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HomeMy WebLinkAboutBLD96-0320 Carport - BLD Permit / Conditions - 10/7/1996 (2) MASON COUNTY '.(` PERMIT �- Mason County Bldg. III 426 W. Cedar NUL " & Oil BY EXPIRATIO g DATE ��`"1 BY P.O. Box 186 Shelton, Washington 98584 FOR BFTWFFN 5pm AND Baia 427-7262 RLD96-0:420 PARCEL 14200842.900'10 PLAT t D I V : BLK : LOT t JOB ADUIIES8 t W 3672 DAYTON AIRPORT RD SHELAUN OWNER : WILLIAM SMETZL.ER 427--5580 CONTRACTOR ; LEGAL t TO 3 OF All? SF 18617 QAYTON-AIRPOII 10 mnwse�rr.. CLASS OF WORK . . :NEW BFDRc 0 .BATH : O TYPE AMOUNT BY MATE AfCEIPT TYPE ANOWNI BY DAlf kFCFIPT TYPE OF USE . . . , :ACC STORIES . . . . . . . :0 = _. OCCUP . GROUP — 0 BLDG . HEIGHT..— O .0'f t RLC 1 42.11 CPR 1#1I1198 43179 TYPE OF CONST . . t? F I REPLACES . . . . , 0 PRNT t 209.50 CPR 10/01/16 43179 OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 PLC. S 83.84 CPR 1#107196 43179 DWELL .UNITS . . . . t O PARKING SPACES t 0 Sift 1 4.50 CFO 1#191196 43179 I NSPE GT I ON ARFA t 2 SHOREL I NE? . . . sN EOCP 1 26.1I CPR 1#161196 43119 TOTAL: 30.80 VALULA1100t 244,111 SETBACKS- -.-------.- TOILETS . . . . . . . . . . s O FUEL. TYPES----------- BOILERS/COMP- MOBILE: HO$AE-- FRO11T . . . O .Oft RA CH BASINS . . . . . . 0 t 0--3 HP . : 0 REAR . . . . 0 .01t BATH TUBS . . . . . . , . . 0 3-15 HP . : 0 MODEL t SIDE ( 1 ) .W 5 .Oft SHOWERS . . . , . . . . . t 0 FURN - 1 Fl13K BTU t O 15-30 HP , t 0 -MAKE:------ S I DE (2 ) . O .Oft WATER HEATERS . . . . t 0 FURN >-1 OOM BTUs 0 30--50 HP . : 0 SHRL 1 NF . O .Oft CLOTHES WASHERS . . c 0 FURN - FLOOR . . . : 0 50+ HP . s 0 -YEAH-­­ - AREA ---- _..______.-_._-- KITCHEN SINKS . . . . c O HEAT PUMP _ _ :_ : 0 LOT SIZE . . t FLOOR DRAINS . .. . . . - 0 VENT SYSTEMS . . . : O FVAP COOLERS ; 0 LFNGTHt 0 BUILDING . . . , Osf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . + 0 HOODS . . . . . . . t 0 WIDTH . s O BASEMENT . . . t Ost LAUNDRY TRAYS . . . . 0 DOMES . I NC I N :O --SFR IAL41----- DECKS . . . . . . : ofif DISHWASHERS . . . . . . . 0 AIR HANDLING UNITS— COMML . I NC I N :O GAR/CARP t? Osf GARB DISPOSALS . . . c 0 t- '10000 oft ' , 0 RELOC/REPA I R t 0 AT/DT . t? URINALS . . . . . . . . . . t 0 > 10000 01ia . 1 0 OTHER UNifS . s o M I SC PL.M F I XTURFS c 0 GAS OUTL.ETS . t 0 r .:-.aarr:r..�¢x'.:-:;c-s.:.sxn��cr..rsxae.esxr-.us::an•::acts:sm'...:efc:�zex.:a::sr-ys=x: �ma.mat±�ria�z::u'.ca>e-�,:*�-ms.. ._c�>..:.e:;�.^-.--..sas��::::c.no�r PROJECT 11SCIIFTIO0tCAIPQIT OVEI MOBIIE PROJECT I.00ATION!ONE NIL[ PEST CORRECTION CENTER ROAD ACROS' FRON rANCY SF11CC0 NAR BOX THIS PERMIT RECONES NULL AND VOID 1F WORK 11 CONSTRICTION AUTNONIZEO IS NOT C,ONNENCEO WITHIN 180 PAY$, 0E IF CONSTIOCTI61 OR WORK 15 SUSPENDED FOR A PERIOD OF 181 DAYS ti ANY TINE AfTiR WORK IS :ONNfNCEO. EVIDENPE Of CONTINUATION OF WORK i�, A PROBAESS 11SPEC110N WITI13 I'NE 18I DAY PERIOD. FINAL INSFECTION OUST B APPAOYEI BEf/1E 60I1,0I16 CAN 8E OCCUPIED 100MR 01 AGENT: ' ' '- - DAlf B.D_AIR, rev: 03131191 COMPLIANCE TO ATTACHED CONDITIONS IS REDU i RED CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by 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 by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Case No . r BLD96-43320 Fort WILL IAM SMETZLER Page ; 1 1 ) The use, handling and store a of hazardous materials or flammable and oomhustible liquids In excess of 10 galyons is not allowed without the approval of the Mason County Fire Marshal . X 2 ) Proposed structure or any portion 'thereof greater than 30" In height from (bade line, must maintain a minimum of 5 ' setback from all property lines , easements and right .af ways,t X k 3 ) All upland areas disturbed or newly created by construction activities shall be Seeded, vegetated or given some other oq u i va 1 ent type of protection against erosion . Please cont,00t Masson County Planning daprartment prior to revegetat i on . 