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BLD2003-01214 Addition to Master Bedroom and Bath - BLD Permit / Conditions - 1/30/2008
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CL� 0 CL / co ° § C 0 C) o ■ m m\ 2 Q. $ \ � CDCD _ f k 2 $ CDS CL ° co CD k § W =r m C @ 1 Q. k E - 7 g} ] g k $ I 8 JQ fq0 I \ JU k8 (D CD 0 M = a0 � � n J A E a@ 0 o a - o % \, 0 \ 2 72 %� � � 2 ƒ R / j kus* / ] -to Ek 0CD v / (D § � % k FCD E ] m 5) ] � a gm oCD £ � 0 0 -0 m - g Cr � M. / ; m 0 0 ° 0 k / � D I ƒ § � � ] % O =r ] m m m § ® % m aq 0@ 0 0 % ^ ] • CD C � £ / m D aJ % f $ £ E » � # � . � W • r v c CONCRETE MECHANICAL MANUFACTURED HOM: 0 c footings 1 Setbacks Date B y Ribbons Date LoMnByt IOC Gas Piping Date By Foun a 'on Walls Date B y Set-up Date 9603$ INSULATION Date By B G f Slab Insula Floors Final Date By Date By Date By FRAMING Walls 9 - , --e FIRE DEPT D ate B y Date - �-af By Date B y PLUMBING Attic �'�� OTHER Groundwork Date By Date By WALLBOARD NAILING D.W.V. Date B y 7-/3 Date By FINAL INSPECTION Water Line Date 1 _C ZD&, By E i Date By Date By I dAb 3— 7 ,3 S -; 4 ac5 � CAC sS c0rjv1t h1#A. If s ®1 4,'n t' w,�k -�r�t� V�+r k w-(—, '�'b w, 7 ' --NQ S II C i 'k Tp(ti KzAcet C, Wr I f A s�� f '2cre� �,r� i'l -e►�r�oGe�t .` �itld�iae. B��OZoo3- 3 le, LOL, co lU 3 0 03 W C s 0 L04 0.3k M . sto y v �� 322 ^ r G G 7` tc f "Z 2 w n_Cz- (ell G -LS`dsc -.3-23—v iyS dG r9-i T oy //� G l A---GO SJ ep �-� �eX,ouPo lr✓ &¢-CC 0 v ' o o �.. to U i D t h E S � k 0 � 1 h I W � i N - MASON COUNTY PERMIT NO. BLD BUILDING PERMIT APPLICATION T {- 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton(360)427-9670 Belfair(360)275-4467 Elms.(360)482-5269 Seattle(206)464-6968 On the Web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner &IrmAnn_S W A 5d 0 Contractor Name Mailing Address=0 1 - 1d P . ,S0" '1, >3 Mailing Address CityDES 110 WAS StateWAZip Code Q&IQ A City State Zip Code Phone(�,�+'" �}.q 1A ,�a, Other Ph. O Phone L___) Other Ph. (_) Lien0tle Holder W>ELL-S En Contractor Reg.# Exp. E-mail Address C> )>E?p S W A M'S N* GO> E-mail Address SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System_Name of Sewer System Well_x�Water System Name of Water System PARCEL INFORMATION 12 digit Tax Parcel No. �''L?. °�1e� An a 0 1 Cko Fire District Legal Description xR Aj SIN J$ 1(+ J ca i.,Y Y_L.t I s !: .—Ia �1 Site Address(Please include street name,street number and city) +"L BS F. f" D tS t1s1 t+� t_�_+I+.i�p f 4 Directions to site Will timber be cut and sold in parcel preparation? (Yes/No) LJtL_ Lake River/Creek Pond Wetland Seasonal Runoff Stream Slo or Bluffs < g. w 1J 1� PERMANENT RESIDENCE EASONAL RESIDENCE❑ TYPE OFJOB-New Add_ Alt_Repair Other Use of Building ,5 Z Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action? (%s/No) Describe Work No.of Bedrooms,No.of Bathrooms_SQUARE FOOTAGE- 1 st Floor 4 t /✓11 12&kFiDor 3rd Floor 4.°tuft Basement Deck Other sq.ft. Garage '`Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model 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. i 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. j PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.The owner or agent on owner's behalf,represents that the information provkfed is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project.Owner/Builder acknowledges submission of inaccurate information may result In a stop work order or permit revocation.Acknowledgment fof such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a the Contractor Registration Law RCW 18.27 and am aware of the ordi- contractor in the State of Washington and that I am aware of the ordinance ` nance requirements for which this permit is issued and that all work will be requirements regulating the work for which this permit is issued and all done in conformance therewith. No changes shall be made without first work shall be done in conformance therewith.No changes shall be made obtaining approval. without first obtaining approval. i X Date •If _ X Date i FOR OFFICIAL USE BEYOND THIS POINT40 ; Accepted byX/a Date Submittal Amount Due U��7 A%3i Receipt NoaS 4 i Building D a/tment Occ Grou Type Constr.l I :t Planning Department Environmental Health Department i Public Works Department i I Fire Marshal REC a r Valuation$ AUR oft -. Building Permit Fee Site Inspection-:; CEDAR Sr, Plan Review Fee EH Review Fee (!