Loading...
HomeMy WebLinkAboutBLD04-01227 Final Storage - BLD Permit / Conditions - 7/5/2005 Co M N d 0 0 N • N N OO WNO o ov,Ov,Ov O,Oo,io�:,o�O,, N� �O co Ix N N N N o ,� o S d co cn,cn cn to M co Q CO r d'CT C N J . z; OUiNCM O O O A rO z R EMU> m NN J aisis a E cM FL En w m USX EQ `O v vv W W z w OL v v o 0 ci O c 0 0 0 0 C w O W �N„ O o O N N z c �z w o as - , o d � zzz of aoc00003ao ►- c m i ma ma wL Cl- m T a� ` Y> W a) LL W ) O _ �, cnp o m zZC) rr m c co `o ' cm o a U N C O E cn � E U° O 1 m CO a) co m O � 3 LL LL S _ a� Z cna W U cc a c a O LL LL N ° aawmm o oO cow � ca W G. y � � cz � E s Z W O ° » a O > U R _ W Z �= WF_ E ao vi 8 ° ca ° 0 G V a � o �' o o c o —0J W c o ` J — c �'C7 a C U' U v o U a .—' s cm m W (D000 E �' ?A CL T co 6i M C O r r ° x Z z N LLiiLL � LL w Om° W U a 06 r `r° -0 Oo00 o m ` U O J U to w w . fn N Lo - ti m LL d z LL E E A rn r s O N 0 0 L O O > L� cB J N E o S � z > W LLi z Q O a) .. w V m m O C C r N a � � � o o � o � W � } UH o ozm LL_ w N W - z z ~ r N W H Q' N r M W z 2 � 0O � o = WU0a) OM Om00 �, rn W z 00 LL UJ C a Q' = W O o N C LL LL (J QCJNLO a` o Z O Sz �, N � O C � U N r O O C E O H lVVA// O i cn zOwmO E cm -0 z w z o E J i� vo � a O LL U = vi 0 o z — c 0WWLu m � Q m E 0 U)W w C7 ° o a N 0. w p W p o@ � CEOm > R o 0 OO ~ co a a) O w H 2 ° } ~ N IL to m i OW > 0 3• C) Lca w op p 2 -acap . ++ C a7 C C 'V O p O 7 3 C N c0 .� t0 E a m O N _ CLa) da � coo H C : p 0 cC o O w N Q C CD >, � N V L N N U 0 r- O . C 0 N p 4 O Co ca. y r_ a) O ca N O O UL =p r � .0 O fn N 0 a) - � •` cu (A L C a (a O Vi O U C Ca C 0 N a) V C N fN N m ° y V a) fC N N H O 0 O .. EN Ea) cu c 3 0 : Na Uw L 0 p — 0 p a) O ., E cC 3 0 0. 0 c 0 �- Q " N L 0 -0 c`6 0) cn -0 ca c c C L V .L. 7 V Q'a> N v a) a�i rnN O a ca L � Qom . m c L c L C ° 3 cU a) a) �)c ` - to 0 G) a 0 C c c i p 0 Q LL ii 0) cu � � 0 0 N Q= N coQ-0 O ° ca C 0- V 0 J U u iE : C a) y c O O O m L OE 3 L , c0 _� C .Oo c- o a) o ° ° c 'o 3 0 rna) L � � C ro 0) o '0 � � � ° 0 -0 3 0 -0 L fn m fa _� N o a) 0) 0 a L'O a) a) 'O co a) H w c a) a) p C 0 O) cLC V .. >' C O fn m w 0)� 0 > c6 C Q O O c y y 0' -0 c p ° O p L L A2 �y 70 a) C E �� 400 �o S O a) O C O y N (d 21- a) ,C ' C 0 N O C LL N U. C4 w C O L f0 a h y E c O O` O- C L 7 0 V� L ° m U) (� C w � v 0 .S a) 0 ° � X c 5 a >, y � 0 3 rn � � F � c0i 3 � � 4-- 3 � w (D `� c m cco L ° L L p >, L L O t O 7 'O O a) yLIJ Z C LO a) j L N N _N N 0 LO V cu .0 C.`� C Q m O m N 0) a) O O > N 0 C- L cn 0 w O V V O C L L U C > p ,a? Coa 0 ° > C p cO p .O p p O a) p o p ca a) c a 0 - a) NEL OcuO C -0O c 0 Ems° 0w p 0o O °� L � 0 a) o c 0 °� 0 ° 0 U) �- L U) C U c V O U E C O a) c0 N � s y (D ° 2 E � 0 a°) o ° 0 0 'cQ 0 c 0) ° -0 ° m 3 a) � "= E Q 0 E c o " C) Q (U cU � a C "=' C f�0 N D a) •2 w N O O O y O 7 O L O L (O w L -p o y U 0) v7 a a) .� j a y ,O C U -CE Z' tO E E > O 0_' � o p) C C ca -O ' 3 O cp p ,C N 7 0 0 o rn y S m E a) E in- ai = a) c -0 " 'L E CO� � E o � ,a c v � p E = 0 0c o � m e 3 0 v " 0 _0X � c 'E CU cu aa) co y 0L a) � o � m 04- c o p a) cc c c a) >, co L O a) 0 N 3 rp - 0 — C Co -C N vj c -0 . � � 'o h 0 m O w a) 0 a) O N E p �_ C � w a• 0 w C N L C U) 3 N co co O 3 N c0 m CO a) co U � co OE a � Q a) caC Z,- L o- � E � a) U) 4) � � " "-' C .L.. � C � h U O O C C p Mn co p 0 0 OL O U j 0 c � C) 0) L j' a M �. a 0 0 N C N 0) cV ti O L � L U 7 