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HomeMy WebLinkAboutBLD2007-01857 SFR Revised Final, RAP2007-01857 - BLD Permit / Conditions - 8/27/2009 Inspection Line (360)427-7262 tooIaMASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. III 426 W.Cedar P.O. Box #,0& m Shelton, WA 98584 141� � ?1- ticRESIDENTIAL BUILDING PERMIT 17%Kok M BLD2007-01857 OWNER: DAMON ERNST RECEIVED: 10/25/2007 CONTRACTOR: LICENSE: EXP: ISSUED: 1/17/2008 SITE ADDRESS: 9980 E STATE ROUTE 106 UNION EXPIRES: /17/200 PARCEL NUMBER: 322365100032 LEGAL DESCRIPTION: PEBBLE BEACH PARK PTN OF LOT 32 & T.L. S 31/166 PCL 3 OF BLA#05-61 S 31/171 PROJECT DESCRIPTION: DIRECTIONS TO SITE: NEW CONSTRUCTION HWY 101 NORTH TO 106. 106 EAST PAST ALDERBROOK RESORT. 1.5 MILES WEST OF TWANOH STATE PARK jr General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: V-B Type of Use: SF Insp.Area: OT No.of Bathrooms: 4 Occ. Group: R-3, U-1 Lot Size: Deck: 471 t Type of Work: NEW Fire Dist.: 6 No.of Stories: 3 Occ. Load: Building:3,430 Garage-Attached 885 Valuation: Building Height: 35 Occ. Status: Basement:1,637 cov. deck 320 Manufactured Home Information Setback Information Shoreline& Planning Information Make: Length: Ft. Front: Water Body: NONEAr— Ft. Shoreline: Ft. SEPA?: No Model: Width: Ft. I ear 10 t Slope: 30.0 Ft. Shoreline Desi 9•: Urban Year: Serial No.: Side 2: W 115.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Dishwasher 2 Exhaust Hood 1 Plan Check Fee NJP 10/25/200 $1,537.74 S22007000 Hosebibs 2 Furnace<100K 1 Planning Review Fee NJP 10/25/200 $170.00 S22007000 Kitchen Sink 3 Gas Outlets 5 Fire Warden Review DHS 11/8/2007 $64.00 S22008000 Lavatories 5 Propane Tank 1 EH Plan Review TW 11/16/200 $75.00 S22bb8bbb Showers 3 Ventilation Fan 6 Building State Fee RTB 12/5/2007 $4.50 S22008000 Water Closets (Toilets) 4 Heat Pump 1 Building Permit Fee RTB 12/5/2007 $2,707.35 S22008000 Water Heaters 2 Propane Stove 2 Mechanical Fee RTB 12/5/2007 $280.20 S22bb8bbb Bath Tubs 2 Dryer Vent 2 Mechanical Base Fee RTB 12/5/2007 $25.30 S22008000 Clothes Washer 2 Plumbing Fee RTB 12/5/2007 $159.50 S22008000 Plumbing Base Fee RTB 12/5/2007 $22.00 S22008000 ADJUST--Plan Check Fee RTB 12/5/2007 $222.04 S22008000 Geotechnical Asses.Report BKD 1/15/2008 $1,185.00 S22008000 ADJUST--Mechanical Fee ARC 4/11/2008 $43.20 S22008000 ADJUST--Plumbing Fee ARC 4/11/2008 $33.41 S22008000 Total $6,529.24 BLD2007-01857 Please refer to the following pages for conditions of this permit. 1 of 5 W • r Z 0co � � cnrT. 2p � m a obi m0 L. o 0) v o < ci N a m v m 3 m -•1 M r � °' CD Oct m o m —1 - - CD o m a v o m M O 2c) � = QN -�« c O Z G� NN Cl) CD N C � ° o C m N r � co 0 r m m CD c X0 0040 ms cn 3 a z cn m n Cf)0 r Z g �° cnc mm —{ =� � c0DO r x < z a co 3 Omc) 0m m 0 � s �, 0 z � cnxX �' D �+ ° = o O � Cl) CA c`° mN o y ' 00 oD CO � o 9 D ? 