� Plumbing&Base Fee Planning Review Fee f Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee l, i Violation Fee Pre-Paid at Submittal P ( / , ). ) TOTAL FEES 1 i MASON COUNTY PERMIT NO. BLD BUILDING PER-MIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 She (360)427-9670 Belfair(360)275-4467 Elma(360)482-5269 Seattle(206)464-6968 On the Web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner R 1C HP,%D W At1'So ld Contractor Name Mailing Address .$"� b J - tp P1. 1S0. #'''I 8 Mailing Address t4 City L)ES 0 I44-S StateWAZip Code t h l!J City State Zip Code Phone 4• 1$„ Other Ph. Phone Other Ph. Lien/Title Holder W E L.-'S FWL4 0 Contractor Reg.# Exp._f� E-mail Address fit,#�©tw+ W Ate iAr\`s N• Gd µ~ E-mail Address SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System_Name of Sewer System Well_ X- Water System Name of Water System PARCEL INFORMATION- 12 digit Tax Parcel No. VA, I Fire District Legal Description �"$ ".+ # I , �f Y j L-''I •• Z 2 1 Site Address(Please include street name,street number and city) L.g�+ R.is t� IG.Z A LLVisl WA Directions to site t SLW Off CeLP V t&W LP R 0' 0132 C.jP.VA Qui,131 GM APPt7L� Ya rnc+a '020 8.�3 ohm C&gAU� t��. 40 to coo 6ERb -T*ko �vH" ae�a��ri � "a 11s+gr E . Will timber be cut and sold in parcel preparation? (Yes/No) UID Lake River/Creek Pond Wetland Seasonal Runoff Stream Slo es or Bluffs - ':-,LDP r b IV -!aXU&3 D PERMANENT RESIDENCE SEASONAL RESIDENCE❑ TYPE OF JOB-New Add AIt_)L_Repair Other Use of Building Ir;&1S - C Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?(Yes/No) Op Describe Work " No.of Bedrooms I -_No.of Bathrooms_I_SQUARE FOOTAGE- 1st Floor _'"2riJ Fi6or 3rd Floor Loft Basement Deck Other sq.ft. Garagel 'y r« Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model 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. 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 ANYTIME 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.Owner/Builder acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a the Contractor Registration Law RCW 18.27 and am aware of the ordi- contractor in the State of Washington and that I am aware of the ordinance nance requirements for which this permit is issued and that all work will be requirements regulating the work for which this permit Is Issued and all done in conformance therewith. No changes shall be made without first work shall be done in conformance therewith.No changes shall be made f obtaining approval. without first obtaining approval. h X Date-1-i- 4 X Date FOR OFFICIAL USE BEYOND THIS POINTO,4 Accepted by 1141 L.:I Date F, r Submittal Amount Due'r 1" .34 Receipt No. , f Building Department k 1 Occ Grou -, Type Constr V`_'� f f Planning Department - ghvironmental Health Department Public Works Department e Fire Marshal f, �7 Valuation$ 4 i Building Permit Fee Site Inspecti6ns14 , Plan Review Fee EH Review Fee Plumbing&Base Fee Planning Review Fee r Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) r TOTAL FEES FORM MUST BE COMPLETED IN INK PERMIT NO.: PLEASE PRESS HARD MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 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 CONTRACTOR INFORMATION Owner Rl C-Afab Contractor Name Mailing AddresstLb-101- lo41-PI-SID. 1:t1LD6 Mailing Address City ICES iMDll.Aa State 1ZA Zip Code Aaki r� City State Zip Code Phone(�'3 ),Other Ph.