HomeMy WebLinkAboutBLD95-1503 Water Storage Tank - BLD Permit / Conditions - 11/5/1995 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
F-A L) I I.- I N C-14 F" IFF: R m '1 1- FOR INSPECTIONS CALL 427--9670
BETWEEN bpm AND 8am 427-7262
BLD95- 1503 PARCEL. :223315200069 PLATiCOPLO D I V : BLK : LOT : 69
JOB ADDHFSS -. NE 131 MOUNTAIN VIEW Pi. IAHUYA
OWNER COLLINS LAKF COMMUNITY CLUB 8711-2453
CON"ACTOR : PIVFTTA BROT14URS CONSIRUCTION 671--2453
LFGAL - COLLINS LAKE 13 BLI: LoTt 69
CI '�f ~_140UNT 67 DATE RFci1PTTfY
ASS OF WORK �NEW SEDR : 0 RATH 0 TYPE PE AMOUNI By DATE RFPFIPII
TYPE OF "Sp — , ccom STORIFS . . . . . _ -.0
OCCUP . GF40011 . . . 27 B1_DG . HE I GHT O ,Of't IRtc t 42m TW 11162195 40631
TYPE OF CONST . t7 FIRFPI-,ACFS � . 0 PRIT $ 381.00 TV 11102195 40631
Ok CUP . LOAD . — t 0 WOODSTOVFS . . . . : 0 P[CC t 251.55 If 11102/95 40631
() ELL, .UN ITS . . . - 0 PARKING SPACES 0 ISTFE S 4.50 IN I1/02195 40631
INSPECTION AREA : 1 SHORE L I NE? iN I[HfP t 18.00 tv 11102195 40611 TOTAL: 94�*.05 VAIIIIA1100, 01
SETBACKS---- TOILETS . . . . . . . . . 0 FUEL TYPES------ -- -- 60IL.ERS/COMP-- MOBILE HOMF -
FRONT . . . O .Oft RATH BAS' INS . . . . . 4 0 03 HP . 0
RFAR . _ O .Oft BATH TUBS . . . . . . . . 0 3-15 HP . 0 MODEI -
SIDFM . O ,Oft SHOWERS . . . . . . . . . . . 0 FURN < 100K STU : 0 153 0 HP , - 0 10A K F
SIDE (2 ) . O .Of t WATER HEATERS . . . . . 0 FURN >-iOOK BTUi 0 30-50 HI" . . 0
SHRI. I NF 0 ..Of'I CILOTHES WASHERS , 0 FURN - Ft ()OR 0 50-1 tip 0 YEAR.
-
AREA KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . t 0
L O'v ";1 7F . FLOOR DRAINS — , ! 0 VENT SY'ITEMS . , - 0 EVAP C-001 FPS : 0 LFNGTH .- 0
BUILDING — s Osf DRINKING FOONT . .. . . 0 VENT FANS — . . . . 0 HOODS . . . . . .. - 0 WIDTH . - 0
BASEMFNT . . . : 0c.t LA(INDRY 'TRAYS . . . . . 0 DOMES , INCIN ;O
DECKS , Osf DISHWASHERS . . . . 0 AIR HANDLING UNITS— COMML . INCINiO
GAR/CAPP :? 0 sf GARS PISPOSALS . 0 <- 10000 cfm , : 0 R F I_OC/A F P A I R - 0
AT/ITT . :? URINALS . . . . . . . . . . .. 0 > 10000 cfm : 0 OTHER UN,ITS , i 0
MISC PLM FIXTURESt 0 GAS O()_TI,FTS . - 0
PROJECT I.AXF 169 PFLFAIR (ANDIA 80 10 FOREST DRIVE TO If# 'if[# PLACE TO ClItOESAC 101 64 Div. 3, lot 69. PO 22331 59 00069.
