HomeMy WebLinkAboutBLD97-0507 Final Garage - BLD Permit / Conditions - 7/18/1997 MASON COUNTY
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Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Lk kJ I L. 0 I P4 G P IF Nq I T FOR I NSPEGT I ON5 CAI_I_ 427-9610
BETWEEN Spin AND Sam 427-7262
+.D97-0507 PARCEL. :2233 1 500006 7 PLAT :COPLO DIV : BLK : LOTS
"B ADDRESS ? NE A0 CRFEK VIEW Pl, TAHUYA
OWNER : DEAN ORR 275-6010
' ONTRACTOR : VAN SLYKE CONSTRUCTION 876-5283
t-EGAL. : C4I.1.111S LAKE 01 TO 67
�i'x�2':.:fCT!�t3':`.tsM]CV.TSgI.tr�6ROFR9RutC:t'.YG.t'A�:�.3:JLiiJL1CLt'S..Al+'R^lgL.'.lfC:'�'4'LR..S'. '�LiF'R�
ASS OF WORK . . :NEW BFDR : 0 BATH ; 0 `TYPE ANOUNT BY Do if RECEIPT ITYFE AMOUNT BY DATE RECE m I
OF U3E . . . . :ACC STOR IFS . . . . . . . :0
P . GROUP . , . :? St DG , HE I GHT . . : 0 .Of t PPNT f 73.50 KS 0601197 1197 A
OF CONST . . ;? FIREPLACES . . . . : 0 PICK = 29.10 KS 16111/97 0 i
♦ P . l..t)AD . . . . : 0 WQODSTQ'VES . . . . : 0 STFE f t.50 KS 06111197 A
.; .
.UNITS . . . . : 0 PARKING SPACES : 0
INSPECTION AREA : 1 SHORE LINE7 . . . . :Y TOTAL: 107.40 V�LUTATION: 777b
',FTBACK.S--- -_- -.___._.___ TOILETS . . . . , . . . . , 0 FUEL_ TYPES-- --- - - SO f LERS/COME'----- MOB I LE HOME- "
FRONT , , .S 100 .oft BATH BASINS . . . . . . . 0 : 0" 3 HP . : 0
REAR . . . .N 100 .Oft BATH TUBS . ,. . . . .. , . : 0 3-15 HP . 0 MODEL :
SIDE ( 1 ) .E 1016 .0ft SHOWFRS . . . . . . . . . . . 0 TURN f 100K BTU : 0 15-"30 lip . : 0 --MAKF -- - -
';I DF (2 ) .W 10 ,0f t WATER HEATERS . . . . : 0 FURN >—100K BTU : 0 30-50 HP . : 0
1411L. INE . 0 .Oft CLOTHES WASHERS . . : 0 i=URN •- I LOOK . . . ; 0 5014- HP . : 0
'KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0
IZE . . . FLOOR DRAINS . . . . , > 0 VENT SYSTF'MS . . . : 0 EVAP COOLERS : 0 LLNGTH : 0
' ING . . . t 053f DRINKING FOUNT . . . : 0 VENT F,ANS . . . . . . . 0 HOODS . . . . . . , : 0 WIDTH . : 0
,ENT . . . : 0sf LAUNDRY TRAYS . . . : 0 DOMES . INGIN :O -SFRIALII -
c; . . . . , . , Oaf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS--- COMM! . INCIN :O
.'CARP :G 576�,f GAPS DISPOSALS . . . : 0 ram° 10000 tJm . : 0 RFLOC/REPAIR : 0
-� •D URINALS . . . . . . . . . . : 0 a 10000 cfm . : 0 OTHER UNITS . : 0
M I SC P1_M FIXTURES : 0 GAF. OUTI_E'rs . : 0
"•. VPt,it*.,: :I ON:6ARA6F
'I010RELFAIR TAHUYA RD RISHT 1010 CO[[INS IAKE, RIGHT At STOP FOLI01 TO CREEK VIEW PIACE DRIVE T6 END Or CUI.UESAC
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*1E,.AND VOI)D IF NORr OR CONSTRUCTION AUT'NORI7ED IS Nor CONNENCED NIr#IN 160 DAYS OR If CONSIAOCTION OR WORK 13 SUSPE#010 FOR A PERIOD
i1WF 41FR WORK IS COMNE'NCED. fVIDENCE If CONTINUATION OF WORK IS A PROGRESS INSPECTION 117HIN TILE 199 DAY MOO. FINAL INSPICTION OUST fir
P �194 :CAN 8E OCCUPIER,
COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
FE-�
E MECHANICAL MOBILE HOME
Setback date by Ribbons
�— %7 by Gas Piping date b
Foundation Walls date by Set Up
crate by 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 OTHER
Groundwork Attic
date by date by
te WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date 7- by G✓ date by
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P r_- M 1 -17 4L- (.::) r4 131 1 1 1 C) N
"ase No . : BLD97-0507
Fort DEAN ORR
Paget 1
1 ) The undersigned property owner is aware of the uncertainty regarding Mason Count
development reg , , ations created by the Growth Managment Hearings Board 's Order o� to'
October, 2 IC=96, and in considerition of Mae�on Cotintv 's willingness to proceed with
ptoceS5144 of. arpli cat ions which might be affected by' the Order', the. undersigned
property owner. erebV agrees to walve 4nV lawsuit . action , or claim for damages apains-t
Masan County which may arlse liut of Mason County ' s actions In acceptance processing
and!or
!or Issuance of such permits; or approvals thereinafter "permitting aollons") , which
damages are attributable t,,,) the County 's decision to takel permitting actions despite
the risk that changes to the County '!, development regulations might later make the
Coo t 's permitting actlof4s Invalid ,
X
Approved per diniensionq and setbacks on submitted site plan . X .,-
,A ) The use , handling and storage of hazardous materials or flammable and combustible
liquids In excess of 10 galyores Is not allowed without 'the appruval of tho Mason County
Fire Marshal .