(�a)�n z Ph.( Other Ph.( Lien/Title Holder W�,,. y4y%4p Contractor Reg. # Address Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION- 12 digit Tax Parcel No. IL?- 3 Z 40 / 10190 Fire District 3 Legal Description UA 55 Lpf 3 37- - z-1 Site Address(Please include streef name,street number and city) 2,24 E CtRor•�iuST .41 L Directions to site Is your property within 200'of the following: Body of Water(Name) PKiE 10 Saltwater _ Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs :! . PE TYPE OF JOB New Add_ C�Alt_XRepair Other Use of Building Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric__ Tyne of Fixture No.of Fixtures Fees LPG Natural Gas Heatpump_X— Toilets 1 -Type of Unit No.of Units Fees Bathroom Sink 2- Furnace Bath Tubs Heatpumps �( r Showers 1 Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. 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'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance 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 will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X Date°�'°�.` D 5 X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. # A � AF Ftt�1lEF�:::...... «<::>::>:::>::>. . .NFl11If?N:: >< Building Department Occ Group Type Constr. Planning Department Other E/ EIVen Other 1, ...................................................................................................................................... Li Permit Fee Site Inspection - CEDAIZ Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES 5 PERMIT NO.: MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98684 Shelton 360 427-9670 Belfair 360 27"67 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION 1 CONTRACTOR INFORMATION Owner R1 C1-fob 'Si,JAWrapz Contractor Name Mailing Address g46.101- (P41- Pi•Sp. yr J.D6 Mailing Address City DES MDLYes3 State�i.1A Zip Code 0 L&Jn 6 City State Zip Code Phone(1+p—!l�)sn-1A-11% , Other Ph.(?,fr,a)1—rT Ph.( Other Ph.( Lien/Title Holder y)R_LL.. 1r Attu Contractor Reg. # Address Expiration SEPTIC INFORMATION-Connect to New Septic )( Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. 1'L2. 3 Z / 40 / 10100 fire District Legal Description =(ZA :S *I(0&j 6oJT (,al �Z —?7 —1 Site Address(Please include street name,street number and city) Z3S4 R- Gew"usx AA i`g A Directions to site G A yki gv-� Is your property within 200'of the following:Body of Water(Name) tr PKAE 1 0 Saltwater�C Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs 4SA-oPe TYPE OF JOB New Add ( Alt Repair Other Use of Building 7PAS Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUM61NGfIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric_X_ Type of Fixture No.of Fixtures Fees LPG Natural Gas Heatpump�_ Toilets II woe.of Unit No.of Qnits Fees Bathroom Sink Z Furnace Bath Tubs Heatpumps ,mil Showers II Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. 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'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance 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 will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval first obtaining approval. X Date -1-I - D3 X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date: Submittal Amount Due Receipt No. tEg#ENIl..........................A# F�OtfE�.......CIENI .............................. Building Department Occ Group Type CorMr. Planning Department Other p Other Ai v......:::::::::::•:::: ....::::::::•::::::•:::: ::::::::::::::•:::::.::.::.::::•:::. .:::::::::::::::.:.: .. �� Perm Site Inspection . : :•:::: Plan Review Fee UFC Plan Review Fee T� Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES PERMIT NO.: MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Bdif6ir 360 27"67 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner P,1 C.I4pA h "SWA�.1 Contractor Name Mailing Address IA-In,- P'E. rt qza Mailing Address City M�mi� -_ State U Zip Code G City State Zip Code Phone(2.s�)Anei-I k,:kx Other Ph.