4) Prop¢r disposal of construction debris must be on uplands , i ri such a manner that debr 1 s oanet enter wetlande; or oause water quality degradation of adjacent waters . X 5) Temporary ereslon control measures matt be implemented to prevent water quality degradation of ad jacont water; or wetlands . X_� 6) Owner acknowled es 'that under Chatter 17 .01 .070, required structure setback fr ore wetlands is 66 Peet . Existing mobI1e home and Attached carport area as Identified on site plan Is nonc.onform i n , and shall not be expanded . Normal ma i ntenano.Q is allowed . Carport roof repair shea I t not encroach further into we3t I :and setback . x 7 ) As required under Muson County Interim Resource Ordinance: Chapter 17 .01 .070, setbacks from wetland boundary shall be as follows : 1 . Ve etation area setback shall be 50 feet vegetation shall be maintained in a natural cond tion ; 2 . Structure setback shall he 6t) CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by 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 by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 feet . IN i i�$ Ion 6-0c, 1; i r.•.! � {,,:i iif u . r. a � +}.;•.i , e.. Y•e _ . .l_.i114i 1;{E _ .,r. f � Ci�. e C � a __. r.l 1. reduce r+>.. into the wetland . S ) Runoff f ropi wetland . yfa t tars and downspouts shra ! i bedirected sway from x 9) Sub ect to pond i t i ons of Re.ouroe Lands and Critical Areas (RLC ) Checklist notification i et er . X 10) All %ipprdvforpands lar are i required to on baits ste for ins pection purposes It Inspection Is p Approval WI EL NOT be ranted . In addition, a Re- Inspeotion fee In the amount of $3E? .06 per hour (minimum 1 hour ) will be charged and must be collect:ed by this department prior to any farther inspections being performed or approval granted . x 1 1 ) PURSUANT TO 1994 UNIFORM BUILDING CODE. SECT I t)11 305(C ) AND SECTION 513 ALL, S 1 '�`E5 MUST HAVE APPROVED NUMBERS OR ADDRESSES PR3V1DFD IN SUCH A POSITION AS TO Eat PLAINLY VISIBLE AND L.E'G I BLE FROM 'THE STREET OR ROAD FRONTING THE PROPERTY . MASON C 01INTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A RF i NSPECT 1 ON FEE BASED ON RATES IN TARL.E 3A. OF THE '1994 UNIFORM PU 1 LD I NG CODE WILL BE: ASSESSED IF OWNEl�i tCONTRAC'rnR FAILS TO POST ADDRESS ON S I TF.. PRIOR TO REQUESTING INSPECTIONS . X _ ,_ 12 ) The cor•rent i on list , along with the Enercly Gump i i anoe Worksheet (when applicable) Is part of the plans and must resmain attached thereto . It Is the respons1bi1Ityy of the a plicant to make corrections indicated on the plans from the correction lists . Once t 0 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 i nspeeat i ans , Every permit %hFa I l er p i r<e by limitation and become null and void If the building or wor•1� authorized by such permits Is not oommenced within 1€)0 days from the u*ate of Issuance, or if the bui Iditig or, work CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date FRAMING by date by date by Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by i MASON COUNTY Mason County Bldg. III 426 W. Cedar ©ne P.O. Box 186 Shelton, Washington 98584 11 CI ' ter the work is 13 ) THIS STRUCTUk L. i S CONSIDERED r)NHFATEQ SPACE (N01 TO EXCEED 1 WATT/SQUARE FOOT OR 3 .4 BTU/HR/SQUARE FOOT) . AT SUCH TIME 7H1S CONDITION CHANGES, A CHANGE OF USc pF..4JM: T AND A MECHANICAL PERMIT SHALL BE APPLIED FOR AND .APPROVED PRIOR TO THE CHANGE . 