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HomeMy WebLinkAboutCOM2007-00093 - COM Application - 7/23/2007 FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PERMIT No CC" BUILDING PERMIT APPLICATION L�G`1 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 OIc1 �f Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner r t/O Cf/O/ Company Name Mailing Address�/ 1 /a yWe/ 101 Mailing Address City — 2244� State /y/1, Zip eccle, _ City State Zip Code Phone_3" 'Z7 53 220ther Ph. Phone Other Ph. Lien/Title Holder �' Contractor Reg. # ExI E mail address E Mail Address Drivers Lic. # N/9Tr X x �/ %C DOB D� _G Drivers Lic. # DO 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. = Fire District Legal Description ✓� Site Address (Please include street name, street number and city)1158P IV YW �n Directions to site if Will timber be cut and sold in parcel preparation?Yes Is property within 200'of Saltwater Lake River/Creek Pond— Wetland-Seasonal Runoff Stream Slopes or Bluff/o 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 RIM Y RESID CE SEASONAL Use of Building'9ea�atevf escribe Work orry e ec Pi[ 00 551F No. of Bedroom No. of Bathrooms -,; Square Footage- 1st Floor 2nd Floor. 3rd Floor Basement Deck Covered Deck. Other Sq ft. Garage Attached Detached Carport Attached DE tached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No. of Bedrooms No. of Bath ooms 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 th 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 propose(. 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 autho ized construction is not commWwit�m or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATI N OF WORK IS BY MEANS OCTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 AYS WI LINVALIDATE TH APPLICATION. X L Date:sentative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted hv 10io j Date - DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Plannina Review Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES MASON COUNTY PERMIT NO. Ac CJt� B26ILDING W. Cedar.PoE RMIBoxBT6APPoLIWA9ION r� Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION _ J - CONTRACTOR INFORMATION Owner�A , L. r� r" ' /'"�� Company Name Mailing Address '' ` •- ' / Mailing Address City State Zip Code` ` _ City State Zip Code Phone r ' I I-0ther Ph. Phone Other Ph. Lien/Title Holder Contractor Reg. Exp. E mail address 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. 2 '_ 12 •-' 2- ' Fire District Legal Description 1' j zip ��'<' ilf Site Address(Please include street name, street number and city) / `• '' i fi `f - Directions to site Will timber be cut and sold in parcel preparation?Yes/N Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluff/. Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?YeslNo TYPE OF JOB - New—Add Alt_Repair Other RIMAI Y RESIDENCE SEASONAL ❑ �. .r'-r::—y IX�/h•.;T:^ _C .7 i'r - ' Use of Building_, Describe Work -No. of Bedrooms No. of Bathrooms Square Footage- 1st 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 revo tion. Acknowledgement of such is by sigplature below. I declare that I am the owner,owners legal representative, or the contra or. I further declare that I am entitled to receivat�is pVmit and to do the work as proposed in the application. I declare that I have obtained th permission from all the necessary parties. If permisyoon is required from any easement holder or any other party in interest regarding this ap lication or the work proposed in the application, I h6ve obtained permission from them to apply for this permit and conduct the work propose(. 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 autho ized construction is not commenced within 180 d,p'1s or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF.&4'ROGRE$SR%3f CTION.INACTIVITYOFTHISPERMITAPPLICATIONOF180PAYSW/IpLINVALIDATETH APPLICATION. Date Owner/OvMim Representative/Contractor (indicate which one)FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Dat rI-,a _-6' DEPARTMENTAL REVIEW APP VED DENIED NOTES Building Department I� Planning Department Environmental Health Department Fire Marshal FEES BuildingPermit Fee , Site Inspection S Plan Review Fee 9 I. OS EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee - So` Violation Fee (03, L�_ Pre-Paid at Submittal Valuation $ 20 , bb TOTAL FEES /y" cs Z 0 REaCEIVED JUL 2 3 2007 MA ON COUNTY TO BE KEPT IN THE PARCEL FILE Name MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT FEE CALCULATION VYORKSHEET VALUATION DETERMINATION Occupancy Type. Square Footage Valuation Amount. Tota I Valuation (sq,&xvaluation) Residence /Addition /Basement $73.00 $ Garage/Storage Building $26.35 $ Basement (semi-finished/unfinished) $35.90 $ Deck $12.75 $ Carport/Covered Deck $18.15 $ Other W it'1G�OLl� �atd ivt 4ca �"ien }� $ Ztd Arnaun- au'o-Cox a 1720• $ I'120.00 TO BE KEPT Total Valuation $ Estimated Plan Review Fee, due when the permit is submitted: $ O Pla g e u e e : $ o0 TOTAL DUE WHEN PERMIT IS SUBMITTED: $ 1 5 Er1 0 rcp— efti+" IV 44,00 The estimated plan review fee is based upon information provided at the time of application and is subject to&ange. Planning Department fee is a flat fee which is due when permit is submitted. Building, mechanical,and plumbing permit feE s will be calculated during plan review. Environmental Health, and other fees will be collected when the permit is issu d. E,STIMATEQ BUILDING PERMIT FEES Building Permit Fee (see table attached to Building Permit Fee list U.B.C.,table 1-A) $ 3, /S Estimated Mechanical Fees (U.M.c. ,Table 1-A) $ Estimated Plumbing Fees (U.P.c. ,Table 1-1) $ Estimated Environmental Health Fees: $35.00/$75.00 $ Estimated Fire Marshal Fees (Commercial projects-50% plan review) $ State Fee b1/0/11y�;�, $ 4.50 Address Fee $ Estimated Fees due when permit is approved: $ Total Cost: $ L\BUILDIWESTI MAT DFEES—revised 8-252004 /q919 O ( '/ /�/,.