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BLD2000-00363 Final SFR and Garage - BLD Permit / Conditions - 7/9/2001
Inspection Line (360)427-7262 MASON COUNTY PERMIT ASSISTANCE CENTER Phone: (360)427-9670, ext. 352 Mason County Bldg. 3 426 W Cedar P.O. Box 186 Shelton, WA 98584 RESIDENTIAL BUILDING PER "QLQ20010-00363 OWNER: JAMES TIEF 1-211 CONTRACTOR: ADAIR HOMES 3 1 2mo RECEIVED: 05/23/2000 SITE ADDRESS: 101 NE LAKEWAY DR NORTH BELFAIR ISSUED: 11/23/2000 / /2000 EXPIRES: PARCEL NUMBER: 223107990712 •.)+� r�•ar- LEGAL DESCRIPTION: TR 71B OF SURVEY 11/17 TR B OF SP#1486 -• r� rr.w- _'.a-der._`. PROJECT DESCRIPTION: DIRECTIONS TO SITE: RESIDENCE AND GARAGE HWY 3 TO HWY 300, ONTO BELFAIR-TAHUYA RD 1.7 MILES ELFENDAHL PASSED 6 MILES AND ONTO BEAR CREEK DEWATTO 1.5 MILES, LEFT ONTO BLACKSMITH RD .9 MILES RIGHT ONTO DRIVE L ONTO DRIVE General Information Construction & Occupancy Information Square Footage Information No. of Bedrooms: 3 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: 15 Occ. Status: Unknown Basement: Cvr Porch 24 Manufactured Home Information Setback Information Shoreline & Planning Information Make Length: Ft. Front: S 130.0 Ft. Shoreline: 90.0 Ft. Water Body: Blacksmith Lake Rear: N 90.0 Ft. Slope: Ft. SEPA?: No Model: Width: Ft, Side 1: E 30.0 Ft. Shoreline Desig.: Not Applicable Year: Serial No.: Side 2: W 25.0 Ft. Com . 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 04/04/200 $605.96 53038 Hosebibs 2 Ventilation Fan 3 Environ. Health Plan CEW 04/12/200 $50.00 53516 Kitchen Sink 1 Wfift Review Fee AHB 04/21/200 $38.00 53516 Lavatories 2 Building State Fee MJB 05/09/200 $4.50 53516 Water Closets (Toilets) 2 Building Permit Fee MJB 05/09/200 $932.25 53516 Water Heaters 1 Mechanical Fee MJB 05/09/200 $29.00 53516 Bath Tubs 2 Mechanical Base Fee MJB 05/09/200 $22.00 53516 Clothes Washer 1 Plumbing Fee MJB 05/09/200 $75.00 53516 Plumbing Base Fee MJB 05/09/200 $20.00 53516 Total $1,776.71 BLD2000-00363 Please refer to the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR BLD2000-00363 } Galty CONDITIONS FOR Please sign, BLD2000-00363 cet,,ditions ai-,d mail back to me. THANK YOU 1) Approved p r ensions and setbacks on submitted site plan; setback from the lake edge is 90 feet (75 ft. buffer plus 15 ft building setback). X 2) 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 CLL 3) This application is u'ct to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036.X (i 4) The use, handling and storage of hazardous m�teyaIs or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X ( � 5) 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 County and State Road right of ways. X S 6) 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 affe�your project. X (( ,� 7) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X 8) OWNER MUST SHOW PROOF�OSATISFACTORY WATER SAMPLE PRIOR TO TEMPORARY/PERMANENT OCCUPANCY OF THE RESIDENCE. X (( J 9) 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 ) will be charged and must be collected by this department prior to any further inspections being performed or approval granted. X BLD2000-00363 Please refer to the following pages for conditions of this permit. 2 of 3 1 10) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED 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 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 �l• v 11) 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 Xr work authorize b such permits is suspended or abandoned at any time after the work is commenced for a period of 180 days. 12) 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(mini m 1 hour)will be charged and must be collected by this department prior to any further inspections being performed or approval granted. X 13) 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 OrOiGCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x 14) Changes to approved building plans that effect compliance to the 1991 Washington State Energy Code, 1991 Ventilation and e_1 �Air Quality Code, the Uniform Building Code and/or Mason County Regulations must be approved by Mason County prior to constructionX 15) CONSTRUCTION PROCESS TO BE F f CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE.x 16) 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 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 be approved before building can be occupied. �},nn OWNER OR AGENT: i LJ I�U I' !.