HomeMy WebLinkAboutBLD97-0858 Decks, Carports - BLD Permit / Conditions - 9/8/1997 - MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
B u I L. U3 1 hN(-4 P F w I1111 1 -T" FOR I NSPF-C-T 1 ONS CALL 427_9610
is mva BETWEEN 5p►n AND Sam 427-7202
BLD97-0858 PARCFt. :32027500t31Qrt't PLAT :SHPI.O :3 D I V : BI-K : 3 LOT :
JOB ADDRESS : SE 430 OLD ARCAD I A RED SHE I TON
OWNER s HAROt.D 27--0408
CONTRACTOR r WASF1IN F CF'N'FUR 900- 6 48-1113
LEGAL : SNEI.TOR ROOF TNACTS ILK: 3 TN 11-12 EX S 551'
Ct_ASS OF WORK . . NEW BE=DR vlrr O BATH , 0 TYPE ANOUNI By OAIF RECE iF" TYPE A11
•Y�1
TYPF" OF USE . . . . :ACG SfOR F ES :0
OCCUP . GROUP .— t? BI.1"iCT . �11F I GMT , . : O ,O t't PNNT t 68.04 Nip 09108191 4536 4 $►
TYPE OF CONST : . :'t F F AEPLACES . . . . : 0 PICK t 27.20 Nip 09106197 45361
OCCUP . LOAD . . . . : 0 WOODSTOVE S . , . . : 0 Siff t 4.5A Nip 49108197 45361 (G�/
DWELL .UNITS .; . , . : 0 PARKING SPACUSs 0 EHCP t ?6.00 Ntip 09108197 45301 101
INSPECTION AREAS 2 SHORELINE? . , . . :N TOTAI: INS.70 V►AUTATIONt S124
TOILETS . . . . . . . . . . _ 0FUE1. TYPf:S-_. ___.___-. gOIL£RS/COMP--- - MOBILE HOME---
SETBACKS- ------------
FRONT ,W 9 5 .Oft BATH BAS I N`, , . , . , . . 0 : 0-3 lip . : 0
REAR . . . .E 150 .0ft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEI :
SIDE ( 1 ) .N 50 .oft SHOWERS . — . . . . . . . : 0 FURN < 100K BT(1 : 0 1 a- 39) IfP : : 0 -,MAKE...- - -
S F DE(2 ) ,S 5 .0f t WATER HEATERS . . . . a 0 FURN »1001< BTU : 0 30-50 HP . : 0
SHRL i NE , O .Oft C.L.OTIIES WASHERS . . : 0 FURN - FLOOR . . . 0 50+ HP . t O
AREA ---- -_..__.. . -.- K i 7CH£N' S 1 NKS . . . . . 0 HEAT PUMP . . . . . . : 0
LOT SIZE — FLOOR DETA INS' . . . 0 VF NT SYSTEMS . : . : 0 EVAP COOt.FR:S : 0 t E:NGTH : 0
BUILDINU — : Osf DRINKING FOUNT . , . : 0 VENT. FANS . , . . . . : 0 HOODS . . . . , . . : 0 WIDTIi : 0
BASEMENT . . . : Pt:�.f LAUNDRY 7EIAYS . . . . t 0 DOMES . I NC I N tO SFR TAL 41--
DFCKS , . , . . . -. 0:+f D I S!iWASHFRS . . . . . . . 0 AIR HANDLING UNITS--- COMML . 1 NC I N .-O
GARiCARP :7 Ost GARB D : SPOS:AL.S . . . . 0 <;: 10000 cfm . ; 0 RELOC/REPAIR : P
A-T/DT . :'e ()R I NAI..S . . . . . . . . . . . 0 > 10000 ctm . : 0 OTHER UNITS . : 0
MI SC PI M F I XTURES t 0 GAS OUTI.FTS . : 0
1 {4CAST" '�lF9RYCS.1-' .IJCDS�. Kf.TL'=:iTkRC4L.S.:'[UL';CS!T�=.TS'R::'7511#"$+Sdt«' -Y6Y:AF'Cii..w""'L. .�c.'.SC NffiT...Ili.L^5.2.'rF!?Y:'T.:±151S'S2"JGAtR6lI�'S'A�6'S4'IC'ST�'13'�?�CtL�R=oFIAA !'..��i .•+LLIDI'10Lt4'JId01C.'EC9a6'M�1�'
PROJECT OESCRIPTANtDICKS AHO COVENS
PROJECI LOCATIONtSOtlTN ON NIT 3 TO ARCADIA NO, tEFI ON AICAD.IA'ID' TO COLiIER, IFFFT ON COl:t1FR RIGHT ON O!U AR�ADIA NO ON RIGHT!