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MANUFACTURED HOME p q, Footings I Setbacks DateBy o Interior Date B C3as Piping Ribbons Y Interior-Date By Qat® � terry Date Date Y Exterior-Crate f+olnt toad l Isolated Footings IMSUl.AT1C1N ''`"� y Date B BG f SLAB INSULATION Date BY Foundation Wa1Is Data By FIRE DEPARTMENT Floors Date Date Data By B By � DECKS FI�INC Date Date By Data By By PLUMBING vault PROPANE TANKS Data � Date a ay Groundwork Attic y OTHER Date By gate By Type= MW-V DRYWALL t ay Date Int Brace Wail Type; By Date By alate BY 8 Water Line Fire Separstl�ort FINAL INSPECTION Dat e By ©ate By Data 8- 2?— �� By LcJ m s Pass or Request Inspect. Type Of lnsp. Fail Date Date Done By Comments 21 ca 0 0 m � ��Qc,rLrat( �•-�..1 I L 3 b� I y Ug �� 5�pu✓wa.1 �,� SCa•✓'i.sa��t ff•vf- talc C6Ue+'L• (,.,,yt GSA bL 0 '` al i .,,, �eecQs � r i z y o CONCRETE MECHANICAL MANUFACTURED HOME �p o Data III�Z'Q� By V�K Ribbonsz .J Footings Gas Piping —� o Interior Date 1/1l1 aT By"k— Interior-Date I I I rt/Os� By LA K Date By Cn Exterior Date By Exterior-Dates i/7-Vol BY &ALL set, n INS ULATIO Point Load I Isolated Footings BLAB INSULATION By Q 1N Date pg By "k, Data By FIRE DEPARTMENT z Foundation Walls Floors Date By Date By Data By DECKS FRAMING waft Date By Date VZAjd2 By 1,01 L Data JZ4s)r>'�( ByG—✓J`(am PROPANE TANKS Ov PLUMBING vault 4,V%3 Date 3)z uk eyl,0 Dale 0 By OTHER °�r- rA Groundwork Attic G,,r sscic 4 Ls. y :� Data &1 1)109 By G4►i-- Data f D By r type. t(j Byr- Date 231©Y O.W.V 0-4 DRYWALL Type- �-G/'S / Int Brace Wall Date _ Z, B W Date li OK By Lid► Date I L.VW By L.*OK FINAL INSPECTION � Water Line Fire Srrperation N Date By Date By Data By V Pass or Request Inspect. Type of Insp. Fall Date Date Dane By Comments ao M d Olin g a a K to O LA PAW 4 .+ h.Sw�htN S µ<rrCiN9.1?iN�s Cs'2... o c �� 1 i j3ua,Idirig Permit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 07- 69 s�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 mpliance p1 cAIts C � d� � , o stu t La Q� o G 14 A call G" (z- i'S c1'; a 71 110� wtis G-I jA10 a4)1 L'� 11 L- $STt3 I arz- �o 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 Wr Q� �yP4"f-- Ej This is not a complete inspection Departmerit ►3LIO Date �' ':-\ I b Inspector Lo 4--- DO NOT REMOVE THIS TAG 13uilding Permit#19"2—D7Z5-? MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 ORRECTION NOTICE Job Location 9 ft 9e 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 an 1-2ee.4- �u 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 / ❑ ,2 This is not a complete inspection Department /�1�af Date 6, -/�" Dq- Inspector /;�7147 a DO NOT REMOVE THIS TAG Building Permit# MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTI E Job Location lllirt) 5P 166 This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been fund: Items Listed below must be corrected to gain code compliance pfeal-'�k- v IL �d 94�6, 4il Ser ✓ass r�l /� U e I tl �-r OF 111 a 14scf 1r/Y/ 1 14- 41- /If -1. Gi'r w�tl� 1.�'LGtSACl�.G(�I� Ao C1 1 Lill,/ - F� /ls'jA N cl-44 4- /'r11 12-o L r.i 1 1 ,%"&A •CIA'SWU14. U . 02 � 7 L W. " 4 Pi�ow. � ILLaa� 2 T� f -r� srr�.tfrk.-G � �eTa.l �►.•�. rk's Car S ` k— ►`►1 '1J liCi s.'1+G 7T N-th� 'Owe OYA- i l ��-f. 51�.�✓rJ�t t v►�t cvwl �!3 � �l�> c.��,11 // , l -Yv ► ✓1 O(L- 7d G c� _ w,�-.t l 51^e�z (:+'IN' llvh ��' SG 'r (>�..✓. H�.� Ii.