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HomeMy WebLinkAboutBLD2000-00198 Cancelled Garage - BLD Permit / Conditions - 2/23/2000 4 PERMIT NO.: BILD X MASON COUNTY Zq 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 APPLICANT INFORMATION CONTRACTOR INFORMATION Owners Contractor Name Mailing Address A' Mailing Address k`�� City .4 State I Zip Code 1� City • ij e_ 1+0rti, State It 14 Zip Code l 1715--5-ei Phone(-3 Other Ph.( ) Ph.� 14414-2.*Etether Ph.( Lien/Title Holder Contractor Reg. #J'Jh1115 0 Address 5 Expiration_ Y l 15- C7 0& SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. Z,�) 41„l ly 0 Vj Fire District Legal Description 7' ASite ddress(Please include street name, street number and city) 1,2z S ections to site _X 7 1 timber Will be cut and sold in parcel preparation? (Yes/No) Is ouou yr property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland —Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add—Alt Repair_ Other�Use of Building,Y1,,;1;,.,- k�,I,fir C s,- Describe Work No. of Bedrooms 0 No. of Bathrooms 0 SQUARE FOOTAGE-1st Floor 2nd Floor 4, 72 3rd Floor Loft Basement Deck- Other —sq. ft. L Garage Attached Detached Carport -Attached Detached 110" MOBILE HOME INFORMATION-Make � , IAModel Model Year Length Width -Serial No. 11 No. of Bedrooms No. of Bathrooms Type of Heat Purchase P4c9 $I 1�k Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-]certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-]certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X 4 ble Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by—_--a b; !h DatQ7_p,3 b'4ubmittal Amount Due Receipt No ID!i ly DEPARTMENTAI» REVIEWZAPPROVED DENIED..... CONDITION.:COE)E$: Building Department Occ Group — Type Constr.— DOA Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ ... ......... .. ....................... .......... Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal TOTAL FEES `� � x �.,•' MASON COUNT�Y PERMIT NO.: BLD i[L.�� 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 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner .�. , ' rT ', Contractor Name Mailing Address r"�:r Mailing Address City %` P r.f<, : State ' Zip Code City =" r) I is State , GZ Zip Code Phone • -r'% F', " Other Ph.( ) Ph. `ta,'_:? 42L--e2 , they Ph.(� Lien/Title Holder-,' Contractor Re . #,� iarP�'.? Address Expiration ti SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. •��- "' Fire District Legal Description 2 r '`{ c r •$: 7 Oy._ Site Address(Please include street name, street number and city) Directions to site Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water (Name) W/4 Saltwater A-'.) Lake � ` River/Creek �/�� Pond /t. Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other X Use of Building,fL,217•7;j 7 urn: s,�� Describe Work ' No. of Bedrooms 0 No. of Bathrooms C,) SQUARE FOOTAGE-1st Floor (o7q 2nd Floor 4a 7 3rd Floor Loft Basement Deck Other sq. ft. Garage ✓ Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make t Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase P c $I V k Replacement Unit ?(Yes/No) Installer Name 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-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. i ` � �/ Date .{ ti )- ?C. G /�-� '? r a �, �:>- Date ' '� >l+:r�7;,�FOR OFFICIAL USE BEYOND THIS POINT Accepted by- _ tf �' Date 2_ �ubmittal Amount Due '7��w:V7 r Receipt N' 0EPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Depart m n :,;> 3 yr .M Occ Group 0 �ij3.Yype Constr. 50 Planning Departmen Environmental Health Department J Public Works Department I Fire Marshal Valuation $ t n PEES Building Permit Fee JC 5 Site Inspection Plan Review Fee 3� UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other D Wood/Gas/Pellet Stove Fee Other �t Violation Fee Pre-Paid at Submittal i:•i:i6i: TO T G , a �r PERMIT NO.: BLCb MASON COUNTY BUILDING PERMIT APPLICATION Z�2 426 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 Contractor Name Mailing Address ,fir Mailing Address City State Zip Code City , V.>; State :`t Zip Code f r Phone( ) Other Ph.( Ph. -Other Ph.�) Lien/Title Holder er Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. x / r / Fire District Legal Description - Site Address(Please include street name, street number and city) Directions to site Will timber be cut and sold in parcel preparation? (Yes/No)_X Is your property within 200' of the following: Body of Water (Name) r;" Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other_. Use of Building Describe Work No. of Bedrooms _" No. of Bathrooms ') SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage" Attached Detached Carport Attached Detached 1 MOBILE HOME INFORMATION-Make . Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase P C k$i 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-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 X_ Date - r FOR OFFICIAL, USE BEYOND THIS POINT Accepted b F l : N=- Dat 171 2 t 04ubmittal Amount Due '' ¢ > M!Y' Receipt No Y" . . .