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Home My WebLink AboutBLD98-0959 Cancelled Decks - BLD Permit / Conditions - 9/23/1998 p'iY ,uA "":' r V -rl 0 ;.R vim? S iT a ,-� .... . s X;tt a = ZZ x ti A. a $ lYl ZZ F _ x tzo na OD C _. r 10 000 m c r 0 OD i "T. a Ike nn ^g'{Z` St Ewa stit t 4/ 31, Vas O ice.. -...-..._...v^YZ I 27 in pi 11 W 2 Z_ 9;4 i CA K to 0 ml—1 ;0=to cn IT :7 14� w rzn iW to Em S MQ 0 cy cl or c) ef ry=S T cis cv: 1 —m n Q < yn et X z -<I�Ila 00 0 0 01 c =r no Al 5 (P No U) K3 >> r & 10 a s OD C) C, < 01 OD 7Z f3-::Fl ca Z' =215 -0 M TIQ F V f-Ti w Ci I Z a•-> e� I ° n 00 oOS Q Z I m vo o�M Q In Q z N N Dc� (Q C I N 10 000 I ' � � I i i � I II 4 I I I i FORM MUST BE COMPLETED IN IN PLEASE PRESS HARD 1 �� MIT NO.: BLD �� {� MASON COVNTY BU 1N,G E3 11�` APPLICATION 3 �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 FAPPLICANT INFORMATIONOwner CONTRACTOR INFORMATION Ow g Address _S-zo � t� E 9 Contractor Name t, d .r�d/r Y• % 3��-, may State �"� Zi Code I Mailing Address_4- V � �� P ' city, t) b ✓�J•r'�'iTl��. Y V&14�1 I� State I� Phone gr�o d,� Other Ph.( )�_ Ph �_ Zip Code s — Lien/Title Holder 54 � c�C�� ( �" )IV)- 7S�7.v�Other Ph.( ) Address � Ybj Contractor Re # - 5 " Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic —Existing Septic System Name of Sewer System g P Connect to Sewer Water System Well Water System Name of PARCEL INFORMATION-12 digit Tax Parcel No. fa:?-7/ / �9 / ®�,�'/ Legal Description Fire District 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 your property within 200' of the following: Body of Water (Name) Lake River/Creek Pond Wetland Seasonal Runoff Saltwater Bluffs Stream Slopes or F3rd OF JOB New Add - ibe Work J- "- r Repair er Use of Building f Bedrooms No. of Bathrooms ` UARE FOOTAGE-1st Floor oor Loft Basement 2nd Floor Garage Attached Detached Deck �, Other arportttached Detached �T sq ft. MOBILE HOME INFORMATION-Make Length Serial N Width o. Model Model Year Type of Heat Purchase Price No. of Bedrooms$ No. of Bathrooms Installer Name Replacement Unit ?(Yes/No) Certification No. NOTICE: THIS PERMIT BECOMES NULL 8 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-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 c ify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirem s regulating the wo r which this permit is issued and all work contractor in he State of Washi t n and that I am aware of the ordinance conformance therewith. No changes shall be made without first obtaining shall don in conformance rer which ith. h t changes shall be made without approval. first btaini g approval. zz Date `"" Date 2 44, FOR OFFICIAL USE BEY D THIS T Accepted by Date f/, 7 Submittal Amount Due Receipt No. 2 # �PAR;TMENAI. REVIEW: AAPRf?VIwD> p�IVIED Building Department CON. ITi0NC4p Occ Grou T e Constr. �� Et�p 11 BOOotf Planning Department ODD JQa �� Environmental Health Department Public Works Department Fire Marshal Valuation $ 77 uilding Permit Fee p�(p.60 Site Inspection Plan Review Fee Plumbing & Base Fee 93 UFC Plan Review Fee Mechanical & Base Fee Public Works Review Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee 5 Pre-Paid at Submittal ( TO TAL T AL FEES E 3 PERMIT NO.: BLDCI MASON COUNTY BUILDING PERMIT APPLICATION ,Jc Zl � 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 Owner CONTRACTOR INFORMATION ��' �.