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Home My WebLink AboutBLD2008-00482 Pole Bldg - BLD Application - 2/26/2008 FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NAP,ft—_ PLEASE PRESS HARD BUILDING PERMIT APPLICATION t~° 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 ' T APPLICANT INFORMATION CONTRACTOR IN O MATION Owner Xl Tl�.?f G�-' Company Name " CL,#Ie, Mailing.Address d e= - - s�( Mailin Address ,Ve City l a State_1dLlf_Zip Code q��`IS✓ City State 1q� Zip Code Phone Other Ph._7L''0 8'7 r/.j Phone. G 0 Other Ph. Lien/Title Holder % Contractor Reg ' Exp. E mail address _<had a� .4 C c . L zm'r E Mail Address n "rae! Drivers Lic.# DOB I Drivers Lic. # DOB SEPTIC /WATER SYSTEM INFORMATION - Connect tp New Septic Existing Septic Connect to Water System Name of Water System_L� �� 'A /?7/1-Vl ae, Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description _S",_C 9 �� , ^yb1/ , W Site Address (Please include street narr)�e, street number and city) IV/ R k! vti J7r ��• s�v�t Directions to site jur 7 Legit dt�' d#4? S !/`t 'To 6y/r o��rs;: ��„ r%c /��nf�� c�� •.� B •? s c r` t�cc el C'st C- Will timber be cut and sold in parcel preparation?Yes/ Is property within 200'of Saltwater /2 62 Lake River/Creek U Pond 40 Wetland /1 d Seasonal Runoff it Stream (, Slopes or Bluff—s> 15% 170 Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Y s/No TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEA NAL ❑ Use of Building C A/ Co f /- Describe Work �'�/!�% � � �%►�s No. of Bedrooms X No. of Bathrooms Square Footage- 1 st Floor 3,649,p 2nd Floor 3rd Floor Basement Deck_ Covered Deck Other Sq. ft. Garage Attached Detached Carport_1e' Attached Detached MA UFACTU OME INFORMATION - Make Model Year Leng h idt Serial No. No. o edrooms o. of athrooms Type Hea Pu ase Price $ Repla it? Yes/ No Installer me Certification No. OWNER/BUILDER 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 provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. This permit/application becomes null & void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEAN FAP/RROO/GRE IN ECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Date: �� Owner/Owners epresentative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Ins ection Plan Review Fee EH Review Fee Plumbin,q & Base Fee Planning Review Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ ITOTALFEES MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION 426 W. Cedar• 7 0. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair 560) 275-4467 • Elma (360) 482-5269 On the -web N/,,�,.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Company Name Mailing Address Mailing Address City State Zip Code City State Zip Code Phone Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg. # Ex E mail address P E Mail Address Drivers Lic. # DOB Drivers Lic. # DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. 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/No Is property within 200' of Saltwater - Lake River/Creek Pond Wetland 3 Seasonal Runoff Stream Slopes or Bluffs Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New + Add Alt Repair Other PRIMARY RESIDENCE SEASONAL Use of Building escribe Work No. of Bedrooms No. of Bathrooms Square Footage - 1 st Floor 2nd Floor 3rd Floor Basement Deck_ Covered Deck Other Sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make 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. OWNER/BUILDER 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 informaticn provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. This permit/application becomes null & void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANSOFAPROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THEAPPLICATION. X Date: Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date FEnvironmental RTMENTAL REVIEW APPROVED DENIED NOTES Building Department n Department Health Department j( Fire Marshal FEES Building Permit Fee Site Ins ection Plan Review Fee EH Review Fee �- Plumbing & Base Fee Planninq Review Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES 1 PSoN-STATFo� MASON COUNTY o A o DEPARTMENT OF COMMUNITY DEVELOPMENT o N z Planning Division N Y o~ P O Box 279, Shelton,WA 98584 1864 (360)427-9670 NOTIFICATION OF INCOMPLETE APPLICATION May 06, 2008 LAKE CUSHMAN MAINT CO 3740 N LAKE CUSHMAN RD HOODSPORT WA 98548 Parcel No.: 422095100206 Project Description: POLE BUILDING - replaces BLD2008-00482 Dear Applicant: You have submitted a permit application (case no. COM2008-00058) for proposed construction or development in the county. Upon review of your application, I have determined that the contents of the application are incomplete or do not provide enough detail for review. 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. 295 if you have questions. Sin erely, Tammi Wright Land Use Planner Mason County Planning Department 5/6/2008 Page 1 of 2 COM2008-00058 NOTIFICATION OF INCOMPLETE APPLICATION 5/6/2008 Case No.: COM2008-00058 Comments: Planning staff conducted a site inspection of your property on 5/1/08. It appears there is a wetland system surrounding your proposed development (please refer to enclosed map). Under current regulations wetland buffers can range from 25 feet to 250 feet. The Mason County Resource Ordinance Wetland Chapter is enclosed for your information. In order for the Planning Department to further review your proposed development, a Wetland Report that meets the requirement of the Resource Ordinance Wetland Chapter and the Rating System for wetlands will need to be submitted to the Planning Department with an accurate site plan. The Report will need to address all of the criteria listed in the Wetland Chapter. It is necessary for you to hire a qualified wetland consultant to prepare the report. A list of wetland consultants is enclosed for your information, although you may also choose other qualified professionals not on this list. Depending upon the wetland category, rating, and buffer requirements a Mason Environmental Permit may be required to allow the proposed development. See section D and E of the enclosed Wetlands chapter of the Mason County Resource Ordinance regarding permits and buffer requirements. If the proposed structure is within the standard wetland buffer, it may still be possible to construct in the buffer with adequate mitigation (Section F), which may include buffer restoration, etc. Permits can be issued when the applicant can demonstrate that the activity is both unavoidable and necessary. A Mason Environmental Permit is enclosed for your convenience. Either you or your consultant may contact me if you have any questions. 5/6/2008 Page 2 of 2 COM2008-00058