141 No Ocoupanc��rr , This structure I s limited to U-�1 use only . ;: ny other use w! I i be In violation of the Uniform buiIdIny Cade and Mason County Reguiiations unless a "Change of Use" permit s approved . X 15) ALI. CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS . X 16) REOUIREU INSPECTIONS (Footing Inspeotion-prior to pour , Setup inspection.-prior to sk ! rtin FInaI Inspeotion-prior to occupancy) . I have received a cosy of the General Inrorma ion and Guidelines-Moblie/Manufactured Housing Installations andout for detailed descriptions of all required Inspections on my mobile/manufactured home i nsta i i at i sin . i hereby assume all responsibility for the sohedei I i ng of these required Inspections . If these required inspections are not requested, Inspected and signed off (approveed) by the Inspector In the prescribed order , k understand that re ) nspeot i airs fees and an hourly investi ation fate pursuant to the 1991 UBC, Table 3A will be assessed to addition to my originsey permit fees to re rive any questionable praotifees or problems that have been discovered . I further understand that this Investigation will be snhe;du I ed as time allows . Unt i I resolution of any/a t ! problems no occupancy ( Final Inspection ) will be cyranted for the residence . OWNER !CONTRACTOR( I nd i cat a which ) S l gnat ure+ 17) All mobile/manufactured home~ landings or decks must be freestanding ( self supporting) . The largest landing or deck permitted without drawinggs or a building permit Is 36" x 36" . Any landing or deck that is 30" or moro In hee i gttt from walking surface to finish ?grode requires a guardrail . Arty landing or deck that has 4 or more risers requires a handrall . Any landing or deck larger than 36" x 36" must be permitted which requires structural drawings and a bullding permit application . This Installation Permit dons NOT Include any landing or deck larger than the 36" x 36" size . 18 ) Changers to approved building plans that effect raomp l i atioe to 'tile 1991 Washington State Energy Code, 1991 Ventilation and Indoor Alt, Quality CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by 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 by date by FRAMING Walls FIRE DEPT. date by date by PLUMBING date by OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Code, the Uniform Bulldii )t be -P P r-o 4;a d- "'40 1 61919A C441-1 1 1 19) ALL.'CONSTRUCTION MUST MEET 0H sA`'LLI) LOCAL CODES . IF ANY QUEST IONS, PLEASCAL' ,CAI, TH5S OFFICE BEFORE CONSTRUCT(ON . 20) CONSTRUCTION PROCESS '*rn BE FIFLD CORRECTFV AS REQUIRED PFR MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE .x--.-.--. 21 ) Owtfer/builder assumes Rif responsibility if drainfiel4l area is encumbered , X CONCgETE MECHANICAL MOBILE HOME Footings-Setback date by 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 by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by Permit No. MASON COUNTY bcp .52 BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT -y- #1 V r �� V�-�. 