a) C O a) C 2 y cu y X C UH � X H CU to Q (D F- . Q COX w a n O O N N ch LO f0 J m ca E U 3 C E a -_ O a a cn a) N ° s •CU a) () cW > c 0) o C N ° CCL c w m m m O O C p p v f6 a m = m c 4 O .0 V U c� 0 X C co n a a� -0 � — o a Q N -0 N C a ` c Q C m 0 4O C m O O y N Q cu V o ° E '5 aai N 1° m co c° a� E OC E VCo aOLO 9 c° O j co � aco p m f a) CL O-Etw 0- L O C w N C O C 0 � mcm .' U + C O CL � m Q-0 > Oa om � a y0.a° o o > -d (D m y Lo = :5 c s =_ a`) a No Eo E m .. . N co 3 tco ma a m - ° j O c a pa N m a Q i -0 � °Q- 0 ccoo >1 0 � m N3 C p p v v U ca O N O a) � Q 0 E C C cm CD E m D Q) >, m C `C 0. c rn N E ^ 3 � Qc a v C •°C 0) a� o C c a-0 z s � E _Ca>i c m � a'� a) V C C L a) O a) N U 3 C � m N ' � L.: -0 . O Y2 C .0 � O m j N 0 ° E w O X O O P io a U (NC O >+ �_ y c O 0 0 o (D J U '=p C w — 0),V5 N N C m ? 0 C N Cl. C N O (D a) � O_ -p m N O Q C Q .4 U O O0._ O to U X U m V O p O N m > H ' C w a) � N � a �+y mN VU � O (D0 � 8 a) N � o o cco � o L- of E � X = rn y E o V C m N Q w .r i C ` p E �O 0 .. a) C O C N >O Z O Q E m C a C O w. Q a) +' X O o� NCL O E a � V N = a = p (D a w m e E L a) - N W N V O C ca (DN a) 0. a) C c X p ° C 7 0) co d O O a) L 0) m w L c >O " a) LP U V G 0 7 0 N N O N .L .O C a� LCL a) C a) O rn m m w V ~ C j O 0 C w p 3 m CL 0 m 0 0 cco d >, ° s ° '� m � c a ° 0c v aE NOC w w ow Q E o Z 0 0) a o Coos C Q CU o cco 0 ��- s O _ _ coo _ Q-C ram- 0 O U C L = y C •9 N N U - Q C 0 O V »O- L r+ w O co ,O Z C O S 4) Q N C O O N p E � 00 (D O O 3 0 0 L- w aai w o o C c`o m �co m E � '3 y oc o •a ,> > V d N .� w rn 0 O a) >, '_ Q- C ai c Z a 0C.cci p Q V a) N of � � a) cmO UOC m ° Q J C N a N C f0 — �_ 0 0 m 0 a) Q cu d- O m N � .L O U .y L O O N Q N to C w m 0 N a W p C >, t9 O U " 2 a Q m ` 0 , O cu CU m •E C 4) a Q O co C C m E p = L_ N c°cco� vi0 wo� aC CO .0 ° a) Cc c a) cc 5 aw X o w E a ° � c e O m � °� p a) ° > N (D ca a) c 0 � o - U m °a m w o O � �D > co m � C N Ca aaia � °? o co Oc a> p) c - > r0N >, � „ ° ° o v}i acv o 0 0 EL � > ` � � m c � � o a) (� 0) N O_ - Z w+ °�C E "= C U O m fLA cn o S O N L �—'' �t m CL Q O 0 � a) N _� a °> CL t N C C C y m _ E co C E > r_ (0 7 ca. co N 3 0 p H Q O m Mn co '? _m s N E •(0 O a0 d �0) m � y p c Q � ey-, N c a1 - -g]c� X O `Q� c � c � s Em $3 � ° � � c n ° w > m e c° o O Q > rn n w rn - ti a� .5 C � a v a) U ° � u. co c c m — ° m - N a) E N C L W a) Q•- C C) p 7 U Q m N Q o a N FL- U) aX aX H IL— camX O HmX Q cco � X Q `OX Q Q $ fX Q cusX C v . o 0 ti o rn 0 m J 2 0) Z5 aG � 2S a oc ■ N « £ $ ' 0 $ G ° % a m 4) \ % E = moo # k 5 / ) / § ƒ � E > * § > � � � co 5 2 cu � k @ / f o ° OL � k s ' 0 tQ o CL a) k k f2 \ fE . k £ E N C f % f % $ £k 7k § C ° D / / / 7 ' @ £ 2E ) o § g Q O o � 0- _ § � / cn 0) k E f / : \ \ k : f � \ / J tee $ / 2 2 § w a § o ° & f / ° k k 04 £ m c ■ 0 § - j / k \ k / / 2 / £ : f k $ o C \ 0 _ \ R § 7 2 / ) � G cn 2 / o g 2 _ 0C E \ 2 § w k� k & 3 � Ex / U- $ K k 0 (D � � § O \ / m ccS E t cc a S % 2 2 g E - — m ' ma - 70 —0 ° � a 5 $ � � g c22 f \ k CL 0 7 0 -0 -0 § 2 § g E o $ � 0 \ k k > 8 1E \ m / k EEC k / ƒ S � cn (n � [ � � agc 2 k \ k § / 7k\ e 4k 20 o 0cEk kk 0 k 2 / � � S » 7 � 2 2 ( m � @ $ -0 = ƒ ° CM 2m 2f § g d c ka § & a 3 0 g E L-, Zoo/ / k a / ® 2 E ƒ $ $ \ moo / � § — § 2 � a o 2 &\ n \ 7 \$ 2 ƒ E 2 0 ktE kfk7 E » 'a -0 5 f % E g 7 f@ o E k /� k� \ C 22 fm0 kS � � % k k C / a— 0 0 cc § e = � 2c \ CL \ 2 � OL ° B / � \ k CN � 0x �x �ƒ �x / § B 222 9 , 2 -f 2 04 e4 $ \ R q / S k / f � r a -.