HomeMy WebLinkAboutBLD99-0307 Final SFR - BLD Permit / Conditions - 10/22/2001 MASON COUNTY �����'�
Mason County Bldg. III 426 W. Cedar ter .
P.O. Box 186 Shelton, Washington 98584
E3 U i L L) 1 N 0 PERM I -T FOH INSPECTIONS CALL_
BETWEEN 5pm AND Bam 42.7-7262
BLD99-0307 PARCELt2233152.00031 PLAT :COPLO DIV : BLK : LOT : 31
_IOB ADDRESS : 160 NE COLLINS PL. TAHUYA
OWNER :: RAYMOND SNOW
CONTRACTOR :
L.EGAL : COLLINS LAKE 13 BLK: LOT 31
CLASS OF WORK , . :NEW BEDR : 2 .BATH : 1 TYPE AMOUNT BY DATE RECE IFT TYPE AMOUNT BY DATE RFCE IPT i
TYPE OF USE . . . . :SF STORIES . . . . . . . :2 —
OCCUP . GROUP . . . :R3 BLDG . HEIGHT . . , O .(Oft PLCK 1 377.65 KN 14126199 1426 NCH ! 19.56 KS 05118199 1111MF
TYPE OF CONST . . :4HT F I REPLACES . . . . a 0 ENCP 1 tells KS 05/18199 BELFALR MCN1 1 22.10 KS 05118199 BELFAIR�
OCCUP . L.OAD . . . . a 0 WOODSTOVES . . . . : 1 PROT 1 581,00 KS 05118199 BELfAIR WDST 1 42.10 KS 65/18199 BIIfAIR
DWELL .UNI TS . . . . : 0 PARKING SPACES : 0 PlM 1 54.10 KS 05118199 BFLFAIR Sift 1 4.511 KS 05118199 BEIfAIR
' NSPECTION AREA : 2 SHORELINE? . . . . :Y P1,11 1 70.1/ KS 85118199 B11FAIR TOTALt 1170.65 VALULATION: 5#913
TOILETS . . . . . . . . . . : 1 FUEL TYPES----- -- --- BOILERS/COMP---- MOBILE HOME—
FRONT —S 1 8O .Oft BATH BASINS . . . . . . : 1 : /ELE / / / : 0-3 HP . : 0
REAR . . . .N 104 .Oft BATH TU13S . . . . . . . . : 1 3-15 HP . : 0 MODEL :
SIDE ( 1 ) .E 23 .Oft SHOWE:RS . . . . . . . . . . . 1 VURN < 1O0K BTU : 0 15-30 HP . : 0 -MAKF--- - --
SiDE (2) .W 18 .0ft WATER HEATERS . . . . : 1 FURN >=1O0K ETU : 0 30-50 HP . : 0
SHRLINE .N 1O4 .Oft CLOTHES WASHERS . . : 0 FURN .- FLOOR . . . : 0 50+ HP . : 0 -YEAR-- -- _.- --
AREA __________ ___ ____ KITCHEN SINKS . . . . : i HEAT PUMP . . . . . . : O
LOT SIZE . . : FLOOR DRAINS . . . , . : 0 VENT SYSTEMS . .. : 0 EVAP COOLERS : 0 LENGTH : 0
BUILDING . . . : 92.4sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 3 HOODS . . . . . . . . 0 WIDTH . : 0
BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN :O --SERIAL#----
DECKS . . . . . . : 21Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN :O
GAR/CARP :? Osf GARB DISPOSALS - - 0 <= 10000 cfm . : 0 RELOC/REPAIR : 0
AT/DT . :? - URINALS . . . . . . . . . . : 0 1O000 cfm . . 0 OTHER UNITS . : 0
MISC PL_M FIXTURES : 1 ! GAS OUTLETS . : 0
PROJECT DESCRIPTION:RESIDENCE.
PROJECT LOCATION:TURN iNTt COIEINS LAKE TURN LEFT AT A T GO ABOUT 200 YARDS DRIVEWAY THIS SIDE OF COLLINS LAKE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT CON14NCED WITilo ISO DAYS, OR If CONSTRUCTION OR WORK IS SUSPFNOED FOR / PERIOD
Oaf 100 DAYS AT ANY TIME AFTER WORK IS COMNI'MI! .EVIDENCE OF CONTINUATION Of 10A IS A PROGRESS INSPECTION WITHIN THE 190 CLAY PERIOD. FINAL INSPECTION NUS] PE
PROVED BEFORE BUILDING CAN BE OCCUPIED. T�
O NER OR AGENT:_____ - / ' DATE: / ' ,L-�" L
81.0_PRMT, rev, 03131191 I ✓,� V COMPLIANCE TO ATTACHED COND I T I DIN$ IS REQUIRED
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CONCRETE MECHANICAL MOBILE HOME l r
Footings-$etback date by Ribbons
` date 6 / -`;,7 by /7 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 OTHER
Groundwork Attic
date by date by
D W WALLBOARD NAILING
date y��'Y` by date by
Water Line FINAL INSPECTION
date ��� 'oa by �"/�. date Q—Z'Z 69` by /✓1 - date by
S e /lam,
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Oaf 2'c 2/X ��oi C� — f%�7E /✓may
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P E Rto I T CG>' NCa 1 T I rlNJ
Case No . : BLD99•-0307
For : RAYMOND SNOW
Page : 1
1 ) Approved per dimeaI hs and setbacks on submitted site plan ; proposed setback from lake
Is 105 feet .