1. tZ �(�'' Phone#ddress W ��, 00-y70, ty-Dc7�"V(? : Fire District# City S -V -vk St LV, Zip Directions to Job Site v\ // U' C_C• r V- O CL� F� '• h (i\LtC Owner Mailing Address 5.' l7 ��, ���� C:C City We kTt' , W K St kL - Zips' � Lien/Title Holder �e)J2 1-/2— Address City St Zip t2 Contractor Name 0 101) �\1�-V- �`,(1`yl �'Y- Contractor Reg# Address Expiration Date City St Zip Phone# Q If septic is located on pro ct site, include records. Connect to Septic? Public Water Supply Well Connect to Sewer System? Name of System (if residential, proof of potable water is required) 4 Parcel No.Vve 46 - Legal Description Ie_ n '/�, `5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / _3rd FI / )orD ft / Basement / Dec `( �#bedrooms #bathrooms / Garage / Carport g� XC�Circle:Attachhe �Other �-E�� sq. ft. /z. oR, M06d.eI�Use f building V C(�� 0Descr' work D �v c� c:r�N �'�cT �t�;�� 1 •��. � 2 6 1996 7 Type of Job: New Add v Alt Repair Ot r_ A 8 MOBILE/MANUFACTUREDI.HOME INFORI,IOION Model Year 6 L _Make ' odel Qc' \e 9 + ► Length Width ' erial No. # Bedrooms #f IRM-brooms_ _Type of Heat \3V V\%Q le 1 Purchase Price $ '' 9 Indicate by circling the app;7;;;N: ny water is on or djacen to subject property: River Pond Creek Stre ke Marsh Saltwater Seasonal Runoff OtherSw��-g DEPARTMENTAL REVIEW FOR OFFICE USE ONLY [Approved Cond. Hold Approval Planning: �PSZ 02z ` �. Lt-4 Environmental Health: Building Plan Review �{jUE� iC /► 'GC�,L� �t1t�'s g '� Occupancy Group: Type of Const: ' Fire Marshal: Other: Special Conditions: FEES Building Permit Q 5� Plan Check 0i"d 04ee ;Y017- a 6yo oo Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee t� 3-0 Other ,C NINJ 04 ``// Other Y T E� Building Valuation: P ��. TOTAL FEE Plumbing Fixtures ($3 each) Egg Mechanical Fixtures ($6 each) N\_Hot CIRCLE FUEL TYPE: Gas, Electric, s Heatpump, Other NQ; 'Furn BTU Htr _ Heatpumps _Laundry Wader — Vent S'y�tems Sinks Spot Vent ans —Floor Drains . It No.. B it r m fessor� —Laundry Bains _ — `P _Dishw her t— g Air Handling its —Di osal — _ cfm# _/Urinals Ng,, Fire Prot4ction Systems .� Other — Auto. fire Alarm Sys 50.00 Fix?d Fire 15.00 SuPP• Sys s 3 Permit Basic Fee — A4tto Fire Sprink Sys 2e:Q0 TOTAL PLUMBING No. /Qth_pr I — Gas Outlets Wood, Gas, Pellet Stove 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 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 DEPAR MENT. DEPARTMENT. X OWNE tiA L X BY DATE € _ DATE FOR OFFICIAL USE ONLY:Accepted by: ``' '` Date: -LA O t 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 v t APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW e - r Yi BUILDING PERMIT DATE -1 Planner Area W�' - 4 1 - 900-3 0 CHECKLIST FOR PROPOSED CONSTRUCTION Yes No t ] Within 200 FT of designated shoreline, wetland, or associated wetland Where? Proposed construction on/over/in wetland t ] t ] Proposed construction within floodplain t Eagle nest State road access needed Commercial Development (parking standards, sign ordinance, public works review, other applicable agencies) ` Mobile Home or RV Park [ ] [ ] Exempt from building permit application [ ] [ 3 Exempt from SEPA process (WAC 197-11-305, WAC 197-11-800) [ ] [ l Meets all requirements (which section(s) of SMP does proposed construction pertain to?) f 7 [ ] Variance or Conditional Use Permit required [ 7 [ ] Exempt from Shoreline Substantial Development Permit process (Wac 173-14-040) I ) ( ] Exempt from Substantial Development, but within Army Corp_ jurisdiction (WAC 173-14-115) ( 1 I ] Address needed I ) Directic,,s --fled APPLICANT NAME: l.�/ � �f- ,, 4� �wZ' _ DATE:— BUILDING PERMIT CHECKLIST SITE ADDRESS If site address is not listed, customer needs to be given a site address form. `✓ [� FIRE DISTRICTS ' ' Please make sure the fire district is included in the application information. Refer to map Igca� la y fir ' DIRECTIONS TO JOB SITE Needs to be as complete as possible (i.e. major roads, is house on left or right side of road, etc.). ure to read for clarity (Landmarks, signage, owners name or. mailbox, etc.?). LIEN/TITLE HOLDER ,; Who holds the mortgage (Bank or name of private owner holding