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Home My WebLink AboutBLD99-0784 Cancelled - BLD Application - 7/22/1999 IlST�E C6AAPLE7'ED I>QiNI I ) q -ô ')? PRESS HARD (� ` PERMIT NO.: • JUL MASON COUNTY PERMIT APPLICAT NERMIT ASSISTANCEqW&ELLANEOUS 426 W.CedarlP.O.Box 186,Shelton,WA 88584 Shelton(360)427-9670 Belfair 360 275.4467 Elma 60 2-5268 Seattle 206 APPLICANT INFORMATIO CONTRACTOR INFORMATIO Owner a /f/(C- e. C Contractor Name Mailin ddress 1 94 0 N — c,.- Mailing Address City State Q Zip Code City St ip Code Phone(3 6 0) — er Ph.( ) Ph.L/ "r Ph. Lien/Title Holder,mot o Contractor Reg. # Address Expiration / `-- f .. PARCEL INFORMATION-12 digit Tax Parcel No. 1—n-- "3'> n / 0 8 Fire District Legal Description tat I b a 4 Q [c Ate-%.—t o Q Site Address(include street name and city '— o C0 Directions to site: R J a... '1 .� Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200'of the following: Body of Water(Na a Saltwater Lake River/Creek Pond Wetland Sea Stream Slopes or Bluffs TYPE OF JOB New Add Alt�_Repair O U 'of Building G.' ✓ Describe proposed construction J ti- + c �� o v L o SHORELINE PROJECTS New ,.ti ent Repair Expansion Bulkhead Material (concrete, rock,wood, et Length Height A FLOOR PLAN A OT PLA BE REQUIRED DEPENDING ON THE TYPE OF PERMIT. INOTICE: THIS PERMIT BECOM UL IF WOR R CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUS DED N OR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF K IS B IS O PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the informati provided is accurate grants f Mason County access to the above described property and structures for review and inspect'inspectio this project. Ackno gment of s by signature below: O RAF IT-I certify that I am pt fro requirements of CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a th ntractor Registration Law RCW 18. aware of the contractor in the State of Washington and that I am aware of the or cc requirements for which this permit ued and that all work ordinance requirements regulating the work for which this permit is issued will one in conformance therewith. No c es shall be made without and all work shall be done In conformance therewith. No changes shall first ining approval, be made without first obtaining approval. X I'14 Date 7 '^?7X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Occ G T e of Const. Planning Department Environmental Health Department Public Works Department Fire Marshal CValuation $ FEES Building Permit Fee Site Inspection Plan Review Fee Other UFC Plan Review Fee Other Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES PERMIT NO.: 1VIIS MASON COUNTY MISCELLANEOUS PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton(360)427-9670 Beifair(360)275-4467 Elma(360)482-5269 Seattle(206)464-6968 =+ APPLIZ;ANT INFORMATION / CONTRACTOR INFORMATION Owner . c. ' ( I Contractor Name Mailin Address T L _ c- Mailing Address City ., State Zip Code C City State Zip Code PhoneC?G o )'` S^a?r..Qther Ph.(_ Ph.( Other Ph.{ Lien/Title Holder , Contractor Reg. # Address Expiration / / PARCEL INFORMATION-12 digit Tax Parcel No. 7.•"1.. "1:> 0 / / O O . I Fire Di , rict Legal Descriptions + ~' f f , 4 r. , : . y �, ' . c 14 ;; Site Address(include street name and city_ iQ h E TCe,hul,+ee.. t Directionstqsite: .4;/- ; .,T., g, .•.k: „i+4.isxkgf. ,' ':l.MfyA'.�...a.' *r fit. r Y .i. Will timber be cut,and sold in parcel"preparation? (Yes/No) i . Is your property within 200' of the following: Body of Water(Name) , ,... �+ Saltwater Lakes River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use f Building Describe proposed construction .1 t ( 2 i Os.. /'' o v cr a • . V c I w. 40 rr V oG vi SHORELINE PROJECTS New Replacement Repair Expansid __ Bulkhead Material (concrete, rock, wood, etc.) Length Height A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING i N THE TYPE OF PERMIT. NOTICE: THIS PERMIT BECOMES.NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DYR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER THE•WORK IS t'D PROOF OF CONTINUATION OF WORK IS BY MEANS.OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,lr resents that the informatigin provided isaccurate and'grants employees.of Mason County access to the above described property and structurs 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 CONTRACTOR'S AFFIDAVIT-I certify