HomeMy WebLinkAboutBLD2008-00344 - BLD Application - 3/12/2008 f ( � Oki
MASON COUNTY PERMIT NO.� "—'
BUILDING PERMIT APPLICATION 00
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 —
APPLI ANT INFORMATION CONTRACTOR INF ATI°
Owner `i
� ig o A'V 1 , A p S c�L) Company Nam
Mailing Address ) 7 A) u0 (AG12-1- oK �7� Mailing Addr s \
t t I Zip Code
City 414fiiC6c(Id�(Z State]L? Zip Code q��c(z City
Phone d C.--,fCg72- Other Ph.
Phone they Ph.
Lien/Title Holder 1i)(,') Contractor R . # Exp.
E mail address r ;c 4 ' ,Ge E Mail Address
Drivers Lic.# ' . 4r 1 C�k 2 'A4t1 DOB Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septic Existing Septic
Connect to Water System A. Name of Water System 1-°9-kE CL14,Nh^AA) .5 c—
Well Water System Name of Water System
PARCEL INFORMATION- 2 ig't Parcel No o 7.---- Fire District—sL Legal Description_ A /lam
Site Address(Please include street name,street number and city) Lf s7 0);,1 nnF,r.h-e. .. •Di2N -
Directions to site 7 m ! Wei A1' I0 -pat-ft 1 ek- vet ®c>�Lt,,, 2 L'r OD A/6P(7—
Will timber be cut and sold in parcel preparation?Yes/No
Is property within 200' of Saltwater Fake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
Is this permit submittal the result of a Sto 'Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New,K Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL' ]
Use of Building Ci?i /A-) Describe Work 'u K.-.7) .
No. of Bedrooms y No. of B t ooms�—Square Footage- 1st Flood 4(/ 2nd Floor
3rd Floor Basement Deck ' Covered Deck /el Other Sq.ft.
Garage Attached Detached Carport Attached Detached
MANUF TURED HOM RMATION - Make Model Year
Length Width Serial f Be o No. of hroom—
Type of Heat Purchas • 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 information
pro urate and gr ts-en,pla rees af-Mason County access to the above described property and structure for review and inspection.
-PRO OF CO TI ON OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X Date. �'I I Z' 0 Qj
caner/ r en t ; ;;t;0n;atent (i which one) �
FOR OFFI USE BEYOND Accepted by: .Date 1.�'lc9
DEPARTME L REVIEW J APPR ED DENIED NOTES
Building Department 111W,jp d o UGC.-/ IAL 41 ►bI D8
Planning Department CC��,
Environmental Health Department � r� J;oyy��t "/1 I,�w��n
Public Works Department
Fire Marshal
FEES
Building Permit Fee '7-,` 5 Site Inspection
Plan Review Fee 7L 7 66
L�� _, EH Review Fee _
Plumbing&Base Fee ,2e7
7jli tpa Planning Review Fee
Mechanical&Base fee ZLe Li /7 g 60,9 Other �
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal ?31aA.
Valuation $
'1 ' , • TOTAL FEES
���: i,, Yu
FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO.
PLEASE PRESS PLUMBING/MECHANICAL 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
APPLT INFO�IAATION CONTRACTOR INFORMATION
° Owner \ . 6 v1 C' A Company Name
Mailing tAddkes (LJ d 9- • Mailing Address
City iirtY04 63 Stap L --Zip Code j ACity state Zip Code
Phone_- EQ 6.�($�.71-- Other Ph. Phone Other Ph.
Lien/Title Holder ijOA) Contractor Reg.# Exp.
E mail address �t"r-�(.-S�U.cu �- C A) . - ��'}� E Mail Address
Drivers Lic.# Sc '1. ._ DOB Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Sept c Existing Septic X Connect to Sewer System I
Name of Sewer System f (�,�
• PARCEL INFORMATION - 12 Digit Parcel No. 231� '� `— Fire District /ate
Legal Description
Site Address (Please include street name, street nu�mb�r and city) ?ta+ 90C�1 �_� r' ' '
Directions to site 711A I, L,,-e r 0 n u C! / /'(Li1J" /ram' �(a, Lg,Lii/Wint--t4ze' - D°°_
Is property within 200'of Saltwater ° Lake t i (3 River/Creek i c' Pond C
Wetland NO Seasonal Runoff tJv Stream n( Slopes or Bluffs > 15% f,c.
