HomeMy WebLinkAboutBLD97-0028 Final SFR - BLD Permit / Conditions - 12/5/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584 VpERM�T
Otp By EXPIRATIO
�` & N F3 U I L. t 11 N Chi 1' t-_ 14 IVI I L ! 0A 1 114 tF_- i I oNo i,,DATE°
BI TY EFN _�pm .AND 8-im 427- 72.62
111.1397--0026 PARCEL :223305000368 *L.AT -14APLO D i V : RLK + LOT
JOB ACIDRE SS : NF 1660 HAVEN WY I AHilYA
OWNER : HAROLD BEALL. 2.06--2.44 �
CONTRACTOR : KAPOST I NS CONSTRUCTION �1$�►._f1f17 9:`i 1B r�'�L/MQ�j7.i 4)9-163— I I-
L
kLEGAL s 1AVr1 [Alf TH. 366 / two
CLASS OF WORK . , :NEW B DR : 1 SA.TH - 1 $TYPE 0-JOU01 BY DATE RECEIPT ;Tiff ANOINT BY DATE RFCEIPT
TYPE OF USE . . , , :SF STORIES . . . . . . . . i -
OCCU . GROUP _ . c? BL DG , HE 1 GHT . , % O .Of t fH('P t 26.t10 KS 02187197 43813 1 33.00 KS $2107197 43693TYPE OF CONST . , :? FIRI`PLACES . . . . : 0 PRMT 315.50 KS #21#7197 43893 110ST
STFE 3 4.50 KS 0?107 07 4380 �
'p OCCUP . LOAD . , . 0 WOODSTOVES . . 1 PLCK 1 154.20 KS 021#1197 43141
DWELL .UNITS . . . . : 0 PARKING SPACES ; 0 ?1# 3 43.55 KS 82f61197 43OV3
INSPECTION AREA : 1 SHORL:I_ INf;'7 . . . . FN MCH t 37.00 KS 02107191 43193 TOIAti 583.75 VALUTATION: 4630
SETBACKS- --- TOILETS . . . . . , . . . . . 1 FI.IE S.. .. .. .. ... ..__.... .. Bz)I L.ERS/C l)A4P- ftOF311_I= HOME--
` FRONT . . .S 2 a .0f t BATH BASINS . . . . > , : 1 � t�otlG�,�-�� 0 S HP . : 0
REAR . . . .N 10 .0f t BATH TUBS . . . . . . . . t 1 j /- 3-15 14P . : 0 MODEL,
SIDE ( 1 ) .E 250 .Oft SHO WEIRS . . . . . . . <. . r 1 FURN 100K fiTU : 0 '15- :30 HP . : 0 --MAKE- .. ._ ._. _
SIDE (2 ) .W 75 .SOft WATER HEATERS . . i 1 FURN --100K BTU : 0 30-50 111P . : 0
SHRL I NE . O .Oft C1.01HES WASHERS .: . : 1 FURN - FLOOR , . . t -0 S0+ lip . : 0 .-YEAR-
AREA __�___.w z_ ._ _____� KITCHEN SINKS . . . . : 1 HEAT PUMP . . . . < . : 0
LOT S 1 E F � . : FLOOR DRAINS , , . , 0 VF)4► SYSTFMS . . , . 0 E VAP COOLERS . 0 LENGTH - 90
BU I I-DING , . . t 1 0086f DRINKING FOUNT . . . - 0 VF N'f FANS . . . . . . : I HOODS, , . . . . . . . 0 W I DTH . : 0
BASEMENT . . . ; Ost LAUNDRY TRAYS , . . . : 0 DOMES . I NC I N :O - SER I Al #- -
DECKS , . . . . . : Osf DIS14WASHE;RS . . . . . . : 1 AIR HANDLING UNITS-- COMML. . INCIN :O
GAR,'CARP :? Osf GARS; DIP:POSAL.S . . . _ 0 — 10000 ctm . : 0 FIFLO /REPAIR : 0
AT/DT. . :? URINALS . . . , . . . . .. . : 0 > 10000 cf to . : 0 OTHER UNITS . : 0
MISC P,--: 4 FIXTtIR'ES : 0 GAS OUTLF".TS . : 0
-bv:,szaars7razmmrscaemxrrr�asr✓.e��xrz-.s�zf�z-a-.. .;_.ca:.ssar:�r. asrraeiaar�reas-sir»•szr'r^�•a2x:roz_:�x•�a;xY—�x.�sca xs-�:.resa-z�a.�r..9- c..�¢ax:^:t:cr.=as�cx:r,�aazsaxa�.a»::.-r}a.^.s�ersars»m»�=�*::b�.rrss x.�zs�sa:�a_-rx.�::csa=�;.
