HomeMy WebLinkAboutBLD97-0183 Carport - BLD Permit / Conditions - 3/27/1997 MASON COUNTY
NiMason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E3 U I L_ U I N G PERM I T FOR INSPECTIONS CALL 427-9670
BETWEEN 5pm AND 8am 427-7262
BLD97-0183 PARCEL :22132339OO9O PLAT : DIV : BLK : LOT :
JOB ADDRESS : E 1610 SPENCER LAKE RD SHELTON
OWNER : DAVID HARRISON 426-8115
CONTRACTOR : JERKOVICH 427-7219
LEGAL : TR 9 OF GOVT LOT 6 TR 2 OF SP #1227
CLASS OF WORK . . :NEW BEDR : 0 .BATH : 0 TYPE AMOUNT BY DATE RECEIPT I T Y P E AMOUNT BY DATE RECEIPTI
TYPE OF USE . . . . :ACC STORIES . . . . . . . : 1
OCCUP . GROUP . :M1 BLDG . HE I GHT . . : 10 .Oft iRLC $ 44.00 KS 03127197 44157
TYPE OF CONST . . :5N FIREPLACES . . . . : 0 IPRMT $ 62.50 KS 03127/97 44157
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 IPLCK $ 25.00 KS 03127197 44157
DWELL .UNITS . . . . : 0 PARKING SPACES : 0 STFE S 4.50 KS 03127/97 44157
INSPECTION AREA : 4 SHORELINE? . . . . :Y EHCP $ 26.00 KS 03/27197 44157 (TOTAL: 162.00 VALULATION: 0
SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME--
FRONT . . . O .Oft BATH BASINS . . . . . . : 0 0-3 HP . : 0
REAR . . . . O .Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL :
SIDE ( 1 ) . O .Oft SHOWERS . . . . . . . . . . : 0 FURN < 1O0K BTU : 0 15-30 HP . : 0 -MAKE------
SIDE (2 ) . O .Oft WATER HEATERS . . . . : 0 FURN >=1O0K BTU : 0 30-50 HP . : 0
SHRLINE . O .Oft CLOTHES WASHERS . . : 0 FURN - FLOOR . . . : 0 50+ HP . : 0 -YEAR------
AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0
LOT SIZE . . : FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0
BUILDING . . . : 36Osf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN :O -SERIAL#----
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN :O
GAR/CARP :C 36Osf GARB DISPOSALS . . . : 0 <= 10000 cfm . : 0 RELOC/REPAIR : 0
AT/DT . :D URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT DESCRIPTION:CARPORT
PROJECT LOCATION:FROM PIONEER SCHOOL (AGATE RD) , ON SPENCER LAKE RD FOR 1 1/2 MILES, RIGHT TURN ON DRIVEWAY WITH MAILBOX AND NUMBER ON MAILBOX
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
APPROVED BEFORE BUILDING CAN BE OCCUPIED. ,cam
OWNER OR AGENT: DATE: / / �— .L 7
4
BLO PRMT, rev: 03/31/91 COMPLIANCE TO ATTACHED CONDITIONS IS REQU RED
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PERM I T CONE) I T I O N S
Case No . : BLD97-0183
For : DAVID HARRISON
Page : 1
1 ) The undersigned property owner is aware of the uncertainty regarding Mason County ' s
development regulations created by the Growth Managment Hearings Board ' s Order of
October 2 , 1996 , and in consideration of Mason County ' s willingness to proceed with
processing of applications which might be affected by the Order , the undersigned
property owner hereby agrees to waive any lawsuit , action , or claim for damages against
Mason County which may arise out of Mason County ' s actions in acceptance , processing
and/or issuance of such permits or approvals ( hereinafter "permitting actions " ) , which
damages are attributable to the County ' s decision to take permitting actions despite
the risk that changes to the County 's development regulations might later make the
County ' s„ r itting actions invalid .