�KI� � !1W -QN'C✓ Yws Y u� 01L-r ► k SCe,1W pjl'( vA tip- 5i a►.a �bTktt tlZ'7�(� I1 -t Pl u,A k -, ,A ✓N >�i � � d QfMr I*, ou are hereby notified th t the ab ve corrections s all be made) BEFORE PROCEEDING WITH ANY FURTHER WORK ccL,"fLelf� 101 1G e,vl CO Call for re-inspection when corrections are made before continuing C k li AQ-� ❑ Make corrections, items will be checked on next inspection �j + K164 2—k-As�'6g . ❑ This is not a complete inspection Department g Date ►Z �( Inspector [ X DO NOT REMOVE THIS TAG Building Permit# /6RO MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location R9&D S, 0 I4)&. 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 ',Ae— 1 edoffiLct k- a+, of ktA [ -- I d . Wq- 6�" NI'l &x'Wtuq Oar. 2 ,Alt Zr- 4 Z 11A -3.d 'Fp(,XC 3 0 9 3.6 �,C1% t77Df [i-e s -P be, Yv UV 1 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 p ,Pal j:;1-;Sh1hk49 ❑ This is not a complete inspection Department O LQ Date �16 y Inspector c DO NOT REMOVE THIS TAG Burilding Permit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 ORRECTION NOTI E Job Location q��Ko !�P /D 6 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 Prato O,rW-'Ot-t. /jcrf:c-e— .5Z"11 1-vf ✓v� 1�� t1 O -f rz-A �cv��.� Ga ru 1► N ut.4-e_ 5;1, 11 ►..,,-e �//�� SI-ti�,rr..rG•1 �c�s L.w/ Z l,)v aew ✓I G� Il/�- I0,OYL yL04 Qb^e, Z I LGIs r i C.c�S S (iJ?.�IlS a✓� A►ae►�i Ivoe- W(3 c6 '� N1 /T 4 G 60;'` arc-- f'jrx i U,f n,rcv,uvs- CaN no-f 7�I1Y Dv-e. 6 �cw. I Z e,iL of t'�is ��f t..>> ►1 1 /w�,fi wLl,cM ti v� ✓ 1 i A 1° Srcv�-eM'r- �c ► " ( L�j t c� L._j W -1 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 tou` G � ❑ This is not a complete inspection Department �J Date f Inspector DO NOT R EMOVE THIS TAG A Building Permit# c�s7 _ _ MASON COUNTY G� < BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 Gti`` v�rzu Y� (360) 427-9670 .17 `� v-� ' CCU e CORRECTION NOTI E T! Job Loc 'on v 5 r. L _ /- '' �i t� ' i l bCi � �G�l This s u hats"been inspected by Mason County Buil i epartment and the following VIOLATION of County Laws and Ordinances has been found{: L Items Listedy below must beL,correct d to gain code compliance 1-►�LIT � �h�/ ✓�SNI� 1 vVl ,YJ� ���� rf L l ��� ! LAN T so aF C-- ►� I!�T v"L G�Ytiowfi `u -r'rli. �L.� Ty I-�"i` U�i ✓,�� / f 1/� i., b t� G�lJl.. LJ�rCh G 1 AlC. � r� .ti5v� h'tyi f�� ✓� HN�r yK ?�c� ,�/ .✓l r--sb�/ 0l �Z+ �1►1�/ L1�I r-' P' 'a-1"o-1 1 h �G�i -mJ Cvz- g� te, Q6 K- ead olLite, Ivy-1, • ►1 ,-,e�G� �v lae� z CcvH 5 r v i vv-s COI'rc&-P LA Cvw. Ce,I I v r V14 L,1',Cd c,t Q,r. 17Tiy►�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 ❑ This is not a complete inspecti n Department Date Inspector 1(� DO NOT REMOVE THIS TAG Building Permit# 0)K7 MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location qq W 5-' )&. 106 This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been foil Items Listed below must be corrected to gain code compliance �Yfi AjArrss G-I 64 Q ' S 1 a I t y-r/o T.?•-. v F c,�,' - t,.:Y.s ►' " e'l G Il �c vSctil �,' r.s,,�,lat� r.vt'cv�t'G ,Zt.H V M r ,� :0 7ti 11 paw !ONM l;"4 .-t -1�4'r. �, NCw r„t a 11 a N� �►+-tit��^rl S d > >•� �3a srG►�-�''rt' W 1 l 4-u�,l Z'v rCi%L yc.!