HomeMy WebLinkAboutBLD2003-01568 Shop - BLD Permit / Conditions - 11/19/2003 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2003-01568
OWNER: RICHARD HERRING RECEIVED: 11/5/2003
CONTRACTOR: LICENSE: EXP: ISSUED: 11/19/2003
SITE ADDRESS: 391 W GALLAGHER RD SHELTON EXPIRES: 5/19/2004
PARCEL NUMBER: 419062300000
LEGAL DESCRIPTION: E1/2 NW SW NW
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
SHOP SOUTH ON CLOQUALLUM (10 MI)TO LOST LAKE RD, R TURN TO
GALLAHER R TURN TO SIMPSON OVERLOAD RD, LEFT (1/4 MI)TO
DRIVEWAY
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.: VN
Type of Use: SF Insp.Area: No.of Bathrooms: Occ. Group: U1 Lot Size: Deck:
Type of Work: ACC Fire Dist.: 13 No. of Stories: 1 Occ. Load: Building: Garage-Detached 2,320
Valuation: Building Height: 14 Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Water Body:
Make: Length: Ft. Front: E 290.0 Ft. Shoreline: Ft.
SEPA?: No
Model: Width: Ft. Rear: W 40.0 Ft. Slope: Ft. Shoreline Desig.:
Side 1: N 30.0 Ft.
Not Applicable
Year: Serial No.: Side 2: S 572.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee KS 11/5/2003 $441.19 S12003
Planning Review Fee KS 11/5/2003 $150.00 S12003
Address Fee GMM 11/6/2003 $140.00 S22003
EH Plan Review ADR 11/7/2003 $35.00 S22003
Building State Fee DLC 11/10/200 $4.50 S22003
Building Permit Fee DLC 11/10/200 $678.75 S22003
Total $1,449.44
BLD2003-01568 Please refer to the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2003-01568
CONDITIONS FOR
BLD2003-01568
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647-0 8 The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X
2) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will
not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building
Department pr' r t ,any further inspections being performed or approvals granted.
3) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located in such a position as to be plainly visible and
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.fe-i spection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or
contractor fail/o st the address on site prior to requesting inspections.
X
V
4) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact
adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the
stormwater ordinance or prior approval will be granted to use an existing utility and drainage 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 County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which
is proposed to be locatef yri in 25'of a Mason County road right of way, it is suggested to contact that office to review future planned work which may
affect your project. /
X
5) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason County orna sand building regulations.
X J
- 6) This structure is appro ed as un-heated space. If at any time this building is to be used for anything other than what it is approved for, a change of use
permit shall be $p,U for, reviewed and approved prior to the change.
X
BLD2003-01568 Please refer to the following pages for conditions of this permit. 2 of 4
7) The"approved" plot plan is required to be on-site for inspection purposes. If an inspection is requested and the "approved" plot plan is not on site, then
approval will not b granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the
Building De in nt prior to any further inspections being performed or approvals granted.
X
8) The Uniform Fire Code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150'from an approved
access road. Roa s are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where
such roads çøt,5,Ff ct with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X
9) This structure is limite to U-1 use only(private garages, carports, sheds, and agricultural buildings.) Any other use will be in violation of the Uniform
Building Code f Fjison County Regulations unless a "Change of Use" permit is applied for, reviewed and approved.
10) The use, handling and storage of hazardous Jeri rfs or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of
the Mason County Fire Marshal. X
11) Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building
Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached
thereto. If docuri en are removed, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be
charged and hall collected by the Building Department prior to any further inspections being performed or approvals granted.
X
12) All construction must meet or exceed all local ordinances and the 1997 Uniform Building Code requirements as adopted and amended by Mason County
and the State of Wash ngton. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would
result in permit re oc ion.
X
13) All changes to "approved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance
or regulation, mus)bQ eviewed and approved by Mason County prior to construction.
14) The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the Uniform Codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector shall b1jride prior to requesting additional inspections.