� . PNOJECT Df;CRIPTIOK;RLs16fNf,E
PROJECT LOCA1IO4:IRt19 BILIAIN, 'NORTH SHORE RD. TOBFtf'IA, IAHUYA HD. , STAY ON HAVEN WAY TOy ADORE I� ON 916111,
THIS PERMIT BECOMES RVIL AND VOID IF M091. OR C01113TRMCTI01 AIITI{ORIZED IS NOT CiJMMfNCED WITHIN 116 DAYS, 03 IF C01Stp110101 OR %Olt IS SUSPENDED FOR A PERIOD
O1 I88 DAYS AT ANY TIME AFTER WORK IS 0011EN011. fVIDERCF OT CONTINUATION Of fORK IS a PROfiltIS 1,NSPE�i100 WITHIN THE 180 DAY PERIOD. FINAL INSPFCTION 101 d
AffROVft BEHIlt 8011.011E CAN OF OCCUPIED,
DATE
AtCt__PRMI, rev: 03131f91 COMPL IAN(:II: '0 ATTACHED CONDITIONS IS REOUIRED
CONCRETE MECHANICAL MOBILE HOME`
Footings-Setback date by Ribbons
date L'- — by L'`� Gas Piping date b
oundation Walls date by Set Up
date - b -C! 7 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 OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date �_� _L�17 by date by
c � c-Lit- S e---. �e L-e .^ f G9
1 r
I
l
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
r-.—
i 0L lol, ANi .- ir.
REINSPECTION FEE BASED ON RATES IN TABLE 3A Of' THE 1994 LINIFC)RM BUIL-DiNG CODE' WILC ' SE
ASSESSED IF OWNEA1CONTRACTOR FA, II—S TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
9 ) The correction list , alon with the Energy Compliance Work sheet (when appl loable ) is
part of the plans and itfusv remain attached thereto . It Is the responsibility of the
a plioant to make corrections Indicated on the plans from the norrection lists . Once
e plans are marked APPROVED ,hey may not be changed or altered without authorization
a from the Building Offlcll . the permit holder is reponsible 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 ermit shall expire by
limitation and become., null and void If the buildin or woo authorized by such permits
is not commenced within 180 days from the date of issuance, or if the buildin rlr work
authorized by such permits is suspended or abandoned at any time after the wore is
cornmenced for a period of 180 days , X----
10) ALL.. C,0NFTRUCT10N MUST MEFT OR EXCEED ALL. LOCAL, CODES AND UBC. RE()U I RFMENT—
X 17
11 ) Proposed strtinture or any dI-, I i n portion thereof greater than 30" in height from gra e,
must maintain a mininium of 5 ' setback from a I I property I I nes , easements and tO f rom
all County and State Poad right of wayt—
X I '
12 ) Proposed structure or portions thereof with an projection over 30" in height from grade
line , must maintain a 5 ' separation distance between adjacent structures and that
'furthest projection .
13 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMEN!' AND UNIFORM BUILDING CODE . x
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P IF R f0 1 J' C (7),N 6
Case No . : BLD97-0028
Frjr ; HAROLD BEALL,
Pagel I
1 ) i'emporaary erosion oontrol measures mtist be Implemented trs prevent water quality
degradation of adjacent waters or wet I ands
X
Approved per dimensiont-, and setbacks on !-,,ijbmItted site plan .
3 ) The ase, handling and story e of hazardous materials or flaMnla ble and combustible
liquids In ex(�ess of 10 galyons is not allowed without the approval of the Mason County
Fire Marshal .
X
4 ) Structure most be tq et ba ok F) ' from a t I u t I I I t V a ti d d r a I n a q o easeroents , a total of 10 '
from each property line, or a variance must be obtained from the Building Department .