contract)? CONTRACTOR REGISTRATION # AND FXPIFA "ION DATE This information needs to be provided. The Building Department may be able to research expiration information if customer does not know it. We must have a signature in 1 of the 2 boxes, either the applicant or the contractor. ❑ SEPTIC RECORDS A B WATER !' COMMUNITY PRL` E SEPTIC J✓ EXISTING DESIGN APP. DEV REMODEL NEW J� STATUS IS THIS A REPLACEMENT UNIT? YES NO IF SO: MASON COUNTY BUILDING PERMIT APPLI TION SECTION #5, BUILDING SQUARE FOOTAGE, MUST BE FILLED OUT COMPLETELY. AND: SECTION #6 MUST CLEARLY STATE, "REPLACEMENT UNIT" PARCEL # Parcel # must be included or researched through Gateway. [ BUILDING SQUARE FOOTAGE Verify that boxes are filled in. If there is a garage, verify whether it is attached or detached. Include square footage information,for mobile homes (you can multiply length X width termine number). USE OF BUILDING q 2, F Is it a residence, garage, greenhouse, etc. . .? �DESCRIBE WORK R 2 6 1996 (i.e. mobile home addition, addition to a house, etc. . .) TYPE OF JOB Verify appropriate boxes are marked. ❑ MOBILE HOME INFO ATIO Verify appropriate boxes marked. If factory order, please put factory order #in mobile home serial #. If unit was assembled prior to Ju 1 6, refer to procedures handout for "Obtaining Installation Permits for Mobiles Assembled Prior to JLne 15, 1976." 1 SHORELIi41ES If any water'is on or adjacent to property within 200 feet, #9 must be complete. Once permit is entered into Tidemark, it will be routed to the Planning Department. If property is not on water, then put "none" or "n/a". SITE PLAN DRAWING Must have setbacks from all property lines, easement lines and structures. Drainfields septic tank location, outbuildings, etc. . . TOPOGRA Y )RAWING If property is write "flat on the topography section. If house or structure is near a slope or hill, drawing must reflect this' [, PLUMBING/MECHANICAL This form must be completed for any structure with plumbing and mechanical excluding mobiles/modulars. OWNER OR CONTRACTOR AFFIDAVIT Owner or contractor must sign affidavit statement and date it. ACCEPTED BY Whoever is accepting permit information must sign your initials and date form on the bottom of page 3 or use date stamp and initial on back of permit. PRINTS Need two sets of prints unless it is a stock plan. For stock plans, we only require one copy. WATER ADEQJVACY' For new residences-and mobiles. PRIVATE WELLS MUST HAVE WELL LOGS OR CAPACITY TEST AND BACTERIAL TEST. If they are on a public water system, verify the water system is in compliance with State requirements. WSEC & V & IAQ CODE Required for all. residential, additions and commercial buildings. Energy Code compliance form needs to be COMPLETED. .Verify heat source(no wood or pellet stoves are permitted as primary system). Window schedule must be filled out and reflect what appears on submitted building plans. If applicant has decided to go with the PUD in a Long Term Super Good Cents program, we require a copy of the signed agreement with the utility. [] ROAD ACCESS PERMIT If you will be-accessing your driveway from a County road, contact the Public Works Department in Mason County Building I, 427-9£70 extension 450. Access from State Highways requires Department of Transportation approval. Contact office (206)895-4753 (Port Orchard). ACCEPTED BY: 'r +* DO NOT ACCEPT PERMIT APPLICAT WITHOUT PRINTS AND REQUIRED DETAILED INFORMATION (SETBACKS, ADDRESSES, PARCEL # AND WATER). checklst.bla "/20/93 y `} w. Page No. 1 CASE HISTORY FOR CASE NO.: BLD96-0320 WILLIAM SMETZLER W3672 DAYTON AIRPORT RD SHELTON 09/24/96 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ ------ -------- -------- --------------------------------------- ---- --- -------- --- BLDA010 Application received / / / / 03/27/96 03/27/96 KW BLDB110 Structural Plan Review 04/09/96 / / 09/23/96 see planning conditions; nonconforming DONE GDR 09/24/96 GDR structure setback etc. called owner requesting additional information. problems with spans and sizes of lumber. 