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HomeMy WebLinkAboutBLD99-0067 FINALLED - BLD Permit / Conditions - 3/29/1999Mason County Bid . iiI 426 . Cedar P.O. Box 186 Shelton, ashina ton 98584 8irl„_P$iit, rove if,3/31/99 ;.:asst; I it t BI,D0-0067 ;s .fi' 06i For a :1Amr , D,t,sbcr')c'K Mason t;rtu X 2) The use, IacrrrelI irir.i I i t"I r.a i d s In r x, c dy ;s Fire Marshal, . x 3 ) Pr'ovi,:3iOrr.3 for surfaoeisk e,orr 't.r011ot". ion or d:tevolCipiii ,n`'t: _ Under the requirements of Ma.s drains wi i l moot r r=gn i r c:.,rra tr t�a I IQUI`Q`R f'$:Ili„ :) &f i T ;OW IS iirOtt i tiFf) Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 and I.f'diallSdi.ti#.p I n(,# r°c.rgs.; i e•Ors3ou i R os%"t ab i r :'iji5`rr.,d, under dons materials or flammable and combu t: I i.�i It allowed without ilia approval of th Mason t t;+FrntV t_:f „a (O ii t r o t must lilt' implemented MOST NOT adversely impost adjacent s`)$_'ormWat or Ordinance, e I tlior pir i vat tide d.p i l ik ?"v and t'.isrrsabtfFR"t G;)r r.'ee if i tiiAriOe or prior abprovo I 1 1 4 1 be granted to u;3e an ex i I: I riq a't: i I i ,y and drainage easement dedicated for that F:3i1c ., I'f I ss porpose For further Information rgor°d i nq this rd r nfanoe and tho nUOU i i1i Mii. obtain an ACt;lS' PEFiMI`t for the installation/construction of a d.rIvaway or oo0SG oonrtec::t:iF 1 from a Mason County hood, Curdtrao-t. `t`Icrig Mason Or:1naty l'ut:ri I;. Works Deportment prior to construction at Fxt 41,0 . s .ar r rry oon 3'trt_cot I on wit i doe is proposed to right o1' way, it i6 o -.r' r1ci s1: a0 J O onf'c:tc;'I: that office 't;0 review future planned work which may trt`1'ot1 i' your pro X I:co i oon'I:od i i th I tr P ' e"j a ilif slf t;t'dtra'I y rood 4) Proposed ,a'to•LEi.t.t?r o or rs1F portion thereof groalr 't.Irn;a i tc height from rrr1.3st. maintain a minimum sit ;i` sot:haok rr'''cn all pr"c'por'I1V ii['sot;, easements railCounty and j* 'te }�.`.�.. iiu,41 r r ttirt. r#'i X 1, Owaeribuilder orlf'::diSribor"r:id all a' ? £.. € d d,.s ra s,a i b i t i I, V if d.I 9' is i r°r fi O I d:l it ti' E'!:1 is MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 0 ) All d11:bI;i f'c'=li,K^¢► p I 'lilt, aF ( 5'�•`► u Y eo To o on - r,� q'' i 6 'f' E i' I: f i n s:. c ( on i ;3 oo t l ed Tor R' nd 1plane re not ont� Ity, Approval 'NI #,4.. NOT he clr7dl'I,F:6'r . In ade:l I b: i ora, a n -I{• — I onl;r€ &i'7: I ft!'6 Tee in 'I 1f]Zirul►1: of f¢; 42,041 t'r t#" 1'd(:!4.ii (ail I n i l7iom 1 hour) will h r'II 4l'•}IS,at;I w:ll'1tt f►l►.I 't: be eo I i eefet1 by i:t i rY department prior to any Toff tIi4ap' i npee.7# I OU bo I f' q pei't'r9a'med or X PURSUANT ,i3O .1994 UNIFORM I;U I t U I NO CODE, ALL SIT. C MUST HAVE ADDRESSES E'EaOV I Ut:;I.) IN ;.IC.II A POSITION AS TO BE 1'1 A I Nt. "Y' V I "s I OI L `1111 1 'I' OR HOAR 3"EION''d I Nb 1111 PROPERTY. MA' ON COUNTY 1W I t I.k l NG ot':I. THIS BE 10M9I..9;. b rU Pt) i CIII TO CALLING I'C.I1i ANY SITE INSPECTIONS. fA ON R/\II'S IN TABLE ?A OIL THE 1994 UNI1`OHM BUILDING (;ODE-. WlE.I.. E'9 OWNER/CONTRACTOR I A I l._8 TO POST ADDRESS ON SITE E PRIOR `10 PEfk. Pr`t- ' ) THIS STRUCTURE IS CON; 1 OLR1' I) UNHEATED SPACE (NOT .E TO EXCEED i WA.T.I/ MMIARE B IU/ Htt / 0UAI't( FOOT), AT SUCH TIME THIS CONDITION CHANGES v A CHANGE OF MECHANICAL PERMIT S3'HAt.I.. BE APPLIED I OR AND APPROVED RH t Ot 10 THE CHANGE. , .E. BASE 9 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL. LOCAL CODES AND UBC ItF'QU I REMENTO AND OCCUPANCY IS LIMITED 10 THE PERMITTED AND APPROVED CLASSIFICATION, ANY HANOI OF 08E DI) OCCUPANCY WOUI..1) FII:st.1L ; IN PERMIT REVOCATION, CHANGE; OF OSE MOST BF APPROVED PRIOR TO CHANGE, ' 'Iii ) t.=ht:3 ril,io to t"ppr eyed Energy Code, 1991 Vent Cod, I:ho Uniform Bn l i c be approved by Manou County t effect oou p 1 I el'►ee to or Air U s l o I f 1: y MaoCounty fleg1IIN'4: oon';3trnct:ItonX I I ) O►N;" i ti,!U'F I UN PROCESS 4"0 BE FILED CORRECTED AS t3I (1U I Itlr DEPARTMENT AND UN I BUILDING CODE, {::n o No,N N IiL.I.)i-h?'