HomeMy WebLinkAboutBLD2003-00043 Addition, Remodel - BLD Permit / Conditions - 5/14/2003 Inspection Line(360)327-7262\,
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186 r�.V�G/e .
Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT BLD20 -
OWNER: RANDY MILLIGAN
CONTRACTOR: LICENSE: EXP: RECEIVED: 1/16/2003
SITE ADDRESS: 1290 SE PHILLIPS RD SHELTON ISSUED: 3/4/2003
PARCEL NUMBER: 320354090020 EXPIRES: 9/4/2003
LEGAL DESCRIPTION: NE SE EX TR 2 OF SIP#2511 #599143
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
FURR OUT BASEMENT WALLS ADD SINK LYNCH RD TO PHILIPS 2ND TO LAST HOUSE ON RIGHT
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.:
Type of Use: SF Insp.Area: No.of Bathrooms: Occ. Group: B Lot Size: Deck:
Type of Work: ALT Fire Dist.: 4 No. of Stories: Occ. Load: 3 Building:
Valuation: Building Height: Occ. Status: Basement: remodel 491
Manufactured Home Information Setback Information Shoreline & Planning Information
Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body:
Rear: Ft. Slope: Ft. SEPA?:
Model: Width: Ft. Side 1: Ft. Shoreline Desig.:
Year: Serial No.: Side 2: Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Floor Drain 1 Plan Check Fee KLW 1/16/2003 $254.31 61673
Kitchen Sink 2 Planning Review Fee KLW 1/16/2003 $150.00 61673
UFC Plan Review SAS 2/28/2003 $150.00 62064
EH Plan Review CEW 3/3/2003 $75.00 62064
Building State Fee MRG 3/4/2003 $4.50 62064
Building Permit Fee MRG 3/4/2003 $391.25 62064
Plumbing Fee MRG 3/4/2003 $21.00 62064
Plumbing Base Fee MRG 3/4/2003 $20.00 62064
Total $1,066.06
BLD2003-00043 Please refer to the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
" - BLD2003-00043
CONDITIONS FOR
BLD2003-00043
1) This applicati n is b'ect-to Bufger and Landscaping requirements as established under Mason County Ordinance
1.03.036.X
2) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-80 -647 982. T erson signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X
3) The use, handling and storage of h7�9
s materi Is or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of
the Mason County Fire Marshal. X s
4) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact
adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the
stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further
information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access
connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which
is proposed to be located within 25'of a Mason County road right of way, it is suggested to contact that office to review future planned work which may
affect your pro' ct.
X
5) Need 1 (one)2A 1013C fire extinguisher located and mounted in an approved manner. X
This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any time after work is
commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied.
OWNER OR AGENT: DATE:
BLD2003-00043 Please refer to the following pages for conditions of this permit. 2 of 2
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Footings / Setbacks Date B y Ribbons
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CD o Date By Gas Piping Date By
w Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G / Slab Insulation Floors Final
Date By Da t By C/ Date By
FRAMING Walls FIRE DEPT
Date 2 ( �'� Date 3�y o3 '� Date By
PLUMBING Attic OTHER
Groundwork Date B y
Date By WALLBOARD NAILING
D.W.V. CN,kSe Date3lz�to3 B ,e-)
Date �3�� By FINAL INSPECTION
Water Line Date ,A/ 3 B y �✓
Date 3 2� �(y Date B y
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A � AIED'S CONSTRUCTION _45_5155
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FOUNDATION ! �,
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Mason County Permit Assistance Center
Planning Intake Checklist
Owners N a 11 It l C Date: _
Project: Reviewed By:
Commercial Develo m YES NO Comments:
Planner: SAL RAM PBC
Site Plan:
4-'-North Arrow
0/Property Dimensions: X
9/Streets and Driveways Shown. Road name:
m/All Existing Structures shown with setbacks
m-- Vell Location, Septic and Drain-field Shown with setbacks
at r (streams, ponds, shoreline, wetlands, etc.) 60at
4/Topography (slopes) Q_k ��
V"Proposed Structure Setbacks (Direction/Setback): ��S L(N �- ^ .
F: / R: / S 1: / 2: / l..
Utility and Drainage Easements: Yes No (if yes enter condition#5022)
&Other Easements
Shoreline and Planning Info
Setbacks: Shoreline: \/A Slope:
Shoreline Designation: Comprehensive Plan: Rural Zoning:
�/1 iot Applicable ❑ Agricultural ❑ RR 2.5 5 10 20
❑ Urban ❑ In-holding ❑ RMF
❑ Rural ❑ LTCFL ❑ RC 1 2 3
❑ Conservancy Rural ❑ RI
❑ Natural ❑ RAC ❑ RNR
❑ Unknown ❑ RCC-Hamlet ❑ RT
❑ Urban Growth Area ❑ MPR
❑ Unknown ❑ Unknown
Water Body (type of water if unnamed):
SEPA: Yes N�)Unknown
Flood Plain: YES NO Unkno #
Aquifer Recharge: YES NO Unknown Map#
Tags/Cases: � , ���
RLC/SPI Case: Qv 6-Year Dev. Moratorium: YES
Eagle Nest Tag: YE NO Other YES N
Addressing: Check box if needed Reviewed by: -
❑ County Access Permit Needed(add condition#0010) _
❑ State Access Permit Needed(add condition#0020) 12 6 GjI Pht 11(PS E'!5t/ Sfi e foy_
Standard Conditions to be added to all Building permits that planning reviews:
# 0046, #4999, and # 5019
Re i.d:10/15/02
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 Contractor Name
Mailing Address c Mailing Address
City tate 21p, tode City State Zip Code
Phone( -,) _a_gther Ph.( Ph.( Other Ph.0
Lien/Title Holder 1, /- : ��� '4 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. / ,1 / r-� Fire District
Legal Description - /!
Site Address (Please include street name,st eet number and city) r
Directions to site
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 1st 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 Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks ] Wood/Gas/Pellet Stove
Dishwasher �C'�` Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee �— Base Fee
TOTAL PLUMBING ?. 1 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-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. /� first obtaining approval.
Ix �_ fC , G to X Date
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FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
F3E#?AiiTftitEF..f'ULREVIEW APPROVED! 0EM1EIED.. Nt31#IQN*CODE S
------------
Building DepMment
Occ Group Type.Constr.
Planning Department
ni ,
L -IW4
Other a �?
Other
xxx
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
-CPERMIT NO. BLD 6Dy 1)
MASON COUNTY
BUILDING 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
On the Web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner P- Contractor Name �-
Mailing Address Mailing Address
City ,"P State_S Zip Code City State Zip Code
Phone (�� ?� Other Ph. �_J Phone Other Ph. C__J
Lien/Title Holder U k4LI"4 car, liti iq_;j t ems_1 Contractor Reg.# Exp.
E-mail Address E-mail Address
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System_Name of Sewer System Well Water System
Name of Water S stem
PARCEL INFORMATION- 12 digit Tax Parcel No. / / 'F), _-D e� Fire District
Legal Description F
Site Address (Please include street name street number and city) It
Directions to site
Will timber be cut and sold in parcel preparation? (Yes/No) r'l ^ h UJ
Lake River/Creek Pond Wetland Seasonal Runoff Stream
Slopes or Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ 1.
TYPE OF JOB- New Add Alt Repair Other Use of Building
Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action? (Yes/N ) nh
Describe Work r,, s r r1 6c bra rs21e�`{ (A )C,.J 15 rw C�
No. of Bedrooms No.of Bathrooms SQUARE FOOTAGE- 1st Floor 2nd Floor
3rd Floor Loft Basement_Deck Other sq.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.Owner/Builder acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgment
of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
the Contractor Registration Law RCW 18.27 and am aware of the ordi- contractor in the State of Washington and that I am aware of the ordinance
nance requirements for which this permit is issued and that all work will be requirements regulating the work for which this permit is issued and all
done in conformance therewith. No changes shall be made without first work shall be done in conformance therewith. No changes shall be made
obtaining approval. without first obtaining approval.
IX ` Date X Date
" C- FOR OFFICIAL USE BEYOND THIS PIS Q
Accepted by �'¢' � Date r`�/� Submittal Amount Due ZLJ �LL Receipt No.)r
DEPARTMENTAL REVIEW PPROV D DENIED CONDITION CODES
Building Deqkdment d3
Occ Grou T ' ,e Constr. 110 tGt" Livkw- L
Planning Department U
Environmental Health Department
Public Works Department
Fire Marshal
(�
Valuation$
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing& Base Fee Planning Review Fee
Mechanical & Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal ( )
TOTAL FEES
MASON COUNTY. PERMIT NO. BLD,14,(-�
BUILDING 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
On the Web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner Contractor Name
Mailing Address Mailing Address
City State Zip Code City State Zip Code
Phone ( ^) Other Ph. L J Phone L_) Other Ph. L J
Lien/Title Holder Contractor Reg.4 Exp.
E-mail Address E-mail Address
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. / / Fire District
Legal Description
Site Address (Please include street name,street number and city)
Directions to site A r It ,
ji
F �L
Will timber be cut and sold in parcel preparation? (Yes/No)
Lake River/Creek Pond Wetland Seasonal Runoff Stream
,Slopes or Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB- New Add Alt Repair Other Use of Building
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action? (Yes/No)
Describe Work ,e., q, ":'l i
No.of Bedrooms No. of Bathrooms SQUARE FOOTAGE- 1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq.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.Owner/Builder acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgment
of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
the Contractor Registration Law RCW 18.27 and am aware of the ordi- contractor in the State of Washington and that I am aware of the ordinance
nance requirements for which this permit is issued and that all work will be requirements regulating the work for which this permit is issued and all
done in conformance therewith. No changes shall be made without first work shall be done in conformance therewith.No changes shall be made
obtaining approval. without first obtaining approval.
X ,, Date X Date
FOR OFFICIAL USE BEYOND THIS POINT o
Accepted by _ /"44 Date I(_�I'�}.2 Submittal Amount Due Receipt No.1 �
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Group Type Constr.
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation$
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing& Base Fee Planning Review Fee
Mechanical& Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal ( )
TOTAL FEES