4 x 8's overspanned max spacing for posts for size 5' o.c. Additional post shall be supported by 12" x 8" pier blocks that are fully insected into soils for bearing. New posts shall be provided with a positive connection to beams. (Gussetts metal or wood) 2 x 6's overspanned max O.C.12" for 14' spans. or 2 x 6's can or maybe doubled. Doubled 2 x 6's shall be min Hem/Fir No. 2 or BTR., bearing on beams at either end of rafters, nailed solid with 2 16d nails 12" o.c. This fix must be done to each rafter throughout project mobile cover, carport and cover deck. 2 x 6 collar ties spanning 20 ft. overspanned min 2 x 12's 48" O.C. These collar ties shall also be doulbed and nailed as above. TALK TO OWNER IN OFFICE ABOUT ABOVE STRUCTURAL PROBLEMS. OWNER WILL BE GETTING ADDITIONAL DESIGN AND ENGINEERING OF STRUCTURE AS IS. THIS PERMIT IS IN THE HOLD BIN. 06/27/96. 09-23-96 OWNER AGREES TO COMPLY WITH THE PRESCRIPTIVE REQUIREMENTS OF THE 1994 U.B.C. AS STATED ABOVE AND CLOSE ON SITE CORRECTIONS AND CONTINUED SITE INSPECTIONS FOR CODE COMPLIANCE. BLDB130 Planning Review 03/27/96 / / 04/08/96 Construction has begun, framing complete DONE PBC 04/08/96 PBC as of site visit 4/5/96. photos being developed. pbc BLDB134 RLC Checklist Review / / / / 04/08/96 DONE PBC 04/09/96 BHO BLDB135 Addressing / / / / 04/01/96 DONE GM 04/01/96 GMM BLDB200 Environmental Health Review 09/23/96 / / / / 09/24/96 GDR Page No. 2 CASE HISTORY FOR CASE NO.: BLD96-0320 WILLIAM SMETZLER W3672 DAYTON AIRPORT RD SHELTON 09/24/96 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd 'c Code Sent Done Done Date By BLDC050 Pre-site Inspection 09/16/96 / / 09/18/96 PER OWNER REQUEST STOP BY SITE TO DONE GDR 09/19/96 GDR EXPLAINED THAT HE STILL HAS TWO CHOSES ENGINEERING OR PERSCRIPTIVE PATH PER THE 1994 U.B.C. HE WOULD LIKE TO GO THE PERSCRIPTIVE PATH PER THE U.B.C. Page No. 1 CASE HISTORY FOR CASE NO.: BLD96-0320 WILLIAM SMETZLER W3672 DAYTON AIRPORT RD SHELTON 09/19/96 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By -- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA010 Application received / / / / 03/27/96 03/27/96 KW BLDB110 Structural Plan Review 04/09/96 / / / / see planning conditions; nonconforming HOLD GDR 06/27/96 GDR structure setback etc. called owner requesting additional information. problems with spans and sizes of lumber. 4 x B's overspanned max spacing for posts for size 5' o.c. 2 x 6's overspanned max O.C.12" for 14' spans 2 x 6 collar ties spanning 20 ft. overspanned min 2 x 12's 48" O.C. TALK TO OWNER IN OFFICE ABOUT ABOVE STRUCTURAL PROBLEMS. OWNER WILL HE GETTING ADDITIONAL DESIGN AND ENGINEERING OF STRUCTURE AS IS. THIS PERMIT IS IN THE HOLD BIN. 06/27/96. BLDB130 Planning Review 03/27/96 / / 04/08/96 Construction has begun, framing complete DONE PBC 04/08/96 PBC as of site visit 4/5/96. photos being developed. pbc BLDB134 RLC Checklist Review / / / / 04/08/96 DONE PBC 04/09/96 BHO BLDB135 Addressing / / / / 04/01/96 DONE GMM 04/01/96 GMM BLDB200 Environmental Health Review / / / / / / 03/27/96 KW BLDC050 Pre-site Inspection 09/16/96 / / 09/18/96 PER OWNER REQUEST STOP BY SITE TO DONE GDR 09/19/96 GDR EXPLAINED THAT HE STILL HAS TWO CHOSES