— p k. DEPARTM;ENTAI REVIEW APPROVED DENIED' coNDITION CODES Building Department Occ Group Type Constr. Planning Department Environmental Health Department - Public Works Department I Fire Marshal Valuation $ FEES _ . . . Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee ,v ) L 06 Wood/Gas/Pellet Stove Fee Other P� Violation Fee Pre-Paid at Submittal ( ) ..�:<...... :.:�.•.:..:::......... TOTAL FEES IN INK COUNTY PROJECT SITE INFORMATION Case No. PARCEL NUMBER,3,244;;2 > /Y « Date TG-3 i�_ ING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Fences Driveways Shorelines Topography ding adjacent) Drainage Plan Easements ig Streets Septic System PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. ;,roperty line4 I /1 I <—adjacent property line I UU U'" GG 0C -s,1 1 1 UGG �� � , vr � S I I I � I adjacent property line4 ' ' E-adjacent property line SAMPLE SITE PLAN adjant property line-) 3iO� _ _ _ E-adjacent property line I D 30- S rR�SCRvE gel EASn wJ AL. I a _�PTSL__,� � I Honnt j \ Gnaeni I HCc..i� I j PrioPosen smpt:c { , 14— 60' I I VACANiT I(� 31 90.oPosCO '�-SOS j AGftiCLLLTLLJiAL I 1 � I I I � I I I I I L—e-LL I I x /00. --� , adjacentpropertyline ; a"= \i Fad'acent ro ert line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. 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RFr 05 00 07: 20p Jan Hillyard 360-866-9015 p. l THOMAS E. RICHL, P.E. 2119 North 92"3 Street Seattle;Wa. 1-206-524-4819 Fax 1-206-524-4406 P.O.Box 21 l alliwaup,Wa.98555 1-360-877-5545 Fax 1-360-877 0748 Mobile 1-206-930-5624 FAX TRANSMITTAL FORM Date Fax Message to: /7 yG G /.f A] �fl U.y , � " 2�!• Fax Telephone Number: Z 7—7 7 c� From: - '/�D/l1�s- �. /G�G �. - EAJ6R 01=/Q 6CoIz-O. Number of Pages incl_This one: wJ Message: /PE E/2EJy G C. �/ (� E' leo Li��/u/•9�iP, alA 77 /53ez� ZaiE Co,dc e&_76' _ 1 AW-S. Az 7�E s /1' TD Bar/,4,1 Printed by Larry Waters 4/05/2000 3 : 54pm ----- - -------------------------------- From: Phyllis Burnison To: Larry Waters Subject: --------------------------------------- ===NOTE===============4/5/2000==10:41=A Just so you know: Sean Johnson called on Monday for a foundation inspection for Beth Robbins - BLD2000-00198. I did not get it scheduled in time for Tuesday due to being given the wrong permit # - it was put in for Thursday 4-06-00. Sean called late Tuesday - after you had left at 4:00 - saying he was scheduled to pour first thing Wednes- day. I told him he needed to speak with you FIRST but he said he would be out of range in the morning. He called this morning - after you had left - and said he would have an engineer on-site who would write a letter confirming the footing as being ok. When this is faxed I will put it with the inspection card. (He did not want me to forward his call to your car.) What I want you to know is that I did not at anytime tell him to go ahead and pour or that pictures and the engineer on-site would be adequate for an inspection. I told him it was your call and that he would be pouring at his own risk. Also - I am sorry this did not get scheduled for Tues. Once I discovered that a wrong permit # had been given it was too late to get it on the list. Generally when there is missing or incorrect info those are scheduled after everything else in the interest of getting it done quickly - then I take the time to research or make calls or whatever it takes to get the information. Sometimes this results in inspections not being scheduled as quickly as if I had all the info. --------------------------------------- Page : 1 Mon, +y, August 28, 2000 12:00 PM Shelloy Johnson 360-426-6900 P.01 Attention: Mr. LARRY WATERS Date: 8/28/00 Company: MASON COUNTY BLDG DEPT. Number of Pages: 2 Fax Number: 360-427-7798 Voice Number: 360-427-9670 From: Shelloy Johnson Company: Johnson Brothers Fax Number: 360-426-6900 Voice Number: 360-426-0353 Subject: PERMIT NO. BLD 2000-00198 BETH ROBBINS Comments: ENCLOSED IS COPY OF FAX FROM THE ENGINEER REGARDING THE FOUNDATION ON THE ABOVE REFERRENCED PERMIT WHCH WAS PREVIOUSLY SENT TO YOUR OFFICE. PICTURES WERE DELIVERED TO YOU LAST WEEK. BACKFILL IS TO BE INSPECTED UPON FINAL INSPECTION. THANK YOU Mor 'ay, August 28, 2000 12:00 PM Shelloy Johnson 360-426-6900 p.02 fug 27 00 07: 40p Thomas E. Richl 1 -360-877 5545 p, 1 THOMAS E. RlCHL, RE. 2119 Nonh 92"'Street Seattle,Wa. 1-206-524-4819 Fax 1-206-524-4406 P.O.Box 21 LilliwauA Wa.98555 1-360-877-5545 Fax 1-360-8770748 Mobile 1-206 930-5624 FAX TRANSMITTAL FORM Date: 4 �'``zo0w Fax Message to: /``/ yG G /-r— ��Aj u.tl Fax Tclepltoae Ntmtber: S�d — ¢L 9— 7 7 ! 8 From: O�ie 6fo2 O. Number of Pages utcl.This one: / y� Message: jecc� C, Li4,4i"Po If GdA. 98 � T k'oee ris/�CP.r/cie�'rEs�.�LS ��,frJPA`' ¢' -4=lea J w.41 .A0 7_--' I14r Zap GoAr � r4!r Age r4- 4aA fiOL//� /���e--A CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons I date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date FRAMING by date by date by Walls FIRE DEPT. date PLUMBING by date by date by Attic OTHER Groundwork date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by I date by cLe $ l/ s C�' vow, r'; 6 I 1 1 � 1 i^ k •�.y i i