HomeMy WebLinkAboutBLD95-01676 Cancelled SFR and Deck - BLD Permit / Conditions - 1/23/1996 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
BETWEEN 5pm AND Bath 427-7262
%LD95- 1676 ,PARCEL :222335200086 PLAT tMA' 1_0 D 1 V : BLK : LOT s
�00 ADDRF.S5I E: 2 771 MASON 1.AKF DR E GRAPEV I EW
OWNER : SCOTT SE IBFH 936-4718 -
CONTRACTOR : ASHWOOD DEVELOPMENT COOP 206 --801-222.9
LEGAt, i tA1110 $HINY SNONE AID It/ TO 56 E 2171 F 11AS01 LN ID
CLASS OF WORK . . eNEW BFDR . 3 BATi-i a Q TTPE A100111 IT DAIS PECf IPT TYPE 410901 t31 DATE - RECEIPT'
TYPE: OF USE . . . . ISF STORIES . . . . . . . . =.1=�
OCCUP . GROUP . . . :7 BL DG • HEIGHT . . , 0 .Pf t PONT t 458.P/ KS 01/23196 41142 SNP t ,%./g KS 01123196 41142
TYPE OF CONST . . :"? F IRFPI_ACE:S . . . . : 0 PLCX 1 297.00 KS 11123196 41142 FNC? 1 I0.66 KS 11123196 41142
OCCUP . LOAD . . . . : 0 WOODSTOVFS . . . . : i FIN 1 78.111 KS 11123/96 4H42
DWELL .UN 1 TS . . . . : 0 PARKING SPACES : 0 NCR 1 75.I111 KS O1/23196 41142
INSPECTION AREA : -1 SHORE LINE7 . . . . :Y 131Ff t 4.51 KS 011i3196 41142 TOTAL: 044.10 VALULATION: II
r SETBACKS- - - - - ----- - -_ TOILETS . . . . . . . . . . : 0 FIJEL. TYPES----.-- 601 L,E:RS/COMP----- MOBILE HOME
F"RONT . . .L 252 .Oft BATH BASINS . . . . . . : 0 0-3 HP . : 0
REAR . . , .W P2 .Oft BATH TUBS . . . . . . . . . 0 3-15 HP . ; 0 MODEL : ,
SIDE ( 1 ) -N 7 .01t SHOWERS . . . . . . . . . . , 0 F ORN < 9 OOK 8TI.I Y 0 1 a-30 HP . : 0 -MAKE
S!DE ( . 7 .6f t WATER HEATERS . . . . : 0 FURN >-1. K BTU : 0 30-50 HP . : 0
�S"L. 1 14F .W 82. ,.Oft CLOTHES WASHERS . 0 FURN -- FL . R . . . 3 0 50+ HP . , 0 —YEAii-._
'ARC,A = --- ____._____. KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . t 0 �
}�:.OT S! I_E . . a FLOOR DRAINS . . . 0 VENT SY, ill FVAP COOLIERS : 0 LENGTH : 0 �
BU1L LNG . . . : 2.306sf DRINKING FOUNT . . . : 0 VENT FANS . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT . 0cf LAUNDRY TRAYS . . . . : 0 DOMES . iNC I N tO -SER IAt.Ik-
--
DECKS . . . . . . I 800sf DISHWASHERS . . . . . . : 0 AIR HAdDLIN U I`TS COMML. . INCEN :O
►' h,GAR/CARPI? Osf GARB DISPOSALS . . .. : 0 10000 o n► : -0 RFLOC/REPAIR : O
' AT/DT . I? URINALS . . . . . . . . . . : 0 10000 c 10 OTHER UNITS . s 0
. t FA I SC PLM F I XTURE=S : 0 GAS OUTLETS . : 0
1ft:. ».tz:.:CrRa�f�.,.r.iCa+W:?izsc•:1�szta'T�•••�-mac'rs�-s_=:. �:.cas-. .:.,-:.r-.:.r.."'�i::z.._._:.'L.'arz3t-as.-.aA�i..' ,a G {
.�k/JECT 1E8CP!PTIONc1E3I1f§CE All PECK
` PROJECT LOCA1101:FA41 SNELTON NONT$ HIT 3 TO OASON BFASON RD TURN LEFT 9+9 PASI BP AND fiP,r` ;;TA►ION f00 tE 0400 LAZE DRIVE E I TVIN fiiiNT ID 1/4 tlitf ONE l�
6A►VENA1' PAS{ frorif CABINI Sif)N ON LEFT. vv
THIS PERMIT 81C00f`; NOtL AND VU.lD IF 1009.. 01 CONSTN00100 A0100111E1 IS NOT C'OONINCED WITHIN ISO DAYS, F ONS1P1tCT14NrriR wCRT,"fiS"SU8PfN1f1 FOR 4 pfuoo
If 181 DATE AT ANY TtOE AfTEA WORK IS C00MFNCEO. fV11ENCE OF ;:OITIAIATIOII 8i 1l8NK IS ► PADSAESS !NS}ECTI IfiTPIN THE 180 DAY PfEtDO. FINAt INSPECTION )UST BE
0 PA0VF0 BEFORE 111111.11116 CAN BE OCCOP1E0.
DINER OP AGEN;>i'_ �, � � •,_ DATf: S2 � -
Bl8 PPOT, rev, 43131191 �� ��•� COMPL.I4�ICE TO ATTACHED CONDIT:DNS IS FiEtAUIRE[�
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 b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
— R Foq LSD v 2
S,C I-[5 0,oA7
J
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback- date Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date 3-� —`6 by L�✓ INSULATION date by
BG/SLAB Insulation Floors Final
date by date y date by
FRAMING 1-4— FIRE DEPT.
date 9 v�j Walls
° date by
PLUMBING 0,, ,/ p--C date by OTHER
Groundwork 5—2 `0-5& Attic by
date b
D.W.V. WALLS ARD NAILING
date d s L
Water Lin
L/ FINAL INSPECTION
date by date by date by
Serf �k V )moon L• ST cam.
i
II
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
must laIntain n +nit: irnum of 6 ' -�e•t ' :,;, i , i-3 al i i. tu! , ements and right of
X
1 he use, hand l i ng and storage of hazardnus miter i a 1 :- or F 1 aramabl a and combust i blte
1iqu� Ids In excess of 10 gallons Is not allowed without: the approval of the Mason County
F i r�! _r s h a I .
Owner /builder assuares all responsibi " ity If drainfleld area is
• � J
�.� All approved p 1 aria are required to be on-site far i nspoot i on purposes . It i nspent i on is
called for and plans are not on site Approval WILL NOT be granted In addition , a
Re- inspection fee 1n the amount of f30 .00 per hoer (minimum 1 hour ) will be oharged a6d
roust be collected by this department prior to any further I nspe of i ons being performed or
aappr?v,ll granted .
X_, �t___
t,ftf) AL�I (-J) TRUCT ION MUST MEET OR FXCFED ALL LOCAL. CODES AND OB£ REQU tREMENY S .
X z.
i, Changes to approved building plans that effect oompllance to tho 1991 Washington State
Energy Code, 1991 Ventilation and indoor Air Quality
Code, the Uniform Bu 1 IdIno Code and/or M&sun County `R >u I at i on4, must
be approved by Mason County ri
prior to construction)( _
1g) ALL CONSTRICTION M11ST MFED OR EXCEED LOCAL CODES . IF ANY QUESTIONS, PLEASE
CALL JHJS OFFICE BEFORE CONSTRUCTION .
