HomeMy WebLinkAboutBLD97-00179 Final Garage - BLD Permit / Conditions - 6/3/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E.3 lJ I L-_ D I N CA P E M I 'T- OR 1 NSPECT I ONS CALL 427-9670
BETWEEN 5pm AND Bar» 427--7262
BL.D97-0179 PARCEL_ :2231 95000016 PLAT :WOPL.O D I V t SILK. LOT ;
..JOB ADDRESS : NE 381 MOI.INTA I N VIEW DR TAHIIYA
OWNER , DAVF BRODI GAN #392 -9080
CONTRACTOR :
LEGAL t WOOTEN IAKF TNACTS TO IB
.sz-ar-�saevesm::a;�.az.:srQa..-x::tr-�-a-�c.:..sxssc�ru:saz,s.�.+r,.c��s.=xr:�.as=:s•�a:.a�_-er�xxa-�•-::¢-_:rcrxc_.;,r_;
CLASS OF WORK . _ :NEW BEER t 0 .EIATH 0 11YPE A1100111 BY BATE RUJIP1 TYPE p.110111 91 UAIf RICl1P1
'TYPE OF USE.— t A C C S T O k I p; , , . . . . . : 1
OCCUP . GROUP . . tM1 BLOG . HE !GHT , . : 9 .01 t 1PICK
PRMT t t2p.5g kS d3r31iB? 411r'�TYPE OF CONST . . :5N FIRE'PL-ACES . . . . : 0 I 51,80 KS 8301191 44175
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 I"TfE 1 4.50 V.S 43131197 44175
DWELL- .UNITS . . . . t 0 PARKING SPACES t 0 �ENC.P $ 26.01 KS #3131197 44115
INSPECTION AREA t 1 SHORELINE? . . . . tY TOTAL: 211.60 VAIULAIIONt /
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SETBACKS- - -- ___ .___ ._. TO LETS . . . . . . . . . . . 0 FUEL TYPES---- _-_ 1101 L.ERS/COMP--- - MOB I LE HOME.-- i
FRONT - .S 30 ,Oft BAT Ii BASINS . . . . . . 0 0- 3 HP -- A
,
HEAR , . . .N 221 ,0rt BATH TOSS . . . . . . . . . 0 3- 15 HP . t 0 MODEL :
SIDE ( 1 ) .E 7 .Oft SHOWERS . . . . . . . 0 FURN 100K BTU : 0 15- 30 HP . t 0 -MAKE
SIDE (2 ) .VV 5 .of t WATER HEATERS , . . . . 0 4-URN --�=�100K BTU t 0 30-50 HP . : 0
a CL.OTHFS WASHEIS 0 FURN -YEAR-- - - - --. x
AREA _.__.____._.__._..___-_ KIT014EN SINK:ti . : . : 0 HEAT PUMP . . . . . . : 0
LOT S 1 7E . . . FLOOR DRAINS ; . — ; 0 VENT SYSTEMS . . . : 0 E VAP COOLERS: 0 I.F:NG rH t o
BUILDING 10888f DRINKING FOUNT . . . . 0 VENT FANS . . . . . . : 0 HOODS . . . .. . . . . 0 WIDTH . : 0
BASEMFNT . . . t 0f.;t LAUNDRY (RAYS . . . : 0 DOMES , INGIN :O SEA IAL_W --
DECKS . . . . . . .. 09f DISHWASHERS . . . . , N AIR HANDLING UNITS-- COMML. . INCINtO
/CARPrY 1088sf GARB [IISPOSALS . . . : 0 •- 10000 ofm . : 0 REL.00/REPAIR : A p
T/DT . t? URINALS . . . . . . . . . . . 0 } 10000 Cfm . : 0 OTHER UNITS . : 0
M I SC PLM F I X TUL:E:S : 0 GAS OUTLE T'S . t 0 tl
axar.:s -�araearr.:ssae•rs- .. sxr...r,�ma��ararac-.zz�:cx..:rx .�r_-�x:sv�.:T�-r�nr..:-.nacvza.x�^ua^::-•.+tv_.::-:�s.v+u.:rt»-z-s.sa.a�c:sa ._.�::.r�rr-.::a:.rxr.m:�-.�a.:.�::_r rx.xcza^cc-;� II
RESCYIPTION:
10011411iGO PAST BELfAIR �T PARK 3111 TAKE NIGHT 80 "IAAI.GHT FOR APPROX 3.6 MILES YOU MILL CNOSS TNF TANUYA BRIDGE CONTINUE STNAIGHI PAST HAVEN LAKE 1
IFO SNAPP CORNEA YON flit SEE A STOP SIGN TAKE RIGHT APPROX 2110 IS NY MAILBOX
RM11 BECOMES NULL AND VDID IF UORII OR CONTINUCTION AUTHORI?FD IS NOT COMMENCED WITHIN 10/ DAIS OR If CONSTRUCTION OR 11,5111K 1S SNSPfNDFD FOR A PERIOD
BAYS AT ANY TINE. AFIF1 WORK ?S COMNFICED, EVIIENCE OF CONTINUATION OF.WORk IS A PROGRESS INSPE6I010 WITHIN THE 18B RAY 1)E110O. f1NAl INSPECTION NIIST BI
