HomeMy WebLinkAboutBLD97-01101 Final SFR - BLD Permit / Conditions - 8/23/2000 . MASON COUNTY
Mason County Bldg. III 426 W. Cedar
r P.O. Box 186 Shelton, Washington 98584
IFA (J+ i L. N N Cl P F F1 tin 1 `1, FOR IN PFCT I ON CAt.t. 427- 9670
BETWEEN 5pm AND Elam 427--7262
Bt-097-1101 PARCFI- t22:319!3000035 PLA"f a401`1-0 DIV . 131-1( o LOT :
3nR ADDRESS . 591 NF. MOUNTAIN V1FW DR 11AHUY4
OWNER t ROLF ONARIiFIM
CONTRACTOR :
t EGAI. , NOOTEN LAKE TRACT:i TR 30 f
us=ae^:x.Yaemxxar.�*.�=.reevara�sazx:an. - v._.-cmr:taa:r�a'.m�sn.::a,.x=z�s-ar�'�sarssc•nvsstZ,
� + �I.AS OF WORK . . :NEIA+ BF DR : 3 BATH TYPE AN88Ni BY DATE RFCEtPi TYPE AMOUNT BY OA.1E REGF1Pt
TYPE OF USF . . . . ;SF STOR 1FS .
OCCUP .. GROUP , . . :R3 Rt DG . HIF I GHT , . si O .Of t PRNT f 466.No KS-m.- 19I Brtme Sift t 4-SP KS i 1124197 BEI FAIR
TYPE: OF CONST . . .5N F IRf P1 AGES , . 1 PICK t 231,2b KS, "0112419I IftfAll ENCP t 76.d0 KS 1112419i DFIIAIA
OC:CUP . LOAD . . . . : A WOODSTOVFS . . . . ; 0 PIN t 56.95 KS 11124191 RttfAIR '
DWELL .UNITS . . . . e 1 PARKING SRACESt 0 NCH Ii 43,75 PS 11124197 RltfAll
INSPECTION ARE:A t 1 SHORE L I NE? . . :X F 1RP t: 33.40 KS f 1124197 BF11AIR 10lAt t 863.9b VAI.PIAT ION: 60740
'3E BACKS-___. ______.._ _.. TOILE I'S . . . . . . . . . . : 2 FUEf_ TYPES _ ._' ___._ BOILERS/COMP-- - MOBILE fi(}MF
PONT . . .N 80 .0t t BATH BASINS - . . . . . o 3 : /LPG I I I t 0- 3 IIP . t 0 t
FAR . . . .S 225 .Oft BATH TUBS . . . . . . . . t 2 3-" 15 HP . : 0 MC.)DEL. t
! DE( 1 ) .E 10 'Ott SHOWERS . — I 0 FURN < 100K 'E3Tej : 0 15- 30 Tip . 0 RIAKE
�� tl)P`t ? ) .W 50 .Oft WATER HEATER") . . . t 1 FURN >-100K, BTU' : 80 30-50 HP . : 0 r-
SHRI- INF .N 80 .Olt t rI.OTHFS WASHERS,:, 1 FtIRN -- FI OOR . .' . 0 50+ t1P . t 0 - YFAP-
AREA -------- -- KITCHEN, SINKS . . i HEAT PUMP . . . . . . : O
LOT S i 7F . . Ft. E)OR DFiA 1 N:� Z. : 0 VENT SYSTFMr > 1 . : O f VAP COOLER:`_ : 01 F Nr,rl1 : a!
St/1 L.D I Nrv . , t 1 159s f DRINKING FOUNT 0 VENT FANS . . . . -, s :3 HOODS . , : O W 1 DT H . ; 0
-
t `BASFMFNT . . . t 768sf I AUNDR Y TPA-YS . . '. . 1 POMF E' : I NC I N ,0 `,F tt I At N
DECKS . . . . . . . 444-st DIF"WASHERS . . . . . . : '1 AIR HANDI.. ING UNITS--- COMML. . INCIN :O
GAR/CARPt7 0 1' GARB DISPOSAII:', IZ . 0 10000 (Jm . . 0 RF1.0C,IHFPAIR • 0
ATiDT . t? UPINAL-S . . . . . 0 10000 cfm . t 0 OTHER UNITS . : 0
MI ;z, r't IJ F IX'rUflf: 0 GA;; OUT F 1 , H
r.--ssses�^ms..sr.xJ�CaF:ssss�es.ma�asr.r-�s--�.r+rcac"�•1s+s:irora-.-�a.�-sz;ttagax:c.x s* .-rru :r.«tz=r._.-m.�:�a9rzarss::.=set*ssrC3acsz:zacrx.:r.�r ssanc•.�c>:ara r-isr..:x--xrrr_rxasau:cec.r:--taa,xs..-;vr:..xrs:.•_-s..:.;..:..s-.r,:�.�. . ,-.jw�s: y:-:rc_
PROJECT Di SCRIPTION:SIrCIe FeMiIV Aa�Iderice ` '`j.-j=- Z
PROJffl i0CAl10NtFRON RfIfIAR `]Alf PAlf APFROVF4 ..5 NIIt 1-0 111 11) ON RftfIAR IAHUA 00110 7 1111fS TO STOP SIGN NOT BEIFAIR [ARPYA ROAD CRANGtS NANF 14 IIA�'TN
RAY 11"p i ONTO NOYIfTAIN VIER ONIVF. F011:01 .7 NTIE TF(ION SIGN ?NO DRIVEWAY ON LEFT PAST 3160 PAFA PLATE NITN-1tANE ON TIFE
19) PTNNII REf.!)NfS NOti AND VAID 4F Ito"RK OR IS NOT CONNENCEO WITHIN 180 RAYS; OR" If CONSTRUCTION OR MPhK 1s S4SPIN0ED [OR A. ►'0,011
0f 60 DAYS At ANY TALE AFTER . IS CONNF1CF4'. FVtllflICE OF CONIINU"4TION Of WOOF tS A PIOOI'ESq IRSPECIION NITNtIl fNf 190 UAY 7F1100. { INAI INSPFf,1100 ,!5r H
A OVi:it Dffow RUltbINF rANA %CtiPPIF.D.
