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BLD99-00222 Cancelled Addition - BLD Permit / Conditions - 10/3/2001
MASON COUNTY Mason County Bldg. III 426 W. Cedar RO, Box 186 Shelton, Washington 98584 13 U I L_ D 1 N Ca P E R fA 1 `I" FOR INSPECTION":', AL I. 427--96-10 BETWEEN 5pm AND Sam 427-7262 BLD99-0222 PARCEL :2223352.00050 FLAT :MAPLO DIV : BLK : + JOB ADDRESS : 2591 E MASON LAKE DR E ORAPEV I E W pER1AtT OWNER : DONALD JoNES Volt) 8Y EXPIRATION CONTRACTOR ! rlUt-�- �` Tel LEGAL. INAD116S SUNNY SNORE ADD 18 TR 50 0ATE bL_ CLASS OF WORK . . :ADD REDR - 0 BATH : 0 TYPE AMOUNT 8Y DATE RECEIPT TYPE A-101111T BY DATE RECEIPTi TYPE OF USE . . . . :SF STORIES . . . . . . . . 1 OCCUP . GROUP . . . tR3 BLDG. HEIGHT . . s 0 .Oft PICK 1 113.59 KW #4161199 49801 NCH 1 13.00 KS O4127199 50089 TYPE OF CONST . . :5N FIREPLACES . . . . . O PRMT 1 312.25 KS O4127199 58089 MCNI 1 22.00 KS O4127/99 59889 OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 fLM 1 44.00 KS 04127199 50889 STFE 1 4.58 KS O4127199 50889 DWELL .UNITS . . . . . (4 PARKING SPACES : 0 PtM1 1 20.09 KS 04127!99 58089 FNCP 1 56.00 KS 84127199 50089 INSPECTION AREA : 2 SHOREL. i NE:? . . . . :N ADJ 1 89,37 KS 04/27199 50089 TOTAL: 664.71 VALULA11011: 21052 SETBACKS------ -- --------- TOILETS . . . . . . . . . . t 0 FUEL TYPES----------- BOILERS/COMP .....-- MOBILE HOME- FRONT . . .E 230 .Oft BATH BASINS . . . . . . : 0 : /ELC/ / / : 0-3 HP . : 0 REAR . . . .W 42 .Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : SIDE ( 1 ) .N 15 .Oft SHOWERS . . . . . . . - . . : 0 FURN r 100K BTUs 0 15-30 LIP . : 0 -MAKE ------ S I DE (2) .S 6 .elf t WATER HEATERS . . . . : 0 FURN >-100K BTU : 0 30-50 HP . : 0 SHRLINE .E: 42 .Oft CLOTHES WASHERS . . : 0 FURN -- FLOOR . . . . 0 50+ HP . : 0 -YEAR--- -._ - ARE;.A ---------- ------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 LOT SIZE . . : FLOOR DRAINS . . . . . .. 0 VENT SYSTEMS . . . : 0 EVAP COOLERS . 0 LENGTH : 0 BUILDING . . . : 368sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . s 2 HOODS . . . . . . . : 0 WIDTH . : 0 BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN :O -SERIAL-#- -- DECKS . . . . . . : 144sf DISHWASHERS . . . . . . 0 AIR HANDLING UNITS-- COMML. . INCIN :O GAR/CARP :? Osf GARB DISPOSALS . . . : 0 -- 10000 cfm . : 0 REIOC/REPAIR : 0 AT/DT . :? URINALS . . . . . . . . . . . 0 > 10000 cfm . : 0 OTHER UNITS . : 0 MISC PLM FIXTURES : 0 GAS OUTLETS . : 0 PROJEC PTION-ADD -100 PROJECT LOCATION: TF.IS FERMIT BECOMES HULL AND VOID IF WORK OR CONSTRUCTION -AUTHORIZED IS NOT CONMFNCED WITHIN 180 DAYS, 09 if CONSTRUCTION OR WORt: IS SUSPENDED FOR A PERIOD OF Ise BAYS Af ANY TIME AFTER WORK IS COMMENCED. EVIDENCE OF CONTINUATION OF 1011 IS A PROGRESS INSPECTION WITHIN THE 181 DAY PERIOD, fINAI INSPECTION MUST HE APPROVED BEFORE BUILDING CAN BE OCCUPIED. OWNER OR AGENT: BL D_PRMT; revs 6313,191 / COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED CONCRETE MECHANICAL MOBILE HOME Footings-Setback date 41_3-00 by L Ribbons date by Gas Piping date b oundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date 44-3--00 by ✓ date by PLUMBING Attic OTHER Groundwork date by date by p W WALLBOARD NAILING date -3-OcD by L-J date 4- S- 00 by Water Line FINAL INSPECTION date �/� 3- pp by date by date by �.. !/-f--f 1 - ?7n -3—Z r—Q 0 Z. i-! L 11 '1 r u e�c1 es_ D f►-al NU s s - - `�• �InOI LN �u .�r cl_r G w r01 �•. 51 bk / GCN�2cc� Lf- S G C- ��"l ll Ie-\ Cr u LJ�IK_r'S /`inQ �r�4�L c Lin Gr _-L2{�!I_ i5s % CG✓v�* rhR -_ v, ec.� 1 O l-S -i MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PERM 1 "T CCQN0 1 T' 1 ONE Case No . ; BLD99-0222 Fur : DONALD A JONES Page : 1 1 ) Proposed structure or- any portion thereof greater than 30" In height from grade line , MUN maintain a minimum of 5 ' setback from all property lines , easements and 10 ' from ail C and State Road right of ways . X _ 1 I,! 2 ) 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 grar►ted . In additlan , a Re- Inspection fee in the amount of $42 .00 per hour (minimum 1 hour ) will be charged and must be collected by this department prior to any further Inspections being performed or approval ~granted . X__ 3 ) PURSUANT TO 1994 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 IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNERICONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . X E 4 ) The correction list , along with the Energy Compliance Workshoet (when applicable) Is part of the plans and must remain attached thereto , it is the responsibility of the gpilcant to make corrections indicated on the plans from the correction lists . Once e plans are marked APPROVED they may not be changed or altered without authorization from the Building Official . fhe permit holder- is reponsible 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 hull 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 