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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 OP APPLICANT INFORMATION as t c Notes CONTRACTOR INFORMATION Owner O - "T duN T,o� Company Name X-R La �-`""� Mailing Address 9 ^I — TJ Mailing Address 13cK City -"Ca State �Zip Code City cJtl( t� State Zip Code_ 9 g�b7 Ph0ne3raQ4A0-Sy71a Other Ph. Phone,;3LO-IJIC - 2- 8 Other Ph. Lien/Title Holder Contractor Reg. #ftLL-f3UQ.A91�7-4'Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# 4 04C4r&.H1.9 Z QQ DOB SEPTIC /WATER SYSTEM INFORMATION - Conne to New Septic Existing Septi FWater System Name of Water SystemSewer System Name of Sewer System INFORMATION - 12 Digit Parcel No. - 'Z- Fire District cription q�00Z Site Address(Please include street name, street number and city) Directions to site Will timber be cut and sold in parcel preparation?Ye /No Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs Is this permit submittal thq result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB New Add I Repair 04er�_ PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building r k ff No. of Bedroom No. of B thro s 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 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 permission from all the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the appli I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on ow sMalf, esents that the information provided is accurate and grants employees of Mason County access to the above described pr ature for review and inspection.This permit/application becomes null &void if work or authorized construction is not commenc days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY M SOFAPSPECT O .INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL NVALIDATE THE APPLICATION. X Date: I a ( gam, 2� Owne / ner epresentati /Contractor jndicate which one) F04 01754& BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department i Environmental Health Department j Fire Marshal FEES Building Permit Fee Site Inspection j 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 INFORMATION -' CONTRACTOR INFORMATION Owner _ i Company Name { Mailing Address �-: ' �- "�• �- ' - Mailing Address City ' ' —' State / Zip Code City State Zip Code x 1 Phone ' "° ,y Other Ph. Phone f ' Other Ph. Lien/Title Holder Contractor Reg.# r -Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# "" " 4 DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. I - 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 li Is this permit submittal the,result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB , NewV Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building " & ,s ri Work No. of Bedrooms No. c B throbms 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 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 permission from all the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OFA PROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. t- X Date: Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES -77 Building Department Planning Department ' Environmental Health Department 10.123 Ube ' Fire Marshal l` ' FEES Building Permit Fee Site Ins ection 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 CD) 14 1 426 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 t.>es-JI ►\ 'c. N,c,E-_.< CONTRACTOR INFORMATION Owner Cif-"T _ ! I c-r 1 G a=,/C'a—r ,n r,,j Company Name _�' �' C-_.. Mailing Address `% I 1 L :- n 1,j Mailing Address City I'li 1-"`^^ State I 1'4" Zip Code tR 5 P; City - State 1 V Zip Code '! 2 7 /'''7 Phone'(�U•u7� " `/�`� Other Ph. Phone " /<[?- �/ - 2 < ' `i Other Ph. Lien/Title Holder Contractor Reg.# t i F Uc F7 Lt'-'Exp. 6,/ 1-7 cryy E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# 1-t yr 4y �6a DOB F f SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic ' Existing Septic Cried fq Water System Name of Water System, ----�� ,. Well )L -/ Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. 2 2 " Z - ~•-'�c'>C Fire District Legal Description Site Address(Please include street name, street number and city) Directions to site r rtc. �' =-r L v Cr�y� T5 Will timber be cut and sold in parcel preparation?Yea/No Is property within 200'of Saltwater Lake '------­" River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs>15% Is this permit submittal th result of a Stop Work Rptice,Correction Notice or other enforcement act' n?Y*No TYPE OF JOB New Add It 12e air O of.. PRIMARY RESIDENCE ❑>SI=�4SONAL ❑ Use of Building �..T r k ? [- — N f B r mqI—No. of B thro Square Footage- 1 st Floor 2nd Floor o. o ed oo s q g 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 Bathroor�s 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 permission