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HomeMy WebLinkAboutBLD001-00621 Remove and Replace Block Walls - BLD Application - 6/27/2001 FOPM MU i BE COMPLETED IN INK PERMIT NO.: BLD PLEASE PRESS HARD 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 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner 4W_G611,F1- Ul=C 1=L Contractor Name .41clyt C 4•T :LNG Mailing Address__]: 0#0 1/� L V /0� Mailing Address O Ci ty. l O,�tateii) Zip tode C/!,c;79 Z city co ' State (iJ:�- Zip Code Phone(260 )91419 E,/OD Other Ph.( `��Other Ph.(-?I O ),S�261 2 ZZZ. Lien/Title Holder Contractor Reg. # ,,V0r2.C;.+X •+ry 0_3 Z- '7 Address Expiration_/_,�/_mac SEPTIC/WATER SYSTEM INFORMATION-Conne to New Sep 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 tn 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) Is your property within 200' of the following: Body of Water ame) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work L No. of Bedrooms No. o athrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make _Model Model Year Length Width Serial No _ No. of Bedrooms No. of Bathrooms Type of Heat Purch e Vce $ _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 I Y MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and gr f Q Q t - cess to the above described property and structures for review and inspection of this project. Acknowledg t fh- r �j OWNER AFFIDAVIT-I certify that I am exe f om the Pe�ire5t f t 'f■ CTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance cont a tor,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 herewith. ges shall be made without first obtaining shall be done onformance therewith. No changes shall be made without approv rri A' ss- rfirst ob ing proval. X 1 Date A,JJISTAK CC &= Date Z -Q� Gr FOR OFFICIAL USE B OND THIS POINT Accepted by yl � Date_ Submittal Amount Due Receipt No.���� DEPARTM. TAL.. .V1�iN AA,I'RavE© DENIED GONpITl�JN GQQES Building Department Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department I Fire Marshal Valuation $ FEE$ Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing &Base Fee Planning Review Fee Mechanical& Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES PERMIT NO.: BLD 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 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner err'f i"' t 1- Contractor Name tf�, `' A ' Mailing Address #, q0 `A+ /er. Mailing Address��;R City ( ,/Il f State�h, Zip ode ;"'` �, City ate; f`')Oci i 13 State • z.•i Zip Code { _ Phone 260 9 e�/00 Other Ph.(_____) Ph. %' :7=� �-� �S�a;Other Ph.(360 )-"96 2:Z L Lien/Title Holder Contractor Reg. # .. i';: t" C,14,Z +fn- 0 X ;'` Address Expiration . SEPTIC/WATER SYSTEM INFORMATION-Connec,#to New Sepy Existing Septic Connect to Sewer System Name of Sewer System p` Well Water System Name of Water System V PARCEL INFORMATION-12 digit Tax Parcel No. «az ,,, `l �/ r} � Firs District Legal Description y-y6,a :.�V ;r 1 rh •.; � -„ Site Address(Please include street name, street number and city) ".° z r`" 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 ame) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE a SEASONAL RESIDENCE❑ TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work 1y OV �' R w o t a' �= +'� �:tbolo 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 MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial WO A No. of Bedrooms No. of Bathrooms Type of Heat Purcha,:fe Ppfce $ """ Replacement Unit ?(Yes/No) Installer Name e� C lert fication 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-1 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,O,erewith. t Dthanges shall be made without first obtaining shall be don aKonformancg�therewith. No changes shall be made without approyk. e first ob ing q¢proval. e"' � � �-^fig.. X s�° 5.'r �.'� Date . X f i Date��rr FOR OFFICIAL USE BE40ND THIS POINT Accepted by ' 7t ` f. Date (�rg? -Submittal Amount Due , .' '' Receipt No. 0EPARTM NTAI»<R VIEW APPROVED DENIED CONDITION CODES Building Department -7 04 Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department i Fire Marshal Valuation $ �0 C),� FEES Building Permit Fee 4 Site Inspection Plan Review Fee EH Review Fee Plumbing& Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee L Violation Fee Pre-Paid at Submittal ( � ) TOTAL FEES za) PERMIT NO.: BLD 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 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner P.y Contractor Name Mailing Address ,d - / ' Mailing Address City / State r Zip ode a`_., City . ( c State Zip Code Phone( ) _ ,. Other Ph.(� Ph.( s z, Other Ph.( ) Lien/Title Holder Contractor Reg # i ' 4Z aj -,`j c Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Conne to New Sep.r Existing Septic Connect to Sewer System Name of Sewer System A Well Water System Name of Water System V if PARCEL INFORMATION-12 digit Tax Parcel No. 1 / f Fire Distric Legal Description �. Site Address(Please include street name, street number and city) "' Directions to site -61'" ;Q.f" i'Ol0 UrU Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water ame) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work rc — 10V .. 