� i °' i' 'Z%' ✓sal„ C 4 r i Irb F-L -.-_ t 0 JL- Mal 44, ( ( f i \ i I i E TOPOGRAPHY PROFILE: 2 v> �G Direction: Scale: Approval: for office use Building Permit number: Buil in 9: Owner/Applicant: Date of Plan ing: application: Env. Health: Parcel Number: i �. 4 ' -- -._.. C ( i W Nt i It [ t i { I I gym. - TIN Sl L� A y Q t a E o. � W l , Co TOPOGRAPHY PROFILE: ` pn 2 � U Direction: Scale: Approval: for office use Building Permit number: Building: Owner/Applicant: Date of Planning: Parcel Number: application: Env. Health: 1{2Jr",-f Wj4PkA j( 1 )/,YS 1447 U MASON COUNTY No 6 r3g a239s6�o BUILDING DEPARTMENT EXT. LI W f 2-—Z z--r?�)(-7 C ALL PERSONS ARE HEREBY ORDERED TO AT ONCE TOP WORK On these Premises at 11 W �J- F Ww 4 16 C6144( 1 A iid, 6� .360- 42,7-g670 C t_ 3S'b This order is issued because 1,63 Pe b)4cfaeof, s���K�► and �pss►'hLc.- V i. t' ✓IM►T,S�I ✓ / Posted �;'7 6 r_'A.M.44- 1 c 20 -7 By W)L- WARN 1 NG The failure to stop work, the resuming of work without permission from the Building Official, or the removal, mutilation,destruction or concealment of this Notice is punishable by fine and imprisonment. Mason County Dept. of Community Development Mason County Bldg. III, 426 W. Cedar, P.O. Box 186, Shelton, WA 98584 Shelton: (360) 427-9670 Belfair: (360) 275-4467 Elma: (360) 482-5269 1� Web: http://www.co.mason.wa.us Notification of Mason County Code Violation July 30, 2007 Mason County Department of Community Development Shelton WA 98584 Claimant Vs. JAMES E CHOI SUSAN YUN CHOI 2545 RUDY ST ROWLAND HEIGHTS CA 91748-4942 Notice The receipt of this notice shall constitute service regarding notification of violations of the Mason County Code, and shall also serve as Warning Notice pursuant to Mason County Code, Title 15, Section 15.13.035. The violation(s) are occurring at the following property: Enforcement Case No.: BCC2007-00138 Parcel No.. 420122200170 Site Address: 11880 N US HIGHWAY 101 SHELTON In response to a complaint received by this office, staff from Mason County investigated the above site and found that windows had been replaced, new siding added and possible interior remodel being done without the required development permits. As a result of that inspection, a Stop Work Notice was posted on July 18, 2007. (n 2 o c)-7 0009 According to the Mason County Assessor records, parties named above hold legal interest in the parcel and are therefore subject to enforcement action for failure to comply. The parties shall respond to the county within twenty days of the postmark, posting on site, or delivery of the notice. Records indicate that this enforcement issue has not been resolved and is outstanding at this time. Order YOU ARE HEREBY ORDERED to abate violations in the following manner: 1) Obtain all required After-the-Fact development permits and inspections prior to August 15, 2007. Until all required permits have been issued, all exterior and interior work must cease immediately. 2) We request that a full inspection be allowed on the interior of building as we suspect that illegal remodeling work has been done. The septic system at this address has a failing septic system and water system was posted in 2003 due to nitrate levels in excess of state standards. The system appears to be out of compliance with state and local regulations and cannot be used as commercial until this issue has been corrected. I am aware that you came in to our Shelton office the week of July 23, 2007 to inquire about the notice and what steps are needed to come in to compliance. If you have any questions on the permit process, please contact our permit center at (360) 426-9670 ext. 352. Penalties This notice is to inform you that in the event that you fail to comply, we will pursue additional enforcement action against you, including but not limited to recording against the parcel, civil infractions, liens against the property through the Mason County Hearings Examiner process and/or criminal prosecution as allowed under Title 15.13 of the Mason County Code. Note that the removal, mutilation, destruction or concealment of any Notice posted on 7/18/2007 would be deemed a separate violation of Title 14. In the event that you feel you have received this notice in error or that the facts are inaccurate, I strongly encourage you to contact me at (360)427-9670 ext 356 to discuss your concerns immediately. BCC2007-00138 2 of 3 Sincerely, jVWA-( TOO-) Mindi Brock Building Inspector / Code Enforcement Mason County Dept. of Comm. Development Cc: Property File BCC2007-00138 3 of 3 Stop Work Posted July 18, 2007 11880 N. Hwy. 101, Shelton BCC2007-00138 42012-22-00170 a� t. .. . ..� . ` � A d K a v F .� ■■ f �� mob �p3• gj! BYnsiati��,uSY: d _g 9Y 3 a � r a a