HomeMy WebLinkAboutBLD2000-01140 Final SFR and Garage - BLD Permit / Conditions - 3/9/2001 Inspection Line (360)427-7262
loMASON COUNTY PERMIT ASSISTANCE CENTER Phone: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2000-01140
OWNER: TONY SHACKMAN
CONTRACTOR: RECEIVED: 09/06/2000
ISSUED: /06/200
EXPIRES:
SITE ADDRESS: 390 NE ERICKSON DR BELFAIR 04/06/2001
PARCEL NUMBER: 223047500100
LEGAL DESCRIPTION: TR 10 OF SURVEY 4/120
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
RESIDENCE AND GARAGE 101 N HWY 3 TO BELFAIR L CLIFTON LN 1 MILE R ONTO SANDHILL RD
4.9 MILES, L BEAR CRK DEWATTO RD 5.4 MILES L ONTO ERICKSON LN
SITE ON LEFT
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: 4 Type of Constr.: 5N
Type of Use: SF Insp. Area: No. of Bathrooms: 2 Occ. Group: R3U1 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:1,920 Garage-Attached 440
Valuation: $108,819 Building Height: 16 Occ. Status: Primary Basement: COV PORCH 24
Manufactured Home Information Setback Information Shoreline & Planning Information
Make Length: Ft. Front: S 140.0 Ft. Shoreline: Ft. Water Body:
Rear: N 404.0 Ft. Slope: Ft. SEPA?:
Model: Width: Ft. Shoreline Desig.:
Side 1: E 165.0 Ft.
Year: Serial No.: Side 2: W 110.0 Ft. I Comp. Plan Desi .: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 Plan Check Fee KLW 09/06/200 $42.00 54432
Hosebibs 3 Ventilation Fan 3 EH Plan Review CEW 09/18/200 $50.00 54788
Kitchen Sink 1 RLC Fee AHB 09/21/200 $70.00 54788
Lavatories 2 Building State Fee DLC 10/02/200 $4.50 54788
Water Closets (Toilets) 2 Building Permit Fee DLC 10/02/200 $932.25 54788
Water Heaters 1 Plumbing Fee DLC 10/02/200 $75.00 54788
Bath Tubs 2 Plumbing Base Fee DLC 10/02/200 $20.00 54788
Clothes Washer 1 Mechanical Fee DLC 10/02/200 $22.50 54788
Mechanical Base Fee DLC 10/02/200 $22.00 54788
Planning Review Fee KS 10/03/200 $38.00 54788
Total $1,276.25
BLD2000-01140 Please refer to the following pages for conditions of this permit. 1 of 3
• CASE NOTES FOR
i BLD2000-01140
lc�
CONDITIONS FOR w
BLD2000-01 1 40
1) This application is subjec�ffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X
2) The use, handling and storage of hazardous rnatifSflammable and combustible liquids in excess of 10 gallons is not allowed without the approval
of the Mason County Fire Marshal. X 11 ,'
3) 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 C��
X
4) Proposed structure or any portion thereof greater than 30" in height from grade li ust maintain a minimum of 5' setback from all property lines,
easements and 10'from all County and State Road right of ways. X
5) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X C
6) Approved per dimensions and setbacks on submitted site plan. X C�
7) All upland areas disturbed or newly ere construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). X //
2
8) 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 Re-Inspection fee in the amount of$42.00 per hour(minimum 1 hgafjll be charged and must be collected by this department
prior to any further inspections being performed or approval granted. X
Picase sign, date, initial all
ccrrcitions and mail back
tL rr)e,
BLD2000-01140 Please refer to the following pages for conditions of this permit. THANK YOt1 of 3
ate-,
9) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A
FOSITION 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 AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR
FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
X (:�_:s
10) The plan review corrections, along with the Energy Compliance Worksheet (when applicable) are part of the approved plans and must remain thereto.
It is the responsibility of the applicant to make the corrections indicated on the plans Once the plans are marked APPROVED, they may not be
changed or altered without authorization from the Building Official. The permit holder is responsible 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 inspections. Every permit shall expire by limitation and
become null and void if the building or work authorized by such permits is not commenced within 180 days from the date of issuance, or if the building
or work authorized ch permits is suspended or abandoned at any time after the work is commenced for a period of 180 days.
X
11) The approved plot plan is required to be on-site for inspection purposes. If inspection is called for and plot plan is not on site, Approval WILL NOT be
granted. In addition, a Re-Inspection fee in the amount of$42.00 per hour (minimum 1 hour) will charged and must be collected by this department
prior to any further inspections being performed or approval granted. X_
12) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE
PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OR,2Cj�61PANCY WOULD RESULT IN PERMIT REVOCATION.
CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x l(
13) Changes to approved building plans that effect compliance to the 1991 Washington State Energy Code, 1991 Ventilation and IndooyAii;-Quality Code,
the Uniform Building Code and/or Mason County Regulations must be approved by Mason County prior to constructionX � \
14) CONSTRUCTION PROCESS TO BE FIELD =RCTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM
BUILDING CODE.x
15) All property lines shall be clearly identified at the time of foundation inspection X
This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or worts 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:
Please slgn, date, Initlal all
conditions and mail back
to me. THANK YOU
BLD2000-01140 Please refer to the following pages for conditions of this permit 3 of 3
CONCRETE MECHANICAL MOBILE HOME
Fou:ings-cc back date
date / /-/7'�� by � b Ribbons
Gas Piping date b
Fourkda''.xi Walls date by Set Up
date by INSULATION date by
MSU%B Insulation Floors Final
date by date 1'-1 Z �/ by �/�, date by
FRAMING FIRE DEPT.
date . G� by Tfl Walls by date by
I PLUMBING Attic OTHER
Groundwork
f date b date by
D.W.V. WALLBOARD NAILING
date Z -{' by date Z - / by r� .