OWNER.(IR AGE111:
E16 PNN1, rma� /3131191 COMP1 IANCF TO ATT'At:t1Fn CONDIT14S 1, RF'43111,PFn
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date bv_ Ribbons
date ' t
/ �- —� 7 by Gas Piping date b
Foundation Walls date ' by � Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date 1 by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Attic
Groundwork date b
date -� G_ ` a b / y
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date j by 777 date H_ by / date by
7-1
a pz 94
bczi' err 7- 7
Ze
l
I , , MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P FE RM I `f C : C>I'll CI i 7.. i CAN
Case No . 131-U97- 1101
For 1301.F ONAPHIF IM
Paae : 1
1 > I h 1 '� str►p I i rat i or) 1 =.: "'trb lec t to suf for and Ldncisc.ttp i nq r A(au 1 r omernt s as a stab I i l,holl ttn<fF-r-
Mason County Ordlnanco 1 .01 .036 ..
>. The use. handling and storage of haza�s rNatdQia �E►mKhlw and c:nigbust. ik)le?
i qii i ds In excze:st-, of 10 oa 1 t ons i ss not <a 1 1 nwead w i ett a arapr ova i of the Mason Caount v
Fire Marshal .
x
1'r apo:ed rat rust ttre or any part i c►rt thereof ttreza ter, t hart 30 i h he i ciht P rom t uadc) i 1 ne ,
musk maintain a minimum of 5 ' setbaok from all property lines , easements and 10 ' from
ftl I County nd State Road right of ways .
4 ) The proposed proieot tntr9t be, consisterst with all eppl iefthie. policies and other,
revisions of the :Shoret irie ManaUement Act , its ruies , and fine Mason County Shor<+ 1 in'?
MttSte3r Pr rstm .
5 ) At i oortst runt irin and demol it ion de*brI must be removed from the shore::l ine prop"r-ty eind
proper i y d i gpo:sed after pro j eot completion .
(3•) . Temporary e-rosion vontroi measures me.tut be implemented to preveni wnter qua Iity
degradat i on of ad iacent waters or wetlands .
X
7 ) Approved t)er• dimensions and setbacks on ;utmitted site plan , X �
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PRoPosED
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PRIMARY AND
Mb RE5ERVE
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Permit No
MASON COUNTY
ILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
(Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269)
PLEASE PRINT
#1 er R. 0.14, h ' Phone# 4 9'Z -- 72 2
4'tedressAd Si� " Mou iE Utz Fire District#
city St lr��. Zip
Directions
�toJobJob S� luor-el'il SAw--e ✓Y s Gr—f o h 21e.I
"'Z 'VIA Y- ^F o Q 1/L✓1 ��l V �r L (4 ^F o ' off s1t J
L44,0aV1-ft r� w Gdi- 3 d o
Cti r rD a s! �-- S ✓�+ `z ^�( Gt'r t<e O r�
Owner Mailing Address O/ l�
City 15,/re'W. St Zip 983g 3
Lien/Title Holder
Address
City St // Zip
#2 Contractor Name ar.� �'(y,,�,� (^ t.�f�-v�-f�o� 5. Contractor Reg# v,4A/5�T�j 3 ZZE
Address OG Expiration Date_
City St ( Zip 98 3(,ram Phone# IR 76 S28 3
#3 If septic is located on project site, include records.
Connect to Septic?_X Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 rcel No. Z 3 l -�- QQ 0�S L
egal Description Woo- y' \ L.�lC� (p T
#5 Building Square Footage:
1st FI // S 2 2nd FI 3rd FI Loft Basement 76 8
# Bedrooms 3 # bathrooms Deck yyy Otter $
Garage Carport (Circle:Attached or Detached?) r-m
#6 Use of building F— - Describe work
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION E C E V D
Model Year Make Model
Length Width Serial No.
#Bedrooms # Bathrooms Type of Heat
Purchase Price$ ?ER IT p,) �g� i(E CENTER
#9 Indicate b circling the applicable source if water is on or adjacent to subject property:
: F! IH
Y 9 PP 1 1 P P rtY
River Pond Creek Stream Wetlan �kearsh Saltwater Seasonal Runoff Other
_ I
Show following on the site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
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 �D
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
i
Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 each)
No. Z_ Toilets CIRCLE FUEL TYP �aslectric,
-Bath Basins r Heatpump, Other
ZBath Tubs No. Units Fees
_Showers Furno�BTU
Hot Water Htr _ Heatpumps
Laundry Washer _ Vent Systems
Sinks Spot Vent Fans
_J 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 $ G No. Other
Gas Outlets
Wood,(Gas 'f ellet 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 -js
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 C ANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINI APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMEN /
X OWNER X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
i
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review Prescr:nt:.#�-
Occupancy Group:_ Type of Const: 'U"tV
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check zs
Plumbing Fee s
.59 44-1 s 3 3 t q Mechanical Fee 3 7:
O l el- 1 e 4 Wood/Gas/Pellet Stove 3�
L«co,.r Go - e 'S sZS
Violation Fee
Site Inspection
Building State Fee s�
Other
Other—
Other—
Building Valuation: GR y o TOTAL FEE % �j,