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W r O 0 --1 0 3 us,' N ml (D m o O C) � aQ D m n3 Z CD c a n < :3 0. f 0 0 0 0 y C n a' � 0 0 N 7. y 0 N CD 7 =rs o 3 CD ( c 7 D o D a m o m n� f �< cE v m � O S o CD -n d 0 ` N a N � 0 � ( 8 o 3 oc 0 \ „ 3 us' :3 CD CCD O � o ca � � x 0 c. cg� o CD m EL cCD o- � o c N CD m O .n o $ a !p 0) CA O -h 3 cn CD N CD O i r• co 0 o CONCRETE MECHANICAL MANUFACTURED HOME 0 Footings / Setbacks Date By Ribbons NDate I By 7"/2, Gas Piping13, Date By Foundation WallsPEi�,En�G. Date6-2� I� By Z-it—i Set-up Date /,Z -Z(,-c-Z>—By27a INSULATION Date By B G / Slab Insulation Floors _ Final Date By Date �5 -2_ By f/P Date By FRAMI G Walls FIRE DEPT Date By j2 Date B y Date B y PLUMIBIN6 Attic OTHER Groundwork Date By Date By WALLBOARD NAILING D.W.V. Date ]-�4 z-� -3 By Date --Z B FINAL INSPECTION Water Line Date By Zj -�� L/I D to B y D to G By �. .o . &zz ;? 0 Lf54L�� v a - b -, -L -AS vCD CIO cn 8 > .0/i' y /� cLs s c�-'�.-�� T-y r.,�J���i Lc i�✓G o CD 0 t o ' ^' CONCRETE MECHANICAL MANUFACTURED HOME 0 0 ^' Footings / Setbacks Date B y Ribbons 0 Date //_ 2 Z —d l- By J� Gas Piping Date B y ca `D Foundation WallsJ? Lcf,d Date B y Set-up cn Date / Z -LG ; By 7—/2 INSULATION Date By B G / Slab Insulation Floors Final Date By Date By Date By FRAMING Walls FIRE DEPT D ate B y Date B y Date B y PLUMBING Attic OTHER Groundwork Date By Date By WALLBOARD NAILING D.W.V. Date By Date By FINAL INSPECTION Water Line Date By Date By Date By 222 m I�.z tf�cn �. T; {�; L� �Z - 23 - aZ ej m y d /) l/�%'T���9 L ,, '/./�C-,G'L" 7�'yf�/� d "� E'�c i lA 4 C c I.y ICI o l oL- d .E' wg c �h�i7v 'Eas o � d-- LT/2 ����'T Td Building Permit'# MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 7�47 i C? This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be corrected to gain code compliance You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to This is not a complete inspection Department Date `r- 2�� a—� Inspector T12 ■ vo s FwmovT MOOV T 1 .-,o TAu Building Permit # 02- dam '" MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION Job Location f 3/✓`/� 7� This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be corrected to gain code compliance r, !� I/' /YlS /i✓f G � � Q/j co�,fy cam- - 2- L u d l� BOG d ib /� / G.,/^ 0/ L� �✓ ot`'1�' ©� �.Qf� / �� , =;n� `S _ You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department `" Date tS �� Inspector T� moos NuT F1 MovV T 1 , TA& lu NP14Mason 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 19, 2007 JOSEPH RING P.O. BOX 1384 PORT ORCHARD WA 98366 Case No.: BLD2002-00995 Parcel No.: 123055100902 Protect Description: RESIDENCE 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. r 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, t Terry Ryan��; r Mason County Department of Community Development Cc: Property File December 19, 2007 BLD2002-00995 L , 26/2002 12: 51 36087,49032 CON SERVE INC PAGE 02 -02 15:45 T A NETTLES P� 1D=.` 1'2/24.1 LY1U2 14: LJ, ACUo r y7u�I i jr. A, I Val 1 �= rxrst��s y o r oe rANoI +"e I I " ` 14 C� oom,w.3o y M►5ftoA"p VM71rAf, �N 10%c,N' AVeTeA6cr l8" '-fA'" 15 r-1 NE +' 2 u S?�1/�/orTrdlJ 1 'LnC �UI !T k's t4o M6 bin. A&%'5 1,+ WM04'r o f fr Pla- uJ11-14 F;04A L emu. V05t-TI& 1 le o� No �iRuCT�l 1. Cef4c 5w l r�l TIC 1-171VRY ?OF-TI,04 &f TI-W C��2u►� AAW. lZ" WIQG� �oorttNC. CAL,c��..+�-ram 1�:'1 T" * Imof5r" — — ; - ITI I _R _ _ ,�.. ,N m CD i f a N CS In N xm cn .i(f � 1 f I `f - tisJ b -w CD CS ITell �!j1 �i'" co ' 1 Iwro ej: L { f r m _ ci r75 PERMIT NO.: BLDO✓V(� �� MASON COUNTY 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 Seattle 206 464-6968 APPLIC&kT INFORMATION CONTRACTOR INFORMATION Owner t� f� (rJ Contractor Name"T�I IF f5LJ=I C I S pb�1`t" Mail' AcTdress r>GA I Maili3 ;Address ' ` 57 City State [ Zip Code City LRCRtJPU7State Zip Code Phone " - Jther Ph.