-. " N1a.I {;,,9INiY ORII_I)INO Slat(?) BETE qs-St &rA ciaLs y <L e by « . - Ag\VC,AL date d msU�e� Fldors A% Was J a Attic e N 4E date PERMIT NO' PLO MASON COUNTY UL (T LIC TJO 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 Owner Mailing Address City Phone( 1 Other Ph ( Lien/Title Holder Address State Zip Code CONTRACTOR INFORMATION Contractor Name Mailing Address City State Zip Code Ph.( I Other Ph.( Contractor Reg. # Expiration SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septic System Name of Sewer System Water System f PARCEL INFORMATION -12 digit Tax Parcel No. ' Legal Description Site Address(Please include street name, street number and city) Directions to site Existing Septic Connect to Sewer Well Water System Name of Fire District Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Buildino Describe Work ' No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE -1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other Garage ' Attached Detached Carpoll Attached Detached MOBILE HOME INFORMATION -Make Length Width Serial No. Type of Heat Purchase Price $ Installer Name sq. ft. Model Model Year No. of Bedrooms No. of Bathrooms Replacement Unit ?(Yes/No) Certification No. r -- 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 Registration Law ROW 10.27 and am aware of the ordinance requirements for which this permit is issued and that all work will be done in conformance therewith. No changes shall be made without first obtaining approval. x Accepted by CONTRACTOR'S AFFIDAVIT -I certify that I am currently registered as a contractor in the State of Washington and that I am aware of the ordinance requirements regulating the work for which this permit is issued and all work shall be done in conformance therewith No changes shall be made without first obtaining approval Date X Date FOR OFFICIAL USE BEYOND THIS POINT Date Submittal Amount Due Receipt No. 1'. 'DEPARTMENTAL,REVIEW: APPROVED DENIED CONDITION CODES Building Department Occ GroupT_ __ Type Constr. Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ Building Permit Fee Plan Review Fee Plumbing & Base Fee Mechanical & Base Fee Wood/Gas/Pellet Stove Fee Violation Fee .Al iufyf. CF,e3 FEES Site Inspection UFC Plan Review Fee Public Works Review Fee Other cc' l Jz j Other Pre -Paid at Submittal TOTAL FEES PERMIT I J rJ BLD qq-ZJ IL MASON COUNTY E IT P LICATI N 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 Shelton (360)427-9670 Beltair (360)275-4467 Elma 360)4825269 Seattle (206)464-6962 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Making Address City Phone( Lien:Tlie Holder Address State Zip Code Other Ph,( Contractor Name ailing Address City State Zip Code Ph ( Other Ptr Contractor Reg. # 'Expiration 97 SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION -12 digit Tax Parcel, No. f2egal Description r 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 your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE -1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION -Make Length Width Serial No. Type of Heat Purchase Price $ Installer Name sq ft. Model Model Year No. of Bedrooms No. of Bathrooms Replacement Unit ?(Yes/Not 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 c` the Contractor Registration Law ROW 18 27 and am aware of the ordinance requirements for which this permit is issued and that all work vrili be done in conformance therewith. No changes shall be made witho:.il first obtaining approval X Accepted by CONTRACTOR'S AFFIDAVIT -I certfy that I am currently registered as a contractor in the State of Washington and that I am aware of the ordnance requirements regulating the work for which this permit is issued and all work shall be done in conformance therewith I/o changes shall be made without first obtaining approval Date X Date FOR OFFICIAL USE BEYOND THIS POINT Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEW rAPPR©VEDTrbENIED Building Department Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department LFire Marshal Valuation $ Building Permit Fee Plan Review Fee Plumbing & Base Fee Mechanical & Base Fee Wood/Gas/Pellet Stove Fee Violation Fee CONDITION CODES FEES Site Inspection UFC Plan Review Fee Public Works Review Fee Other Other Pre -Paid at Submittal TOTAL FEES 7777 PERMIT NO.: MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 Shelton (360)427-9670 Belfair (360)275-467 Elma (3601482-5269 Seattle (206)464-6968 APPLICANT INFORMATION Owner 4AtIFS lAaizeiric Mailing Address &171 -_. IIVI.A)m -1)Rt dm City U N t onl State Iva -Zip Code Of gAzi 2^, Phone(R&n )R9Q—N4 I7 Other Ph.