13) CONSTRUCTION PROCESS TO BE FIELD CORRECTED"AS REQUIRED PFR MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x__�
t\A ) No Oooupanoy .. Th i s s trurt tire I s I I m r ted to M- 1 use .;on l y . Any otLer ut;e w l r I be I n
violation of the Uniform Bu i I d i ng Code and Mason my Regulations
unless a "Change of Use" permit approved . X
Permit No. 6uo
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1f Own " S;;18 Phone# a0coo 235- 46
ite Address F 1ST'2"171 M&,GCW LAY-67 ON V E. I ff. Fire District#
Ity =1z*\0W V I ffW r St W".1% zip 98 54{.0
Directions to Job Site F ID tA S lteL iy N A/beM Nw y To �kAA,oj far jU Svkl k b,
Tu K w Le F'T' (s U r-3A ST a.p, ziN a Ire lets S^frm o i i TG L E, !MA�&u L K. DIP. i✓,
7VP-M ktG-wkr Gu `A w 0"E rniQtuEwA,4 FACT `�FGfne✓ CA At11
0 N LE-pr,
Owner Mailing Address l�34 �1>ul.i0 �i�A�Ch� NE
City f -NTD� St Zip
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name 'Sw- oewl:. M61)T— C.0a-r Contractor Reg#4f,,4WMP611-1 �1
Address a ro-i - r=-)6-Jn/kvE% WE' , Expiration Date 4 / 2& / 440
City f ffcy 1dJ cl —SL WA% Zip 'T 25 Phone# :.O(o • 88l• 222`f
#3 If septic is located on project 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 No. 222 3 5 -�- 000)Co(i
(,A'arcel
gal Description L.P� G(, /��blf,Y' �� `�.�►�11J�'�F?'' ' �o
30�
#5 Building Square Footage: (existing/proposed) �2p
1 st FI / "] 3,0 2nd FI / 3rd FI / Lost /
Basement / _Deck / #bedrooms / --:!> _#bathrooms /
Garage_ / ' Carport / (Circle: Attached orQ2!! .
Other sq.ft. /
#6 Use of building ,IO I'� - Describe work
1'1P2: V GoQ
#7 Type of Job: New _Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No.
# Bedrooms # Bathrooms Type of Heat
Purchase Price $
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Shdw 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
APPLICANT TO DRAW TOPOGRAPHY PROFILE BEL01A/,}�
�� �'I''fi�fil�lrJ Avr
• 1
Plumbing Fixtures ($3 each Fee Mechanical Fixtures ($6 each)
No.4 Toilets 12 CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins 12 Heatpump, Other
2 Bath Tubs Co No. Units Fees
Rw�7vt
2 Showers Furn RcA otol BTU 61 oco C_o
Hot Water Htr 3 Heatpumps
Laundry Washer 3 Vent Systems
Sinks 3 — Spot Vent Fans
Floor Drains No. Boilers/Compressors
Laundry Basins _ HP
Dishwasher 3 No. Air Handling
Disposal 3. _ cfm#
_Urinals No. Fire Protection Systems
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 $ y No. Other
A Gas Outlets 1 2--
Wood, Gas, Pellet Stove 6:1
j- py-nc �Q 11 r
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 TOTAL MECHANICAL $
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. PROOF OF CONTINUATION OF WORK IS BY 7
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY TH,AT 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, ADID 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 WIL4 BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SF�#,LL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAININGt�PPROVACOROM THE BUILDING
THE BUILDING DEPARTMENT. DEPART41154tr. • �� _ ,._ :.r �� ��
� i K- Y►
X OWNER X BY
:-r t i
DATE DATE I
FOR OFFICIAL USE ONLY: Accepted by: Date: '
l
DEPARTMENTAL REVIEW `
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: 02 - Fir-N�ZO/q
'l
Environmental Health:
Building Plan Review
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
eo
Building Permit4C $
Plan Check Sat ,
Plumbing Fee '7 a •v
Mechanical Fee 7S-00
Wood/Gas/Pellet Stove
y Radon Monitor
OO Violation Fee
Site Inspection
Building State Fee ,+!5 Q
Other
b Other
Building Valuation: ���� TOTAL FEE