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HomeMy WebLinkAboutBLD99-01076 Final SFR - BLD Permit / Conditions - 3/29/2002 MASON COUNTY 3 Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 B (i I L_ 0 1 N 0 P F_ R m 1 -1 FOR INSPECTIONS CALL 427-9670 BETWEEN bpm AND Sam 427--7262 BLD99--1076 PARCELs223024300110 PLAT : DIV % BLI( i LOT . JOB ADDRESS : 901 NE TOONERVILLE DR RELFAIR OWNERt MORGAN HOBART 360-372-2406 CONTRACTOR : LEGAL -, 11 11 Of St CLASS Of WORK . . .NEW BEDR : 3 .6ATHc 2 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT By DATE RECElPi TYPE OF USE . . . .. zSF STORIES . . . . . . . 0 OCCUP . GROUP . . zA3 BLDG . HEIGHT . . ; O .Oft, PLCK $ 548.26 KI 12117 19 If 1127 PL11 t 20.00 its 0ilial#11 811FAIA TYPE OF CONST . . :5N FIREPLACES . . . . t 0 EHCP $ 50,88 KS 11118186 BUFAIR VCH $ 42.25 KS 011181111 IfIfAll OCCUP . LOAD . . . . 0 WOODSTOVES . . . . : 0 PLRS $ 38.1111 KS 0111810111 9ftfAIR 11c"I t 22,10 KS 111181011 BELfAIR DWELL .UNITS . . . 0 PARKING SPACES : 0 pill $ 843,50 KS 61118/66 B[IfAIR Siff $ 4.50 KS 0108111f WFAIN INSPECTION AREA : 2 SHOR E I. I NE 7 . . . . ..N I'Li If 64.50 KS 81118108 BEtfAIR TOTAL: 1633.93 VAIVIA110111i 92254 SETBACKS---- -.,- TO I LET ' . . . . . . . . : 2 FUEL, !YPES----. BOILERS/COMP---- MOBILE HOME: FRONT . . .W 100 .Oft BATH BASINS . . . . . . : 2 0-3 HP . ; 0 REAR . . . .E 127 .Oft BATH TuBs . , . . . . . . : 1 3­15 HP . ; 0 MODEL SIDE ( l ) .N 10010ft SHOWERS . . . . . . : I FURN < 100K BTU : 1 15-30 HP _ 0 -MAKF---------- SIDE (2 ) .S 200 .Oft WATER HEATERS . . . . : 1 FURN ­100K BTUs 0 30-50 HP . : 0 SHRLINE .S 100 .Oft CLOTHES WASHERS — i I FURN - FLOOR . . . : 0 504 lip . . 0 -YEAR------ ,- AREA KITCHEN SINKS . . . . % I HEAT POMP . . . . . . & I LOT SIZE _ : FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 3 EVAP COOLERS : 0 LENGTH : 0 BUILDING . . . : 1786sf DRINKING FOUNT . . . : 0 VENT FANS . , . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0 BASEMENT - . . o 05't LAUNDRY TRAYS . . . . : 0 DOMES . INCIN :O --SEP IAL#-' - DECKS — _ . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS— COMML. . INCIN .-O GAR/CARP :? Osf GARB DISPOl ALS _ s I <- 10000 oft . ; 0 RELOC/REPAIRt 0 AT'/DT . ,? URINALS . . . . . . . . z 0 > 10000 ctm . : 0 OTHER UNITS . : 0 MISC PLM FIXTURES . 3 GAS OUTLETS . ; 0 FROJFCI OESCA IPT too!4ESI81#C( PROJECT tOCATION:BFAR fiJtffk OfIA110 RD 10 TOONERVII-If RD LEFT 314 VILF, DOWN RD PRO? 09 LIFT. q THIS PEO)IT BFCOVES AUtt AND VOID IF WORK Of CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS; ORIf CONSTRUCTION OR 10111f IS SUSPENDfl) FOR A PERIOD OF 180 DAYS AT ANY TIME W AFTER WORK IS CONCID. EVIDFOCE OF CONTINUATION Of 1001 IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD, FINAL INSPECTION MUST Pi APPROVED I[fool RUIC9116 011 of OCCUPIED, 01110111 01 AGill., DATE: Flo 'FRIT, rev, 43131191 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED ANCRETE MECHA AL MOBILE HOME Footings-Setback date �/" d/ by Ribbons date _��_c2'� by Gas Piping date b e Foundation Walls date by Set Up date ,3—�� by T� INSULATION date by BG/SLR$Insulation Floors Final date by date �' // by / _ date by FRAMING Walls FIRE DEPT. date by /> date by date by PLUMBING Attic OTHER Groundwork date b date by D.W.V. a WALLBOARD NAILING date -Z -©/ by r�( date -���1 byW/? Water Line FINAL INSPECTION date by date by date by d` u f et- ,E i L. 7;�Z-2��. e jelj�5"s /-7-? f C�- ZE,�Ivj S14CC-7 )Z6e"!c AWILIIv � lyya 1 ��_ _ MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O, Box 186 Shelton, Washington 48584 PERMIT' CCINDliTic)N Case No . 