X lt-
2 ) Proposed structure or any portion thereof greater than 30" in height from grade line ,
must maintain a minimum of 5 ' setback from all property lines , easements and 10 ' from
all Coun y ay�d State Road right of ways .
X w
3 ) This application is subject to Buffer and Landscaping requirements as established under
Mason County Ordinance 1 .03 .036 .
X .�
4 ) The proposed project must be consistent with all applicable policies and other
provisions of the Shoreline Management Act , its rules , and the Mason County Shoreline
Master Pr�pg �r� .
to
X P /Y
5 ) Applicant acknowledges that this development is subject to policies and regulations of
Mason Co�omprehensive Plan and Development Regulations .
X e
6 ) All approved plans are required to be on-site for inspection purposes . If inspection
is called for and plans are not on site , Approval WILL NOT be granted . In addition , a
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Re- Inspection Tee in The amount of $32 .00 per Mour (minimum I hour- ) will be charged and
must be collected by this department prior to any further inspections being performed or
approva �W
ted .
X '
7 ) PURSUANT TO 1994 UNIFORM BUILDING CODE SECTION 305 ( C ) AND SECTION 513 , ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PRbVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTI
X
8 ) No Occupancy . This structure is limited to U-1 use only . Any other use will be in
violation of the Uniform Building Code and Mason County Regulations
unless a "Change of Use " permit is approved . X
9 ) ALL CON N MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS .
X
i 4 c ar c.
P�G.C.Q 1
C ,
i
L
Fill, to
M
i
tea`-
Fes „rmtrnmuM
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
t1 t_1 I I" r � 1 11%1 C3 P, F. F-A m I -T. 1-0" INSPECTIONS CALL 427-9670
BETWEEN 6pm AND Sa
BLD97-0183 PARCEL 12213*23390090 PLAT : IV ? LOT -
,JOB ADDRESSt F 11610 SPFNCI:F, LAKE_ RD SHE.I. I ON
OWNr.Pj DAVID MARK ISON 0426-8115 I I 0
CONTPACTOPr 1ERKOVICA-1 427-7219
LEGAL i TO I Of OOVT LOT 6 TO 2 OF SP 11227
CLASS OF- WORK . , :NEW BFDR r 0 BATH s 0 jIV)pr ANOVOI BY DATE gti1:11`1 Jim A#0001 gy DATE Alum!
TYPE OF USE - , tACC STOR I ES . , > : I � - I
OCCUP . GROUP . , . IMI BLDG . HEIGHT ; . i 10 .01`'t RiC S 44,08 AS 03121197 44157
TYPE or CONST I . -5N F I REPLACES . , - 1 0 II AVY 1 62.50 fs 0307191 44167
OCCUP . LOAD . . . . t 0 WOODSTOVES . . . . ! 0 P113 1 25.00 KS13127147 44157
DWF I L .UN I TS . . . . , 0 PARKING SPACEf3i 0 isift $ 4.50 KS 031211VI 44157
INSPECTION AREA 4 qHOAELINF7 . . . . :Y L t,P $ 76.40 t S 03127197 44157 TOTAL: 167,#6
VAjU(AIIO#t 0
SETBACKS--._ _._ __._ TOILETS . . . 0 FUEL SOIL.ERS/COMP-- MOBILE HOME—
FRONT . . . O .Of t BATH BASINS . . . . . 0 03 vlp , ; 0
REAR . . . . 0 .oft BATH TUBS . , 0 3- 15 HP . 1 0 MODEL .
SIDE ( l ) , 0 .0f1. SHOWEPS . . . _ _ ; 0 rURN < 100K BTU 0 15-30 HP . t 0 - MAKE _.
SIDE (P. ) . O .Oft WATE4 HEATERS _ 0 TURN >-100K BTU : 9) 30-50 HP - 4 0
SHPLINF . 0 .0-ft CLOTHES WASHERS . 0 FtJRN FLOOR . _ s 0 504 flp . l 0 - YEAR __.
