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Fail Date Date Done By Comments 00 �jxl(n ss 1 0 Z A t,0Il✓ -714A 11716tj W)(- Xl ass v }z Lim m 0 Building Permit#erg/60 Sy MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 985" (360) 427.9670 CORRECTION NOTICE Job Location Zg'I /V f r„ri.rc;� This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been founfim Items Listed below must be corrected to gain code compliance ress of pr iVt- l,.-y -Co s s p /� '1'✓I�SS ' ry b l' N d -trvss iperrr~ 4N . Tr�Ss , lwws .mil r„u{U�, e.s V14, 1, 1, rIA&S --F/) f 1 -t s rj 'Y waS �aGC� 4d G n. You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department 13� Date :I��1 y� Inspector DO NOT REMOVE THIS TAG MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION 426 W. Cedar• RO. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair ( 60) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner L LL � Company Name Mailing Address w` =? Mailing Address City r f State Zip Code City State Zip Code Phone = ,Y. Other 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. "` .. 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/,N j Is property within 200'of Saltwater Lakes^River/Creek -' Pond Wetland 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 Describe Work ' No. of Bedrooms No. of Bathrooms Square Footage- 1st Floor = T%'''' 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-Ngme 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 MEANS OFA PROGREPS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X _ Date: Owner/Owners*}�presentative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department D er Planning Department Environmental Health Department Fire Marshal J-2,-q is FEES Building Permit Fee ZA$ Site Inspection Plan Review Fee f �� �1 O EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee Violation Fee Qh.f_ jE U8'_ Pre-Paid at Submittal 5 8•S Valuation $�0a `$5�b''-� = /�G S TOTAL FEES UV oovs� MASON COUNTY PERMIT NO, - r' 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 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner)- i ,� Company Name ,1 Mailing Address I o 2 Z"' � ,' � ,r.�' Mailing Address City i 1 01 --d' ` State 3`Y Zip Code " ° City State Zip Code j Phone; '' Other Ph.. r; Phone t �° f' Other Ph. Lien/Title Holder Contractor Reg. ,: Exp. E mail address � % �� 4, E Mail Address 1 Drivers Lic.# DOB Drivers Lic. # DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic—T_ Existing Septic Connect to Water System " Name of Water System ' �='• Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. °- :3 '�A 77;-�`7 7777 7 Fire District Legal Description Site Address (Please include street name, street number and city)lie' -` Directions to site ; Will timber be cut and sold in parcel preparation?Yes IN6 n Is property within 200'of Saltwater Lake `£ River/Creek Pond Wetland_.E/ Seasonal Runoff Stream Slopes or Bluffs>15% 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 C ' = I Describe Work No. of Bedrooms No. of Bathrooms Square Footage- 1st Floor s`:' 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)3athrooms Type bf 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 MEANS,OFAPROGRW INSPECTION.INACTIVITYOF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THEAPPLICATION. Date: 6, Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department _ 7 Planning Department Environmental Health Department Fire Marshal 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 Valuation $ TOTAL FEES 7 , p 14. ., k k L__ — 6 ! t 4-ri 1 11 1 1 1 I ! 1 Lj t ; # ttl i .. 1 i i { t i ! P R - - TOPOGRAPHY PROFILE: COUNTY DCD PLANNING SITE PLAN TO BE nUIRED REQUIRED N 5!TE CHANGES SUBJECT TO APPROt/ By Date©� S Direction: S ler i Approval: for office use a Building Permit number: L Q Building: Owner/Applicant:L A` e«( 11m of co-5/7/n4` Planning: -----T Date of S.w application/ 1 Env. Health Parcel Number: _=✓�' Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 Topic Index Contact Info P "' Search .........:..: >.::<::;::::<>:: : ><:::::::::> #horn safety Claims€t Insurance Wdrkp€ace Rights Trades l i�r_.r sing Find a Law or Rule Get a Form or Publication .................................... .. ........... ...... ................... ....... Look Up a Contractor, Electrician or Plumber Printer Friendly Version .. . ..... . . :: :General/Specialty Contractor A business registered as a construction contractor with I-Ed to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. ... ...... ...... License Information License ALANSHS987RF Licensee Name ALAN'S HONEYDO SERVICES Licensee Type CONSTRUCTION CONTRACTOR UBI 602253184 Verify Workers Comp Premium Status Ind. Ins. Account Id Business Type INDIVIDUAL Address 1 232 DUSTY DRIVE Address 2 City KELSO County COWLITZ State WA Zip 98626 Phone 3605751391 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 12/6/2002 Expiration Date 12/20/2008 Suspend Date Separation Date Parent Company Previous License Next License Associated