HomeMy WebLinkAboutBLD97-00125 Final Garage - BLD Permit / Conditions - 5/27/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
BE TWEEN apw ANO •3air: 4;e i - 1`..":6d
81.097-0125 PARCEL :22" 107690392 PLAT - D 1 V z 7 RLK :7 L.OT :s'
JOB AVORPSS : NE 1941 BLACKSMITH DR BEt_FAIR
OWNER : GARY 275-6255
CONTRACTOR : S&S CON: T I ON
LEGAL : TR 39 OF SiRVEY 101102
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CLASS OF W:IRK . :NEW FI DR 0 BATH : 0 TYPE AVOUNT BY DATE IfCEIPT IIYPE AIIOUNT BY DATE RECEIPT
TYPE OF USE — :ACC ",I OR I ES . . . . . . . .0
OCC:UP . GROUP . . . :7 St.T1( . HEIGHT . O .Oft PINT t 105.50 YS 03t12191 6 I
TYPE OF CONST . . :7 F" I REPLACES , , 0 PICK 1 42.20 KS 43112191 0
OCC OP LOAD A WOODSTOVES . . . . : 0 Siff 1 4.9 KS 03112197 0
DWE'L L .4_IN I TS . . 0 PARKING SPACES : 0 ENCP 1 26.10 KS 03112197 0
INSPECTION AREA : 1 SHOREL INF7 . . . . :N TOTAL: 1T1.20 VAIUtAT1ON: 0
SETt3ACKS - -- -- __ ..._._ (OI LETS . . . , . . . . . . 0 FULL TYPES- __.. -_-_._- E30lLFR5/C0IAP MOBILE HOME---
f RONT . . .W 5 .01E t LATH BASINS . . . . . . 0 : : 0--3 HP : 0
REAR . . . .F 5 .oft- BATH TUBS . . . . . . . . : 0 3-•15 HP , - 0 MODEL :
G I DF ( 1 ) .N "O .Of t SHOWERS . . . . . . . . . . 0 I'URN < 100K BT►J : 0 15-30 HP , . 0 MAKE--
5 .Oft WATFR HEATERS — . : 0 FURN >100K RTO : 0 30-50 HP . : 0
SHRL I NE . O .Oft CLOTHES WASHERS 0 FURN -- Ft OOP . . , : 0 50+ lip 0 -YEAR- - . -. •-
AREA -_.__.._.__...__ --- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : O
t_OT SIZE _ - Ft.00R VRA I N4 . . . . _ . 0 VENT SYSTEMS . . : . 0 EVAP COOI.ERS s 0 LENGTH : 0
BUILDING . . . . osf DRINKING FOUNT . . . : 0 ';ENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 V113TH . : 0
BASEMENT . . . : Osf LAUNDRY TRAYS . , 0 DOMES , INC1N :0 SERiAL11 _.
DECKS . . . . . . : Osf DISHWASHERS . . . . 0 AIR HANDLING UNITS- - COMML. . INC1N ,0
C:AIRACARP :C; 8649f GARB DISPOSALS . 0 -:$ 10000 crm . : 0 RrL.00I6;EPAIR : 0
ATIDT . -7 URIN.ALS . . . .. . . . . . . : 0 > t0000 cfm . : 0 OTHER UNITS . :, 0
MISC PLEA FIXTURES : 0 GAS OUTLETS . : 0
PRCJFCT DESCAIPT ION:GARAGE
PROJECT LOCATIPH:OLD BELFP.IA N11 TO PEARCIEEK Df1ATTO Ra TO BIACKSNITH LAKE DRIVE (ATPROX B NIIES 1 112 Nltf PAST TOO1fNVILLE) 1.8 1111E ON BIACKSNIIN IAKF
DRIVE TO PROPEITY ON iFFT.
IRIS PERRH BFCONES NULL AND VOID Ir 101y OR CONSTRUCTION AUTHORIZED IS NOT CONI1f110ED 111kiN 11A DAYS, Of IF CONSTRUCTION OP 4011 IS SOSPENOED FOR A PERIOD
OF 11d GAYS AT ANY TINA AFTER 1009 13 CONVENCF.D. EVIPNCE OF CONTINUATION Of 109K IS A PROGRESS INSPECTION 1ITAIN THE 1111 DAY PE1108- FINAL INSPECTION 118T B
APPROVEO BEFORE BUELD1G CAN 8E OCCVPIEB.