TNIS PERMIT BECOMES Nbtt AND VOID IF RORK OR CONSTAOCTION AOTHOI11E0 1s NdT COINTICED 1ITNIA 180 DAYS 01 IF CONSTINCTION OR 1001 13 SUSPENDED FON A PEI100
OT 180 HAYS AT ANY TINE AFTER 113K IS COIiNfNCf4: EVIcIENCE.OF C0NI1NU!T10N OF HONK IS A PROGRESS INSPf T101 WITHIN TNf 161 DAY PERIOD. FINAL INSPECTION OVI DE
01110VL4 SETOIE BUILDING CAM of OCCDPIf1,
OYINFR OR AGFNIt
E10-PINT, rea, 1313 i COMPLIANCE TO ATTACHED CONDITIONS IS REOUIRFD
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
PF" M 1 T t": 0ND 1 T 1 C►N
Cask, No : BLE►97-085E
For : HAROL.D rMITH
Page : 1
1 ) Proposed structur" or any portion thereof greater than 30" in helght from grade line ,
m m ntain a minimum of 5 ' setbaok from all property lines , easements and 10' from
a I ! C. ►ty and fitate Road right cif ways .
x
2 ) All approved plans are required to by on- site for inspection purposes . If inspectlon
Is oa 1 l ed for and plans are not on site, Approval WI L.L. NOT be granted . In addition, a
Re- I ►aspection fee in the amount of $32 .00 per, hour (minimum 1 hour ) will be charged and
noast be oo { lerted by .this deriartment prior t any further l nspeot i ong being performed or
approva granted .
x
3 ) PURSLIAN'( TO 1994 UNIFORM BUILDING CODE , SECI I ON 305(C ) AND SECTION 513 ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO Bt PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET OP ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRFS THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPECTION FFf BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL RE
ASSESSED IF OWNEi�/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
{NSPF.:CT I NS .
f
4 ) ALL. CONOTT�Rt1CT I ON MAST MEET OR E XCEEC) ALL LOCAL. CODES AND IJBC RFOU I RI-MFNTS .
x--'_��C .
5) Chancles to approved building plans that effect compliance to this 1991 Washington State
Energy Code, 1991 Ventilation and Indoor Air Quality
Code , the Uniform BuI IdInut Code and/or Mason County Reg atIcans must
be approved by Mrason County prior to construct i onX__
6) ALL CONSTAlICT I +N MUST' MEET OR EXCEED I.00AL. CODES . If ANY otl£ST iONS, PI.i"A5F
CALL THIS OFFj E BEFORE CONSTRUCTION . .
X �� '
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
CONGTRUCT I ON PROCESS ►o tit I I ELP CORREC I U- S OU I RED eFR N.4Asofi UOUN l � bU l l u I NG
DEPARTMENT AND UNIFORM BUILDING CODE .x
8 ) Own -/kiuf H(*r nf,,umes al l responslbI I lt)l' II c11'a lilt leld nren ls;
on 3ell .
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 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
GARY YANDO,DIRECTOR
Q�ON.STgTF �
O
A IT
o DEPARTMENT OF COMMUNITY DEVELOPMENT
S U =
O T 2 PLANNING -SOLID WASTE - UTILITIES
0 N Y y BLDG. I • 411 N. 51 ST. • P.O. BOX 578
�° SHELTON, WA 98584 • (360) 427-9670
7864.
DISCLAIMER/WAIVER OF COUNTY LIABILITY: PERMITS ON EXISTING LEGAL LOTS OF RECORD,
LAND DIVISION APPROVALS, SHORELINE PERMITS, VARIANCES, AND SPECIAL USE PERMITS:
The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created
by the Growth Management Hearings Board's Order of September 6, 1996, and in consideration of Mason County's
willingness to proceed with processing of applications which might be affected by that 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 permitting actions invalid.
v ��vg
A f 2-1 � °��- 3 2oa�
Date (Parcel No. or Legal Description)
&55�
S
Property owner's signature(Notarized)
(or the County may accept the signature of the owner's authorized agent upon proper proof of authorization)
ACKNOWLEDGEMENT CERTIFICATE(INDIVIDUAL)
STATE OF
COUNTY OF
On this day of , in the year , before me Notary Public,
personally appeared personally known to me to be the person whose name is
subscribed to this instrument, and acknowledged that he/she executed it.
WITNESS my hand and official seal. -For County use only-
Reviewed by applicma on
(Date)
Notary's signature Staff Initial:
My Commission Expires:
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
Q
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 d1� ��
(Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269)
PLEASE PRINT
#1 wner 5m,t i a Phone# 1Y?s'7 —G�j/SQ3
e Addr "13O n k o dk H. i"- AP 'F,'i{_e,District#
City_S/ '��Tp rc-� St Wes- Zip 8�v8
Directions to Job Site A 4ZQ �c N Cs�a
19
Owner Mailing Address L130 0)-p "24 120
City S"6Tr.t-mow StL-Lad—E- Zip 41Kj$11
Lien/Title Holder
Address
City St Zip
#2 Contractor Name r Ir CF w 57— Contractor Reg#(0 yr„q.c o -�o G/m 7
Address Expiration Date_/ L"l /__f 7
City fq F LVvk Sty,A_Zip 4'8,504{ Phone# 4Y,2 9 -.d/g'
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 arcel No. - /_ -�% h tl�c.� 3�Ck -�1 - �G U3 (�C�
Legal Description J
3
'I--1I-F- � F�
#5 Building Square Footage:
1st FI 2nd FI 3rd FI Loft Basement
#Bedrooms #bathrooms Deck OtherC�E_ F
Garage Carport (Circle:Attached or Detached?) �c/FRS
#6 Use of building CS Describe w
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION [ERM
NOTE DO
Model Year�Make 0 Model G
Length_Width_Serial No. JUL 2 i Wr
#Bedrooms # Bathrooms Type of Heat
Purchase Price$ HEALTH SERVICES
#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
Show following on the site plan
Lot Dimensions Fences
Existing Structures Driveways *'
Structure Setbacks Shorelines 1 `�-
Water Lines Topography
Drainage Plan Wells
Septic Systems Easements
Proposed Improvements`
Name of Side Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
APPR,
w `YyQrS MASON BUILDING IN
^� CHANG SUBJECT TC •, OR
PRO AL
0ATF.
Cf' 2_V �
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
f/e AA, ?-)I- ,sE St4dP
__-
Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 each)
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 OBTA fNG APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTM T'
X OWNER X BY
DATE DATE 7 - --
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
OWNER/BUILDER TO ASSUME ALL
Environmental Health:_ RESPONSIBILITY IF DRAINFIELD
AREA IS ENCUMBERED.
Building Plan Review SPe e i ,--5 atj &&Jj �� Q
D.p� o_07 G f G_i To-
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: /2 Y,!8 2 t (,z, FEES pb
— Building Permit
Plan Check �7-
�� 2-8 Plumbing Fee
�Ta.l P—. S G Y,- 1 57— 2 f Mechanical Fee
� A--AI P Z°)c� "" Wood/Gas/Pellet Stove
99�C Violation Fee
337 (�,. 7s
Site Inspection
? K 72 Ir- Building State Fee Z4. s—o
s-� » Other �N V /-A,r7�-.
c�
Other
Z Other
Building Valuation: TOTAL FEE (