thaurrently registered as a the Contractor Registration Law RCW 18.27 and am aware of the contractor in the State of Washington and that'I-am aware of the ordinance requirements for which this permit is issued and that all work ordinance requirements regulating the work for which this permit is issued will be done in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall first obtaining approval, be made without first obtaining approval. Date 7 ... f- ?7X k Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by ✓� k�- Dat - L ubmittal Amount Due �` - ` teceipt No 13 3 L DEPARTMENTAL REVIEW APPROVED dENlED CONDITION GO ES Building Department -/4 -,i_ Occ Gr T e of Const. Planning Department ( 4Z44j, Environmental Health Department Public Works Department Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection ; Plan Review Fee Other • ()) UFC Plan Review Fee Other Violation Fee Pre-Paid at Submittal ( f:. TOTAL FEES MASON COUNTY PROJECT SITE INFORMATION Case No. Name PARCEL NUMBER 0O 17 Date_ '1 -SHOV1 THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, Win relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography 5' I Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent ro erties if on shoreline or within100feetofadjacentpropertyline.) adjacent property) e4 / 0 1 -adjacent property line \ ( __ !� I If , ( � I II I� ,I - T_- 'H adjacent property lined Fadjacent property line SAMPLE SITE PLAN adjacnt property lined 3zo' _ _ -adjacent property line 30' rR�SCRv& go+1 \ MCnn t Graaew \ Ho _ _ Pr.oPO5A sceptic —�I J I rE— 6 ' --%30—_I I VAC.AwT ' P____D \ YO'N /' \\ 11 / I �.. i _____/OO' LL L. A /00' I I la..GLLL I % R , adjacent property line- i a" Fadjacent proper ?line TOPOGRAPHY PROFILE(Show a side view of prope §tow slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE d1 St. r & 'O "1. I d,s auCL fa Slops, to¢ dice+anc� to t Signature " Date 1 MASON COUNTY PROJECT SITE INFORMATibN Case No. Name PARCEL NUMBER ..? 00 # Date �-' 3- t SHOV THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, Win relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent ro erties if on shoreline or within100feetofadjacentpropertyline.) adjacent property adjacent property line � I I I I� i I I I I aI II II / I / p s.• / adjacent property line-� I I <-adjacent property line SAMPLE SITE PLAN adja�nt property lined 3io' Fadjacent property line I V 30' rRE.SCRvE t ji SEAtcwi AL h fi L. _]� TSL_ 3�? CR,EEIG \ 1 � I .MOM C I .GrxaEN I HOUS4 > ( 1 \ I 1 — 60' --leo—�I R I VACA/uT a,�rtwce \ oa Ras a �\ T 1 Ads*=LLLTUJ.AL.T 50' I IF 40'—�i \ IV — I /' 1 NI j' t /00' I I >I� /00' t ILL/. I I adjacent property line-� ; '/ � � � E-adjacent proper ?line TOPOGRAPHY PROFILE(Show a side view of properly. Sbw slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE d1S+ r.c0. to drataree to ` Slopm tc¢ dis+anaQ Signature Date 7i DATE Planner Area Parcel 2Z3 3O _ sG - DQZ j ' CHECKLIST FOR PROPOSED CONSTRUCTION Comp Plan Designation UGA RAC RCC /RA For _fl Yes No ] [ ] Within 200 FT of SMP designated shoreline, wetlands, etc. Where? ) J Vl L - [ ] [,/ Located near possible Critical Area, What Kind?(( (Wetlands, Streams, Lakes, Slopes) [ ] RLC already done? Ih, a-GO& c [ ] [,+'l Proposed construction within floodplain [ ] Eagle nest E ] [ l Six year moratorium [ ] [,1' Multi-Setbacks [ ] [/1' State road access needed [ I [ I Commercial Development (parking standards, sign ordinance, public works review, other applicable agencies) [ ] [/ Mobile Home or RV Park • 4 Case summary for Case No. : SP196-0085 Date: 09/01/99 SHORLELINE PRE-INSPECTION :SPI96-0085 : PROJECT: : #: 21068 : MASTER:WEC96-0169 : NAME. . . . : KENNETH MCNEILL STAT:A 10/17/96 BHO SITE ADDRESS:NE1970 TAHUYA BLACKSMITH RD TAHUYA PROJECT DESCRIPTION POLE BUILDING PROJECT LOCATION NORTH SHORE RD TO ELFENDAHL PASS RD GO TO HAVEN LAKE RD TO BLACKSMITH RD TO PAVED RD DIRT RD TO RIGHT FOLLOW TO LOT 214. TYPE OF USE. . . :SF : SLOPE>15%. . : ? : LANDSLIDE HAZARD. . . : ? : SMP DESIG. . . . . :U: PERCENT OF SLOPE: 0 :% FLOODPLAIN. . . . . . . . . : ? : WATER BODY INVOLVED:HAVEN LAKE RCCAPO DESIG:RURAL OTHER TYPE WATER INSPECT DATE:10/17/96 : ASSOC. WETLAND:Y: SIESMIC HAZARD. . :N: STAFF:JENSEN NOTES Lots 212,213 & 214 have been altered in past two years; building site has been levelled (part fill) on lot 214; observed rebar and