THIS PERMIT BECOMES Mill AND VQIQ If WORK 09 0#1�111QCTJOII AUTHORIZED IS NOT C(4111NCEO VIT11111 181 DAYS, 01 If CONSTRUCTION 00 WORK IS SUSPEIIIII'D FON A PERIC0
Of 180 DAYS AT A111 TIME AFIfR WORK IS FVID4#Cf OF CONTINIIATION Of WORK Is A I`ROGRFSS 111SPI'0104 1111111 Ifff too phy PERIOD. [IPA[ 111'eriflION MUST of
,A?FAQVfQ RUORF :UILD111C CLAN BF 9CCUPIED,
Of AWATt DATE.,
71.0 FFIT, res 41."IP111 _ rnmpi I ANCF TO_ATTAC1IFD CONO I T I ON" I <' PrOU I PFF)
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
dhte by 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 Attic OTHER
Groundwork
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by 7,date by
46
i S ( / L r rn
Sll'Y.« u l I(/� ��.�2 y CJ7 Cr4 1 C.�'�K4✓/O✓' GJ[�Ct�-4"
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P U` R nn 1 `l- (' C') NJ 1-1 1 T- 1 C3 N
Ca—.3a No . .. BLD95- 1503
For : (,01 1 1 NS L.AKF COMMON I TY CI UB
Page . 1
1 ) Al I aE)proved plans are requ i red to be on site for i n;speat ion purposF€; . I t i nupect 1 can i
called for and plans are not on site, Approval WILL. NOT be granted . in addition, a
Re- InapestIon fee In the amount of $30 .00 per hour, (m1nimum 1 hour ) wiII he charged anti
must be collected by this department prior to any further inspections being performed or,
appro I grant;Vcl
' ) PUR"IJANT TO 1991 UNIFORM BUILDING GODE , SECTION 305(C ) AND SF"CT I CiN 51 :i AL I MOST
HAVE APPROVED NUMBERS OR ADDRESSESPROVIDED IN SUCH A POSITION AS TO Bt PLAINLY VISIBLE
AND i_l'(, I BL E FROM THE STIIEF"T OR ROAD FRONTING THE PROPERTY MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALL i NG FOR ANY SITE I NSPF'CT 1 ONS . A
RE I NSPECT I ON FEE BASED ON RATES IN TABLF 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE
AS`;FSSED IF OWNEF�/CONTRACTOR FA I t..S TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS ,
}
3 ) Al L PONfiTRUCT I ON MU';T MEET OR EXCEED ALL LOCAL_ CODES .AND OBC RFOu I RfMI NTS .
4 ) Per . Sec _107 cif the IJBC .
`tructural observation shall he performed by the engineer of
record and ra statement in. writing shin I be submitted to the hui idinq depart:m"nt prior- to
fInai
!• AI I state and . 1oval requirements for dr, inking water, must he foi lowed .
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by 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 Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
—J
Permit No.
MASON COUNTY W�
BUILDING PERMIT APPLICATION 10,
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 ner c oM AA UAII r 13 Phone# E'-, - �" ; 3
ite Addr ss nn-� ��)n f�� �« Pl 14 ty� Fire District#
City St LLJ�zip �35 88
Directions to JA Site
Owner Mailing Address O 13,9 x
City L(/A- St �-�Zip 9' z_
Lien/Title Holder F-All H A
Address Ka.wo u f
City -a�.�f. --- St t , _ zip
#2 Contractor Name 14,—Ce 8 Contractor Reg#140t- 8 tc
Address / S S bl, /j/ Gt Expiration Date_ / & 9 h
City i =- St It 5r 3/2 Phone# (y, JI J l ! 9
#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 reside 'al, proof of potable water is required)
#4 P r I No.
gal Description �Q U
#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 V/ a-bv" a� r� -o -�`^^-fit' Describe work Z )( s
J
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make 4riall
Length Width# Bedrooms # Bathrooype 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 Indicate Directional b N, S, E, W)
Name of Flanking Street y
Name of Fronting Street in relation to plot plan
I
APPLICANT TO DRAW SITE PLAN BELOW
l�-
APPLICANT TO DRAW TOPOGRAPHY PROFIL B W
i
Plumbing Fixtures ($3$3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_13 Basins Heatpump, Other
Bath s No. Units Fees
Showers Furn BTU
_Hot Water Htr eatpumps
_Laundry Washer Vent Systems
_Sinks Spot Vent Fans
_Floor Drains No. Boilers/Compressors
_Laundry Basins _ HP
Dishwasher No. Air Handling Units
_Disposal cfm#
Urinals Fire Protection Systems
Other _ uto. Fire Alarm Sys 50.00
Fix Fire Supp. Sys 50.00
Per ' asic Fee 15.00 Auto Fir prink 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
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 BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE DATE
FQR OFFICIAL U$E ONLY. b AcC0 t J y Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: t 40-11,A
Environmental Health:
Building Plan Review
Occupancy Group Type of Const:
Fire Marshal: �1�h
�blti
Other:
Special Conditions: FEES
Building Permit
Plan Check 15)
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation —I'M TOTAL FEE