ENGINEERING OR PERSCRIPTIVE PATH PER THE 1994 U.H.C. HE WOULD LIKE TO GO THE PERSCRIPTIVE PATH PER THE U.B.C. Page No. 1 CASE HISTORY FOR CASE NO. : BLD96-0320 WILLIAM SMETZLER W3672 DAYTON AIRPORT RD SHELTON O5/08/96 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA010 Application received / / / / 03/27/96 03/27/96 KW BLDB110 Structural Plan Review 04/09/96 / / / / see planning conditions; nonconforming HOLD GDR 05/08/96 GDR structure setback etc. called owner requesting additional information. problems with spans and sizes of lumber. 4 x 8's overspanned max spacing for posts for size 5' o.c. 2 x 6's overspanned max O.C.12" for 14' spans 2 x 6 collar ties spanning 20 ft. overspanned min 2 x 12's 48" O.C. BLDB130 Planning Review 03/27/96 / / 04/08/96 Construction has begun, framing complete DONE PBC 04/08/96 PBC as of site visit 4/5/96. photos being developed. pbc BLDB134 RLC Checklist Review / / / / 04/08/96 DONE PBC 04/09/96 BHO BLDB135 Addressing / / / / 04/01/96 DONE GMM 04/01/96 GM BLDB200 Environmental Health Review / / / / / / 03/27/96 KW Page No. 1 CONDITIONS/CORRECTIONS FOR CASE NO.: BLD96-0320 WILLIAM SMETZLER W3672 DAYTON AIRPORT RD SHELTON 04/08/96 1) Flammable & Combustible Liquids -- The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X 2) Sideyard Setback -- Proposed structure or any portion thereof greater than 30" in height from grade line, must maintain a minimum of 51 setback from all property lines, easements and right of ways. X 3) Erosion Protection -- All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given some other equivalent type of protection against erosion. Please contact Mason County Planning department prior to revegetation. X 4) Water Quality -- Proper disposal of construction debris must be on uplands, in such a manner that debris cannot enter wetlands or cause water quality degradation of adjacent waters. X 5) Temporary Erosion Control -- Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. X 6) Non-conforming Structure -- Owner acknowledges that under Chapter 17.01.070, required structure setback from wetlands is 65 feet. Existing mobile home and attached carport area as identified on site plan is nonconforming, and shall not be expanded. Normal maintenance is allowed. Carport roof repair shall not encroach further into wetland setback. x 7) Wetland Setbacks -- As required under Mason County Interim Resource Ordinance Chapter 17.01.070, setbacks from wetland boundary shall be as follows: 1. Vegetation area setback shall be 50 feet, vegetation shall be maintained in a natural condition; 2. Structure setback shall be 65 feet from wetland boundary; 3. Management area setback shall be 100 feet. Within the management area care shall be taken not to introduce exotic vegetation species; wildlife habitat shall be maintained, and catchments shall be utilized to reduce direct runoff into the wetland. x 8) Gutters and Downspouts -- Runoff from gutters and downspouts shall be directed away from wetland. x i ! i /Zc ezz i MASON B0lL®t� z,; PECTOFE CHIGEs sue ECr r©ate o�s� ROY/1E Date f a � ---- ---_ ` to` --- ---------- , _----- 7� agaig see planning conditions; nonconforming DOTS GDR 09/24/96 GDR - structure setback etc. called owner requesting additional information. :•. K,py, problems with spans and sizes of lumber. S' 4:x•8!s overspanned max spac�,1,g,f2r ,,posts for size S' o.c. Additioz ;I Est -ehall be supported by 12• x 8•:p4r (blocks that are fully insected irl;o ),00i.ls for beax>ng. New posts shall be provided with a positive connection to beams. (Gussetts metal or wood) <,21-x 6's overspanned max O.C.121-lor 