' .I
X . rte,
15) All property lines shall be clearly identified at the time of foundation inspection. X_______________________________,
16) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for
action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder have p;ey rated action from being taken. No more than one extension may be granted.
X
17) All upland areas disturbed or newly crç by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). X
BLD2003-01568 Please referto the following pages for conditions of this permit. 3 of 4
18) Approved per dimensions and setbacks on submitted site plan. X
This permit becomes null and void if work or constr ction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any time after work is
commenced. Evidence of continuation Avork i progress inspection within the 180 day period. Final inspection must be approved before building can be occupied.
OWNER OR AGENT: 2 . / DATE: // I
BLD2003-01568 Please refer to the following pages for conditions of this permit. 4 of 4
W
I-
o CONCRETE MECHANICAL MANUFACTURED HOME
0
Footing / Setbacks Date By Ribbons
C, Date ((p ()I/ By Gas Piping Date By
m
w Foundation Walls Date By Set-up
Date By INSULATION Date By
B G / Slab Insulation Floors Final
Date By Date By Date By
FRAMING Walls FIRE DEPT
Date 7 OK- By LW ...-...- Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date 2 7 J B y c 'J)L
Date By Date By
os� AG/s ' GI a 6 ' a
0
CD
8 �
O
� W
O �
� x
0�0
O
FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO.cO C>r l ! 6 T
PLEASE PRESS HARD BUILDING PERMIT APPLICATION
426 W. Cedar • P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INF2M11ON CONTRACTOR INFORMATION
Owner i'V Company Name
Mailing Address O. 8'x / L Mailing Address
City ! 7444 State W�`Zip Code '7 cT'y I City State Zip Code
Phone %W -I'/3g Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address E Mail Address
Drivers Lic.# 1 E wee DOB 5-7 -`4 3 Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No. 1 z Fire District / '
Legal Description 1/Z A,1W •rw 4J L4)
_
Site Address (Please include street name, street number and city)_`/ W. i ca.LL4gLer- . S.leQo•/,
Directions to site u Z LA LL is ► Go sT 4-4 kP O. r? Ti '-".' '1 G k
r,v 44t Left L' n U rive w ,
Will timber be cut and sold in parcel preparation?Yes
Is property within 200'of Saltwater -✓v Lake -ya River/Creek "y Pond
Wetland Seasonal Runoff ve Stream -moo• Slopes or Bluffs > 15%_ '
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?YeØIo)
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building 5AC.4 Describe Work 6 aLd
No.of Bedrooms No.of Bathrooms Square Footage - 1st Floor_ -_ 2nd 3 Zc 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make 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.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further
declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permis-
sion from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this applica-
tion or the work pro sed in t application, I have obtained permission from them to apply for this permit and conduct the work proposed.
X Date:_________________
Owne /Owner epresentative/Contractor (indicate which one)
/ OR OFFICIAL USE BEYOND THIS POINT Sim 11 3
Accepted by: tanning Pd Ck# Dated/-≤- Bld Pd Receipt No. 1 74.
DEPARTMEN AL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Ins ection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other r
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
MASON COUNTY PERMIT NO. 0 / 3
BUILDING PERMIT APPLICATION
426 W. Cedar • P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner '"/-- p .' r Company Name
Mailing Address 1?h Mailing Address
City r=' State. Zip Code r' - 4/ 1 City State Zip Code
Phone ; ' O" Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg.# Exp.
E mail address E Mail Address
Drivers Lic.# -7/ w,a< DOB Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No. `. r Fire District
Legal Description
Site Address (Please include street name, street number and city) f .e r
Directions to site ..
r, C-.<(L u►,r
r -' -
Will timber be cut and sold in parcel preparation?Yes/No
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work I
No.of Bedrooms No.of Bathrooms Square Footage - 1st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make 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.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or perm r voo�p�n.
Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representativr�l(�Wthj�ntFt$r.I further
declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permis-
sion from all the necessary parties.If permission is required from any easement holder or any other par tyjr�irttttreir5,flis applica-
tion or the work proposed in the application, I have obtained permission from them to apply for this per Rdd thndtic tht e work proposed.
X Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Ins ection
Plan Review Fee EH Review Fee CO
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
MASON COUNTY PERMIT NO.
BUILDING PERMIT APPLICATION
426 W. Cedar • P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner Company Name
Mailing Address Mailing Address
City State Zip Code City State Zip Code
Phone Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg.# Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No. Fire District
Legal Description
Site Address (Please include street name, street number and city)
Directions to site
Will timber be cut and sold in parcel preparation?Yes/No
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work
No.of Bedrooms No. of Bathrooms Square Footage - 1 St Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. No.of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ Replacement Unit? Yes/No n F I V E D
Installer Name Certification No. R `•
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or perms c i (�
Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or th trAt1.I Hlt�er
declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the pe mis-
sion from all the necessary parties.If permission is required from any easement holder or any other party in int4Tt WaCEE)AR�p fica-
tion or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed.
X Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department L t i �o
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
MASON COUNTY PERMIT NO.
• BUILDING PERMIT APPLICATION
426 W. Cedar • P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFMj7ION CONTRACTOR INFORMATION
Owner fl /et. ti4J4 Company Name
Mailing Address Mailing Address
City / 7A.4A State
jj., Zip Code�'2"-'SYI City State Zip Code
Phone? . -110 I V'31 Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg.# Exp.
E mail address E Mail Address
Drivers Lic.# Q DOB 3 Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No. .4!9O4, 23 Oettf7 Fire District
Legal Description ``. -"" 5'w -VW
Site Address (Please include street name, street number and city)31/ W. Ga.aa c�L e r . S e tto*y,
Directions to site k44) ( Lo t " I.!T L k' .N 1 e r
w S wd Rd le4%t ' M► Drive
Will timber be cut and sold in parcel preparation?Yes
Is property within 200'of Saltwater -/O Lake •w River/Creek 4-'e' Pond
Wetland Seasonal Runoff Stream A'O Slopes or Bluffs > 15%_ W
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building AO/ Describe Work ep�t t 6 kLd
No.of Bedrooms No. of Bathrooms Square Footage - 1st Floor 7-1710 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make 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.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permits i�n4 Y E
Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or the con racffor.I further
declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I h t�qpi rmis-
sion from all the necessary parties.If permission is required from any easement holder or any other party in intere�addir t�plica-
tion or the work proposed in thapplication, I have obtained permission from them to apply for this permit and conduct the work proposed.
X &--� 1 /}#ta�P.� Date: /A 3 -D 3 426 W. CEDAR STo.
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL-USE BEYOND THIS POINT S/ /
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No,
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department N )0 0 S L1 O K 5
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee (.o ) $, Site Inspection
Plan Review Fee 4 V- EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood /Gas/Pellet Stove Fee State Fee
Violation Fee j0Q ►1 _ Pre-Paid at Submittal
Valuation $ J $ TOTAL FEES
Z V'
. Z
n'I
Ci
TOPOGRAPHY PROFILE: `� EN
VIRONMENTAL
HEALTH
Direction: Scale: Approval: for office use
Building Permit number: Building:
Owner/Applicant: Date of Planning:
application: Env. Health:
Parcel Number:
- H- - -E± 1iH 4W TH
111111
iiiiiit
. Z
D _
t �
TOPOGRAPHY PROFILE:
Direction: Scale: Approval: for office use
Building Permit number: Building:
Owner/Applicant: Date of Planning:
application: Env. Health:_______
Parcel Number:
)_
z �
\.�
111
--
n1 �,
P
#sl-'E
RE T B
CH N SUB ' 1 :E
ate
TOPOGRAPHY PROFILE: �_ 5�c� u���•
Direction: Scale: Approval: for office use
Building Permit number: Building:
Owner/Applicant: Date of Planning:
application: Env. Health:
Parcel Number: