HomeMy WebLinkAboutBLD97-01199 Final Decks - BLD Permit / Conditions - 7/8/1998 - MASON COUNTY - g
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Ll 1 I Y: 1 r-4 C-I F' F- R M 1 : Ft)Ii I NSPFCT I ONS CAI t 427-9670
- BETWEEN 5pm AND Sam 427-7262
BLD97-- 1 LA? D I V . BLK : I OT :
k)t)Fi 'AI?.)P, .,. T : A V 11,1.L= nP BLL 1 AIti
OWNEr: : AN1 PVW NOI AN 830-4336
C:ONTRAC1014 :
CI. ASS OF WORK . +NEW f1F DR : 0 .BA'1H : 0 TYPE ANUt►NT BY DAFE AEfF{PT TIFE A1101N1 61 DA1F AEGEiPi
TYPE Of' USE —. SE S'1'OR II-S, . . , . . . :0
OCCUP . GROUP . . , ,A3 Pt.,DG . tIF IGHT . . : O .Of 1 �PNN1 ; 82.5d KS 12101191 BfIfAIR I
TYPE: OF CONST . . :5N F I RF Pi. ACES . : . . . 0 PICK ! 25.00 KS 12101191 RtLfA€1 I
LOAD ,. . . , z WOODSTOVFS . . . . : 0 Siff i i.t,b KS t2101191 BELfAlk
DWF.L.L. , UNITS . , , . 0 PARKING SPACES : O
INSPECTION ARE.. . 0 SHORFI. {NF? :? 10IAL: 92.00 VALULATNON: 3264
SETBACKS-- _ ..._ _._ __.. ___..__ TOILETS — . — . . . a 0 FUFI. -iYPES_.._._v_..._____.__.. BO I L.F R S C OMP -- M08It_F HOME:
T"P()NT . .W 310 .0'tt BAl H ERAS I NS . . . . . U : 0- 3 lip , 0
RF AR. , a F 175 ,Ott BATH TUBS . . . . . 0 3- 15 f-IP . O MODE-I.
91DE ( 1 ) .N 5 ..0rt SHOVVFRS . . . , 0 FUt1N ` 100K BTU - 0 1:5•-30 kip . : 0 1AAKf
SIDE (2 ) .S 5 .of t WATFR FIEATE=RS , . . , . O FUPN —100K BTO - 0 30---r-)O HP ; : 0
SHNI I NF ,N O .Oft CLOT"HF S WASHERS . 0 F LIP N F I OCR . : O tio-1 tit' . : 0 YEAR
s AREA _ __, W . ._,____,.e K I TCHEN `3 1 NKS, . . . a 0 HEAT PUMP - - 0
LOT" SI ;.E . . FtOOR BRAINS 0 Vf-N1 SYSTEMS . 0 FVAP COOI-FRS : 0 I- UNGIII .- 1
BU 11 1)1 NG , . . 0 P DRINKING FOUNT . . . 0 VENT FANS . . . . . . i 0 HOODS . . . .. . . t 0 WIDTH . 0
BASEMENT . 0%T LAUNDRY TRAYS . . , . 0 DOME, .. 1NCIN O RIAIIII.
DECKS . . . . . . . :3369f 01 SHWASHFFIS . . r<i AIR HANDI. I NC UNITS--.- C;OMML. . I NC E N :0
GAR/CARP :? Os GARB 1)11--,t?OSA1_.' rw 10000 Cfm . : 0 t4l OCipEPA111 : N
AT/DT , _? UR I NAI..S . . . . . . . . 0 10000 ctry . ; 0 OTHER UNITS . : 0
M I St VIM FIXTURES . O IA OUT! t T°= . : f►
::y�ix.assm3rc.-.r.^•a^,...sz�-x:��x-.�s::•s�.ae�:naic.�_�.x..:.srnz.:r-ra-`=sar:�^rcav a.:s�z.ruy,:6zas;€.sze�^�s:.xx.<a..•r..us.•rs�ee::.�sa°axnr:.te:.a:..:sfswx.�..:,e:,....3a..,...�:z_..,:::.-9rc.:.:arr-.•:.sr.--ate-,_rya..x:••y�-�.�.-.•_-s�.us��--...•._.>+x.rr.:a:�r• .:'4�'......,�'�:�.ca:.^:.�sx=•..w�.:•:.