14' 'Spans. or 2 x 6's can or maybc doubled. "Uoubled 2 x 6's shall be min gem/Fir 4o. 2 or BTR., bearing on beams at either end of rafters,+nailed solid }tj,U,;.2 lf4 -.W o.c.. 4fth oust be,dose toe t4c?4r ughout project mobile cpver,.Cazpo4 de(4, 2 x 6 collar ties spanning 20 ft. overspanned min 2 x 12's 48. O.C_ life aoliar-ties ehAl1:41sa:be _pulnrba4 smiled as:above. TALK TO OWNER IN OFFICE ABOUT ABOVE STRUCTURAL PROBLEMS. OWNER WILL BE GETTING ADDITIONAL DESIGN AND ENGINEERING OF STRUCTURE AS IS. THIS PERMIT IS IN THE HOLD BIN. 06/27/96. 09-23-96 OWNER AGREES TO COMPLY WITH THE PRESCRIPTIVE REQUIREMENT'S OF THE 1994 U.B-C. AS STATED ABOVE AND CLOSE ON SITE 4 CORRECTIONS AND CONTINUED SITE TNSPSCTIONS FOR CODE COMPLLANCEt AFL PL4M 8 Al U�Nrs C'ti , f-17 10y % S4ALL X7'FAJD A 800E, AW L3 -Poo r- Su 2 FCE. -tl m Q 15 L)0/v TS Al � 14 Bo 0'e, C�in� NEy�S a(f=-T AOboe 14^1y 5-uEeF.4ce_ r.,j/�4 1 Al Ak � . lee yl, Z fo S fr4-p s rr h 3�2Tw Few T. SCE v 0 owtrdo out 5 AAqIE161 �. _ `� a�X 3/1wb ►�� Lp '" /x6 4 0 pl� yX�CX2o t3 55 yX�x 2a wQs�- ;LXL K 16 Pica X -�;- D O 0T 6 S // J . �� �� � 9'.s 4 9�'/ ,oID �P j I b».j Sod {� r��w�s j I r I I i j i I � j , i }p 0 I i to, I f nv �� ' 1�� \ `fib v Permit No. ' MASON COUNTY C 2 � � D B PERMIT APPLICATION BUILDING 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT C/�Site —�— #1 carz� ner ► (11 ILw�-�.S'���1Z1�V' Phone# `� p S Address�� 0aYTo✓\ iy`DQ77V _ Fire District# City S A St Ll;, Zip Directions to Job Site h C,-e t_1l' Owner Mailing Address City 5 C6T6 A W k . St L-k- _Zip C Lien/Title Holder Address Clty St Zip #2 Contractor Name n Uo\ty- Contractor Reg# Address Expiration Date City St Zip Phone# #3 If septic is located on pro ct site, include records. Connect to Septic. Public Water Supply Well LZ Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 Parcel No. C4,36 Legal Description #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / _3rd FI / ft / Basement / Decl Y: bedrooms / #bathrooms / Garage / Carport k Circle:Attached or D ached ffr Other a sq. ft. /ZUDI n �(j Mo13rCE flo•+�G CooE¢ Goxzx> 1► �'/ #6 Use of building V- C4CNY 0 Descro�work no 26 19gR a r-- #7 Type of Job: New Add Alt Repair #8 MOBILE/MANUFACTURED HOME INFORMAtfION Model Year Make Model Dou \ew\a e ` .�� -• Length `l Width \�' _Serial No. # Bedrooms #Bathrooms���Type of Heat u+Cc C�C ��(' Y v\� Purchase Price $ �9 Indicate by circling the applicable swce if any water is on or djacen to subject property: River Pond Creek Stre Wetland Lake Marsh Saltwater Seasonal Runoff Other f� 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 BELO Ft W v � . r 1 4 S U�� . r � P ry nrPr APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW r DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: S ����� Environmental Health: Id 4-`ib Building Plan Review CUUE-e 10A /N'O10(1G4C (Yvdtocr /Pbi2•( • - / Of Occupancy Group: Type of Const: ' Fire Marshal: Other: Special Conditions: FEES Building Permit y df�itc �9C Or.JC/l / /5 3� °p Plan Check O ,,vea Aw 7. /yam ao Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation FeeSite Inspection Building State Fee Other �116 N---j DD t/ !� Other E� Building Valuation: / T��. TOTAL FEE i Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other Bath Tubs No, ni Fees Showers _ Furn BTU Hot Water Htr _ Heatpumps _Laundry Washer _ Vent Sy tems Sinks _ Spot Vent ans Floor Drains iNo. 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 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 DE :T4_� ENT. DEPARTMENT. X OWNER - X BY DATE sr DATE i k FOR OFFICIAL USE ONLY:Accepted by: Date: F `