X
2 ) Temporary erosion control measures must be Implemented to prevent water, quality
degradation of actjAcent waters or properties . Silt fencing or straw matting must be
Installed and _ rA stained until upland vegetation has become established .
C X y - V
3 ) Subject to findIln a of Resource Lands and Critical Areas (PLC)
Checklist . �.
' X- "1
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4 ) Proposed structure or any portion thereof greater than 30" in height from grade line ,
must maintain a m nimum of 5 ' setback from all property lines , easements and 10 ' from
all County an# late Road right of ways .
X !' ,
a) Strunture must be setback 5 ' from all utility and drainage easements a total of 10 '
from eachpcorty I I ne, or�a vac I ance must be obtained from the f3u I j d I ng Department .
Fz) This application is subject to Buffer and landscaping requirements as established under,
Mason Cou.01^yi/Ord i nance 1 .03 .036 .
7 ) The use , handling and storage of hazardous materials or flammable and combustible
liquids In excess of 10 gallons is not allowed without the approval of the Mason County
XF i r e Marshak
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--1
8 )• Provisions fofi surface/subsurface drainage control must be implemented with new
construction or development on site and MOST NOT adversely impact adjacent parcels .
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Under the requirements of Mason County Stormwa er orainanQv, either pr i va -.e 01tcht. ,1 ,
drains will meet requirements of the. stormwater ordinance or prior approval will bet
granted to use an existing utility and drains a easement dedicated for that specific
purpose . For further information regarding this ordinance and the REQUIREMENT to
obtain an ACCESS PERMIT for the installation/construction of a driveway or access
connecting from a Mason Countyy Road, Contact the Mason County Public Works Department
Frior to construction at Ext 450 .
or any construction which is proposed to be located within 25 ' of a Mason County road
right of way, It Is suggested to contact that office to review future planned work which
F may affect your project .
X
I
9 ) Owner/ builder ,essumes all responsibility if draintiold/reserve area is
encumbereSte -)
If V
10) All approved plans are required to be on-site for inspeotion purposes . If Inspection
Is called for and plans are not on site, Approval WILL NOT be granted . In addition, a
Re.- Inspection fee in the amount of $42 .00 per hour (minimum 1 hour ) will be charged and
must be c01 ,Lected bV this department prior to any further inspections being performed or
approval r 'ted .
X
i
11 ) PURSUANT TO 1994 UNIFORM BUILDING CODE ALL SITES MUST HAVE APPROVED NUMBERS OR
ADDRESSES PROVIDED IN SUCH A POSITION �S TO BE PLAINLY VISIBLE ANO LEGIBLE FROM THE
STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT
THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REiNSPECTION FEE , BASED
ON RATES I Rry.-)TABL E 3A OF THE 1994 UNIFORM BUILDING CODE WILL. BE ASSESSED If
OWNER/C9U; A YOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS .
X_
it - V
12 ) The correction list , along with the Energy Compliance Worksheet (when applicable) Is
part of the plans and must remain attached thereto . It Is the responsibilit of the
applicant to make corrections indicated on the plans from the correction lists . Once
the plans are marked APPROVED they may not be changed or altered without authorization
from the Building Official . the permit holder Is reponsible to retain the complete
approved set of plans on Bite for the duration of the project . Failure to comply will
result in failure of required building inspections . Every permit shall expire by
limitation and become null and void if the building or work authorized by such permits
is not commenced within 180 days. from the crate of I ssudrice, or if the building or, work
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MASON COUNTY
Mason County Bldg. ill 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
authorized by such permits is suspen a or a an on at an TY tilt, Worl? is
commenced for a period of 180 days . X
13 ) Any chant In construction shall be reviewed by engineer of record and submitted in
writin�fCt he Masan County Building Department U- ior to construction .