(2,Ln Ph.( Other Ph.( Lien/Title Holder LU&1.L4. 4*"mw n Contractor Reg. # Address Expiration SEPTIC INFORMATION-Connect to New Septic_,& _Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. 117. 3Z / U / 10100 Fire District _ Legal Description ~! Q_A :55, I A l � (11%rr 1.01' 1 _Z. ( Site Address(Please include street name,street number and city) _ Z. y F ( ,fifes t.A4 i M 4 Directions to site 4. Adv i 69" Is your property within 200'of the following: Body of Water(Name) C NoI I Saltwater _ Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add_ Alt x _Repair Other Use of Buildings Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric_,X Tyne of Fixture No.of Fixtures Fees LPG Natural Gas Heatpump ,y Toilets I Type of Unit No.of Units Fees Bathroom Sink Z Furnace Bath Tubs Heatpumps � Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. 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'S AFFIDAVIT-1 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance 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 will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X Date l-I. - ID!, X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date" Submittal Amount Due Receipt No. f3 :;M :T.: :> ':<<':> ;< > >[ < Ri? Ftt7Ytp<»'. iIVI :<::>;:::: :<::>:>:>:>::»:°< ><: ` ' »<::>::>:«:::>[:<:<::<:::::: ::....:.;:.::::::::::::. N I ►#mire................................... ......... Building Department Occ Group Type Corar. Planning Department Other Other D : zz: .............: :;::;;:is i:::is ii5 is i:,ii:iiiiii::t.'•:iiisi>:;:.;:;:.;;:<;:::: :>;:.;:.;;;:.:�:.:;:;>:.:>;;is iiiiiiii:»::;:<;: :............... ...................................:::........ .. •:::: :::::::::•:::•::::::::.:::::::::..::::::::. Permit Fee Site Inspection 4 26 IA. Plan Review Fee UFC Plan Review Fee R sr Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee * TOTAL FEES Mason County Dept. of Community Development Mason County Bldg. 3 426 W. Cedar P.O. Box 186 (360)427-9670 Local (360)482-5269 Elma Shelton,WA 98584 (360)275-4467 Belfair Notice to Obtain Final Inspection December 27, 2007 RICHARD SWANSON . PO BOX 1617 ALLYN WA 98524-1617 Case No.: BLD2003-01214 Parcel No.: 122324090100 Proiect Description: ADDITION (664 sf) of Master bedroom and bath, Change of use existing garage (414 sf) to media room and office The Mason County Department of Community Development is currently reviewing all permits that are expired and have not been approved for occupancy and use. Pursuant to Mason County Code, Title 14 Building and Construction, a permit and final inspection for this type of activity is required under the 2006 International Building Code or the code your permit was issued and your property is currently in violation status of occupancy and use. Please contact our office to make the necessary arrangements 21 days from the date of this letter. Failure to contact our office to make the necessary scheduled inspections will result in enforcement actions. To bring your site into compliance, you must schedule an inspection. One (1) $64.00 site investigation fee will need to be paid prior to inspection along with any outstanding fees currently due on your building permit. For every inspection required after that, you will be charged $64.00 again, per inspection until final inspection and conditions are met. To schedule an inspection, please call (360) 427-9670 ext. 262. If you should have any questions regarding this notification, please contact me at (360) 427-9670 ext 359. Sincerely, =Terry Ryar�Mason Count of Community Development Cc: Property File December 27, 2007 BLD2003-01214 MASON COUNTY DEPARTMENT OF HEALTH