3 BL.b99-1076 For : MORGAN HOBART Page : 1 1 ) Approved per dimensions and setbacks on submitted site plan ; new home shall be 100 or more feet from the edge of the Tahuya River high water line . X 2 ) The proposed project must be oonsirstent with all applicable polioies and other rovisions of the Shoreline Management Act , its rules , and the Masan County Shoreline aster Program . x. 3 ) All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection ( silt fencing or straw matting ) . X 4 ) The applicant acknowledges that this development was sited such that further shore protection measures will not be required for protection of the structure , 5 ) Proposed structure or any portion thereof greater than 30" in height from grade line, must maintain a minimum of 5 ' setback froth all property lines , eason}ents and 10 ' from all County and State Read right of ways . X 6) This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance 1 .03 .036 . X 7 ) The use, handling and :Moraa of hazardous materials or flammable and combustible liquids in excess of 10 gallyons is not allowed without the approval of the Mason County Fire Marshal . X MASON COUNTY Mason County Bldg. III 426 W. Cedar P,O, Box 186 Shelton, Washington 98584 8 > Provisions for surface/ subsurface drainage control must be implemented with new construction or development on site and MUST NOT odverr,eiy 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 drainags easement dedicated for that specific purpose . For further information regarding Nos, ordinance and the REQUIREMENT to . obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason Countyy Road, Contact the Mason County Public: Works Department riot', to construction at Ext 4 . 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 project . X 9) Owner/builder, assumes all responsibility if drainf ield/ re serve area Is € encumbered . X 10) Mobile home needs to be removed from property before final occupancy may be given . X Case No . , BLD99- 1076 i 1 tt , i FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD IF I MASON COUNTY PROJECT SITE INFORMATION ii `` Case No. Name C11c�fQaN I�ty�IRA PARCEL NUMBER �0�-' 3Va iI0 Date `��i SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line4 I I E-adjacent property line I I I I I I I I I I I I 1 I I I I I I ♦�, I I I 1 L I I � I I \ I I I I I I I I I I I I I I I I I I I I I I I I I adjacent property line4 ' ' E-adjacent property line SAMPLE SITE PLAN adja�nt property lined 3z0' _ _ adjacent property line v 36' rREIaRv& g041 SEASo w/Al_ I L _ PTSL__,� J- "I HOM 6 I .Graaeu CREEK I P, I IiOcuQ I j PRoPoxn s¢pt:c�—� I (4— 60' I I VAGNT I T c„1RAaE 3o I ji lipI� �\ T A6ttLCLLLtWiAL SO YO I / I I 1 I I �\ 80, I I I I L- •nLL I I I I /00' I I L,a�G.LL I adjacent property lined ; i a~. a \; E-adjacent ro ert' line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE di Star.GQ to rutt'I.�YG �Ib't'a r.CG to Slapm to dit+a,a2 Yo t Signature Date ERMITNO: BLD MASON COU?�T� BUILDING PERMIT APPLICATION is-7 426 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 APPLICAM INFORM TION CONTRACTOR INFORMATIOAL Owner Contractor Name $ e Mailing ddr s Mailing Address City State Zip Code City State Zip Code _ Phone 2�,2ObOther Ph.