< I�GrTi �•• i'�S J'A 2c✓SGo'P I.Jti IA. Ba��h-� gs.�' rour. ,n �� 's - ,'Il !� �'�+c. ✓r....-I �./�— r,� --i'o ��► ln,' ,A6Th11 Ne., a-Cea y-t k"o" 112S � ,� ( 'lam d s wA& oz IN o� Iv�sewsvt �-,.►-t heal' S �'G<<.... V►v-t �•�s7�. Prrr. w rc' I:rX y r r►J k&--e ►n Y� ,P> In!►11 9(�` C I�Q,-� 7Pv �v -iI�C�H b-Z 4 ' G b v v c.. racL� N V"C� !.1�. Su/ a'Y �•w ✓fN•C(�,T t� �►"al► ?. Si'�''a.✓S ��. 7y�k�,� �� ✓v►c.�.• G'1 ca,rL. iouY•-• 1Jv-r n art t uµ�(-c � .o✓; G�--t u�+•� .�'� �:'.,�.. 1 ;•ems✓ ��vs.,'v-�. �-t� o�, s�o Ib', PYflv:d.e, Gctcgs -re- L-f x You are hereby notified that the above corrections shall be made BEFORE PROC EDING WITH ANY FURTHER WORK jC vl rv -Z100- �r• v✓ LiS� 11-DYXVall for re-inspection when correcti; s are made before continuing %, , ❑ Make corrections, items will be checked on next inspection ' ❑ This is not a complete inspection Department 6Ln Date 3131 D 1 Inspector Loy— TA DO NOT REMOVE THIS G ®RAXIS.A,A. + el� Sc P � �1 ., X rune Rana PIL-ANN \',G". BAIIKS V'E MEASURED / ryr.nw ALL S_ FRO,"A I-11E FURTHEST -11"t -ION OF THE BUILDING WIC"Ofta FIA9Mb. S*EWOR VV :a pwi-ft, W mom ATTJ 9! ID MASON COU, T PLAN NG p V SITE PLAN RE E ON SIT SON U Y D A G ftot CHANCE CT T ROVAL M" HIM PLAN QUI. ED T B SITE By Dat GES S JE TO PRO L 4 �cy IVY ate frasl ITE PLU CT ION SCALE V-20*4* 1 0 L Parcel Numbir 4 Tax Parcel Nfifter:3223&614)0032 2b 11 i-Ahm Laaal Address:9980 East State Route 106 wNomwwdbww. NOW Union,WA 98592 et MMUOR as '&Z5.Sao: 7w IN ,XA N IN I 1\4 Li : PLAN LOT REVISIO ALL BACKS ARE MEASURED PLANNING RE VE FROM THE FURTHEST DATE__ 1E5 ton_ PROJECTION OF THE UILDING Request To Revise An"Approved Plan Permit Number: BLD200 7 - O / Name C24ina 5-A,.uS_Y7 Parcel Number Z V:56 - S I - 40 D 3�—phone Number daytime ( ) Project Address _ _ O F S�- i�T /OG Mailing Address Please provide a complete, detailed description of the proposed revisions to the approved plans: �wJ .now i v 2C Are two sets of the revised plans or addendum indicating the changes included? ❑ Yes ❑ No Are the approved site plans included? ❑ Yes ❑ No Are the revisions clearly and accurately identified on the plans or addendum? ❑ Yes ❑ No Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes ❑ No If Yes,Has the engineer or architect approved this revision? ❑ Yes ❑ No Is a stamped and signed approval included with this request? ❑ Yes ❑ No (Note:No structural charges to a"designed"plan will be approved without the written consent of the engineer and/or architect of record.) Does the proposed revision modify the footprint or location of the structure? ❑ Yes ❑ No If Yes,Is a revised site plan,with all new setback dimensions included with this request? ❑ Yes ❑ No Additional Information: Applicant's signature Date: Office Use Only Received by: Dat Sent Assigned To Approved By Date ^ Original Valuation: $ I( F� I t D Additional Valuation: $ ❑ P. Sq.Ft. x$ $ Sq.Ft. x$ $ ❑ $H Total New Valuation S. ❑ P.W. Additional Fees: Additional Planning Dept. $ Additional Plan Review $ . Additional Conditions[Comments: Additional Building Permit $ AEG A o /n �r�rn b,n7 �et / gq de Additional Plumbing $ 3 Additional Mechanical $ Additional E.H.Dept. $ Other $ .3 Z 3 •J!V__ Total Amount Due: $ 76 • �O� Amount To$e Paid Up-Front$ I . MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT FIRE MARSHAL Mason County Bldg. III,426 West Cedar Street PO Box 186, Shelton, WA 98584 Shelton (360) 427-9670 Belfair(360) 275-4467 Elma (360) 482-5269 On the web: http://www.co.mason.wa.us November 08, 2007 DAMON ERNST 551 E HIAWATHA BLVD SHELTON WA 98584 Permit Number: BLD2007-01857 Parcel No.: 322365100032 Dear Applicant, A representative of the Mason County Fire Marshal's office conducted an inspection of the parcel referenced above to verify compliance to Mason County Building Code, Chapter 14.17 Standards for Fire Apparatus Access Roads. A copy of the standards and addressing guidelines referenced in the standards are enclosed. PLAN REVIEW REQUIREMENT COMMENTS: 1. During the inspection the Fire Warden found that the access road does not comply with Section 14.17.110 that reads as follows: "A fire apparatus access road which is newly constructed or existing, and which is in excess of 14% grade, and which is greater than 150-ft from a primary access point intersecting with a County or State road right of way, to new residential or commercial construction will require an automatic fire sprinkler to be installed." A condition concerning the required fire sprinkler system will be placed on the building permit referenced above. A separate permit shall be required and approved. In addition the Fire Marshal's office shall complete the fire sprinkler inspection prior to the framing inspection request. If you ha questio please contact the Mason County Fire Warden's office at (360) 427-9670 ext. 459. Im Bob Molesworth Fire Warden Mason County Department of Community Development Encl.: Title 14 Mason Count Building Code, Chapter 14.17 Standards for Fire Apparatus Access Roads Y g P pp Address Posting Requirements Guidelines for Private Road Signing 11/8/2007 1 of 2 BLD2007-01857 MASON COUNTY PERMIT NO `✓ BUILDING PERMIT APPLICATIOM 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 APPLICA INFORMATION_ CONTRACTOR INFORMA N Owner 6k E Company Name , Maili lAd—dres Mailing Address,Nwh!-7 City Stat Zip Code City State Zip Code Phone O �. � Other Ph. 0 2�12,4�,{�/� Phone Other Ph. Lien/Title Holder Contractor Reg. # Exp. E mail address 0 ►MS cat-" E Mail Address Drivers Lic. #=!53DgLZ07 1 DOB / Drivers Lic.# DOB SEPTIC /WATER SYSTEM INFORMATION - Connect o New Septic__ Existing Septic Connect to Water System _Name of Water System /S ri-c'y edg!2 la Vl� Well Sewer Systern Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No ZZ S 3 F istrjct Legal Description o to _ / 7 So 74::. Site Address (Please include stree name, street number and city) Z Directions to site o s - ,� Will timber be cut and sold in parcel preparation?Yes Is property*thin 00'of Saltwater Lake River/Creek Pond Wetland Aeasonal Runoff Stream Slopes or Bluffs 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye TYPE OF JOB��-/New Add Alt Repair Other PRIMA Y RESIDENCE 14 SEASONAL ❑ Use