a gndoned at any time after, the work is +;ommenced for a period of 180 days . X_ 5 ) 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 USE OR OCCUPANCY MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Y ti H 11 rrt• rt- f x 6 ) Changes to approved building plans that effect cow fiance to the 1991 Washington State Energy Code , 1991 Ventilation and Indoor Air Quality Code, the Uniform Building e Code and/or Masan Count R nl r i ons must be approved by Mason County prior to construotIM ,C"" 7 ) CONSTRUCTION PROCESS 70 BE FIELD CORRECTF D,,A 7. QU 1 RED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE .x . _ 8 ) Owneribuildar, assumes all responsibility if drainfield/reserve area encum,lagred . X Case No . . BLD99-0222 PERMIT NO.: BLD q , zzz MASON COUNTY BUILDING PERMIT APPLICATION `{ 4 426 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 LIk40ea—L7 &- 6AX4LC Contractor Name (/ " Mailing Address g/-.2- / S'S�;I"ZV 000 Mailing Address City ' i'r State .A/ Zip Code 9V'3-72, City State Zip Code Phone 7.Vj Other Ph.(3Ld )Y,Zr�-39449 Ph.( Other Ph.( Lien/Title Holder Contractor Reg. # Address — Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic_,)( _Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. IA-%L / 40 0 0 SM Fire District t Legal Description ,o o Site Address(Please include street narnf, street number and city) ��,���/ E.ya? A <.,.� I fs—F Directions to site Will timber be cut and sold in parcel preparation? (Yes/No) 44) Is your property within 200' of the following: Body of Water (Name) ��A," L_, .rc Saltwater Lake_ River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Adder_Alt Repair Other Use of Building 644 M,' ole CA V6V Describe Work Apa a-ai ycko,0- Alyti , 6ai-N. - o sSj SST' 9"67-gaZ No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor mc>v�cri�h' 3rd Floor Loft Basement Deck Other Co ve rect F�)rc-h to 76sq. 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-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. �j first obtaining approval. X Date / 9 X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date~ Submittal Amount Due Receipt No.. /1 DEPART WNTA ;REVIEW APPROVED D 'NIED CONDITION CODES Building Department Occ Group 12--3 Type Constr. StJ y—t2-QS Planning Department Environmental Health Department Public Works Department I Fire Marshal • s�0 2 3 Valuation $ -irac 2 I�� coy c2c p ITbSZ FEES ..... _ Building Permit Fee 3IZ•c,7' Site Inspection Plan Review Fee ��• 8� UFC Plan Review Fee 0 Plumbing & Base Fee ,t.�_" Public Works Review Fee Mechanical & Base Fee oo Other S- Wood/Gas/Pellet Stove Fee Other ST• FEr y•sO Violation Fee Pre-Paid at Submittal ( 113 zq ) €€ s> TOTAL FEES 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 c Contractor Name /.� Mailing Address !�ti,2f a&oyo: OW Mailing Address City ,,& gige.� State ' Zip Code 91r,17A City State Zip Code Phone^ �-? 9�&,,Other Ph.( Ge )W,76o2 Ph.( Other Ph.0 Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. ,, / / U U U .5—© Fire District Legal Description Sc,,Aini�/ t`.�S/� �7. S76 Site Address(Please include street name, street number and city) / �, f���soN &:a Directions to site Is your property within 200' of the following: Body of Water (Name) ,�Aco�t1 .r/,4 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 F��,Tl to, Type of Fixture No. of 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 — • °c Propane Tank Laundry Wsher — 00 Gas Outlets Sinks �_ . o%_�, Wood/Gas/Pellet Stove Dishwasher �_ -�. co Direct Vent? Other t_'1"• t _� - °O Other Othertio--^e[g _ 1 S•°O Other Base Fee 20.00 Base Fee a — 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-]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. X Date"vt 1- X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. _ DEPART(U(E1 R£1/fEW APPROVED DENIED i.�f�MI1110114 f)E5 Building Department Occ Group Type Constr. Planning Department Other Other PEES,. 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 MRD MASON COUNTY PROJECT SITE INFORMATION Case No. Name Ear ydo'ir_ PARCEL NUMBER Date 'R-9 f2 —?!J: 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 il 1 DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line-) I I <-adjacent property line I I I 1 I I � I � 9 I I I I I I I i I I I I I I I I I I I I I I I I I I � I I i I I I I adjacent property lined ' ' E-adjacent property line SAMPLE SITE PLAN adjar�nt property line--> 3io' _ _ _ E-adjacent property line D 30• rRE-SCRvE 3�I ,E .JAL_ I CREEK I c I HOM 6 I I � G ctatn I > PraoPcd D smpt: --�I I ri— bo' I VACANT T C„1RAa630. I % i I(� I PM1oPasCD ' / T A6R ILLLLTWLAL SO I I 80, I , I \ I I \ I /00. --� I I \ I I 0 \ A I adjacent property line-� Fad'acent 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 d1 S+A"cQ +n Le rLL�tLa.r� - d costa r,c.e. t c r D r 510P'. to I +e ,4 . z47' Si nature Date �o N n IP puMPe� �5 Tv LIP - P Peck. ' F Z3o waY 0 �► = I �, z