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Home My WebLink AboutBLD96-00478 Cancelled Addition - BLD Permit / Conditions - 1/19/1999 MASON COUNTY L & VOID Mason County Bldg. 111 426 W. Cedar 13Y P.O. Box 186 Shelton, Washington 98584 Po w " Lit 1- 01 N "- v, 11:� i I ivi I I FOR IN6FECilONS CALL 42'/-9670 BETWEEN Spm ANTI 8am 42T-726,9 BLO96-0479 PARCEL !222335?00050 PLATiMAPLO D!v - BLK : LOT : JOB ADDRESS : F 26911 MASON LAKE DR F GRAPIEVIEW IWNER ? OONALD JONES CONTRACTOR , LEGPI - INADISGS 3110Y 3110kF APB 16 TR 1,11 CLASS OF WORK . --ADD BE M 0 BATH : 0 ITYPE ANOUNI BY DATE NfrEIPT ITYPL, ANOUNI E! DATE RECEIPT 145.50 KS IN11119f 42262 11 YPF Of�vs�� SF S T 0 R I U IS' . . . . . .0 I BLDG , HE 0Oft OCCUP . GROUP I � , . 0 t 26,00 KS OY1009c 42282 TYPE OF CONS,T 7 FIRFPLACUS . . . 0 11 OCCUP . I. OAD , , 0 WOOD',1�TOVES , . , , 0 IE?p PICK NT C K i 58.10 KS 07101196 12242 DWELL , UNITS . . . 0 PARKING SPAnES : 0 �STFE I 41a8 KS 01!01 42202 tINISPECTION ARFA : 0 SHORE,t I NE? tN TOT I,t 234,20 VAIDIATI01i 162TO S E T B A C K,-;- TOILETS . . . . . . . . . . 0 FUEII TYPES-__.___ BOILERS/COMP---- ---- MOBILE HOME— FRONT — 0 .0'rt- BATH BASINS . . . . . . 0 e 0-3 1411 . 0 REAR — T 0 .0ft- BATH TUBS . . . . . . 0 3-111 HIP . - 0 MODELt ,cl I Dr ( I I - 0 .0ft SHOWF98 . . . .. . . . . .. . 91 FUHN < 100K STUr 0 15-3 0 I'l F; - r 0 -MAKE--- -- - SIDE( 2 ) O .Oft WATER BEATERS . . . . .. 0 TURN --100K P,ru : o 30-50 HP . : 0 SHnIINU 0 .Of CIOTHESw WASHERS . , 1 0 TURN _ FI.00R . . . ; 0 sio+ Hp 0 -YFAR- --- . - - AREA KITCHEN SINKS . . . . s 0 HEAT PUMP . . . . , . s 0 LOT SIZE — ! FLOOR DRAINS - - r 0 VFNT SYSTEMS . . . 0 EVAP COOLERS : 0 LFENGrIft 0 BUILDING — : ost DRINKING FOUNT . . . : 0 VENT FANS . . . . . . 0 HOODS . . . . . . . : 0 WIDTH . v 0 BASEMENT os.r IAUNDRY TRAYS — . - 0 DOMES . INCIN :O DECKS — — . - Ost DISHWASHERS . . . . . . t 0 AIR HANnLING UNITS-- COMML . INCINtO GAP CARP :? Opf GARB 0 1 ',5POSAI S , . . g Q, -r*- 1000(12% (.-.f m . - 0 RFLOC/RIF PAIR : 0 AT/DT , %? URINALS - - - . : 0 > 1000f) cfm . z 0 OTHER UNITS . , 0 M11111c PI'm FIXTURES : 0 GAS OUTLETS 0 PRO-Itcl I.OcAlIONtilly " TO %A�00 8FOSO11 10 ttf! PAST r1RE SIATION TO IASON IAX1 6010 RIGPT 00 #ASO$ )AKE DO TO J009 $100 AND FtASSfD I.A111 MARKED JO#fS IRIS PERNIT RECONES N1111. ANP V014 IF WORK OR CONSTRUCTION AUTNOIIZED IS NOT COVIENCED WITHIN 164 DAYS 09 If C0091111010# 00 WORV IS SUSPENDED FOR A Pf$100 OF 10*0 PAYS AT ANY TIME AfIfR WORK Is v^evvf#cfD. 1V1DfVVF Of COVIINUATIO0 OF WORK 0' A PROCRISS INSPECTION Willi# THE 180 DAY PERIOD, f1*A1 INSPECTION 11981 Of APPROVED BEFIRF BUILDING CAN BE OCCIPIED, OWNER OR AffoTI ,0 810-PRift, 0301191 COMPLIANCE TO ATTACHED CONDITIONS 18 REQUfAIED CONCRETE- MECHANICAL MOBILE HOME Footings_ ack �/ date by Ribbons date by Gas Piping date by Found ' n alls I- date by Set Up 'date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING r— Walls FIRE DEPT. date co date date by PLUMBING Attic OTHER Groundwork date by date by D.W.V. WALLBOARD NAILING date by date Water Line FINAL INSPECTION date by date by date by ��-cam i i I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Case No . a SI D96--0478 For t DONAL O A .JONF8 Page : i 1 ) Tho use. handling and storage of haz.4rdous materials or f l azrim�ab I e and c ombust i h I eT liquids in excess of 10 ga1icans is not allowed without the approval of the Mason County Fire Marshal . 2 ) Proposed structrire or, any portion therent greater- than 30" In height from grade line, must maintain a minimum of 5 ' setback from all property 1 f nes , easements and 10 ' frort" a I 1 "un y and State lload r I itht of ways . 