`1 DATE: Please sign, date, initial all conditions and mail back to me. THANK YOU BLD2000-00363 Please refer to the following pages for conditions of this permit. 3 of 3 Ki E MECHANICAL MOBILE HOME F+,U'0; .`Uj qck --�� date by Ribbons data — by 7 7 1 Gas Piping date b Foundation Walls date by Set Up date -7-I LI zQ(>O by INSULATION date by Final BG/SLAB Insulation Floors date by date by date by FRAMING FIRE DEPT. date 'd '� byT Walls _�' ,bY date by PLUMBING date OTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING date r, by . date -<::-c- by T/? Water Line FINAL INSPECTION date ; by date _ _ / by %� date by 7-/4-ZODo F-c>C4 J q P4TioW Gv1�CLs �SSEA f 1-2-0-5 i/? c L w9� Go�/J Q V'4y( 7- 0, h�i /��-ter iy� vv�9C� ,0�sr 7 -h _!Z _/ �' r=i-� '�' �✓�i Si= fir-7-- - ZOO A,) Elt AS 4 4 �p �2icfcTio.vf- ,cZs � A, 21 AC Tvee G/•171 f�,f e4,V ,���s 7 ,¢/Z,E�s G��r�G /�;y� .D�c✓cs ,�a� ��ss�'`l �41 ��sy- FROM :XCYTE THERAPIES 206 328 7316 2000,02-15 14:23 #032 P.02/04 t JI'nA � C� 2Z 3<n� 7'L/ CTv���l' DAA it �2 Mason County Copt H"O tkA*40" riots w e,�7 FROM :XCYTE THERRPIES 206 326 7316 2000,02-15 14:23 #032 P.O4/O4 �-JL.4UXiv /per e.�c p JL, v cr 60 t � CalAl - �~� a� - 40Lot til � r r s' � �o''- on County DePL Hee�h Semis �L tJlas APIP In P L� FROM :XCYTE THERAPIES 206 326 7316 2000,02-1S 14:23 #032 P.03/04 w CA 055 '� � 4, �/,� r s S LI y Aa Lb � J Lp .L° P . r r C cV- DNP,,r,. Mason County Wpk Heakh 44w wkess "PROVED Initlo1���,' Jets FROM :XOYTE THERAPIES 206 326 7316 2000.02-1S 14:22 #032 P.01/04 To: James Moen Fax: 360-943-0701 Re: Building Site James & Jody Tief Site approximate 45 x 35 Phone: 206-935-3642 ' Fax: 206-262-0900 (Tues/Wed/Thur only) Attn: Jody Tief Y 61 ' U W 4 m � W3An fn X Q z n Z di W 3 w z 1. '1 Q Ll Ln Ln I F 8� .' Sp�< ti$'•+-;.t far �Ty7• v ul V 17 ju 3 O , 4- � IX v qr ms in Go co c z < N r W ° V N ro i z w _ uA` z t0 tV K 0) o W W 00 �, a�nN�9� 2 ��9 � v1 z �a o m IL 1 mp 9 � c arod � ��>� 9 ��!'•C6• � � r 0 z 0 Q < ') i t� �N. ; I W W �� ° { ���z I q W u v) > U V1 i n' z�� O �11 ~ A(L 00 40 a 43 Y\� u �Mnrl S 't r STRIP MA-P r=pi?; 5(53 34-µ, Aj t 5_) tI CFI # 0 - 9 35 - 3co4 b)k #: 'Po&- (op0o SITE- A -r XKXx LAKE t,jAy Z)a �E L.r 41 k— A 9 T • K1TS•yP COUNTY TRACT �l BLACKS• /TH l x �, 4 3 NSA soN cauNT�( 3 Z �-,�K E TRACTS MEANDER CO m ® FOUND MONUMENT CONC W� BRASs R , WEST SNOFT 6C4�` ABLACKSN!/Tf-,r L.,4KE T SET /RON BAR � of��7- �d y� I D m O WN F-R = FR E ,D PE S T,_ - �, -SHE-1-TON, WA 98584 60�WlDE ACCESS `L �� ►� 413 IZ 3 z UTILITY EASE ,� � k ��, crl 9 to ol to � I ? � CURVE bAT,4 � Cz 600, cc 5 Q — 3S°Ig"54,• �� ACC ESS I;b� ,p r '�� Zi m 68.6Z EASE �'�'!' o 5' ?- �P m VICINITY MAP / / �j 32. 87 � \ � 2 z 35 1a G cS� � m ALE ! MILE / Off• ' w SEC 10, T?-ZN R2W cb [ 6. 36 \ 3 3o 4 � d / �30,. Nam° 38 3z�W s� Z �� ,� ,° 14 �- •� `y / 6 I S E COR. NEB NW4 `� / a Z/3 �� N`'� 38�3Z�/ l�l/ Z 3 (oS \ oo -,bc� �i �� 8 �� �h a = /0 3 4 ! Qom\ 2 9 S m 94. 33 a e 1 (00" WIDE In N z° 38/3z"W i? 34 . 9 l '`) S3 6 1. (o ! AI g cc ES P / WAF LW,: hfason Counhas -nor A S ° do build, responsibility 3 ��2 /5t6 " G� r improve, maintain, or otherwise E �70± C•J r UT/L/Ty E,gSE m service the private roads contained within ahort Plai ; Ir providing` sere-ice to the p Y ,- = in the short plat, prO ert described n } Approved__._.. f '��7 4 �� !� COP SE .'1 ' T-2 3 N, ,P W Z' 7L_; WM y44q— �_SH Plnnninq Director. OB 7- PGAT FOR e \Ja IRWIN ENG114F-E•RI G � PERMIT NO.: BLD o (b3G 3 MASON COUNTY l l l BUILDING PERMIT APPLICATION 1 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 AFPLIC NT INFOR TION �t— [ CONTRACTOR IN O MATIO Owner i i T Contractor Name /I cACN 1( kxr,� ta— M a i I i no Ad r s Mailin Address V City State Zip Code City Add I Z Stat Zip Code Phone Cher Ph.