( .: ) Ph.( a ) # Other Ph.( 560 ) 2. Lien/Title Holder Contractor Reg. # Address r` Expiration/ ca 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 1f t? PARCEL INFORMATION-12 digit Tax Parcel No. Fire ict Legal Description C- G �` / ` 7 ` istr L -- Site Address(Please include street name, street numbs;[. nd city)""1 , 520 Directions to site I~ 6; .j` .? A f M -11 �ro e Will timber be cut and sold in parcel preparation? (Yes/No) --��f i Is your property within 200' of the following: Body of Water(Name) r� K.G' Saltwater Lake t _ River/Creek Pond Wetland Seasonal Runoff Stream Slopes or i Bluffs i i PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ I TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work - No. of Bedrooms No. of Bathrooms 2 Z SQUARE FOOTAGE-1st floor 2nd Floor 3rd Floor h fir,_Loft h in_ Basement_ Deck 4 f, Other Ctal D sq. ft.�- Garage Attached-- Detached----Carport__N-Q Attached Detached-..- i MOBILE H9ME INFORMATION-Make Model Model Year Length Width Serial No. of Bedrooms No. of Bathrooms Type of Heat Puechase 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:PUSPENDED'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' behalf,represents that the information provided is accai�ate and grants employees of Mason County access to the above described property a r�c�t�re� epl�w and inspection of this project. Acknowledgment of such is by signature below: v`` Y �L JJ 1 OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOFf S AFFIDAVIT-I certify that I '2yfigli�TdI as a Contractor Registration Law RCW 18.Z7 and am aware of the ordinance contractor in the State of Washington and that am aware of t o nance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which e e nd all work conformance therewith. No changes's`ftall be made without first obtaining shall be done in conf ance therewith. t ' sTmout approval. first obtaining a p I. X Date X f� Date"T FOR OFFICIAL USE BEYOND THIS POINT t- C. Accepted by I Date ubmittal Amount Due Receipt No.L664 CCVpIT1 N e�pSEPAIUMNTAL if Building Department Occ Group Type constr. Planning De ment Environmental Health Department Public Works Department i Fire Marshal �3a Valuation $ C c-) (n i Building Permit Fee ^y1-15 Site Inspection Plan Review Fee 1A s`2 EH Review Fee Plumbing&Base Fee °� °�' Planning Review Fee Mechanical&Base Fee Other Other Wood/Gas/Pellet Stove Fee State Fee 50 Violation Fee Pre-Paid at Submittal ( ,13 ) TOTAL FEES k ti PERMIT NO.: . - 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 IAPPLICANT INFORMATION CONTRACTOR INFORMATION Owner ,LEII r, r Contractor Name L or -� Maili Address , Maili Address - X cilya��State r ,, Zip Code City � ,CS Q State � ZipCode " Phone('?rZ )�`IG 15 Other Ph.(;Y"D lr C +3 Ph.(-9"o -Other Ph.(%0--) Z Lien/Title Holder Contractor Reg.#�,p If�Cj'C? Z2Q7_ Addresss Expirations/ SEPTIC INFORMATION-Connect to New Septic_f,_Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel NO. 0 / l /00 1 OZ. Fire District Legal Description elffo A7riP_C_Hff2 Slte Address(Please include street name,street number and city) I N 'G Directions to site f Is your property within 200'of the following: Body of Water(Name) Ira LE�r Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream ope r Bluffs X. i c TYPE OF JOB New Add Alt Repair Other Use of Building5100L.0 I Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet i i PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric i Type of Fixture No.of Fixtures Fees LPG _ Natural Gas Heatpump Toilets _?2 Type.of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heatpumps Showers Spot Vent Fan — ' Water Heater Propane Tank —� Clothes Washer Gout is n'26 nKitchen Sinks l pVooellet Stove l�EIVDishwasher j�5 en haust Hood Hosebibs Dryer Vent Other 4 Other j Base Fee 4203"4 — TOTAL PLUMBING TOTAL MECHANIC A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. 