- .. *. - . ... . . NSErCNICAL. MANUFACTURED H'Ol1�IE :. boo . /Seth asks B y Ribbons s Date Date By -Gas-P pr 4g° Date By +: Fonndation�WaIls Date' By Set-up . Date. By INSULATION . Date B __jB G /Slab insulation Floors Final Date B� -Date By Date By FRAMING Waits FIRE DEPT Date By Date- ` By Date B PLUMBING . Attic OTHER Groundwork" Date B Date By WALLBOARD NAILING � �5 D.W.V. Date By � Date By FINAL INSPECTION _ Water Dine Date 7-S- O B G ,J Date By Date By �7: R of m Esu 8y C • Fa 0 oy �q Res s�E Y2 -212 — r . n i . 8 ouQ ores Hv � 1rs n/ of� steal Viv , l24402- 0A eta m g C m a 79 Nin. . N ^ j L J ■ sal FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO.40y— Q/aw '7 PLEASE PRESS HARD BUILDING PERMIT APPLICATION _ 426 W. Cedar - P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 a Belfair (360) 275-4467 - Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFO ATION CONTRACTOR INFORMATION Owner a " t' Company Name U u Mailing Address a Mailing Address o 043 City x State�LZip Cod�gSX4 City%4.VQt'AMP State wA-, Zip Code Phone '1 5 ©a.o'1 Other Ph. Phone q - 121.2-1- Other Ph lot-OS V1 Lien/Title Holder D rV l; Contractor Reg.#UKkrQ(ISKd03Nftp. 11-iA-o 44 E mail address E Mail Address Drivers Lic.# c. D DOB Drivers Lic.# WS 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. ?- i 2 919 O �q Fire District Legal Description ) t, T (!it Site Address (Please include street name, street number and city) Directions to site Will timber be cut and sold in parcel preparation?Yes 05 Is property within 200'of Saltwater ND Lake hjRiver/Creek 1100 Pond A O Wetland NO Seasonal Runoff__ALO_Stream AX) Slopes or Bluffs > 15% IVD Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Y6840 TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building�S-f a ram► �e Describe Work—ram Y act Cr"o No.of Bedrooms No.of Bathrooms Square Footage- 1st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq.ft. Garage- -if—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 patty in interest regarding this applica- tion or the work proposed in tV application, I have obtained permission from them to apply for this permit and conduct the work proposed. X Date: 1� 'a--d tl "�e s u b r•.�40.1,. Owner/dwners Representative ontrac for )(indicate which one) FOR OFFI IAL US BEY T 1 POINT pb Planning Pd1�'�'Ck# Date Bid Pdo��Receipt N Accepted by.� 44&6y DEPARTMENV4 REVIEW APPROVED DENIED NOTES Building Department —,(/ Planning Department Environmental Health Department A..`ii - Public Works Department 1-AR T. 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.61/— 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 INFC1 ATION CONTRACTOR INFORMATION Owner J. � r Company Name Mailing Address Mailing AddressQ , 8 . Wox 14643 City 11� StateLtp}, Zip Codc��Siy CityS;huecr��te State W$, Zip Code -� Phone _Other Ph. Phone_104!'- j a.Ct 1 Other Ph.,,ank-as W1 Lien/Title Holder ALl A ry t: Contractor Reg.#Uy kr ,, (LSYbO'SNQ'jtp. i7:r iin-o 4 E mail address E Mail Address Drivers Lic.# DOB So Drivers Lic.