( I N_ IA Lien/Title Holder N la Address N. IA OLD CONTRACTOR INFORMATION Contractor Namere...1 -e L'.W i iaa*ro n.,H,...._S Mailing Address e1 «i u,,.v QA ° t w..,,n,v,l City LYN r4u)nrrn - State i.ud Zip Code Q Qrrr7 Ph.(Qnn ) P14-AiS2 Other Ph.( ) Contractor Expiration I_ / •r) l qQ SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septic IJ n Existing Septic Al n Connect to Sewer System t4 a Name of Sewer System N IA Well win Water System m In Name of Water System tt IA PARCEL INFORMATION -12 digit Tax Parcel No. :2 I r)_t / Legal Description Site Address(Please include /�street name, street number and city) 471 = lop Directions to site 4n PEJUv R(air% F .c -r Arl ,A©Fr r IT- r. gte t 9. 1 iiR1UI�ri1AV ow l+^P-Tr Ill r:u k 4 MAWS "Pens -T' 'f) t Will timber tie cut and sold in parcel preparation? (Yes/No) w r-, Is your property within 200' of the following: Body of Water (Name) Kt IA Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs Pa Fire District 6.>ro. _ t TYPE OF JOB New ✓ Add Alt Repair Other Use of Buildino Describe Work EicIr-r,- A 7:1&-6rr'4 1 D.,cr Fr4,el!a raar,ar F No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE -1st Floor 2nd Floor :3rd Floor Loft Basement Deck Other . Garage X2!'4 Attached Detached ✓ Carport Attached Detached MOBILE HOME INFORMATION -Make id IA Model Length Width Serial No. .Type of Heat Purchase Price $ -Installer Name sq. ft. Model Year No. of Bedrooms No. of Bathrooms _ Replacement Unit ?(Yes/No) Certification No. ra e�rC �,eat1 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 - Sontractor Registration Law RCW 18.27 and am aware of the ordinance - requirements for which this permit is issued and that all work will be done in conformance therewith. No changes shall be made without first obtaining approval. x CONTRACTOR'S AFFIDAVIT -I certify that I am currently registered as a contractor in the State of Washington and that I am aware of the ordinance requirements regulating the work for which this permit is issued and all work shall be done in conformance therewith. No changes shall be made without first obtaining jproval. Date X FOR OFFICIAL USE BEYOND THIS POINT i Accepted by ill �ta Date-,./6")Submittal Amount Due / I f3EPARTMENTAl..REVlEW APPR0VE©: Building Department -q Occ Group (1 / Type Constr. )61.4•k4 - IPlanning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ Building Permit Fee Plan Review Fee Plumbing & Base Fee Mechanical & Base Fee Wood/Gas/Pellet Stove Fee Violation Fee Date 2 k iOr Receipt No. Y 4y ll ^: Ct3NtI317`3'.£:)N-COPES FEES Site Inspection UFC Plan Review Fee Public' Wanks Review Fee Other Pre -Paid at Submittal TOTAL FEES ASON COUNTY PROJECT SITE INFOR ATION Case No. Name t'. cr.- Lc PARCEL NUMBER .� / C "75Cr'=,(Date — 1-- C%l SHOW THE FOLLOWING ON SITE PLAN Lot Dimensions Existing Structures Structure Setbacks Water Lines Well Location (including adjacent) Names of Streets Names of Fronting Streets Fences Driveways Shorelines Topography Drainage Plan Easements Septic System Show Direction by indicationg N, S, E, Win relation to the site plan DRAW SITE PLAN BELOW (Include adjacent properties if on shoreline or within 100 feet of adjacent property line) adjacent property line- (—adjacent property line adjacent property line -4 SAMPLE SITE PLAN adja%nt property line gcn cn wl Al_ CacF K VA CA n,T adjacent property line - I V ti 4,2 /00' icy adjacent property line r RFV RVE L _ YPTSL 8o* E -adjacent property line E -adjacent property line o T� �Gaa �ni tibt.t5 fc 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