of Building/` 1�' Describe Work / No. of pedrooms, --- No. of Bathrooms Souare Footage- 1 st Floor--' _2nd Floor—') -> 3rd RootBasement 16251 Deck 411 _Covered Deck.T/(:) Other t Sq. ft. Garage_805' Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model y� Length Widt Serial No. No. of Bedrooms No. Type of Heat Purch se Price Replacement Unit? / No Installer N Certification N L,--"nrT 2 5 21MI OWNER/BUILDER Acknowledges¢ubmission of inaccurate information may result in a stop work order or permit revocc� qq�� ww Acknowledgement of such is by sign ure below. I declare that I am the owner,oslvners legal representative,or the contracC� F'Fult�ier� 1 ! that I am entitled to receive this permit nd 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 r ired from any easement holder or anyother party in interest regarding this application or the work proposed in the application, I have obtaine rmission from them to apply for this 9�rmst aid duct the work proposed. The owner or agent on owners behalf, represents that the ran i ry�p fgJ)d� �`saceur�t 44n&4rdr t$'employees of Mason County access to the above described property and structure for review and ins ection. This permit/application becomes null & void if work or authorized construction is not o enced within 18 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS FAPROGRES TI INACTIVITY OF THIS PERMIT APPLICATION OF 180 D YS WI L INVALIDATE THE APPLICATION. X Date: Owner/ rs Repr /Cantractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: .�. . -1 Date 1C , DEPARTMENTAL REVIEW APP OVED D NIED NOTES Building Department d Planning Department '. Environmental Health Department � ) +) Fire Marshal I FEES Building Permit Fee Q .,3 Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee `lam Other J Wood/Gas/ Pellet Stove Fee la'a, 0'4 State Fee , Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES i FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO PLEASE PRESS HARD PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar•P.O.Box 186, Shelton,WA 98584 Shelton (360) 427-VtO Belfa360275-4467•Elma(360) 482-5269 nhewewomason.wa.us APPLIC T INFxORMATION CONTRACTOR INFORMATION Owner Company Name Maili Ades Mailing Address City t Zip Code City State Zip Code Phone _4jer Ph Phone Other Ph. Lien/Title Holder Contractor Reg.4 Exp. Email address E Mail Address Drivers Lic.#QUbQQAV74 DOB Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION- 12 i it Par el No. Fire Pistrict Legal Description Z ,1, Site Address (Plea a include s eet name, street number and ci Direc ' no to sit K ,Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% TYPE OF JOB - New,)(,-Add Alt Repair Other Use of Building Location of Fixtures/Units- 1 st Floor - 2nd Floor Basement_ Garacie Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS�jj�� Type of Fixture No. of Fixtures Fees Fuel Type:Electric—.