# 03 DOB 1a-a C-S'L SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No. 2 1 orl Fire District Legal Description 04- �-T�-...,< r,to E �ir7t.civS7" C'i; Site Address (Please include street name, street number and city) Directions to site Will timber be cut and sold in parcel preparation?Yes o Is property within 200'of Saltwater Q2Lake _River/Creek t1 D Pond IUt) Wetland nj0 Seasonal Runoff__&L{_Stream emu) Slopes or Bluffs > 15% IVD j Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement Yelp TYPE OF JOB - New V Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL. ❑ Use of Building 15—E elrs !iP Describe Work Q 0 a ar.3� No.of Bedrooms—No'of f Bathrooms Square Footage- 1 st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq.ft. , Garage- J Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No.of Bedrooms No.of Bathrooms Type of Heat Purchase Price$ 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 proposed in the application,I have obtained permission from them to apply for this permit and conduct the work proposed. x Date: 1� 'a —69 Owner/dwners Representative j?o"ntraci6r indicate which one) FOR OFFI IAL USE BEY T I POINT , Accepted by• tanning Pd 5 --'"'Ck# Date Rid Pd� Receipt N Accepted by�� DEPARTMENit4 REVIEW APPROVED DENIED NOTES Building DepartmentK L U% Planning Department p Health DepartmentLim— EnvironmentalcG' SMUU Public Works Department 426 W. CEDAR ST., Fire Marshal FEES Buildinq Permit Fee Site Inspection Plan Review Fee EH Review Fee i I Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal i Valuation $ TOTAL FEES I w MASON COUNTY PERMIT N0.0 / T_ "BUILDING PERMIT APPLICATION 426 W. Cedar • FO. Box 186, Shelton, WA 98584 '*w Shelton (360) 427-9670- Belfair (360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INF AT-ION CONTRACTOR INFORMATION Owner o X Company Name L...�. v' '5 Mailin cldres _s 'AJ f T' MailinRAddress Wax 14 dq:5 City 4 State Pr, Zip Cod 514 City UC04lie State W Zip Code •q Phone " Other Ph. Phone loQ`�'- i-ct i- Other Ph..30111I-G5*-n Lien/Title Holder D VV tr Contractor Reg.#l., V IT QtJ-X d01,Nftp. 11, ra-0 4 E mail address E Mail Address Drivers Lic.#Veh9,irCe1S61DOB 6- Drivers Lic.# t DOB lob-aV.sn 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 I t. E tt o'l wsT CT Site Address (Please include street name, street number and city) Directions to site Will timber be cut and sold in parcel preparation?Yes Is property within 200'of Saltwater AID_Lake River/Creek WO Pond AJy Wetland r-_J0 Seasonal Runoff_jN2jStream_A L_Slopes or Bluffs > 15% VO Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?YeRl TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL. ❑ Use of Building SA a f lie Describe Work- © a �a(44e, No.of Bedrooms No.of Bathrooms Square Footage - 1 st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq.ft. Garage- _JF_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 proposed in the application, I have obtained permission from them ct�o►apply for this permit and conduct the work proposed. X c or Date: D tee '(51 C:Sa6rr+ �4,. Owner/Owners Representative ontra (indicate which one) • FOR OFFI IAL U E BEY N POINT 00 Accepted by• lanning Pd Ck# r Date Bld P f. . '' Receipt N DEPARTMEN REVIEW APPROVED DENIED NOTES Building Department Planning Department g p Environmental Health Department ALIG 0 2 2004 Public Works Department 426 rzEDAR Fire Marshal T; 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.' fr '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 INF ATtON CONTRACTOR INFORMATION Owner to e t t Company Name U 1 Mailino Addres `'t 0­: i T r Mailing,Address , 0 . -' o\ 14 0 f4 City ' \1 —State\,k Pr, Zip Cod 253,1I City'" ,',o?.t,"r',e State Zip Code Phone t' " '� Other Ph. Phone Other PQJ"'-It-oS-#-"1 Lien/Title Holder Al D ,v t Contractor Reg.