HomeMy WebLinkAboutBLD2003-01439 Final Garage/Storage - BLD Permit / Conditions - 10/1/2004 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton,WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2003-01439
OWNER: RICHARD EHNI RECEIVED: 10/7/2003
CONTRACTOR: ROGER DENNY LICENSE: EXP: ISSUED: 1/20/2004
SITE ADDRESS: 2671 E MASON LAKE DR EAST GRAPEVIEW EXPIRES: 7/20/2004
PARCEL NUMBER: 222335200056
LEGAL DESCRIPTION: MADINGS SUNNY SHORE ADD#6 TR 56 2671 E MASON LAKE DR EAST
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
GARAGE/STORAGE MASON BENSON RD TO MASON LAKE DR EAST, ADDRESS ON LEFT
General Information Construction&Occupancy Information Square Footage Information
o.of Bedrooms: Type of Constr.: V-N
Type of Use: SF Insp.Area: No.of Bathrooms: 1 Occ.Group: U-1 Lot Size: Deck:
Type of Work: ACC Fire Dist.: 5 No.of Stories: 2 Occ. Load: Building: Garage-Detached 816
Valuation: Building Height: 23 Occ. Status: Unknown Basement: Storage 656
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: N 319.0 Ft. Shoreline: Ft. WaterBody: MASON LAKE
SEPA?:
Model: Width: Ft. Rear: S 99.0 Ft. Slope: Ft. Shoreline Desig.: Urban
Side 1: W 27.0 Ft.
Year: Serial No.: Side 2: E 6.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Laundry Tray 1 Ventilation Fan 1 Plan Check Fee KS 10/7/2003 $274.01 S12003
Showers 1 Dryer Vent 1 Planning Review Fee KS 10/7/2003 $150.00 S12003
Water Closets (Toilets) 1 EH Plan Review CEW 10/9/2003 $35.00 S22004
Water Heaters 1 Building State Fee JRN 10/13/200 $4.50 S22004
Clothes Washer 1 Building Permit Fee JRN 10/13/200 $421.55 S22004
Mechanical Fee JRN 10/13/200 $35.80 S22004
Mechanical Base Fee JRN 10/13/200 $23.50 S22004
Plumbing Fee JRN 10/13/200 $35.00 S22004
Plumbing Base Fee JRN 10/13/200 $20.00 S22004
Total $999.36
Bi D2003-01439 Please refer to the following pages for conditions of this pennit. 1 of 4
CONCRETE MECH NI AL MANUFACTURED HOME '
Footings/Setbacks DatenBbq/cq By Ribbons
Date ()q L2!q10L-1 By Z--Dk Gas Piping Date By
Foundation Walls Date By Set-up
Date By INSULATION Date By
B G / Slab Insulation Floors i Final
Date By Datel j� f By Date By
FRAMI G Walls OA4 / FIRE DEPT
DaterE 102 L67 By L Date Of Zt- fi By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date Q511,31C)LI ByRL.j WALL RD NAILING _n
D.W.V. Date-� By V` �IC-
Date QQ D D By L5 FINAL INSPECTION c 6/�0" ���7
Water Li'm Date IO D( O By l�s
Date agl�7 By(�� Date By
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Mason County Permit Assistance Center
Planning Intake Checklist
Owners Name: VI'LLIV-4 fA F h 1n Date: 1017J0 3
Project: Reviewed By: L-0 V_
Commercial Development: Y N Comments:
Planner: SAL GBM RAM D J
Site Plan:
ef"' North Arrow
cal-Property Dimensions: (P6 X q'�9_0
Er'Streets and Driveways Shown. Road name: M i Sd r, "14r, Or. e
9/ acks
cr Well Location, Septic and Drain-field Shown with setbacks
n'Identify all surface water(streams,ponds, shoreline, wetlands, etc.) U(L0t-m U C-
Topography(slopes)
❑ Proposed Structure Setbacks (Direction/Setpack):
F: MO. / 51'7 R: S / `7 9 S 1: 0 / S2: r / 7-8
❑ Utility and Drainage Easements: Yes (�(if yes enter condition#5022)
u—Other Easements UN Ic'Q u ✓1
❑ Accessory Appurtenances ❑ 6 YR TIP
u'Would you like to be present for site inspection?6/ NO
Shoreline and Planning Info
Setbacks: Shoreline: Slope:
Shoreline Designation: Comprehensive Plan: Rur 1 Zoning:
❑ Not Applicable ❑ Agricultural 2.5 5)0 20
Fd' Urban ❑ In-holding ❑ RMF
❑ Rural ❑ JTCFL El RC 1 2 3
0 Conservancy M Rural ❑ RI
❑ Natural ❑ RAC ❑ RNR
❑ Unknown ❑ RCC-Hamlet ❑ RT
❑ Urban Growth Area ❑ MPR
❑ Unknown ❑ Unknown
Water Body(type of water if unnamed): �l.use-,,
SEPA: Yes N Unkno
Flood Plain: YES N Unknow Map#
Aquifer Recharge: YES N Unknown Map#
Tags/Cases: OW(0`f
RLC/SPI Case , - �CJOS 7 6-Year Dev. Moratorium: YES NO
Eagle Nest Tag: YE N Other YES
Addressing: Check box if needed Reviewed by:
❑ County Access Permit Needed(add condition#0010)
❑ State Access Permit Needed(add condition#0020)
Standard Conditions to be added to all Building permits that planning reviews: #5019 and#0700
Re is.d.7n12003
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PERMIT NO.: BLD
MASON COUNTY Chu 3.