X
5 ) Subje-ot to f i nd I rigs of Re!�ouroe Land:, and Cr I t I ca I Areas (RL.0
Checklist,.
X 6 ) All oonstruotion and demolition debris must be removed from the beach ,after project
completio.p .
7 ) All approved plaro,, are required to he on-site for ins ection purpoves . it inspection
Is called for and plans are not on site Approval WI FL NOT be granted . In addition, a
Re- Inspection fee in the amount of $32 .06 per hour fajininium I hour ) wl It be obarged i4nd
niu.t be t,-ollecto.Ad bv this department prior to any further inspections being peiforme4 or
approva I granted
X
8 ) PURSUANT TO 1994 UNIFORM BUILDING CODE SECTION 305(C ) AND SECTION 513 At L SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PR6vIDED IN SUCH A POSITION AS TO Ht PLAINLY VISIBLE
Permit No. --
MASON COUNTY o4'
n�
BUILDING PERMIT APPLICATION °
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1Cf/'�1�� �G/ Phone#
it 7Add,ress//e—z- /giP �✓�y�•u G�i.C�,/ Fire District#
City4f/v ,Q lQ �S� St Zip
Dires to Job Site W 1 1 �- �' �'o S
1
Owner ailing Aid ress ' -� r
City Stzg/4 Zip
Lien/Title Holder ciL�
Address
Clty St Zip
#2Contract�y I�amel,��S/i ,5 �� �: veT16 / Contractor Reg# ;Cd��
Address 6o5z A-6W Expiration Date
City !Zrn tJ'1 L f-f e— St IA,14 Zip Phone#36b ET? 9S/�
#3 If septic is located on project site, include records.
Connect to Septic? _Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
# Parcel No'GO� 3 3 d S� 00 3
Legal Description Z07 )!gE Z-4"t'
#5 Building Square Footage: (existing/proposed)
1st FI A / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq. ft. /
#6 Use of building LIZW,�, Describe work &.�l
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME I RMATION
Model Year Make Model
Length o.
# Bedrooms # athrooms Type of Heat
Purchase Price$
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
Plumbing Fixtures ($3 eachl Fee Mechanical Fixtures (X each)
No. L Toilets CIRCLE FUEL TYPE: Gas, lectric,
/ Bath Basins Heatpump, Other
Bath Tubs No. Qak EM
Showers Furn BTU
LHot Water Htr Heatpumps
LLaundry Washer Vent Systems
Sinks �S a
Spot Vent Fans
L)Floor Drains No. Boilers/Compressors
Laundry Basins HP
Dishwasher No. Air Handling Units
Disposal _� cfm#
Urinals NQ. Fire Protection Systems
Other O Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Feed / _� Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ 5No. Other
f (�' .Gas Outlets
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 _ 8D
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD C�
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $
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 IL
BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO C SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINI RO THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT
X OWNER X BY
DATE DATE
FOR OFFICIAL USE ONLY:Accepted b): �� ' Date: /
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review /3 17 r'e el. �8� -
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit �35SL�
Plan Check
Plumbing Fee ���
Mechanical Fee
Wood/Gas/Pellet Stove 4@_
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other&N(Z, ,f���7�i-f�
Other
Building Valuation: TOTAL FEE a
GARY YANDO,DIRECTOR
STArFo
s U DEPARTMENT OF COMMUNITY DEVELOPMENT
N T PLANNING -SOLID WASTE- UTILITIES
Y 4 BLDG. I • 411 N. 5h'ST. • P.O. BOX 578
1864 SHELTON,WA 98584 • (360) 427-9670
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.
Date (Parcel No. or Legal Description)
s,�1N E P k�
Property s signature(Notarized) ® Gj . §•• 1
� •��sront�• 'y 1
(or the County may accept the signature of the owner's authorized agent upon proper proof of aut� �•
v i NOT%,`09
• ,PUBLIC
ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL) (�9�•o O'9$•
��4�wAs6+0�.�
STATE OF �� ► 1 \����
COUNTY OF
On this Z day of', in the year, before me � S? Notary Public,
personally appeared)� �W5'b 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 seal.
-For County use only-
Reviewed by applicant on
Q-
ate)
Notary's signature Staff Initial:
My Commission Expires: ��`Q — —