#1a :t t'-, E mail address E Mail Address Drivers Lic. 2 Ct- 1-�_ DOB Drivers Lic. jtAt1'':1 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 i F r s+ Site Address (Please include street name, street number and city) Directions to site Will timber be cut and sold in parcel preparation?Yes Is property within 200'of Saltwater U_Lake h it) River/Creek VO Pond 0Q Wetland +*-)O Seasonal Runoff—aj_o Stream &x) Slopes or Bluffs > 15% AJt? Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye TYPE OF JOB - New V Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building 4"f 0 ee 1t� Describe Work 'a 0 +c r+ge No.of Bedrooms No.of Bathrooms Square Footage- 1 st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq.ft. Garage�Attached --JK—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 proposed in tf a application, I have obtained permission from them to apply for this permit and conduct the work proposed. X Date: i5 - C?t¢ 't Owner/ wners Representative ontra or (indicate which one) * FOR OFFI9IAL USE BEYONp rHl POINT + Accepted by " s`Planning Pd ^1,', ' Ck# ,' a � ; # Date ,"# Bld Pda � �. `"' Receipt N DEPARTME , REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Public Works Department 426 W. CEDAR T: Fire Marshal FEES Buildinq Permit Fee Site Inspection Plan Review Fee EH Review Fee .3 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 w 22 ofl .10 a� -- _ s- off, oacr _ - AUG:-2 5,? y pLANN/N 4 AASON COUNTY 'OF COMMUNITY DEVELOPMENT Planning Division Box 279,Shelton,WA 98584 (360)427--9670 CATION OF INCOMPLETE APPLICATION W a O w se no. BLD2004-01227)for proposed cJpon review of your application, I have m are incomplete or do not provide z proceed until the necessary information 0 letter for details.) Once the information U. 1 will continue to process your O nation is not provided to the County oW n shall expire and no further action on Z � N� N aQ. m � f if you have questions. 4WoL Joanne Long-Woods Land Use Planner Mason County Planning Department Y STATFo,� MASON COUNTY e A S N DEPARTMENT OF COMMUNITY DEVELOPMENT u Planning Division o T P 0 Box 279,Shelton,WA 98584 y�o N Y pA (360)427-9670 J � 1864 NOTIFICATION OF INCOMPLETE APPLICATION August 10, 2004 CHARLES DEBERRY 291 E NORTHCREST CT ALLYN WA 98524 Parcel No.: 122297890054 Project Description: STORAGE Dear Applicant: 'I You have submitted a permit application (case no. BLD2004-01227)for proposed construction or development in the county. Upon review of your application, I have determined that the contents of the application are incomplete or do not provide enough detail for review. Therefore, review of your application will not proceed until the necessary information is provided (see the comment section of this letter for details.) Once the information is submitted and the application is complete, I will continue to process your application accordingly. If the additional information is not provided to the County within 180 days of this request, the application shall expire and no further action on the proposed development shall take place. Please