�Ci Natural Gas._ Heat Pump L Toilets- Type Unit No _ Fees Bathroom Sink Furnace Bath Tubs 2 Heatpumps / Showers Spot Vent Fan Water Heater Propane Tank_ Clothes Washer Gas Outlets I Kithen Sinks Wood/Gas/PelletStove— Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OVVNER/BULDER 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 prow is accurate and g loyees of Mason County access to the above described property and structure for review and i►p�etieaC,V E D PROD F CONTIN F RK IS BY MEANS OF A PROGRESS INSPECTION. fit GG ll�i GG X Date: Owner/Owners epresentative/Contractor (indicate which one) 0C 1 2 ,"" 207 FOR OFFICIAL USE BEYOND THIS POINT -" W, CEDAR $T, Accepted by: Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group-Tyge Constr.- Planning Constr.— Planning Department Environmental Health Department FEES Plumbinq & Base Fee Site Inspection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES o%%-STA F MASON COUNTY o Py A o N Z DEPARTMENT OF COMMUNITY DEVELOPMENT N Planning Division oT 2 7 N y y P O Box 279, Shelton,WA 98584 (360)427-9670 1864 REQUEST FOR ADDITIONAL INFORMATION December 19, 2007 DAMON ERNST 551 E HIAWATHA BLVD SHELTON WA 98584 Parcel No.: 322365100032 Project Description: NEW CONSTRUCTION Dear Applicant: You have submitted a permit application (case no. BLD2007-01857) for proposed construction or development in the county. Upon review of your application, I require additional information to complete the permit review process. 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. SincereAy, Jim Scholz Land Use Planner Mason County Planning Department Comments: Your geotechnical report has been sent to and reviewed by Russell W. La Force, P.E. of Vector Engineering, Inc. According to the enclosed memorandum from Mr. La Force, your geotechnical report requires additional information to meet the requirements of the Ordinance. These issues must be addressed before a building permit can be approved. 12/19/2007 Page 1 of 1 BLD2007-01857 c07o 4 CA, /lit prrvk� (c,1tAA v, ,r� ke, f�� C dlicf<< �1 IFY feA Tu 7-o di- cu,,C,-r q ACCESS & GRADE INSPECTION PERMIT #t Jam ' - 0 ADDRESS 'fit-. 106 INSPECTOR �LS Lk� DATE: -19'vO LI 40 DRIVEWAY ACCESS Length: Width: Surface• Size of turn-around: Condition of shoulders: Vertical clearance: ( need host at end of driveway with reflective address numbers GRADE,OF DRIVEWAY %, OF ROAD % ROAD ACCESS Length: Width: Surface• Condition of shoulders: Vertical clearance: ( ) BURN PERMIT REQUIRED FOR LAND CLEARING FIRE. ( ) LOT INSIDE SMZ, 4X4 FIRES ONLY. ( ) LOT INSIDE UGA, NO OUTDOOR BURNING PERMITTED. LOT TOO SMALL FOR: BURN PERMITS 4X4 FIRES. REMARKS t — Fi4 9so - 0,4jo 9pz T�b (continue remarks on back ACCESS & GRADE INSPECTION PERMIT ADDRESS 0 (o INSPECTOR U,�� DATE: DRIVEWAY ACCESS Len the o Width: Surface: Size of turn-around: NcvAJt, Condition of shoulders: .Vertical clearance: UNL �X_ n�eedost at end of drivewa with reflective address numbers. GRADE,OF DRIVEWAY .0 oZQ %. OF ROAD o��p ROAD ACCESS Length: t Width: D _ Surface: v� y Condition of shoulders: AVo&3f— i Vertical clearance: (_) BURN PERMIT REQUIRED FOR LAND CLEARING FIRE. (�) LOT INSIDE SMZ, 4X4 FIRES ONLY.. ( ) LOT INSIDE UGA, NO OUTDOOR BURNING PERMITTED. LOT TOO SMALL FOR.--BURN PERMITS 4X4 FIRES 2x3 FIR ES. REMARKS .5 / pfs a1o7- Cp 20 • cad JZ� � r �, continu e remarks on back