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: 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 a re of the ordinance requirements for which this permit is issued and that all work will be done in requirements regula' g the work for which t ' ermi issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in ormance therewith. ch' s shall be made without approval first obtaining o X Date X Date FOR OFFICIAL USE BEYOND THIS POINT i Accepted by Date Submittal Amount Due Receipt No. I a::::::::::gt±KIII 7:>::.....::::::......:::>:<;::::>:«:»::::>::::»:>::::>::>:<::::: la€I r. . :: i > > >>> Building Department Occ Group Type Constr. Planning Department Other i I Other r _.:................................................................. ........................:.:::::::.:.:::::::::::::::::::::::::::::." ::::::::::::::::::::::::::::::::.::::: ..', ?:i:iii:i:?: <>'s ::::i:<i.':ii: i'::::i:::::isi" ::i::; : :;:::;::::::i ?:?::::: ::s:i:ii3 :::: :> ++ i Permit Fee Site Inspection ` Plan Review Fee UFC Plan Review Fee I Plumbing&Base Fee Other i Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES Mason County Permit Assistance Center Planning Intake Checklist Owners Name: Date: I U -O Project: 5 FK U Reviewed By: Commercial Development: NO Planner: GBM PBC Comments: Site Plan: ❑ North Arrow _ o Property Dimensions: X ram^ ❑ Streets and Driveways Shown. Road name: U nn C) F O ❑ All Existing Structures shown with setbacks wV ❑ Well Location, Septic and Drain-field Shown with setbacks ❑ Identify all surface water(streams,ponds, shoreline, wetlands etc.) ❑ Topography(slopes) o Proposed Structure Setbacks (Direction/Setback): F: / R: / S 1: / S2: / ❑ Utility and Drainage Easements: Yes No (if yes enter condition#5022) ❑ Other Easements Shoreline and Planning Info Setbacks: Shoreline: Slope: Shoreline Designation: Comprehensive Plan Rural Zoning ❑ Not Applicable Designation: ❑ RR 2.5 5 10 20 ❑ Urban ❑ Agricultural ❑ RMF ❑ Rural ❑ Inholding ❑ RC 1 2 3 ❑ Conservancy ❑ LTCFL ❑ RI ❑ Natural ❑ Rural ❑ RNR ❑ Unknown ❑ RAC ❑ RT ❑ RCC-Hamlet ❑ MPR ❑ Urban Growth Area ❑ Unknown ❑ Unknown Water Body(type of water if unnamed): SEPA: Yes No Unknown Flood Plain: YES NO Unknown Map# Aquifer Recharge: YES NO Unknown Map # Tags/Case,: RLC/SPI Case LC - Gy- 00-72 (p 6-Year Dev. Moratorium: YES NO. Eagle Nest Tag: YES NO Other YES NO Addressing: Check box if needed Reviewed by: ❑ County Access Permit Needed(add condition#0010) - y 1 n Elf C�PJt_ rn SS c�RJ Li State Access Permit Needed(add condition#0020) -I-G� Standard Conditions to be added to all Building permits that planning reviews: #0046, #4999, and# 5019 Revised:04/11/02 4 « MASON COUNTY DEPARTMENT OF HEALTH SERVICES - Environmental Health Personal Health PO BOX 1666 SHELTON,WA 98584 RECEIVED LOCAL(360)427-9670 BELFAIR(360)275-4467&4468 AJUL 2 6 2002 Application for Determination of Adequacy 4 W. CEDAR ST: Instructions ;:.; :.;:::::::::.;;:.;:::. 1ete..P ......::::::::::::::::: .::..................::::::::::::::::::::::::.:::::.::::.::...... :. .....::::::::.:::...::::......:.:::: ::: .. ... :::<:>::::»>::>::>::. lit .ontl >: t : 4rl...... .....:..::::::::: 1 ':::.g......:.:.::.: :.:::::::::.:..........:.:.::::::::::.::::::::::::::.... .......::..::::::::.:.::::::::::,::,::::.:::.. iii [:i...... `. ..i'?iiY'ry..: "i::.. :i":v::.