contact me at (360) 427-9670, ext. 294 if you have questions. Sincerely, Joanne Long-Woods Land Use Planner Mason County Planning Department r a l i 3 8/10/2004 1 of 2 BLD2004-01227 1 NOTIFICATION OF INCOMPLETE APPLICATION 8/10/2004 Case No.: BLD2004-01227 COO11B"ts: Zoning and land use designations: Rural Residential 5 zoning designation. Standard building setbacks for this zoning are a 25-foot front yard setback, and 20-foot side and rear yard setback. These setbacks are measured from above grade structures such as roof overhangs, and other structures and appurtenances, including heat pumps etc. Other setbacks can apply when critical areas are present such as streams, wetlands, steep slopes etc. It is possible to apply for an administrative variance to request to reduce the standard front yard setback to a minimum of 10-feet, and the side yard setback to a minimum of 5-feet, although application is no guarantee of approval. i You have applied for an administrative variance to reduce the side yard on the east side of your property to 19 ft. However, the site plan does not illustrate your claim that "existing improvments of buildings, septic systems, and well areas"warrant a reduction in the required side yard setback. Please revise your site plan to show where the well and any other utilities are located to justify your request. 8/10/2004 2 of 2 BLD2004-01227 20' 4:76 W. C LEEDAR ST2 OZvt '8,82 1 _ - ..\a s 'i � VX I 9 E at . L'. j \ \g • 0 CEDAR STt -31 O V - t :,PC] M r J \os � 111 Jul 23 03 03: 28p Blackhawk Land Company 253-851 -2764 p. 3 MASON COUNTY _* IV, DEPARTMENT OF HEALTH SERVICES - Eirvironmcnlal flcaldi Pcrsonat ticalih - PO BOX 1666 SHELTON,WA 98584 LOCAL(360)427-9670 DELFAIR(360)275-4467 d.446S Application for Determination of Adequacy Instructions dCtCttllinatign.... m de;until Part I.� : :a "t-.th p c ater s'c"� !"the arrttori of P rti J•a' "t is utitrcd 1 to o o�t:wa s e 3: Submit'a!)P gted ajsjilic:►ti�n,jviilt att.iclitncnts to the healtli de>letLni i 'fer rcviCiv, PART x: Applicant/Parcel Identification N,vne of Applicant GtolL 2 A!B=G , Date r �o Mailing Address O O e Telephone ll#OA+U�It CA 300 Assessor's Patrccl Nurnbcr Type of Water System(C/iecl, One): Rcrasorr orAnplicalion(Clicck One >d Pablic/Community Water System(R or more 39F BuildinZ permit connection:) 0 Land use:application,if so.. 0 Individual water source(one connection),irso.. 0 Division of land 0 WeIl #of Parcels? n Sprinr/surface water I I SPH9 0 Other(explain) 0 Boundary line adjustment a Other(explain) --- RECEIVED WL 2 5 1003 PART 2: Wnter Systcm Inform2tion 426 W- Complcte the section appropriate for the type of water systetn being;evaluated for adequacy: STa Public Thaler Systcm_ N c of Watcr Systcm � l -- --- �_ it--1 — Water Facility Inventory (WFI)Number: — 0 11ic water purveyor has tiled a letter granting;blanket hookups to this water sy:tan. 0 I am the mama ,cr of this water Systcm. The water system hh.;been approved for fP services. There arc preSINA .�Q connections at use. This will be the t� connection. Mi.wntcr Systcm is able and wQling to pro-vidc water to this((these)connections without exceeding the IirniL,or the water systcitt or My limits set by state and local regulation. Signature of Water Systcm Manager -�� _ Date, >> Hc-1;M.4 U WACflivtl0M TEN DI.NP Updatc:Much 22,19" V,/_ j