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S a° afro c � � 040 0 QO ^� acr4 Ca Z am CAa l 0 0 I: ,1 CONCRETE C,rl-cr i D+- 4�b{i��S ` MECHANICAL MOBILE HOME Footings-Setback 3 5 S date 7-.-2 S- 5 j by Ribbons date by Gas Piping date b Foundation Walls cs'^ � fD�G date by Set Up date S e noa-e a o,., t.✓ y10 SULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date -2 S- 5 by � a date by PLUMBING date -2-S-3 S by OTHER Groundwork Attic Jc� l I c. `7 date by date by D.W.V. WALLBOARD NAILING date -7-Z 5-- 5 by �/ date 5 "0"It'by Water Line FINAL INSPECTION date 7- Z 5- by date 16-6- 5 j- by G�� date by ��P�.�-� Gam✓ ?_ � r rr- r�� n "*� [.c G S 7, �G.-, L r ep t Q ham. l << e— J4 c - Zr. 2. Ll e K, b.r _ ' L/x e-L -c/n. Ir 00—.1 _ 1 '1SL—lG `I'�_ GU'l l' / �L. 4,-0 + G I `jj e- y GARY YANDO,DIRECTOR P�pN.STgTFo o A O u N DEPARTMENT OF COMMUNITY DEVELOPMENT i N T Lz PLANNING-SOLID WASTE-UTILITIES Y Y BLDG. III • 426 W. CEDAR • P.O. BOX 578 rasa SHELTON,WA 98584 • (206)427-9670 September 7, 1994 Ms. Darleen R. Petersen NE 220 West Tiger Lake Road Bremerton, WA 98312 RE: BLD 94-1295. Shoreline Master Program. Accessory Living Quarters. Dear Ms. Petersen, Tiger Lake is a designated shoreline of the state of Washington, as such development on the lake is regulated by the Shoreline Management Act of 1971 and the Mason County Shoreline Master Program It appears that on the submitted site plan there is one existing residence with a new proposed residence. It appears that the existing residence would then become a separate accessory living quarters. This type of development requires a Shoreline Substantial Development Permit pursuant the Mason County Shoreline Master Program, Chapter 7.16.080, (Accessory Living Quarters) Please find the necessary application and information enclosed. Other options to going through the shoreline permit process are: demolish the existing house upon completion of the new home or locate the new residence beyond 200' landward of the ordinary high water mark of Tiger Lake, which would be outside of the jurisdiction of the MCSMP. Please also reference the setback criteria as listed in the enclosed Residential Chapter and verify that you have used the criteria for establishing the proper setback. A new plot plan should submitted reflecting the use of this criteria and the measurement from the waterward dripedge of the house to the ordinary high water mark of the lake. Your building permit is placed on hold until the Shoreline Permit process is completed or you have chosen another option which would not require a permit for accessory living quarters. --RespectfWfy, assee, Planner D artment of DD art Community Development c: J. Dennison file N cycle i Permit No. • MASON COUNTY BUILDING PERMIT APPLICATION , 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 ne t " ! . ii ur�7,2 ( fives 3 a; Phone - e Ad ress �� /1Ci,�1�� Fire District# . City St_ Zip 23i 2. Directions to Job Site _(�[c �- `u'r .. e, ,r- �"�. IeQxQ• ?Zctv� 1-,oPryx -T ry l K $ c:,CA-u2 t2nX.-,Q 40 XW_1__ L t -k - oud - Tim r-r. kt Q h� •- Go .5 �: at&d � � k �`1 L% ©t2 ��, Vd Owner ailin9 Address Qi City St Zip Lien/Title Holder c�,w.�_ / $��0 Address Clty St Zip #2 Contractor Name 1� i U C kl-6r2?_-�oL_VN Contractor Reg#IBC-'-, s d- 60r Address Expiration Date City St Zip Phone# #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 residential, proof of potable water is required) , '9� C�s#4 e0. M 13 O "led , .9 (/ g scri tion AT 1-c)'7- N#5 Building Square Footage; (existing/proposed) tS � 1st FI / V& / 2nd FI / 3rd FI / Loft S'. / S Basement/&& / Deck/Sir•-,lam#bedrooms 3 / #bathrooms 3 / Garage 9�3w / S • Carport / o v (Circle. ttac e^ r Detached?) Other sq. ft. / #6 Use of building ng agidcp,k Describe work Aktj #7 Type of Job: New ✓ Add Alt Repair Other #8 MOBILEIMANUFACTURED HOME INFORMATION Model Year Make Model "n Length Width Serial No. #Bedrooms- #Bathrooms Type 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 Name of Flanking Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW UC1 C�� APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW i y Piumbing Fixtures ($3 each) FDQ Mechanical Fixtures ($6 each) No. Toilets .00 CIRCLE FUEL TYPE: Gas, Electric, 3 Bath Basins 9"� Heatpum Other Bath Tubs No, ni Fees Showers j0� — Furn BTU Hot Water Htr 3,00 I Heatpumps w 00 Laundry Washer 3,00 Vent Systems Sinks 6l oo Spot Vent Fans Floor Drains 8xj0 No. Boilers/Compressors Laundry Basins J.©n HP Dishwasher 13, 00 No. Air Handling Units Disposal 3,00 cfm#% 0(c P I5��. \,�o�02 0 TP-A-1U 6 57 Q i.,i P M kr Urinals No. Fire Protection Systems Other — Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 — Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $ 0 No. Other Gas Outlets V oo�ic Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR bONSTRUCTION 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 TOTAL MECHANICAL $ `r�� 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 _' i� DATE -.. ' OR OFFICEAL USE ONLY.Accepted by Date. DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Plannin ��� edl Environmental Health: o ` I tNj Building Plan Review I Occupancy Group: Z,.S n _1 Type of Const: -,�;-N Fire Marshal: Other: FEES Special Conditions: Building Permit 5 � Plan Check Plumbing Fee �o� •GO Mechanical Fee fCp Wood/Gas/Pellet Stove v U Radon Monitor Violation Fee Site Inspection Building State Fee N SO Other Other LBLuiiidiina Valuation / U / C% S TOTAL FEE 2