e ff
a1Nf R `� AGENT. r /' 1 i t ✓" S
91011111, rev, 63131191 / l COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
1- 1
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date -5�e. by Gas Piping date b
Foundation Walls date by Set Up
date -(- , —9 7 by 1 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 by date by
D W WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date 2 7 �'7 by (.�� date by
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In ',�, G �� c✓ �--�/
•---
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Case No . : BL.D97--0125
Ford GARY WOODFORD
Pagel 1
1 ? The utddernigned grope-rty owner is aware of they ur+certainty regarding Mason Cotlnty ' s
deveb l oprnent regulations created by the Growth Idanagment Hearings Board ' s Order of
Ootoher 2, 1996, and in consideration of Masten County 's willingness to prooee d with
processing of app l l cations which might be, affected, by the Order , the undersigned
A��,roperty owner hhereby aqr?Ks to waive any lawsuit action , or otreIm for damages against
ason County wh i c:h ntay at- Ise out of Mason County 's act i ores In acceptance, processing
and!o� I ssuartee of :such permits or approval ,,. ( hereinafter, "perm i tt i rg actions " ) . which
damad s are attributable to the County. dec: i s i on to take permitting actions dPspl '.;e
the- ' .. sli that changes to -the Coutdty ' s development r� ldrlFitions might. latex make the
Cou + V ''y er ftting actions Invalid .
X
2 ) The use, hand i t ng and story a o1 hazardous; mater ,i a 1 r, or f i aminab f e and combustible
l iqy i•ds, In excess of 10 9a I?ons Is not allowed without the approval of the Masor, County
F l rf 'Mor�hp I
X
3 ) Propos'ef 43truot air a or any part i on thereof yrer:tor then �30" in height f rota grade i i ne ,
ta rts; ► �l ntt`a l n a minimum of 5 ' setback from all property f i rsye , easements and 10 ' from
` a 11'•_ ou(jt�y /an State Road right of ways .
4 ) PURSUANT TO 1994 UNIFORM BUILDING CODE , SECTION 305(U ) ANO SECTION 513 , ALL S f TF, MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET OR ROAV FRONTING THE PROPERTY , MASON COUNTY BUILDING
DEPARTMENT REOO I ICES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPECTION FEF , BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL HE
ASS EQ IF OWNER/CONTRACTOR FAILS TO POST ADDRE S ON SITE PRIOR TO REQUESTING
INS C1<(ONES
X.L.
5 All approved plans are required to bra on-site for insppection purposes . If Inspeotion
Is called for and plans are not: on site, Approval WILL NOT be granted . 1n addition, a
r
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Re... 1 � and
e d r-
apprOWO3 tl 'ill ic '.i
O D AL C6NE:�TR�.lCI I ON MUST MEET OR UXCFFCI AI t LOCAL CODES AND UBC RE=OU I RUMENTS .
L i
7 > At L C.O T OCT I ON MUST MEF-K OR EXCEED LOCAL C ODFS . IF ANY Off, ST i ONS, P1 EASE
CAI.., ;TH ` _, - ICE BEFORE CONSTRUCTION .
X _ _ _.
? > t::ONS1'RilC! ION PROCESS Sfi TO BE FIELD CORRECTEt A'S REQiI IECI PER MASON COUNTYi3l)1 L.Cs i NCa
DEPARTMENT AND ON I FORM BUILDING COME .x.-
�
Owner,[by i Ide avumels a i responsihi i Ity IT draiofieid area is
Hr►calhbeedj. r �s
i
II
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION QIN -
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 \�
PLEASE PRINT �p
#1 O r ZZ7 JdG Phone# -3 7
e Address n / 9 LI1 Fire District#
ity (2,Q ,;. St t-CJt Zip
Directions to Job Site 4 13 pG��c,re P I� Tju AL)"
1 ,
Owner Mailing Address ��
City E e% - St L00- Zip �S
Lien/Title Holder
Address
City St Zip
#2 Contractor Name Contractor Reg# s s c,-/v �' 7
Address See Ct Expiration Date $ / z / 9 7
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) Y&A �F
# arcel NoCM
Legal Description
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft
Basement / Deck / #bedrooms / #bathrooms_S�/
Garage_/ 3 to Carport / (Circle: Attached or Detached?)
Other sq. ft. /
#6 Use of building fftt Describe work
#7 Type of Job: NewJz----' Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Wi Serial
# Bedroom # Bathroo Type of
Pur se 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
Show 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 BELOW
1 '�
Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Tubs No. Units Fees
Showe Furn TU
Hot Water _ Heatpu
_Laundry Washer _ Ve Systems
Sinks Spot Vent Fans
Floor Drains o. Boilers/Compressors
Laundry Basins _ HP
Dishwasher No. Air Handling Units
_Disposal _ _ cfm#
Urinals o. Fire Protection Systems
Other _ Auto. Fire Alarm Sys 50.00
Fix Fire Supp. Sys 50.00
Permit Basic Fee 16.75 _ Auto Fire rink Sys 35.00
TOTAL PLUM G $ 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. DEPART ENT. I > ,
X OWNER X BY
W
,DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: mV5
ZAY
Environmental Health: _ f3L
OWNER/BUILDER TO ASSUME ALL
RESPONSIBILITY IF DRAINFIELD `l
AREA IS ENCUMBERED.
Building Plan Review
7
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
(� C l 3 . Building Permit
Plan Check y2 ZZ 4
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other lXz
Building Valuation: ( �( TOTAL FEE