from all the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the appli�akran, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on ow ers be If, represents that the information provided is accurate and grants employees of Mason County access to the above described pr erty and structure for review and inspection. This permit/application becomes null &void if work or authorized construction is not co d with 6`180 days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY ME�NS OFA PROGRkSS INSPECT O .INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL sNVALIDATE THE APPLICATION. X Date: I ' 1 wner/Owner pre esentatM9./Contractor ' dicate which one) FOR 0 ffICIALUSt BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department 0 Planning Department 101 105 V-qM Environmental Health Department n 0 "" ) , Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planninq 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 Ct 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 (10mmemk— APPLICANT INFORMATION , t_>e N f c �*01_,5 CONTRACTOR INFORMATION Owner �D O1�'r- - �r T Q u NtJ/�-rr n r\1 Company Name t� r c_t� Mailing Address `5; 1 = 1✓'t a NJ 1 Mailin Address f 0 1?ox 6 SS City n—J State VIP' Zip Code 92 *F� City ►i State V Zip Code Phone ^o-� S -f� 71 Other Ph. Phoned_ �/��- 2-E:� Other Ph. Lien/Title Holder Contractor Reg. #I c L > uG•A 9 2 z Lf"Exp. k-/ , 7,XLI E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# 14 /wC aH DOB �- -2 t SEPTIC /WATER SYSTEM INFORMATION - Conne(Oo New Septic-- eptic Existing Septic--) e Water System Name of Water System Well -dt Sewer System Name of Sewer System 'PARCEL INFORMATION - 12 Digit Parcel No. 2 - 777770 Fire District Legal Description Site Address(Please include street name, street number and city) Directions to site ..-�C c. 1LT'.%( ��'' "?`o =r�J"S o -,j � Will timber be cut and sold in parcel preparation?Ye /No r Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs /o ` Is this permit submittal thq result of a Stop Work NWire,Correction Notice or other enforcement aqtjo,09 ydssiNo TYPE OF JOB i New Add I Repair' ❑ 1O eJJ� PRIMARY RESIDENCE Use of Building _ r k 4(� t�S_t , , I El No. of Bedrooms No. of B thro Square q uare Footage g - 1 st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq. ft. L / Garage Attached Detached Carport Attached Detached, MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No. of Bedrooms No. of Bathroo s _� 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 permission from all the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the appli9abM I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on ow rs bkal epresents that the information provided is accurate and grants employees of Mason County access to the above described pr ertyructure for review and inspection. This permit/application becomes null&void if work or authorized construction is not commenc dwi0 days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY M NSOFA TSPECT O .INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL)NVALIDATE THE APPLICATION. X Date: ( G� r p, / " Owne / ner epresentativ /Contractor #ndicate which one) FOq OFP61 BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department- /' L�j A— Planning Department Environmental Health Department — Fire Marshal la- FEES Building Permit Fee 7& 5- 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 5. Valuation $ 708' TOTAL FEES �PBpt7 COVE A r MASON COUNTY Shelton (360)427-9670. DEPARTMENT OF COMMUNITY DEVELOPMENT Belfair (360) 275-44657 - Permit Processing/Inspections/Addressing Elma (360) 482-5269 Mason County Bldg.III 426 W.Cedar gas¢ P.O.Box 186 Shelton,WA 98584 March 2, 2006 � 44. Don Nichols, President 3a - Q Adopt-A-Pet 521 E. Road-of-Tralee 9 Shelton, WA 98584 RE: PLUMBING/HANDICAP RESTROOM REQUIREMENTS Dear Mr. Nichols: I am in receipt of your letter, dated March 1, 2006, requesting relief from the code requirement to install an ADA accessible restroom facility in your proposed building to house Adopt-A-Pet. I do understand your concern with costs associated with the installation necessary to meet the requirements, however, the County is required under Federal law as stipulated in the Americans With Disabilities Act(ADA)to apply the minimum standards necessary to comply with the law as it is written. In your letter you indicated that your operation would be occupied by humans only four or five hours a day while attending to the dogs, and that the toilet is intended for the convenience of your volunteers. You further state that in 26 years of operation, you have never been visited by a wheelchair person wishing to adopt one of your dogs. .Although you have not had visitors in a wheel chair, or have had