APEr KITCHEN RINKS _ . 0 t4FAT PUMP _ . . . . 1 0
LOT SIZE . . t FLOOR DRAINS _ _ i 0 VU"T SYSTEMS _ i 0 EVAP COOLERS : 0 LENGTHr 0
BUILDING . . . s 360st DRINKING FOUNT . . . ; 0 VENT FANS _ . . . . 1 0 HOODS . . . . . . . .. 0 WIDTH . ., 0
BASEMENT . . t Osf LAUNDRY *rRAY*.--. , . t 0 VOMES . INCIN ;O -SUR IAL#-----
DECKS _ . _ . i 08f DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS— COMML . INCINtO
GANICARPrG 360st GARB DISPOSALS _ ? 0 10000 cfmij 0 RELOGiNEPAIRt 0
ATiDT . :D UP I NAL',13, . . . . . . . . t 0 > 10000 ofill ' . 0 OTHER UNITS ,, : 0
MISC PLM FIXTURPS : 0 GAS OUTLETS . : 0
wommmomm
PROJECT Df.SCRIPT14NrCA1PUIIT
PROJI01 1O0AI10*tfROV PIONEER 80000 (AGAIE 40), 01 SPFRE11 tAXI 110 TOP 1 -1/2 NlLfS, RICIII TORN 40 011VENA.Y 111H NAIIBOX Alp NUV40, (IN vAlteox
1111S PIR111 gFrOmfs Noll Apo Vol# it took 01 CONSTRUCTION A41110111fil' IS NOT CONVINCID WITNIN til DAYS Of If collsyllucticl OR WORK Is 311SPE1111t0 1`01 A PERIOD
Of 190 DAYS AT ANY TINE AfIrg WORK IS 01OFMCF0.1 EVIDENCE )F CONTINUATION OF VOIX 19 A PROORESS I#SPE6100 WITHIN P1 ISO DAY 1111100 1`101. INSPECTION 40SI
APPIOVEP 81`1011f 8111t,I)III(I CAN Of OfCOPIf!),
OlINEN OR A(Ifolt A.Th
7
ILL 111191, tavr 03131111 COMPLIANCE 'TO ATTACHED CONDITIONS IS REQU 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 date b pvs � h d(c� , cm.a — h,
date b y o,-. �� 3� � •• ok �
D.W.V. WALLBOARD NAILING
date by date by
FINAL INSPECTION
Water Line �
date by date _ 6_f? by date by
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
RO. Box 186 Shelton, Washington 98584
PFFIMI -r C-10IN1117311 -IFIC) INIC-11
Case No . : SLO97--0183
Fout DAVID HARP ISOW
Page . I
I The undersigned property owner Is aware of the uncertainty regarding Mason County ' s
development regulations treated by the growth Managment Near ingS 808rdS Order Of
Ootober 2, 1996, and in consideration of Mason County 's willingnews to prooeod with
processing of applications which might be affected by the Order, the undersigned
ropertV owner hereby agrees to waive any lawsuit ation , or cialm for damages against
ason County which may arise out of Mason County ';
o aotionsIn acceptance processing
tj and/or IsourAnce of soh permits or approval ls ( here inafte "perry permitting ac4ions" ) , which
damages are attributable to the County ' s decision to take. permitting actions despite
the r, lsk that ohnnqes to the County 's devviopment requlatlon!l might later, make the
County 's lie titting aotions Invalid .
2 ) Proposed stt,uoture or anv port iort thereof greater, than 30" In height from grade Iltio ,
must maintain a minimum of 5 ' setback from all pr-operty lines, easements and 10 ' trom
all cotif d State Road right of ways .
X
3 ) Th I s app I ioat Ion Is sub jeot to Rutter and Landsoapi nu r-equirements as eastabi Islisid under
Mason County Ord inanoe 1 ,03 .036 .
4 ) The proposed pr,ojeot must. be dons istent with all Lapp lioable jolinles and othei-
Ar,ov I s I ons of the Vhor#, I I ne Management Act , ltf�-. rules , and e Mason County Shot,eline
aster, Pr rIT -
ley"
5 Appi loatit acknowledges that thi .r.; development is �:.ubject to polioles and r,equiationn of
Mason Coq omprehensive Plan and Dove lopmcnt Regulations .