� �`' "�` Contractor Name Mailing Address is Mailing Address Yam, State de ;-; �`• Zip Phone Zip Co w Cit State � ( � '"` E Other Ph.� Y r ;' ip ode . Lien/Title Holder . Ph. _°(—=-) Other Ph �) Address Contractor Reg. # =r e' Expiration 'SEPTIC/WATER SYSTEM INFORMATION-Conne System` Name of Sewer System ct to New Septic Existing Septic y,'`. Connect to Sewer Water System Well Water System Name of I I PARCEL INFORMATION-12 digit Tax Parcel No. Legal Description / Fire Distri t Site Address(Please include street name, street number and city) ' I Directions to site ..ma�yy, Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water(Name) Lake River/Greek Pond Wetland Seasonal Runoff Stream Slopes water Bluffs PE OF JOB New Add Alt_ Repair fl _Gtf'1"er Use of Building T3rd scribe Work �° of Bedrooms No. of Bathrooms SCUARE FOOTAGE-1st Floor_ _y Floor Loft Basement 2nd Floor E Deck Other sq ft.�.k Garage Attached Detached ' carport Attached Detached MOBILE HOME INFORMATION-Make Model Length Width Serial No. Model Year Type of Heat No. of Bedrooms No. of Bathrooms 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 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 cQQ tify 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 requirementsrregulating the wori fbr which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be Bong in conformance t r approval. ewith. No changes shall be made without � first obtaini�g approval. Date eAb _--, Datepc ; FOR OFFICIAL USE BEYQ` D THIS PMNT Accepted by Date �" Su.bmittal Amount Due Receipt No. : .. D PARTNIEItiITAI» REVI .-W APPRovEp= DEIVIEp Building Department CONpITaON CODS { 00 Type Constr. Planning Department S Environmental Health Department 9/z Public Works Department i Fire Marshal t ' Valuation $ ' FIw�S Building Permit Fee ,tk Site Inspection Plan Review Fee 4 : UFC Plan Review Fee e p,, Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee IJ Pre-Paid at Submittal {<: T O T A LF E ES tM MUST BE COMPLETED IN INK \SE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION "? Case No. Name ;4-77"-'ex 46A-1 f PARCEL NUMBER_I)L,7,f 21 1 Date SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences 'p Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System ], DRAW SITE PLAN BELOW Include adjacent ro erties if on shoreline or within 100 feet of adjacent ro ert line. adjacent property lined I <-adjacent property line I I � I I I /_�_ %n I ' I I I ' I I I ' I I I � I I I � I I I I I ' I � I I ' I ' I � I I I ' I I adjacent property line- I ' ' E-adjacent ro ert line SAMPLE SITE PLAN adja ent property line- NAL I 3Z°� 3o. >�Rve f adjacent property line 7� CREE{G \ I I F iv, I I PRO POSGD -�� I 1 VACANiT I 1 GARAGE \ 30' � I D0.oPasCD � I /i i 7 A&R=LL.LTwRAL So I i I i /00 1 I L—&-LL I � I l_.a..GLL I I I adjacent oropertylined � I ai Fadjacent ro ert'line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes cuts degree of slopes. See sample topography profile.) , and fills. If possible include height and the SAMPLE TOPOGRAPHY PROFILE d15+a.,« -o Sr►'ructt.tr� d�5t'a r.Cr- t c Sl opa. .I-o¢ dis+anima fe dL Signature Date mDING INSPECTOR CNAb CT TO APPROVAL OAT` v�-v✓� Palyce1 L a3�a�3°10l3 a . � (o K 7 7yzEg7'E.}7 7..0�._T.......�r _. ...... � L - W`ter_e../o fhb&o /_Qde. 5 VQ 7_X I1 F4QS .. . .... : .. ..