environmental Health Review 05/15/95 / 05/15/ There will be no emplyees or public j DONE PSD 05/15/95 PSD restrooms or water, therefore no Z increase in sewage flow. psd aO,Y 7pyrpJi. �Q\�V�JJr �pVYON�/ �\a'/��JH, ��JUWi„J ��uYly J lN'dJi JJ. ♦ r ri \� rr �/ �Q / �� r 0�... r ��,d r ::ti�`~`r .fi,M,,y!• c <. ...,5. P .;:vyy .a\p�,^r.,., o�1'a�w,f�,. ;Ttia��r:...:'•e�?'12`.;�y.: ',d+`;:^Y ..:. .. •t{,.:..pti -. A."a!�..'. .t";,j %' .!f� �•`Y' '•�;v`V' to r.F .°�Jo' .� .i r: ..r. :"ri k: �k:. '` f � ,••{� �Y .�.� �•a .7.••�`,J �. .,,�a� i.. �{a�� ,. ����.3yv,{�µ�.Yyab�, q as-fir a��`��'� �'FS/J/�r� -vR<:/iy4 ��y,. cF3:Gp��, {d;�../i,Si,.:•, aY�JH�I, N�",q�;'fi dk'b/'4. �i'///p g�„',�a�� k\k. yi/f i Catif tratt of errupanrp �ffla-5on Countp 3guirbing Department ♦t .. yJ/ This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building £ x Code certying that at the time of issuance this structure was in compliance with the various ordinances of the County regulating building construction or use. For the following: Use Classification Retail Sales BLD 9 5-0 5 6 9 h Bldg. Permit No. Group B-2 Type Construction V-N Fire Zone 5 Use Zone Owner of Building David Schi of el bei n Address E61 Aga t P Road N Building Addres E61 A ate Road Locality Mason County By: Warren L.Colvin i �O/ Mrlhai Date: November 22 , 1995 'f, . Building O cial a . POST IN A CONSPICUOUS PLACE \'�. a�i f ii/,. dl, � p.a 5•i i .r��. v yJ y J„�. a. :��,.. �r .?." .s, ', _. .+i, b b ,1 �;:b r a i::aa•� � .�a•.' ��;r�,+-... � h:� a r,��` �as F:,,,'sy ` � :sya.o••� �+,�` a ,, w,.aty +s �" # ` .v tioSv ^ ;w .,k 'a` -aw + }h a . yr v ayad:��p r. �ritw � ✓,,'�yr �.".�a c n a : GyH�'" ,'•t v a/ : .i Y �r ',r�r rIMP•'N v 4 vrv•`` r('ir.�x � 'r f:Na. rNA�'� HiiF.aWJ�.ah rt `� t�, �'�r ,�� N alas.. 4ii. .J\� '4FH 4r r ri � 'aiorraa:� ir�rvazW�.� �v' � J, h��� .J N. `\ ��,..a� ` r.M�"p 1i rvmw`'�3��Jr"uaa raa,� �,yace• 'si .:wn• ra,.a 3i / r/,w r / / ry. ri � r J \ JJ � r ♦ ri \ p ♦ qJ. \� r/ �\�� p�.�\�� /�b `��k J \`�� Jrri,�\\` �r�Jr,,�.,� I� BIIILDING PERMIT #[ •� ,��_-�tt-PZ41 I%Ua DATE Planner Area � 2i36 - Z - lC )joI --. CHECKLIST FOR PROPOSED CONSTRUCTION Yes No [ ] [ ] Within 200 FT of designated shoreline, wetland, or associated wetland Where? _ '3 [ ] ( ] Proposed construction on/over/in wetland - `� GQ7� [ l ( ] Proposed construction within floodplain, [ ] Eagle nest State road access needed ] [ ] Commercial Development (parking standards, sign ordinance, public works review, other applicable agencies) CHAYU Cf f U/]� l [ ] [ ] Mobile Home or RV Park [ ] [ ] Exempt from building permit application ( ] [ l Exempt from SEPA process (WAC 197-11-305, WAC 197-11-800) [ ] [ ] Meets all requirements (which section(s) of SMP does proposed construction pertain to?) [ ] [ ] Variance or Conditional Use Permit required [ ] [ ] Exempt from Shoreline Substantial Development Permit process (Wac 173-14-040) [ ] [ ] Exempt from Substantial Development, but within Army Corp_ jurisdiction (WAC 173 -14-115) [ ] [ ] Address needed [ [ ] Directio,,= r—ded Permit No. MASON COUNTY BUILDING PERMIT APPLICATION � o► 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT `J #1 6� ner to Address E. �/ RATE Rd. Fire District# S City 51ft:��n St /rJA, Zip 9RSBv Directions to Job Site ON N/v�.:T 7-Q1z0Xb !94-41 ,2/i9fit .4 RlZf/T 6grE 17 -D 12 =E,� 0-'V 4&ERL) TD Tri`c` SEC2eiJ //OtIS� ©N TNT 4,65a7- Owner Mailing Address / 1;?14z,-e R D City 5//ELT(1� St uiq Zip 3FB59'/ Lien/Title Holder 7-,4,fo rA T�tC12 CiREbiT L!/y/(r.v� Address N SR/ p4 F,ns peek N-&> Clty /C //RRr3�R j St Zip Zip 2g—? #2 Contractor Name >569061q fr� HORZ:5,4 QVC. Contractor Reg# 77i5�o�,+�id�yT Address P.O -Box /96 9 Expiration Date_/ // l y.S City 5Nt/TOE St Zip 5'f_5 ' Phone# #3 If septic is located on project site, include records. CA671rvd Connect to Septic?_&.A.Public Water Supply &- Well �X15T/1,y Connect to Sewer System? IL Name of System N-A (If residential, proof of potable water is required) 44 �al 3 1 (� ription :'� #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle Attache r Detached?) Other sq. ft. / C'hD-rlg t CSC 4,'e- #6 Use of building cioalm=AT cXT 5;4A,4kA 7-D RFrVa- 5,—O&,c Describe work R,60, z bmR; Re IrrOW&0 A09 Re Cti7r/OTLWw lsiiOsA.5 Ahozo O*Z19-W/e,J4 j2 Z719S�</�Yis SlYEc rROrlC7�ni K�A �'�0 7 5�r'f'iT�Tt'n'��1T �K #7 Type of Job: New Add Alt !— Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length Width Serial No. # Bedrooms # Bathrooms Type of Heat Purchase Price $ #9 Indicate by circlin 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 Name of Flanking Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW ScE )P/,eT Ps•,#ti APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW �) R EXISTING Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas/Electric, .' _Bath 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 NQ. Boilers/Compressors Laundry Basins HP _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 15.00 _ Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $ No. Other Gas Outlets Wood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF NF�rERS WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $ 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. r, DEPARTMENT. X OWNER X BY DATE � / T J� DATE I FOR OFFICIAL USE ONLY: Accepted by: Date: --- — - -- -- -- -- - - -- — -- - =----- — --- — -- DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: �. Environmental Health: �r�,„;�p I�b Q,Irv(JLa7ak5 rp- C. tts�"ey-& Building Plan Review 5-10 Occupancy Group`-5- L Type of Consf:UAL- Fire Marshal: Other: Special Conditions: FEE Building Permit 6"::) Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: TOTAL FEE