(3k) Ph.( Other Ph.( Lien/Title older 1A) R S u t,AS­ Cr in X�A, .bj Contractor Reg. # Address Expiration 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. 3011N / L / Fire District rt— Legal Description Site Address(Please include street name, street number and city) Direc ions to site ` Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek_ Pond Wetland Seasonal Runoff ttream Slopes or Bluffs TYPE OF JOB Newt/Add Alt Repair Other Use of Building C�ets�a ��10 c P Describe Work No. of Bedrooms_ No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor_ 3rd Floor Loft Basement Deck Other sq. t. 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. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 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 conforms a therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approv I. - first obtaining approval. 1 7 X )Ad Ark-,te X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Dated 130 1 Submittal Amount Due 5�'A Receipt No.11 1 DEPARTMENTALREVIEW APPROVED DENIED CONDITIO'.N GOODS Building Department P:�� [ rn012 _ /Wt7&0 Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department I Fire Marshal Valuation $ ��rJ ZA ........_ _..... _. EEs Building Permit Fee 5z Site Inspection Plan Review Fee '21E� UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other U Wood/Gas/Pellet Stove Fee Other Violatic�ee t Pre-Paid at Submittal ( 5gG 1 ) .................................. .,•.�,. .,....: TOTAL FEE ::fw::i>.�]:�ti�::•........ :�:t4$::i�i:{{:iii}i>'r'l ijJRGY:: :.;.:.;.;..;'viy:.:.. .n. ..... .. ............!:t.........}i:•]]:•]Y•ri•]:•]:fi]:Lvi::K::?%ii]]]ii] _'.'�1RI.nr'm+rT'.?a�R. s ..w'n^m^+,-^.w'.„yqR't•-rr:... •.n-.,....;,.s_.^o!cS,:Rh'�r._�fv,sa�!...sr .ir,-�..r . rT _,.,,. "ry am.:` s. �4. 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 APPLICAWAIN,FORMATION CONTRACTOR INFORMATI Owner Contractor Name Mailirm Address v C k Mailing Address City State 'O _ Zip Code City State Zip Code Phone(_ 37 au06Other Ph. � v �> Ph.U Other Ph.( Lien/Title Ho er J Contractor Reg. # Address C Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System QS S, . , AQ yl PARCEL INFORMATION-12 digit Tax Parcel No. / / Fire District Legal Description Site Address(Pleas elude street name, street number and city) Directions to site SL` �-v 3 G � 7 Is our property within 200' of the following: Body of Water Name �J A Saltwater Y P P Y 9 Y (Name) Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New-6 ew Add Alt Repair Other Use of Building Location of Fixtures/Unl s 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 N- 00 Type of Unit No. of Units Fees Bath Basins V 2 0C` Furnace Bath Tubs ( '7 Heatpumps Showers —� _� Vent Fans Water Heater t Propane Tank Laundry Wsher 1 D �_ Gas Outlets Sinks ��,�.o° Wood/Gas/Pellet Stove Dishwasher o d Direct Vent? Other +4LZ 1(` Other Other . Other Base Fee 21 0,0 Base Fee TOTAL PLUMBING Se. I 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 a made without first obtaining shall be done in conformance therewith. No changes shall be made without approva first obtaining approval. X Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEW APPROVED 0. NIED COht[J11IQN Cdf1E5 Building Department Occ Group Type Constr.'' Planning Department Other Other ........ ... 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