�'- BUILDING PERMIT APPLICATION v 14
l r„, 426 W.Cedar1P.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 , ? 6 s�L I JA t F(fy 1 Contractor Name t`(-u ;2 k-)(- r Ny
Mailing Address �1 71 C-t N E Mailing Address . O.,?S ,N-1)UAJ &-'�N) n1 CtAJ
City N16tj b State \,ve4,Zip Code C1 YOS Z City , t-. State WA Zip Codeq �zt 6
Phone(r,` -S6-7 U3U`Other Ph.( Ph.( �L(J 6�1 Other Ph.(
Lien/Title Holder `)-Arni- Contractor Reg. # L)C- .j toy H
Address Expiration ") / /�-L/ )
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic it" Connect to Sewer
System Name of Sewer System Well ,�L Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. ?�� 33 / - / a005Z'0 Fire District
Legal Description 3c),AJnrl+" ns7 L" 4 DJ '¢`(o SZO
Site Address(Please include street name, street number and city) 2Ca 1 A�O^J LIB Op_
�?
Directions to site ft)jkYjt� RM-1O^1 ROA-p -Th /v,,A�tJ,J 5-7 - 6 L-41";
Will timber be cut and sold in parcel preparation? (Yes/No) N U
Is your prperty within 200' of the following: Body of Water (Name) MA U^J Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB New l" Add Alt Repair Other Use of Building P^ -7 ,P
Describe Work
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage n 7 b Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make 7 Model Model Year
Length Width Serial V. No. of Bedrooms No. of Bathrooms
Type of Heat Purc se 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 ow %behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above describ,2po structures for review and
inspection of this project. Acknowledgment of such is by signature below: RAG
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT- c ihra
PI
tcurrently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of WQjkgt�ali d ware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the QOork for whi tap is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance ther,�,vilC, changes shall be made without
approval. first obtaining approval. A'tb
X Date X -j Datehn I Z&
FOR OFFICIAL USE BEYOND THIS POINT ��
Accepted by Dat . Submittal Amount Due H-. 01 Receipt Nos
DEPARTMENTAL REVIEW APPROVED DENIED' CONDITION CODES
BuildingDepartment t0*t3-v
P U -r� s c�(? L rnJ t Ce, c_
Occ Group I iType Constr. V'/V
Planning Department
Environmental Health Department
Public Works Department
i
Fire Marshal
Valuation $ Cq
CiQ
FEES
Building Permit Fee L bs Site Inspection
Plan Review Fee q 6 EH Review Fee
L
Plumbing& Base Fee Planning Review Fee
Mechanical& Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee L yd
Violation Fee Pre-Paid at Submittal ( )
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 I CIIA46 s !/.JA C*A)l Contractor Name 2 P- ✓Nf
Mailing Address 95oy /S'/ 31 77 7JE Mailing Addres . 1"4 W 2 77177
City 2,6hM,0 ),0 State-= Zip Code `7RD3T- City _ V Stat Zip Code
Phone('/2r ? 7 CjjQ Other Ph.L__) )6 i Other Ph.( ,� )
Lien/Title Holder rA/Y1 G Contractor Reg.#A F-A1YV,,1,
Address Expiration / / r) —7 /
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
_J
PARCEL INFORMATION-12 digit Tax Parcel No. / / Fire District
Legal Description 4, / J,
Site Address (Please include street name,street number and city) MAJOAj ,k
Directions to site ti,JA) &/J,fad A�?64D
Is 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 1 st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No.of Fixtures Fees LPG Natural Gas Heatpump
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater I Propane Tank
Clothes Washer / Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other I 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-1 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. //
X Date X v�.lv��.. Dater" Q�
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
AEPARTNIEtdTAII .APPFfgi1EED DENIED..' :.. .. CDNDiI[Qhl CL�DES
Building Department
Occ Group Type Constr.
Planning Department
Other
Other
SEE.
_. .. .
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