%.:. ...+. .'. :':i::i::'::i:::i:::::;?::: isi:::ii:::�::::i:::::i::::.....:: 3°t :< t: t~t,rcl::a: lt+ .::..:°> #t :a�annt :to:thy:: llh:: ... :...:.........::: r. r,::::: :.:::::.::.::::::.:::.:.............. . PART 1: Applicant/Parcel Identification Name of Applicant �Q Date Mailing Address O•P-0( ?J Telephone g16-4-3+5 _V= Assessor's Parcel Number Type of Water System Check One): Reason orA lication Check One): ❑ Public/Community Water System(2 or more Building permit connections) ❑ Land use application,if so.. Individual water source(one connection),if so.. ❑ Division of land Well #of Parcels? ❑ Spring/surface water SPH9 - ❑ Other(explain) ❑ Boundary line adjustment ❑ Other(explain) PART 2: Water System Information Complete the section appropriate for the type of water system being evaluated for adequacy: Public Water System —DIX Name of Water System Water Facility Inventory(WFI)Number: ❑ The water purveyor has filed a letter granting blanket hookups to this water system. ❑ I am the manager of this water system. The water system has been approved for services. There are presently connections in use. This will be the connection. is water system is able and willing to prov ci water to this(these)connections wi out exceeding the limits of the water system or any limits set by state and local regulation. Signature of Water System Manager Date H.•IWDATAIARCHIVEIWATERAD3.WP Update:March 22,1999 W - 7j Individual Water Well 1A Water well report(attach to application) Depth 110 C1 ft. Well capacity test(attach to application) 37 gpm�- Well capacity tests are often performed by the well driller at the time the well is constructed Test results from these tests are noted on the water well report. Results from these tests will be accepted If the water well report cannot be located by the applicant or if the water well report does not have a capacity test, a well capacity test, which provides stabilization of draw-down and recovery data, must be performed by a licensed contractor. Satisfactory bacteriological test(attach to application) Individual SgringlSurface Water ❑ WDOE permit(attach to application) ❑ Method of disinfection ❑ I have reason to believe that this water source can provide at least 800 gallons per day and/or provides water at a rate of 2 gallons per minute based on the following observations. AUTHOR OF STATEMENT DATE RELATIONSHIP TO APPLICANT In addition to providing the above statement, the applicant will need to arrange an on-site inspection by the health department prior to determination of adequacy. Departmental use only. Do not write below this line. »> > » . => :::.: ::: ::. ::::::::::::::::::::::::;:::::::::::::::::::::.:......:.......:......:..:.. :.::::::::......::.::.:::.::::::::.. ::::::::::.:::.::............. :;::>:_;;;::<::::::::«<: > ::><::<:::>:::>:> ::>>:;:>;:::::>::::::::::::>::<:>::>::>:::::>::::<<:<: ... :::::::::<:>: rn.. ' < >' <><>:> ''„<' >> » > »:.>:: ;::::>: arts::::.:>:;;::;:: .: ,;>:> ......>;::; _>:<::><:::: ": :; ........ .....: . ...:eaut ..:.::.:.:. .rrtl Q tie irezr ..::.:::::::>:::.:::::::::.:. .:.::...:.. . :::yv3ti> llx l� le'WItLsaEr`:resource.r..e . ltr�s:....... : ...:..:.... . ".:'>:::>::::>:;>::::>::::::>::»::>::>:::: t �A ` ' R A1T'Q� .:: # at± 1 does:got:. :.:::11 ::::. th 'aedsf: s_.ntead ::.. .. . th fold r` n > :. ,>::::..: :::> > ::.::;:. .: 9 :f x:: :e. :: ::c c�v :: c :: s ....::.:..::::::.. : g::::::.::::::.: 1. ::::::::::::::::::::::::::......::: . H•IWDATAURCHIVEIWATERAD3.WP Update:March 22,1999