3 ) The proposed project must be eurp. istent with all applicable policies and other provisions of the Shoreline Management Act , Its rules , and the Mason County Shoreline Mac t,or rograxm . x 4 ) Approved pear, 5) Structura most be setback 5 ' from all ut i I i ty and drainage easements a total of 10' from each Prc►Ferty 1 fne, (,r a arianc:e moat be obtained from the Bui Idinq Department . 6) A 1 1 esppr oved p I ans tare requ i red to he on--s I to far of,,pect Iran purpones . It Inspection Is callod for and plans are not on site, Approval WILL NOT be granted . In addition , a Rer.. I nspe of i on fee in the amount of !I 30 .00 p"r, h,+ier (m i rr i arum 1 hour ) w i 11 be ohaarged rind most be collected by this department prior to any further Inspections being performed of, approval 4lraairted . x .+1 7 ) P1JR:3,UANT TO 1991 UNIFORM RU 1 I.p I Nry CODE Sf.PT I ON 305(C ) AND SFCT I ON 51,1 All. S I FE S MUST HAVE APPROVED NUMBERS On ADDRESSES PP6V I DED IN SUCH A POSITION AS TO Ut PLA I NI-Y VISIBLE i Permit No. MASON COUNTY q(d BUILDING PERMIT APPLICATION Q ae, 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 D PLEASE PRINT 1-- ) �,.c #1 Ow r Z),116 �()A CS Phone# 951-Z 7V3 ite Address S- LS-c1 I /h4 541A1 LA Ct' ft a4S1- Fice District# .S City ,QQRey'".--I St WC4, Zip Directions to Job Site 7a .0000n1 eWJ61^1 R4 LF,�'! ON MARV QT j-W (XISAY Owner Mailing Address $j 21 SENM(-L 08- city j4Aeo/C st t A zip 9.8332 Lien/Title Holder Address Clty St Zip #2 Contractor Name 120 ?2 Pj iV N1l Contractor Reg#bit-NNY#1192 7,T Address b.l7 /Md" 41C 04 Expiration Date_// Z/ /?7 j City 6akylC2✓ St W#O Zip c &'%4 Phone# +A-376-7 #3 If septic is located on project site, include records. O Connect to Septic?_Public Water Supply Well W Ff� Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 "gal o.Z2233 - S'Z - ode) scription o,0,f 4X ti 9L #5 Building Square Footage: (existing/proposed) 1 st FI AU2 / 360 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms 0 / Z #bathroom's Garage / Carport / (Circle: ed or Detached?) Other sq. ft. / ` G.1 #6 Use of building 2 l � Describe w rk .400 2 DAZ*J -7-0 cd Bi #7 Type of Job: New Add _Alt Repair Other #8 MOBIL MANUFACTURED HOME INFORMATION Model Y r Make Model Length Width Serial No. # Bedroom # Bathrooms Type of Heat Purchase Pric $ #9 Indicate by circling the applicable source if an water is on or adjacent to subject property: River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other I _ i 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 by (N, S, E, W) Name of Flanking Street Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW I Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No._ oilets CIRCLE FUEL TYPE: Ga lectric, _B h Basins Heatpump, Other Bat Tubs No. \Heatpmps Fees Show rs BTU _Hot Wat r Htr _Laundry asher s Sinks ns _Floor Drains No. Boilers/Compressors _Laundry Basins HP Dishwasher No. Air Handling Units _Disposal cfm# Urinals No. Fire Pr ion Svstems _Other _ Auto. Fire larm Sys 50�00 Fixed Fire pp. Sys 50.00 Permit Basic Fee •00 Auto Fire Sprin Sys 25.00 TOTAL PLUMBING $ No. Other Gas Outlets Wood, Gas, Pellet Sto e 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 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COM- 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 OFTHE 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: J DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: 4r,)yr!-*0f j K/1LL?Aj;,,C PLA-Cp— (j1 :-WtND COI.IM.C)N I-iN;,:; 141?F 'ItCOADA-I-Y. SEE ATTA�C�n CONVT1'ONS, Environmental Health: 9 Building Plan Review Occupancy Group:— Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit S 50 Plan Check Plumbing Fee i Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee -Site-nspaction — Building State Fee y SO Other Other Building Valuation: 36,o x YS� TOTAL FEE