0 BfFaRE RUIIDING CAN RE OCCUPIED.
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OWNS 3 0 AGE T, __._,. __._.'�-.:.�',t`—"' _.._------- --___. DAIEt..,C._t-�•--.r� �_-_.
$I rl P ► i I f i.n S 1S t1E6U1RF.D ��
CONCRETE r Pam, MECHANICAL MOBILE HOME
Footings-Setbacks b b�'t'`` date by Ribbons
date by l Gas Piping date b
Foundation Walls c� h b Idate by Set Up
date 0 "^7 by a INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by
PLUMBING date by
Attic OTHER
Groundwork
date by
date.W.V. by
WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION /;�
date �' i
date by Y / date by
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MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PF FA 1 V C:. C3N1-3 1 T' 1 C3N
Case No . a 13L179'-01 19
For . CAAVF BROD I GAN
Page : 2.
1 ) The undersivned property owner is aware of the unoortainty regardinq Mason County 's
development regulations created by the Growth Managment Hearings: Board 's Order of
October 2 , 1996. and in consideration of Masan Courrty 's w i i I I ngness to proceed with
processing of app l i oat i ons which might be affected by the Order ', the +.enders i gned
property owner oreby attrees to wa i vo ar►y lawsuit , action , or claim for damage-, acya l ►ist
Mason County which may arise out of Mason Count.y 's actions In acoeptarine, processing
and/or ! �,suance of such permits or approvals ( hereinafter "permitting action-. " ) , which
damages are attributable to the County ' s decision to take permitting actions despite
the r k that. chan4les to the County ' s development might later- makes the
Coun .y ' permitting actions invalid .
X ?
2 ) f he a >e, hand l I ng and :,tora a of hazardouc; materials or flammable and combust I title
liquids in excess of 10 gaiYons Is not: allowed without the approval of the Mason County
Fire Marshal .
3 ) Prnpor od struct ure (ir° arty port i on then oof greater Chan 30" 1 n he fight f rom tirade l i tie,
milst a i nta i n a minimum of 5 ' setbarA from all prarerty I i nes , easements and 10 ' from
a C;ale"
ntv and State Road right of ways .
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4 ) Approved per dvtoens: ioto, and setbacks on submitted site plan . X
`i ) All approved plans are required to be on-site for Inspection p u r p0f�ies . If Inspection
1 ,1 ca11ed for• and piano are not on site, Approval WILL NOT be. granted . In addition , ra
Ho.- Inspection fees In the amount of $32 .00 per hour (mini mum 1 hour ) will by charged and
mu:3t he vo I i eoted by this department pr i or to any further i nspeot i ons being performed or
appr�i granted .
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
6) PURSUANT TO 19�-; = i IN I t' ;OHM sio i NG i 1 Ga_ i ON ALL SITES
t.s
HAVE APPROVF D NUM1317149 OR ADDRF SSES 1)R I DE D IN SL)CH A POSITION AS TO BE PLAINLY V 1 S 1 BL E
AND L.EG I BLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
I)F PARTMFNT RF 0t.l I RF S THA C THIS BE COMPL L 1 ED PRIOR 10 CAi I i NG FOR ANY S I'l"E INSPECTIONS . A
RE I NSPF.CT I ON FFi , BASED ON RATES IN TABLE 3A OF T14E 1994 VN l FORM BO I L D I NG CODE WILL BE:
ASSESSED IF OWNER/CONTRACT OR FAILS TO POST ADDRF SS ON SITE PRIOR TO REQUESTING
I NSPF..CT/ ONG
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7 ) No C)coupanov .. This structr.rre is limited to U-1 use l y . Any other, use wi I l be in
v R O I at i on of the Lin i form Building Cade and Mason ty Regu 1 at i ons
unless. a "Change of i)s>e" permit is approved . X _
8 ) At.. . STRUCTION MUST MEET OR FXCEED ALL LOCAL. CODFS AND UBC FiFOUIRF.MFNTS
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a ) Changes to appvoved bui Iding plans thiat effe ct c;oarrpI Iatice to the 1991 Waghinclton States
Fner qy Code, 1991 Ventilation and Indoor Air, Qua I i tv
Codex , the Uniform Taus Nina Codes andlor Masan County R tit Ions must
be approved by MAson County prior to construct i onX_
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e�AO/ �� \Permit No.