( j Ph. Oth r Ph. Lien/Title Holder Contractor Re # r Address Expiration � ! SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Se is Connect to Sewer System Name of Sewer System Wellater System Name of Water System PARCEL INFORMATI0Vb,2 di it Tax Parce N / / Fire District 19 Legal Description L L Site Address(Please include street name, s.Ueet um e nd cam) ` Directions to to �'o 0 Y I• 1 . Will timber be cut and sold in parcel preparation? (Ye irl u 5Ic �© Is your pro y within 200' of the following: Body of Water (Name) IAC-�� 1 Saltwater Lake J4 River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB N n'tTVAA Alt epair ther Use of Building Describe Work ?t 1 No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft 'Basement Deck Other sq. ft. Garage L jq=Attached_ Detached_Carport Attached Detached MOBILE HOME INFO - Model ar Length Wi Serial o. No. B�rooms No. o throoms Type of Heat Purchas Price $ Replacement Unit ?(Yes/No)�-- Installer Nam rtification 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-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. X Date X J{-.-�{'�-� Vmir�cjl --Date I J �,,/ FOR OFFICIAL USE BEYOND THIS POINT Accepted by ./ 'L Ir -��``r Date3•30-W Submittal Amount Due. .eq 1p Receipt No. 5 3� DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Occ Group 3U i Type Constr. S 5 k 3000 Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ ko FEES Building Permit Fee Site Inspection Plan Review Fee (00 S.Cf G UFC Plan Review Fee Plumbing & Base Fee qS ,wo - - -i-W Fee Mechanical & Base Fee oo Other STD►-r-e Wood/Gas/Pellet Stove Fee Other _ H. Violation Fee Pre-Paid at Submittal k........:.. TOTAL FEES I .�7 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 INFORMATION Owner `, Contractor Name Mailing Address Mailing Address City State' Zip Co e City V. State Zip Code Phone q � Other Ph.(2Qj� Ph. !� Other Ph. ,/ Reg. Lien/Title Holder Contractor Address a� Expiration SEPTIC INFORMATION-Connect to New Septic ✓ Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. �-) Fire District Legal Description f f--� 5 L-rj o� 1 ' Site Address(Please include street name,`street numb r and city) Dire c ions to site , rlAc r�'►��tt�. l 1� r .°I nc r✓^ cM � ' GV.43 4 Vl Is our prop y within 200 o the following: Body of Water (Name) 1' Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs (TYPE OF JOB New eZ'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. of Fixtures Fees LPG Natural Gas Heatpump Toilets Type of Unit No. of Units Fees Bath Basins Furnace Bath Tubs =L _ Heatpumps Showers i(� ) '10."`' Vent Fans Water Heater �_ Propane Tank Laundry Wsher �_ Gas Outlets Sinks �_ Wood/Gas/Pellet Stove Dishwasher �_ Direct Vent? Other fxf Q,nss J, S,G° Other RA,1- Other Other Base Fee DO-:Qor Base Fee Do 3Y TOTAL PLUMBING M "° I TOTAL MECHANICAL vG 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 be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. r )( Date � rnC h ? Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTNl N#AE f2EVtEW APPROVED DENIED ' CONDITION CODES Building Department Occ Group Type Constr. Planning Department Other Other FEES 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 MASON COUNTY PROJECT SITE INFORMATION -- Case No. Name , (. FF(ARCEL NUMBER_ �I� `%��.' �L_� Date ` ( � C-'t.,' 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 s 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 ro ert line. adjacent property line-) I , <-adjacent property line � I ----------------- , I I I I m , 4 I � r n � I � 1 1 1 1 I adjacent property line- I I <-adjacent property line SAMPLE SITE PLAN adjar�t properly F`l\i ne-> IIIII F1 5fib PHaRoyOn©POa E-adjacnHe on�ct u�property line D 30• 11 c l4— bo' —JSo I I 1 T C4RtAaB I 30 I D0.nPosCD R\ _�1 T A"JEZULTLLA —So' So I K--�p—yl � YO• I I a o' ! I ' ioo' -- /00 ' I i—el LL 1 V \ 1 adjacent property lined i ► Q \; Fad scent property 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 dt s+�r,c2 to S+ruttL�.Yc_ diS'far.L� to S10pa t na, dts�anca Date