1 '1°:` ' L A)i f No. of Bedrooms No. of T3athrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial NQ4 A No. of Bedrooms No. of Bathrooms Type of Heat Purcha e ce $ 176 1111""" 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 DALES 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 donSjafonformance therewith. No changes shall be made without approv " ' first lob ing approval a}. X !'( " Date tv~ X Date it FOR OFFICIAL USE B MOND THIS POINT Accepted by Date ` a -' Submittal Amount Duel Receipt No. ,+F DEF?ARTMENTAL R VIEW APPROVED DENIED' CoNDIT1+ N 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 EH Review Fee Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES ,p. t y ,t%.STAr, MASON COUNTY DEPTARTMENT OF COMMUNITY DEVELOPMENT O A N Z . T Z Planning Division 'oo N V ao9) P O Box 279, Shelton, WA 98684 1864 (360)427-9670 NOTIFICATION OF INCOMPLETE APPLICATION July 25, 2001 MARGARET BUECHEL NORCAT INC 23309 147TH AVE SW PO Box 310 VASHON WA 98070-6818 COSMOPOLIS, WA 98537 Parcel No.: 322325004001 Project Description GARAGE repair due to earthquake damage. Dear Applicant: You have submitted a permit application (case no. BLD2001-00621) 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. Please contact me at (360) 427-9670, ext. 295 if you have questions. See next page for details: Since ly, tick C' _ — `� c �` Pam Bennett-Cumming Land Use Planner Mason County Planning Department 07/25/2001 1 of 2 BLD2001-00621 .sy NOTIFICATION OF INCOMPLETE APPLICATION 07/25/2001 Case No.: BLD2001-00621 Comments Planning staff has contacted Norcat to clarify that the permit application lacks a site plan. Although Norcat's earlier conversation with Larry Waters indicated that the building department does not need a site plan, planning staff explained that the Planning department DOES need a site plan in the permit review. This is a standard requirement and provides us with the record of where the activity is taking place on the lot. Materials submitted to date do not provide that information. Norcat indicated to planning staff in a phone conversation on 7/16/01 that a site plan would be submitted. Staff explained that it did not have to be very complicated, simply indicate the location of structures on the site relative to the shoreline and lot lines, and show where the repair work was going to take place -- we provided you (Norcat) with a fax# so you could get it to us quickly and we would expedite review once received. As of this date (7/25/01) we have not received the site plan. Here's the fax information again in case you (Norcat) need it: Fax# 360-427-8425, put on the cover sheet: attn: PamBC in planning, and include the bid permit number which is on this letter. We look forward to receiving the plan and completing review of your permit. If you wish to mail the site plan instead, simply use the mailing address on this letter. 07/25/2001 2 of 2 BLD2001-00621 Buirmn G PERMIT # l S L-D aGC)( v -2- DATE ?f 1Id ( Planner Area Parcel # CHECKLIST FOR PROPOSED CONSTRUCTION Comp Plan Designation UGA ZRAC RCC RA For 1H Yes No Within 200 FT of SMP designated shoreline, wetlands, etc. Where? [ ] 7 � ocated near possible Critical Area, What Kind? (Wetlands, Streams, Lakes, Slopes) [ ] [V1 RLC already done? [ ] [ ] Proposed construction within floodplain r-0 [ ] [ Eagle nest [ ] [ L]""'Six year moratorium [ ] [lX Multi-Setbacks State road access needed [ ] [u ' Commercial Development (parking standards, sign ordinance, public works review, other applicable agencies) [ ] [Mobile Home or RV Park c�41- -G* �.p FROM COAST ENERGY SAVERS, INC. PHONE NO. : 360 532 7761 Jun. 22 2001 02:19PM P1 4 v "A Liaison Between Insurance Companies And Clients' 1 N0RCAr003J7 Postal Box$10 Cosmopolis,Wa.M37 800-748-2298 360633-7988 360-533-0310 FAX LINE A GENERAL CONTRACTOR SPECIALIZING IN FIRE, FLOOD,WIND &WATER DAMAGE RESTORATION F � �27 77 99 A-FTA) , f li 4WD 166 Y PXrC//C,, 2- Z,�-��� 0. y6u Me Lo Y re. l 1 Q Cl D�F' �EiLi�v cToi5 h u p) �;Q ody; V6 r-d,4 r 4 1140 l s5 sr, 360 9 u a s ode w)qZl s : /z Zo, tj V 6C 42 z. i wo (x- Y--)eA7-�\ c��S /Nq doOeR6 Fr�r4v4cnc-- ivQ (CA - 7 ✓Y THESE PLANS MUST BE CHANGES ON THE JOB SITE SUBMIT CHANGES FOR APPROVAL FOR INSPECTION. PRIOR TO PERFORMING WORK DF *2 rnAT��-/Z---A . ail,,° , �f� , 7-L, f � � X (o d je),Pp/r-.s 77/ THESE PLANS MUST BE CHANGES ON THE JOB SITE SUBMIT CHANGES FOR APPROVAL FOR INSPECTION. PRIOR TO PERFORMING WORK n,)c (SX6 PT POST fX 2A I -2N,5T1A,,'L (0/0 �2-t,4T STF- F-L PY 30X yo THESE PLAI"�S ML ST 13E ON THE JOB IT FOR INSPECTION. CHANGE SUBMIT CHANGES FORA PROV L. PRIOR TO PERFORMING WOR T G -r—Xq I ,P.Q box ,old 1asr lopp , w4 O ,�7 3iW -533 - 7166 U ' 9 s►�� w� o, 1 V 6c- (e z �E f cam' Y-)C LXx \ -tz:4 csf�� �C)C c, - v l731 � y THESE PLANS MUST BE CHANGES ON THE JOB SITE SUBMIT CHANGES FOR APPROVAL FOR INSPECTION. PRIOR TO PERFORMING WORK �F #Z mAT�E/Z r t I j ij i i - i THESE PLANS MUST BE CHANGES ON THE JOB SITE SUBMIT CHANGES FOR APPROVAL' FOR INSPECTION. PRIOR TG P0t01VAING WORK /t15?N' c�G/=1AJ6 �N �L,4T 900� � . { CX } l F1-5L ; y, r1:f i 3OXy° THESE PLANS MU T E E ON THE JOB Ic ITE FOR INSPECTION. S� CHANGE SUBMIT CHANGES FOR OVA ' PRIOR TCG PERFORMING WORK 3 ox 14 ' ol2 c ,3 goo a I. 0. 4/20/05 1 1 � I� 1 § Y !IIi � t � � -�; '� =� ' - 6 '�•}� $.. t