SERVICES �r PO BOX 1666 SHELTON, WA 98584 SHELTON (360)427-9670 FAX (360)427-7798 ELMA (360)482-5269 BELFAIR (360) 275-4467 SEATTLE (206)464-6968 Case No.:BLD2003-01214 Parcel No.:122324090100 Dear Applicant: Your building permit cannot be approved by Mason County Environmental Health until the following are completed and turned in: Approved septic records or approved septic design for bedrooms Please call me at(360)427-9670, ext. 353 if you have any questions. Sincerely, Cindy Waite Environmental Health Mason County Health Services Comments: Need approved design 1 of 1 BLD2003-01214 Mason County Permit Assistance Center Planning Intake Checklist Owners Name: JWn S 011 Date: a —_2 Q �j Project: Reviewed By: Commercia eve opment: NO Comments: Planner: SAL GBM DM SitW Plan: 1North Arrow cY Property Dimensions: �,, (� X (0 2-;;, /'/ tl i Streets and Driveways Shown. Road name: l�i' U a ,51 a'-All Existing Structures shown with setbacks ❑ ,Well Location, Septic and Drain-field Shown with setbacks AO+ ShOu*) Gi' Identify all surface water(streams,ponds, shoreline,wetlands, etc.)A�(A-k ❑ Topography(slopes) 6__P_roposed Struc a Setbacks(Directio ack): F: /�R: ( S 1:d/�S2: / � �U ility and Drainage Easements: es o (if yes enter condition#5022) g� er Easements h 0 , ccessory Appurtenances 6,4 vo m o 6 YR TIP or Would you like to be present for site inspection? YES NO Shoreline and Planning Info Setbacks: Shoreline: Slope: Shoreline Designation: Comprehensive Plan: Rural Zonin 0 Not Applicable ❑ Agricultural � 2.50 20 e Urban ❑ In-holding ❑ RMF ❑ Rural o LTCFL ❑ RC 1 2 3 ❑ Conservancy V Rural 0 RI ❑ Natural ❑ RAC ❑ RNR 0 Unknown ❑ RCC-Hamlet ❑ RT ❑ Urban Growth Area ❑ MPR ❑ Unknown ❑ Unknown I Water Body(type of water if unnamed): SEPA: Yes ® Unknown j Flood Plain: YES NICL=Unkno;��Lap# Aquifer Recharge: YES O Unknown ap# Tags/Cases: RLC/SPI Case: 6-Year Dev. Moratorium: YES Eagle Nest Tag: YES NO Other YES Addressing: Check box if needed Reviewed by: ❑ County Access Permit Needed(add condition#0010) ❑ State Access Permit Needed(add condition#0020) Standard Conditions to be added to all Building permits that planning reviews:#5019 and#0700 nn;.d:7n/200 V Mason County Permit Assistance Center Planning Intake Checklist Owners Name: S(.t &Y-6-or Date: Fr—27-703 Project: Reviewed By: Commercial v 16pme Y R& NO Comments: Planner: SAL GBM RAM DM YRD "VSit Plan: Streets orth Arrow perty Dimensions: ��X & and Driveways Shown. Road name: n/All Existing Structures shown with setbacks ell Location, Septic and Drain-field Shown with setbacks Identify all surface water(streams,ponds, shoreline,wetlands, etc.) Cul1Q Topography(slopes) 03"Proposed Structur ,Setbacks(Direction/Setback): F:�/1�R:_ S1: IV /�S2• /: Utility and Drama a Easements: es No (if yes enter condition 5022) �Aoccessory ther Easements (,�Appurtenances 487ck a ❑ 6 YR TIP U"Would you like to be present for site'inspecti n? YES/ O Shoreline and Planning Info �j Setbacks: Shoreline: l Slope: Shoreline Designation: Comprehensive Plan: =RMZoni 1,❑ �of Applicable ❑ Agricultural 2.5( 5 J10 20 V Urban ❑ In-holding ❑ RMF ❑ Rural ❑ I.,TCFL ❑ RC 1 2 3 ❑ Conservancy ®/Rural ❑ RI ❑ Natural ❑ RAC ❑ RNR ❑ Unknown ❑ RCC-Hamlet ❑ RT ❑ Urban Growth Area ❑ MPR ❑ Unknown ❑ Unknown Water Body(type of water if unnamed): SEPA: Yes oNoUnknown Flood Plain: YES NO Unkno M # Aquifer Recharge: YES Map# Tags/Cases: RLC/SPI Case: 6-Year Dev. Moratorium: YES N Eagle Nest Tag: YES (N09 Other YES Addressing: Check box if needed Reviewed by: u County Access Permit Needed(add condition#0010) ❑ State Access Permit Needed(add condition#0020) Standard Conditions to be added to all Building permits that planning reviews: #5019 and#0700 Reriva:717aoro 0 h erg Joe o o Q > NLU 0 W � V V � .ZZ W a c N Cr "11_4110 15 r "o w 4 � 4T.� v L m o � N N Q C � T rn rn A < w rn