PROJECT LIESC0IPTION:ded1
PROJECT LOCA11014:0LD BEtfAIR HWY 10 RfAA Cl{f.kf RFI1A110 NO. , -tfIi ON 8tAACNfEk10EMAI10, SIAY ON hS_T PARTNER 191: END PAST fl,FENDAML PAS" 40 IS' Itfi BAST
ELFfXOA9t PASS RD -APPR01 I.S NILES OOIR- 1004f.1VILLE OA ON 9I69T: NAND SIDE, TNAYf#S 1:01 HIS FAR RE)T``%u NEf6>180AS,
1Kiy PFAMIT BFCONES NULL ANA VOID If WORK 02 00STRUCHON AU'190111fD kS N-OT CONNFNCED MtTNIN ISO I>AYS, OR If. CONSTAVCI{ON ON VoRK IS 5US°EN o f0A w I'Ek100
Of 1A0 DAYS AT ANY 1111E Affff Wolf IS CQkkfRCE11, fVIAENCf Of CONTINUATION Of 1011 IS A PA06AfS"• INSPFCTION NITNIN THE 18N DAY PERIOD, FINAI INSPECTION NUS[ 8f
APPROVED RFfORf BUILDING CAN Bf OCCUPIED.
OMkEA OR AGENT: __ i DATE j1,j
BID .?Is[, fey: 03131191 COMPI.I ANCE TO ATTACHED CONDITIONS IS FIFOU I RED
1
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
data • I 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 b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date ;W— V �8' by 74 date by
/I'f%f/� Doi?cFr Fcz-i Da9S,S rc:�> In S7.fcc l�aSr ��7 cs
I
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
i
P UT 1-4 P/I I "T �': C)N t"1 I "T' 10 N13- J
Case Nu . a Bt_D97-- 1 199
For, , ANDREW R NOI_AN
PagQ : 1
1 ) Proposed s1 runture or any port I can thereof Great ear 't han 30" i if he i(lht from oracle I I no,
must maintain a minimum of 5 ' setback from all property i i nes . ea7ements and 10 ' from
a I I County and State Road r i atit of ways .
X
2 ) THIS PROJECT IS APPROVLD PROVIDED THAT THE FO017 I NG OF ANY DECK IS A M I N I L41.1M P, FFF T FROM
THE, TOP OF THE SLOPE TO THE FOOTING . (HT/3-8 )
3 ) All approved plans are rogl.t I r,ed to be on-site foi Ins er,t i on purposes . It Inspection
Is c;aIied for and plan; are not on site, Approval WIt. L NOT he ranted In addition , a
Re- Inspection tee in the amount of $32 .00 per hour (minimum 1 hour ) will he charged and
mu.;t be col I eoted by th t f, department prior to any t urt her i n�.pect Inns he i ncl performed of
approval clranted .
X %1�...__
4 ) PURSUANT '10 1994 UNIFORM BUILDING CODE SECTION 305(C ) AND SECTION 513 At_L SITES MUST'
HAVE APPPOVFD NUMBERS OR ADORFSSES PR6 I DED IN SUCH A POSITION AS 10 Bl� PIA 1 NI Y V I S IBI F
AND LEGIBLE FROM THE STREET OR ROAD F;1ONT I NG THE PROPERTY.. MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BF rOMPI.FTED PRIOR TO CALL INC, FOR ANY SITE' INSPECTIONS . A
RE i NSPECT I ON FEE , BASED ON RATES IN TABLE 3A OF THE 1994 IIN i FORM BUILDING CODE WILL BE
ASSESSED IF OWNFR/CONTRACTOR FAILS 10 PO;y'C At7DRUSS ON SITE- PRIOR TO RFQUF STING
INSPECTIONS .
C
X.._
ti ) Change-, to approved bul Iding platy. that offeet �omro ianc a to they 1991 Wa:=hingtonn ytatp
Energy Code , 1991 Ventilation aitd indoot, Aft, Oua1ity
Code , the Uti i form Ru l I d i ng Code and/or Mason County Recfu l rat i one must
be Approved by Mason County prior to oow3truct i onk
5 ) CON111TRUCT I ON PROCESS its BE I I FI D CORRF CTF D_ AS fIEOU I RFD PER* MASnN COUNTY Rlt 1 t D I NG
OF PARTMFNT AND UN 1 FORM BUILDING CODE . x �%��=F^�--_:___..,..___:_
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
T ) Owner/ Lui Idea wssuare'> till r ",1ponsit}1 11ty it 1� a � �►1 ieirf c �
encumbered .
J'
GARY YANDO,DIRECTOR
`0 ,S TA
s v DEPARTMENT OF COMMUNITY DEVELOPMENT
N = PLANNING - SOLID WASTE - UTILITIES
�v N Y o~ BLDG. I -, 411 N. 5 n'ST. * P.O. BOX 578
SHELTON,WA 98584 • (360) 427-9670
1864
DISCLAITMR/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 attnbutable 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.