volunteers/employees with a disability that would require use of a wheel chair, the Federal law requires that all businesses provide adequitg accessibility to the building as well as restrooms within a building.The International Building Code requires that a restroom facility be provided in conjunction with the intended building occupancy. The County does not have the authority to waive the Federal requirement for ADA accessibility with regard to a building or restroom facilities. Although there is some cost involved with the construction that is needed to meet the minimum requirement for ADA accessibility, it should not a cost prohibitive amount if done in conjunction with the construction of the building. There is also no provision in Federal law to post a sign that states the building is not ADA accessible. If you should have any further questions, please feel free to contact either Debbera Coker by phone at 360-427-9670 Ext. 510, or myself at 360-427-9670, Ext. 603. Sincerely, Barbara Robinson Permit Assistance Center Manager Cc: Debbera Coker,Plans Examiner Dom, i � aJ 3a a a •-�e�d goon a RECErv4D MAR 01 2006 March Is', 2006 MASON COUNTY Mason County Community Development Attention; Barbara Robinson, Manager Dear Ms Robinson This letter is a request for reconsideration of a requirement imposed on a plumbing permit for a new building we are constructing. Our organization is Adopt A-Pet and our new building is to be an office and storage facility for a new modern kennel building we hope to build later in the year. Our plumbing permit was issued with the requirement for a handicap restroom on the premises. The origin of this requirement was classification of our activity as a "kennel" which is specifically listed in your regulatory material under the Class B commercial category. i Kennels as commercial enterprises are quite common, whereas kennels as a charitable activity are very uncommon. There are no commercial aspects whatsoever in our endeavors. This is borne out by our classification as a tax exempt activity by the IRS as well as the Mason Countytaxing authority. $ ty For the above reason, I respectfully submit that this classification does not apply in this case and request that we be allowed to provide a common residential type toilet This building will not be used as a residence however. It will be occupied by humans only about four or five hours a day while attending to our dogs. The toilet is intended for the convenience of our volunteers. Relief from the added expense of a handicap facility and access provisions will be a welcome economy to our somewhat limited resources. i Never in our 26 years of operation have we been visited by a wheelchair person wishing to adopt one of our dogs. However as a courtesy to the public I would propose placing a prominent sign near our entrance stating " There are no handicap restroom facilities on these premises " Your prompt consideration and favorable ruling on the above request and proposal will be greatly appreciated. Sic rely, a?( 1 Don Nichols President Adopt-A-Pet 521 E Road-of-Tralee Shelton, 98584 Ph. 426-5476 Mason County Permit Assistance Center PlanniZ Intake Checklist Owners N c�o ¢ cl Date: 10• Project: Reviewed By: Commercial Development: rYEt ) NO Comments: Planner: GBM TSC CM M SNG BJR Site Plan: * North Arrow P1 Property Dimensions: 1 X 7 d Streets and Driveways Shown.Road name: ,ell Existing Structures shown with setbacks e-'Well Location, Septic and Drain-field Shown with setbacks ❑ ideal-surface water(streams,ponds, shoreline,wetlands, etc.) p,"Topography(slopes) e--l'roposed Structyre Setbacks(Direction/Setback): / F: /�R: ...E / SI: / AQS2: / d Utility and Drainage Easements: Yes 60 (if yes enter condition#5022) o-�Other Easements no-r\,� �0' Accessory Appurtenances 1)0-r-. _ q unty ess it N d con ' n#0 ❑v Sta ccess enmit eeded(add con Ition#0020) Standard Conditions to be added to all Building permits that planning reviews:#5019 and#0700 Are there any impedim nts that may restrict acc s t¢your site? dolls/gates s/gates V bon Shoreline and Planning Info Setbacks: Shoreline: IVA— Slope: l V Shoreline Designation: Comprehensive Plan: Rural Zonin : ( Not Applicable ❑ Agricultural Pq RR 2. 5 10 20 ❑ Urban ❑ In-holding ❑ RMF ❑ Rural ❑ LTCFL ❑ RC 1 2 3 ❑ Conservancy ( `-Rural ❑ RI ❑ Natural ❑ RAC ❑ RNR ❑ Unknown ❑ RCC-Hamlet ❑ RT ❑ Urban Growth Area ❑ NTR ❑ Unknown ❑ Unknown Water Body(type of water if unnamed): SEPA: Yes (9 Unknown Flood Plain: YES N Unkno -' Map Aquifer Recharge: YES NO nkno Map# Tags/Cases: RLC/SPI Case: 6-Year Dev. Moratorium: YES NO Eagle Nest Tag: YES NO Other YES NO Addressing: Check box if needed ❑ Reviewed by: Revised:07-12-2005 I:\PLANNiNG\cHARELL&RENEE\PLANNING INTAKE