Water Line FINAL INSPECTION
date — c / by "� . date 3— / �� byT date by
D Div D�`r r
I
O'
S
A4
S S�
ORM MU PRESS
COMPLETED IN INK
PLEASE D
MRSON COUNTY
. D
BUILDING PERMIT APPLICATION
426 W.CedarlP.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 INFORMATIOPJ
Owner 2 Contractor Name �V/
Mailin Add e s Mailing Address
City State(d�-Zip Code City State LA.& Zip Code
Phoneace-a-) ter Ph.c _0) - Ph. 4-bther PIS.
Lien/Title Holder Contractor Reg. #
Address Expiration/A[_/ _
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing SeD Connect to Sewer
System Name of Sewer System Well_iter System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. / / n 3 1 0 Fire District
Legal Description O "T
Site Address(Please include s r t name, str et nur be nd_ Ity)
Directions t bite MI Ili, FIA\el
Will timber be cut and sold in parcel preparation? (YeTD)
Is your properly within 200' of the following: Body of Water (Name) Saltwater
Lake River/Creek Pond Weiland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB"Lew dd Alt Repair Other Use of Building
Describe Work V a z
No. of Bedrooms L± 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 INFOR N-Make Model Model Yea
Length W' Serial No. No. of Bedroo o. of Bathroo
Type of Heat Purchase P ce $ Replacement Unit ?(Yes/No)
Installe a 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-]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 Stale 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.
X Date X ,A7n"'CJ l Md Dat A
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL;REVIEW iAPPROVED DENIED ' CONDITION CODES
Building Department
Occ Group-A 3 UL Type Constr.5/V /C
Planning Department ---
Environmental Health Department --
Public Works Department
Fire Marshal
Valuation $
a�
Building Permit Fee y� a a5 Site Inspection
Plan Review Fee 414 Ol9 UFC Plan Review Fee
Plumbing & Base Fee Public Works Review Fee
Mechanical & Base Fee Other
Wood/Gas/Pellet Stove Fee Other
Violation Fee Pre-Paid at Submittal ( oo )
i:j:22::•:Yi+ii::'j��:i:%>:'?; i:tiii;isj::.`,ii:::tii::'>:x;%i;%:;:.::y:;:y>:i:y;.'•:;;•:!i:•i"y}i$iji:`v'r ii:�ti'�i:•::ii'.
.�;�:::,<,,;.::::•::::::.::::.:>.:<:::�.:::,>,.::.>:.:r:.::.s;::<;.::.:..�..:.::.:.::.�:::.<.:. TOTAL FEES
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 IN O MATION
Owner 1 t ' 4�tY IrC Vk� ) rl Contractor Name Ar
Mailin?Add�Qss �j'1 MailiV Addre
City ((�� YY1I -State Zip Code CityQI
to Zip Code
PhoneL� Other Ph.(_� Ph.(� t $�C�ti�
Lien/Title Holder �J 6 I►`� L �" Contractor ReT-� it
Address Expiration
SEPTIC INFORMATION-Connect to New Septic r Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMA TI'ION-12 di9it Tax Parcel No. / / Fire District
Legal Description W I J U X C 1 t I
Site Address(Please include street name streetpumberdd c y)
Dire ions to site 101 tJ T1� �C ft l V �►.i+ C, 1 I
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. ofFixtures Fees LPG Natural Gas Heatpump
Toilets Type of Unit No. of Units Fees
Bath Basins Furnace
Bath Tubs — Heatpumps
Showers Vent Fans 3 f
Water Heater —�— Propane Tank
Laundry Wsher T Gas Outlets
Sinks Wood/Gas/Pellet Stove
Dishwasher Direct Vent?
Other Other
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
I
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.
��2 Q
X Date X\�t y �� Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENT ENIEt} tQNW#IpN'a.C�C3E5'
Building Department
Occ Group Type Constr.
Planning Department
Other
Other
DES
.... .... .....
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
FO[tM MUST BE COMPLETED IN INK
`EASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
I,, Inn Case No.
Name ��Y 1� ,Y v I�I�t� PARCEL NUMBER -001
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 adiacent oropertir-o on shoreline or within_100 feet of adjacent property line.
adjacent property line- * <—adjacent property line
AftFN L F LJcnl?CD
•ae / - tprJC
/ EDG6
Poe R -.-1 �`y $n!t ✓�G/b
crocus. ,� RoeE nnrn r•�
use
9nfe 11A
MIELL
DR�e�AY
adjacent property line-) J£.xwe„1
E-adjacent property line
33� �
SAMPLE SITE PLAN
adJac�ent property line-� ��o• FAdjacent property line
30" RESCF3vE
.SE �v At_ I 'S gel
—-
--_CReEK If+—
PrioPoaen bo'
VA CI VuT
1� y A&RtGtLTuAAL so'
Sb• I
eO, —---�
I
I � ' /oo'
1 I
I � � L—eLL
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X1--/00 ___4)
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adjacent property lined i l R�. \; Fadjacent proper ' line
TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the
I degree of slopes. See sample topography profile.)
SAMPLE TOPOGRAPHY PROFILE
d1s+.*nce. to
5�(� � �I of ru-tl.'oYe-
�� 1 cr- to
dis+ane-a_
5totx +o
'Signature Date