string at building site. This line marks a distance of 115 feet from "new Memo field #1 POLE BUILDING Memo field #2 NORTH SHORE RD TO ELFENDAHL PASS RD GO TO HAVEN LAKE RD TO BLACKSMITH RD TO PAVED RD DIRT RD TO RIGHT FOLLOW TO LOT 214 . Memo field #3 ----------------------------------- Lots 212,213 & 214 have been altered in past two years; building site has been levelled (part fill) on lot 214; observed rebar and string at building site. This line marks a distance of 115 feet from "new shoreline" ; common line observed from lots north and south of lot 214 is 90 feet from "new shoreline" on lot 214; 36 feet by 39 feet building sited near rebar and stringline may limit future home proposed on this lot. All structures must be behind common line (90 feet from shoreline) and 5 feet from side property lines. Related cases in project group 21068 WEC96-0169 KENNETH W MCNEILL BLD96-1263 KENNETH MCNEILL SPI96-0085 KENNETH MCNEILL ENF99-0212 ALAN MCNEILL BLD99-0784 KENNETH W MCNEILL Names and addresses for project group 21068 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- WEC96-0169 . . . . . . . . . . . . . . . . . . . . . .APL BLD96-1263 . . . . . . . . . . . . . . . . . . . . . .APL KENNETH MCNEILL KENNETH MCNEILL P.O. BOX 253 P.O. BOX 253 SELAH WA 98942 SELAH WA 98942 PH: PH: 509-454-3645 BLD96-1263 . . . . . . . . . . . . . . . . . . . . . .CON SPI96-0085 . . . . . . . . . . . . . . . . . . . . . .APL ALPINE CUSTOM BUILDINGS KENNETH MCNEILL 929 N 130TH #8 P.O. BOX 253 SEATTLE WA 98133 SELAH WA 98942 PH: 362-5025 PH: 509-454-3645 License No. : ALPINCB151M9 SPI96-0085 . . . . . . . . . . . . . . . . . . . . . .CON ENF99-0212 . . . . . . . . . . . . . . . . . . . . . .APL ALPINE CUSTOM BUILDINGS ALAN MCNEILL 929 N 130TH #8 23708 14TH AVE S SEATTLE WA 98133 DES MOINES WA 98198 PH: 362-5025 PH: License No. : ALPINCB151M9 ENF99-0212 . . . . . . . . . . . . . . . . . . . . . .CON BLD99-0784. . . . . . . . . . . . . . . . . . . .APL ALPINE CUSTOM BUILDINGS KENNETH MCNEILL 929 N 130TH #8 1960 NE TAH BLA SEATTLE WA 98133 TAHUYA WA 98588 PH: 362-5025 PH: 895-3315 License No. : ALPINCB151M9 Actions for case no. SPI96-0085 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- SPIA010 Application received / / / / 10/17/96 DONE BHO 10/17/96 BHO SPIA100 Site Inspection 10/17/96 / / 10/17/96 DONE AHB 10/17/96 BHO SPIA200 Proposal Approved / / / / 10/17/96 DONE AHB 10/17/96 BHO SPIA600 SPI-Letter-Field Review / / / / 10/17/96 SENT AHB 10/17/96 BHO Conditions for case no. SPI96-0085 No conditions found for this case Notes for case no. SPI96-0085 No notes found for this case I MASON COUNTY PERMIT ASSISTANCE CENTER Mason County Bldg.111426 W.Cedar P.O.Box 186 Shelton,WA 98564 (360)427-9670 Belfair(360)275-4467 Elma (360) 482-5269 Seattle (206)464-6968 August 2, 1999 Kenneth McNeill 1960 Ne Tahuya-Blacksmith Road Tahuya,WA 98588 RE: Building Permit Number:not assigned Parcel number-50-00214 Dear Mr.McNeill: A building permit application for new construction was received in the mail. A completed building permit application,site plan with topography,and 3 sets of plans,drawn to scale,will be needed before the permit application can be accepted for review. A description of the information needed is listed below. 1. A completed Building Permit Application for each structure. Include a full description of the project. 2. A completed Project Site Information Form. Three sets of plans,drawn to scale. Provide an elevation plan(4 sides),deck plan,and cross section of each project. The application forms and a checklist with sample plans are enclosed. A plan review fee is due when the permit application is submitted,please call the permit center at(360)275-4467,ext 284 for a quote of the plan review fee. When you have completed the forms and plans submit the information and plan review fee to the Mason County Permit Assistance Center in Belfair or at the Shelton offices. If you have questions please call me at(360)427-9670 ext 284. Thank You, Debbera Coker Mason County Building Department encl: Permit application package Completed permit application and incomplete plan C l.Ce.,.. IEEi O S ' � y 5(R th- 6 (c _____ 4V cD JUL 28 a. �---�„ Tr S1 E W 1999 r 7 EFEFtIEWADCRESS pr $htt o1 coq � gsvI ,,t 3� .8�►�r�`��$$ l ltI11111111111i11111111111111161I1Ititlt�titItiltt1111111III � ��i it(�• ? `'►'� ' A ' 0 - � N C