X,
Pr-oposed strut ure or any portion th"reof greater than 30" In height from grade line,
must maintain a minimum of K ' setback from all property lines , t9asements and 10 ' from
all -Co-"ty and State Road right of ways .
X
All approved plrangy are required to be on-sito for in, ection purposes . if InE., ection
sri- NOT �e Rranted , a1dat ' orl , a
An galled, or fnd ylav are "01 ov ltg,, Ipp rove l Wl . p,
I nspec- on ee n am Url , 0 pe 11 Ige ch leo and
t, 0 hour �mllllmijm our win r r",
must be o, llected by HIS departmett prior to any urther Inspections being performed or
approval granted .
X.
6 ) PURSUANT TO 1994 UNIUQRM BUILDING CODE SFCI` lON 305(C ) AND SECT ioN 513 ALL SITES MUST
14AVE APPROVED NUMBFRS 'OA -ADDRESSES PR600ED IN SUCH A POSITION AS TO Ot PLAINLY VISIBLE
"AND LEGIBLE FROM THE STREET OR ROAr) rPONTING TIIF PROPFATY , MAI�ON COUNTY ButLDIN(A
DErARTMENT REQUIRES THAT THIS BE COMPLEtED PRIOR TO CAUL ING FOR ANY SITE INsPErTION-., . A
REINSPECTION FEE BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNEA/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
ECTI ONS
X __
� ) ril S STRUCTURE IS CONS , Rf ; MASONIC, O U NTY ):TT/SQUARE FOOT OR 3 .4
STU/FIR/SQUARE FOOT) . t OF USE PERMIT AND A
MECHANICAL PERMIT S}iA► Mason County Bldg. III 426 W. Cedar'"F • x rY�__.---
8 ) No Occupancy . This str� P. Boo CQl86 Sheltol;� iWashington 98584 w1 I I be in '.
violation of the Unif Ruildit, A k
a ) Proposed s t rupture or art I ons thereof with an projection over 30" In ha l ght from grade
In rest maintfIn a '� Ss ration distanoe between adjacent structures and that
�a r h e s p r a en ran
, 0) ALL CONSTRUCTION MUST MEET OR EXCEED LOCAL CODES . IF ANY QUESTIONS, PLEASE
CAS OFFICE BEFORE CONSTRUCTION .
GARY YANDO,DIREC-Mi
P�oN.STgrFO
M o N DEPARTMENT OF COMMUNITY DEVELOPMENT
U s N S
PLANNING -SOLID WASTE- UTILITIES
'> N Y Y BLDG. I • 411 N. 5" ST. • P.O. BOX 578
of �� SHELTON, WA 98584 • (360) 427-9670
less
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 attnlxwtable 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 er's signature(Notarized)
(or the County may accept the signature of the owner's authorized agent upon proper proof of authorization)
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 seal. -For County use only-
Reviewed by applicant on
(Date)
Notary's signature Staff Initial:
My Commission Expires:
r a
Permit No.
MASON COUNTY
BUILDING 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) Y �j
PLEASE PRINT O O
#1 Ow r 0-r-a pn Phone#
t
e AddressT a Q� Ct � ✓ . Y�a� Fire District#
St (A)p , Zip
Directions to Job Site lit u
vim/c vi
Owner Mailing Address •o 16 22 3
City 2'c(4 "_ St q Zip 93253
Lien/Title Holder a o V
Address Y- r
City St f(�G Zip Ll E5
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#2 Contractor Name l e vl 51 V/cam o✓►sK yc--tzo Contractor Reg# V,4"JC C_A 0)L/
Address Expiration Date
city eo'+ St (�4. Zip Phone# 360 876 528�
#3 If septic is located on proW site, include records.
Connect to Septic. I- Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 rcel No. ZZ-�3 1 -moo - 00267
Legal Description ��o l�c k-� y-f `�e
#5 Building Square Footage:
1st FI 2nd A 3rd FI Loft Basement
#Bedrooms # bathrooms Deck Other
Garage Carport (Circle: Attached r Detached?)
#6 Use of building Describe work
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No.
# Bedrooms # Bathrooms Type of Heat
Purchase Price$
#9 Indicate by circliN 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 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
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures($6.75 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 _ lip
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 $ 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 16.75
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 LL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHAR S SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING OVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: r .w
Environmental Health:
Building Plan Review
Occupancy Group: Type of Const: ✓�
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
7-7-2e Plan Check o2 9• '7`0
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee . S�
Other
Other
Other
Building Valuation: TOTAL FEE - l J