X
6 ) All approved plans are i-equired to be onsite for insper. tion put-poses . If Inspeotion
is called for and plans are not on site, Approval WILL NOT be granted . In addition, a
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
Re I n .E, i ,art .00 € <ir I J god ar .
nrus t be collected by this dopat tmen t prior to any further inspections being performed or
a p E,r �" r e t___.c�d . .__.__.....
K
7 1 PURSUANT TO 1994 UNIFORM BUILDING C 01)(' SECTION 305 i C 1 AND SECT I ON 51 , ALI. �ti I l E'4 MOST
HAVE: APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEG I BI E FROM THE: STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BU I I D I NG
DEPARTMENT' REQUIRES THAT T141 S BE COMPI ETE=D PRIOR TO CALi I NG FOR ANY SITE INSPECTIONS . A
RE I NSPE:CT I ON FFE BASED ON RATES IN TABLE 3A OF' THE: 1994 UNIFORM BUILDING CODE III I I.I. BE
ASSESSED If OWNEA/CONT'RACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
i NSPE:CT I s
X_.___._�
8 ) No Occupancyy . This structure is limited to li- 1 use orr I y . AnV other use will be Ili
Vioiation ot` they Uniform Building Codes and Masan County Regulations
unless a "Change of Use" permit i s approved ,
91 ALI. CO `let y N MUST MEET OR EXCEED ALL LOCAL. COMES AND OBC RE:001REMENTS .
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 PLUMBING by date by date by
Attic OTHER
Groundwork
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
BUILDING PERMIT APPLICATION CA
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 �V� 0\
PLEASE PRINT
#1 rte
D A V I � 5. " A �� FZ 1 S C�/`1 Phone# AP-6 — � / /, -
dress E • /to !O 5'PENCE� �� f2/� Fire District# 55Z4zEL/--7-D&, WA St Zip
Directions to Job Site )C;�Oiy A/ ���NCEfC
1AkE RGA L )52R 11 z- IVIZ-13 04 4- VEWAI
Gcji n� �r�1Z 30X 0a /� .�u rr Q cR a A/
Owner Mailing Address --S,4p/ y C
City St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name SQL/= Contractor Reg #
Address Expiration Date / /
City St Zip Phone#
#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)
# arceI No. �- 13 2— - 3 3 - 9a 67 9' o
Legal Description �m 9 �bv j I-d T2 Z 5 Q 17-1, 7
#5 Building Square Footage: (existingJpr�' op)
1 st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Caro �p / 54" F% (Circle:Attached o etas ?)
Other sq. ft. /
#6 Use of building R6Z::,,C T,-oR 7'72A r/��- 772A-/ LE'� Describe work
O
#7 Type of Job: New V Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION 00 / <J"
Model Year Make Model
Length Width Serial No.
g �,y s 9
# Bedrooms # Bathrooms Type of Heat
Purchase Price $
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property: •-,r„
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Show following on the site plan t,
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
A
a �4� 2-4
�occ,-S,fl
joy ° L,�K
Sorj
E ID9A-1 RE-SEDR vIC
vWRIV
N ��
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
7-0 X
Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 eachl
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
Showers Furn BTU
Hot Water Htr _ Heatpumps
_Laundry Washer _ Vent Systems
Sinks _ Spot Vent Fans
Floor Drains No. 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 16.75 _ Auto Fire Sprink Sys 35.00
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 16.75
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 - i v X BY
DATE— o DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
(,
Planning: e MWVL 0& 'F"U GM„ 1-�2t& , N
Environmental Health:
Building Plan Review yi"1
Occupancy Group:_ Type of Const�=
Fire Marshal:
Other:
Special Conditions: �6�07 FEES
Building Permit ,tb
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee 4.6
Other Pill, f
Other
Building Valuation: 0 TOTAL FEE