Date (Parcel No. or Legal Description)
Property owner's signature(Notariz
(or the County may accept the signature of the owner's authorized agent upon proper proof of authorization)
1
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 seat. -For County use only-
Reviewed by applicant on
(Date)
Notary's signature
Staff initial:
My Commission Expires:
` Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
Alai-/w Phone# 'T30- 9
#1 L2wner kdr�w a �
ite Addressi /K 3 0 '1'oo►.e ���1l (1r Fire District# 2—
rr St w.¢. Zip 9's's.7 8
City
. � Le-4 to Job SiteOL7 6e f. %,v fo nvCY t �
� V l
Q
-4On
Owner Mailing Address �a�7 b� �� �w� �- / �� 6 V-kM'pV}c`^-,,--
City �P< c �0' / Zip �/
Lien/Title Holder 41/as 1 .
Address
City (;�.►� � t,/� —_ St WA Zip �l �3 7
#2 Contractor Name Qu., �, �6vv,e.S— (�ea o�- �,�rn �- Contractor Reg#
Address Expiration Date / /
Cit St Zip Phone# M
#3 If septic is located on project site, include records. D Q
Connect to Septic? Z( Public Water Supply Well x SEP 0 31997
Connect to Sewer System? Name of System
(If residential, proof of potable water is required) PERMIT ASSISTANCE CENTER
J �
#4 !.Parc NIJ
el No. a 3 1-_- 7S - o o a o O
/ 29
�egai Description `I—vac+ a v✓t in VUL ?_ f a
I CS•a a N4 1w..1) �.
reap o� w� 3 �J
#5 Building Square Footage: (e isting roposed)
1 st FI / 2nd FIB—/ 3rd FI / Loft /
Basement / Deck li��J #bedrooms / #bathrooms /
Garage / Carport " / (Circle:Attached or Detached?)
Other sq. ft. /
#6 Use of building �: s,A'
oscribe work is
8`'K Cc ✓e r-ed .4
Mrs /o1 X/o"� CoYereoL.�1a,6 �7A
#7 Type of Job: New X Add Alt Repair Other rGNvf aGJw J�r,,
#8 MOBILE/MANUFACTURED HOME INFOR ATION
Model Year J�_ akest ode! n vcov e— RECEIVED
Length_ Width Serial No.
#Bedrooms athrooms Type of Heat 47a SEP 0 2 1997
N,.c,J Sfav-e_
Purchase Price$ Da O
#9 Indicay circling the applicable source if any water is on or adjacent roperty:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Plumbing Fixtures ($3.25 each) Fee Mechanical Fixtures ($6.50 each
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
th Basins Heatpump, Other
_Bat Tubs No. Un' Fees
Showe urn �0
Wate tr 1-�l Heatpumps
Laun a er Vent Systems
Sinks _ Spot Vent Fans
Floor Drains No. oilers Co m ressors
_Laundry Basins _ HP
Dishwasher No. Air andlin Units
_Disposal _ cfm#
Urinals No. Fire Prot tion Systems
Other _ Auto. Fire A rm Sys 50.00
Fixed Fire Sup . Sys 50.00
FlermlMa—sic_75`e���� _ Auto Fire Sprink s 35.00
TOTAL PLUMBING $ No. Other
Gas Outlets
ood, as, Ilet Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR
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. DEPARTMENT.
X OWNER Il_, V_._— X BY
DATE 2 SE/0 ?—,2 DATE
FOR OFFICIAL USE ONLY: Accepted by: Date: 9L.2-9y
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: 4Ak k4v4
�l ZkL
Environmental Health:
Building Plan Review vZe
Occupancy Group: Type of Const:
Fire Marshal:
Other:
i
i
Special Conditions: FEES
Building Permit
Plan Check
&d
Plumbing Fee
I
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
I
Violation Fee
Site Inspection
Building State Fee 670
Other IWA&a& kz�
Other gN V,
Building Valuation: TOTAL FEE '�
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health: (AIAfsQ
Building Plan Review set 4ec,,L ,or. 71,pe Dr s 0 m h2
t
Occupancy Group: Type of Const:
Fire Marshal:
A
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing Fee
al epyar- /44 7s d Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
OR
4 ✓ Gx Violation Fee
Site Inspection
Building State Fee S�
Other
Other IW U L -'r
v
Building Valuation: TOTAL FEE