License https://fortress.wa.gov/lni/bbip/Detail.aspx?License=ALANSHS987RF 6/5/2008 Page 1 of 1 Tammi Wright- COM2008-00058 - Lk Cushman Maintenance From: Debbera Coker To: Wright,Tammi Date: 5/19/2008 8:32 AM Subject: COM2008-00058- Lk Cushman Maintenance Attachments: Debbera Coker.vcf Hi Tammi, If the proposed structure changes location, such as moving closer to any of the adjacent structures, as a result of your review would you let me know? Thanks! Debbera Coker Mason County Building Department Lead Plans Examiner Phone: (360)427-9670 ext 510 FAX: (360)427-7798 e-Mail: dlc@co.mason.wa.us b act � '� -dy - file://C:\Documents and Settings\TammiW\Local Settings\Temp\XPgrpwise\48313B1OMa... 5/19/2008 Mason County Planning Intake Checklist Owners Name: Date: t Project: AA 10 _, - Reviewed By: i Proposed us (s) of structure(sr C L , Commercial Development: YE NO PLANNER: GBM SW)PBC RDH REC JMS Site Plan: �- North Arrow, ❑ Survey required in II n UGA - a AF# 4o Monuments Property Dimensions: - 1 X Streets and Driveways Shown. Road name: All Existing Structures shown with setbacks and use o Well Location, Septic and Drain-field Shown with setbacks Identify all surface Wa e (streams, ponds,shoreline, wetlands, natural or historic drainage,defined drainage ditches) N Topography(slopes) C l( Minimum Struqure Setbacks D' Ae-'tbac :} � �� 'Utility and Drainage Erents: Yes No if yes enter condition #5022) Other Easements ccessory Appurtenances: Propane / Heatpump Does site plan show landings , II eats? CtLC'Variance applied applied for: Yes / o ; parking{spaces allotted? Yes / No County Access Permit Need fadd condition #0010) }'tom - State Access Permit Needed (add condition #0020) Standard Conditions to be added to all Building permits that planning reviews: #5019 and #0700 Site Access: Are there any impedim is(dogs/gates)that my restrict access to your site? Is the site clearly marked? How? ❑ Address 4 Name Zoning: ❑ Other: Comp. Plan: Rural: UGA Zoning: Rural ❑ RR 2.5 5 10 20' RT/RTC ❑' ❑ R-5 ❑ HC 0 RAC 0 RMF ❑ Unknown ❑ R-1 0 R 10 ❑ LT a VC ❑ .Allyn UGA ❑ RC 1 2 3 ❑ Agricultural ❑ R 1R PD ❑ T ❑ Belfair UGA ❑ RI D In-holding 0 R-2 ❑ ❑ MU ❑ MHP .0 Shelton UGA ❑ RNR ❑ LTCFL ` ❑ R 3 f POS ❑ BP ❑ Tribal C-CI Critical Areas: (streams, ponds,shoreline,wetlands, steep slopes) Shoreline Designation: �NIA ❑ Urban ❑ Rural D Conservancy ❑ Natural ❑ Unkown Water Body pe of water if unnamed): SEPA: Yes Nd Unknown Flood Plain: YES/NQ nkn n Map# :Aquifer Recharge: YES/NO U kn0 �n Map# Tags/Cases: RLC/SPI Case: 6-Year Dev. Moratorium:.Y Eagle Nest Tag: Y NO Other YES O Revised: 02-07-2008 — I.\PLANNING\PA0\PIANNING INTAKE Name,1'1 h 01,( i!I f l'dj/Z 1 Parcel# ���,� 1>� �� � ����1��r : BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity. Title 14, Chapter 14.48 of the Mason County Code(MCC) regulates compliance requirements for Stormwater Management in this jurisdiction. A complete copy of the ordinance can be found on the Mason County website: http//www.co.mason.wa—us/code/commissioners/index.htm son.wa—us/code/commissioners/index.htm Please follow the links to "Title 14, Chapter 14.48 Stormwater Management". Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan (Mason County Code Title 14 Chapter 14.48 section 14.48.70). You will receive a copy of the Public Works document entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan". This document will assist you in preparing the necessary information and plans for Public Works to review and approve. Per Department of Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in their entirety AND no part of the stormwater system adversely affects any septic system (see Environmental Health information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval. A design by a registered professional may be required for more complex sites. *These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A) . The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works Department can provide additional instructions,guidance and examples. (Section 14.48.130)contact Public works at.- Phone: (360)-427-9670 EXT. 450 Mail: P 0 Box 1850, Shelton WA 98584 Physical: 415 N 6th St, Shelton WA 98584 If this development has, or will have, a septic/drainfield system you may need to contact Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this, or any other, parcel.You may also wish to consult with the septic design professional involved with the project. Mason County Division of Environmental Health can be reached at: Phone: (360)-427-9670 EXT. 352 Mail: P 0 Box 1666, Shelton WA 98584 Physical: 426 W Cedar St, Shelton WA 98584 A condition will be added to the building permit that states, in part,that all conditions the stormwater site plan will be met prior to a request for final inspection of the building permit. Owner/Builder/Agent Acknowledges that 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, owner's legal representative,or the contractor. 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