MASON COUNTY �;A!E�-
BUILDING PERMIT APPLICATION �L-
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5� G A KC
PLEASE PRINT � —
#1 Ow r, Al �. � �� /fly Phone# /�.36 — �ni J�-� - �i O$O f/o"7E
ite Ad ess�llL 3 9f�O/"i✓sr1��,/ VC,7J�A . _ Fire District#
City Ll ��, St ZiPY8 _
Directions to Site ?�a' t'�A�<`T $6CF.4,i2 57 y'K. /tip 7 f)kc T. �,-v ��iY! �a
jl� LE 3 Y c> eye <.1- a2 O—S5 ?t+f 7Rf/f/N� v�'G'G6� Gd/t1TiA�v�
yqf 6H-) fl9V:k/1/ L.f- 6--D /9✓0a Wug -S,h+,�lQ
d r 5` !►/ Tfr".4r .-/c, fi��' 'l�o k • 2✓�� �.5 r�r /�7�s h ZSJI~
Owner Mailing Address !�'f��l� 77. ':9
City �A A, St Zip 3//
-L4enfTitle Holder
Address
Clty St Zip
#2 Contractor Name &Q—�' Contractor Reg#
Address Expiration Date
City St Zip Phone#
#3 If septic is located on project site, include records.Supply_tic? Public Water Connect to Se P PP y Well 1PffRR0RffD0
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
5kagrce INo.ZZ3/'/ -Sn - n7016 HEALTH SERVICES
al Description wl �1 Lo--)(-Q V)I 0
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle: Attached or Detached?)
Other sq. ft. /
#6 Use of building Describe work
#7 Type of Job: New Add Alt Repair Other
#8 MO>Yea
TURED HOM ION
Mo Model
LeI Serial No.
# B # rooms Type of HeatPu
#9 Indicate by circling the applicable source if 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 Indicate Directional by (N, S, E, W)
Name of Flanking Street in relation to plot plan
Name of Fronting Street
APPLICANT TO DRAW SITE PLAN BELOW
So' S-4)
5;?r BAc_K
S E W fKr-,riAJ&A
Ll
laA µoNss 5e F27le- -v-oL-5 61>
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APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
gtW
M0Ma)rM,%j V)0VV
R04G 1
-►vu�6 pn� reml.sAer>
� CI4� pRc� I►J 285�1��1T�t 5`owz
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GARY YANDO,DIRECTOR
srg
PCorFo
M U 7 DEPARTMENT OF COMMUNITY DEVELOPI! W
o T i PLANNING -SOLID WASTE- UTILITIES M
0 N Y ti BLDG. I • 411 N. 5TM ST. • P.O. BOX 578 'Q/� 0
�° 1864 SHELTON,WA 98584 • (360) 427-9670 31,991>
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.
7
Da a T (Parcel No)or Legal Description)
Property owner's signature ed)
(or the County may accept t rgnature of the owner's authorized agent upon proper proof of authorization)
ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL)
STATE OF
COUNTY OF let
O
Z(�day of Notary Public
On this y . , in the year�j�7 , before me �y ,
personally appeared 1Da, ,A �r6z6,,- ,-, personally known to me to be the person whose name is
subscribed to this instrument, and acknowledged that he/she executed it.
M
,111R
WITNESS my hand and official seal. Q� -For County use only-
r►�T-4A
�} Reviewed by applicant on
'•v Li4 (Date)
Notary's signature Staff Initial:
My Commission Expires: 11 ZZ ��--� WwsHt
���NIIItpIN�
1�•. .p_b i
Plumbing Fixtures ($3 eachl Fee Mechanical Fixtures ($6 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 15.00 _ Auto Fire Sprink Sys 25.00
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 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $
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 OF THE 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 BUILDIN DEPARTMENT... , DEPARTMENT.
X OWNE X BY
DATE ,- AV 5 DATE
FOR OFFICIAL USE ONLY: Accepted by. Date:
J
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: YYl S
343
Environmental Health: A�
Building Plan Review J
Occupancy Group: Type of Cony
Fire Marshal:
Other:
Special Conditions: IFM$ 0 FEES
Building Permit la
Plan Check 6
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee y)
Other
Other
Building Valuation: `� b TOTAL FEE ,