Yhe Mason County Building
X /
14 ) Placement of structure must comply with standards setfo er 1994 UBC Chapter 18
regarding descending and/or ascending slopes . X
15 ) Proposed structure or portions thereof with an projection over 30" In height from grade
line, must maintain a 5 ' separation.4"idl Canoe between adjacent structures and that
furthest projection . X
16 ) Changes to approved building plans that effect compliance to the 1991 Washington State
Energy Code, 1991 Ventilation and indoor Air Quality
Code, the Uniform Building Code and/or Mason County Regulations must
be approved by Mason County prior to constructionX
17) .CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS R
_EQOTPE6 PER MASON COUNTY BUILDING
DF PARTMfi NT AND UNIFORM BUILDING CODE .x
Case No . , BLD99-0307
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FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name 1/ l0 A) � S Y y Pv/PARCEL NUMBERP�'3
�J'5j
)Case
—�3
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S. E, W in relation to the
site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System S
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line.
adjacent property line-> , �o IN$ I�A•YE I <-adjacent property line
EXIST U K
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4nlr
CS_ SRN ! VACAN—F
S LAPS 2dd � � H—DRi ME
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315- Q�'' �n 0 KFi I M_
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adjacent property line-) I �'� ' <-adjacent property line
EX-T H e COX
SAMPLE SITE PLAN
adja t property lined Fadjacent property line
D 30' 30 1
CriE�►c \ I \ rrmko
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VAGNT 1 fi C*ArtAC.E I j'
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80,
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/00"
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adjacent property line-;� ; \; E-adjacent pro pert'line
TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the
degree of slopes. See sample topography profile.)
SAMPLE TOPOGRAPHY PROFILE
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dcat�►,c� ro
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IDS 51 als+,� L
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Signatur Date
MASON COUNTY PERMIT NO.: BLD
BUILDING PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584 W
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 V�
APPLICANT INFORMATION ,./ CONTRACTOR INFORMATION
Owner SNOW Contractor Name t7h?5;- z_ 'S
Mailing Address Mailing Address
City Citype City State Zip Code
Pho e( ) Ph.( — ) Ph.( Other Ph.(�
Lien/Title Holder Contractor Reg. #
Address Expiration
k A ,
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sealer System Well Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. / D/ Q n ( Fire District ,
Legal Description ) 1 .
Site Address(Please include street name, street number and city) tco iiJ i
Directions to site _
Will timber be cut and sold in a cel prepara i 6? (Yes/No) WSaltwater
Is your property within 200' of the following: Body of Water (Name) COki-lA IS Z A-
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
1
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe Work
No. of Bedrooms 2 No. of Bathrooms SQUARE FOOTAGE-1st Floor:ZL 9 2nd Floor
3rd Floor Basement Deck Garage Carport
i
Other sq. ft.
MOBILE HOME INFORMATION-Make Model Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ Replacement Unit ?(Yes/No)
Installer Name Certification No.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conforman herewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
appr_ first obtaining approval
X Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date �I ` Submittal Amount Due I f - Receipt No. Z(�
t IwP 4FiTMI;NTAL:: E1 Elt .'::< '>'> PPRC� .I ENIEI QC NI?ITIt ( . p _
Building Dep. rt_ment
Occ G. Type Constr. 71
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $ �'� ;,�,.p(,{ �r'U �2�� eR(Oclq so
_I»
Building Permit Fee Site Inspection
Plan Review Fee 3-� �S UFC Plan Review Fee
PP14 rani g & Base Fee / Public Works Review Fee
& Base Fee o� 7 p D Other
i
Wood/Gas/Pellet Stove Fee a D 0 Other
Violation Fee Pre-Paid at Submittal
TOTAL FE
ES
PERMIT NO.:
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair(360)275.4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner A . u 1 Contractor Name
Mailing Address / -Z r—%✓ • Mailing Address
City State%(6 Zip Code cf City State Zip Code
Phone( .f6:� g 7�-_39 Other Ph.( Ph.�) Other Ph.0
Lien/Title Holder Si9/!7E" Contractor Reg. #
Address Expiration
SEPTIC INFORMATION-Connect to New Septic Existing Septic�_Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION-12 digit Tax Parcel N 7 Fire District
Legal Description
Site Address(Please include street name, street number and city)
Directions to site
r
Is your property within 200' o e following: Body of Water (Name) Saltwater
Lake River/Creek Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building
Location of Fixtures/Units 1st Floor d Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump
Toilets Type of Unit No. of Units Fees
Bath Basins Furnace
Bath Tubs Heatpumps
Showers Vent FansCo�
Water Heater ! Propane Tank
Laundry Wsher -7 l / pp Gas Outlets
Sinks Wood/Gas/Pellet Stove I
Dishwas er Direct Vent?
Other Ose- 5 0 Other
Other &to 7" Other
Base Fee s20�`} Base Fee a�
TOTAL PLUMBING —�� TOTAL MECHANICAL /.S U
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformagwthprewith. No changes sliall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
appro 17 first obtaining approval.
)( '1� Date X Date
FOIE OFFICIAL USE BEYOND THIS POINT
Accepted by i Dates'19 9 Submittal Amount Due Receipt No.
DE"PARTMENTAi REVIEW::: :APPROVED DENIEDGORIRfTI(?N CORES
Building Department
Occ Group Type Constr.
Planning Department
Other
Other
Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( )
Violation Fee TOTAL FEES