TYPE OF JOB - New Is. Add Alt Repair Other Use of Building (f I a.Location of Fixtures/Units - 1st Floor t - 2nd Floor (/ Basement 1. Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric__ LPG Natural Gas Heat Pump_
Toilets ' 7,7 t? Type of Unit No. of Units Fees®
Bathroom Sink i 7,' 0Furnace t 1 /-
Bath Tubs I 7,,.7 Y, Heatpumps
Showers Spot Vent Fan t c6'.c c
Water Heater 'k',71) Propane Tank I 5-'4,S
Clothes Washer Gas Outlets
Kithen Sinks I ,'.7r Wood/Gas/Pellet Stove I (...0,o
Dishwasher I 7 v Kitchen Exhaust Hood I 4', cF
Hosebibs I , 4 0 Dryer Vent
Other Other
Base Fee 2-2, ('(, Base Fee 26", $1
TOTAL PLUMBING 8l .pc) TOTAL MECHANICAL t7`- , 5
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 a rate and plegees of ndason County access to the above described property and structure for review and inspection.
PROOF OF CO INUA WORK IS BY MEANS OF A PROGRESS INSPECTION.
Date: I.\2 C) /`
X - caner wners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group Type Constr.
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee _Other
Violation Fee , TOTAL FEES
I
t -_
1/4p/
Name Parcel#
BLD#2 O -003
,��.. '° Mason County
t impartment of Community Development
pa ` '
g "arcel Stormwater Management Application/Worksheet (page 1 of 2)
Per Mason County Code,Title 14, Chapter 14 48 a stormwater site plan is required whenever a building application is
made for residential development, or redevelopment',with more than 2,000 square feet of impervious surface2.
l
'Redevelopment means,on an already developed site,the creation n oreaddr ittionn of aimperviousnd/or surfaceent surfaces,
o imperviousdevelopment
surface that is not
including construction,installation or expansion of a building
or part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment.
2Common impervious surfaces include,but are not limited to,rooftops,walkways,patios, driveways,parking lots or storage areas,
concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the
puncovered retention/detention facilities shall not be considered as impervious surfaces.
natural infiltration of stormwater. Open, _......: ;:.;;; <':»«>:»:;:<:::>::<::<:>::>:::::<:::>:> >::>:
' ............... ::.�::::::::.::.:is�:.ii:::.is�:::.::::::;:.ii"::.i:::i::::::::.ii:'ii:�:':i'�is 'iM�::::�. .:..: :�:':":.iii:::.::.ii:ii:�:ii:::.::v::.:i::.::i:.�:::.:.:::
...............:.�:::::::::::::<.::.is�:ii::.:isi:.::.i:::ii�:::.:i::%:::i::'::::::i:�::i:�:::ii:::y,:;"�i:�: :::;:::�.:: ::�:':�:':::i:::'.i:.i::: ."::'�:i".:.:..�...::Y::i.._:.. .:;.
;; . m .lete�'otitis,'"a l:.:.:::.::.: :: : : ... . .:.
:.;:.::::";::.;;:;. <.;;:.:<.::;>:.; . .:::::::::...:................
Surface Type Length X Width = Area * All dimensions in feet
Buildings X
X = Measurements for buildings are taken at the
perimeter of the farthest projections (example:
X = eaves/gutters)
X =
Driveways X
ofj =
= Length of drive begins at the right of way
)k‘L-N1 dp
X
_
Parking Areas S' Any paved, gravel or packed area per definition
JX _ above table
\O X =
Patios/Walks Any paved, gravel or packed area per definition
X = above table
X
X =
` sit
Othe
rs
.;_tt ti[in : :t j p5 8 'a:ti€;:_the:::pt::: ::«:::>::>:>:>:<';:::.
X =
the 2000 s:uare f et a >
rit i5>: t`( t :tt:.::::.�::;;:.;:. ::: ':.:;::.:::: ::: :: .
X = ;:>: 1:::S'tt t wet i SttePlan is Re j u€re :> <
`< ::ore
,
;:.:.:.::.::.. .':::: :: '. r�i0u�;�►aa� :lea:4sum<>:.;;:.;:.;':;:«:::<:?:»>::»: :. ::::...:::.................
If the Total Impervious Surface Area is LESS THAN 2000 Square Feet, please read, acknowledge and sign below.
Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity.
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.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for r ' dinspection as may be required.
�,r Owner/Agent/Contractor(circle one)Date: -`>f ( �-{ '0` '
X ` \
If the Tot mpervious Surface Area is 'REATER THAN 2000 Square Feet, please read, acknowledge and sign
the informs ion provided on page 2 of 2.
Page 1 of 2 .
� ao�_ d
ACCESS & GRADE INSPECTION �LO 03
ADDRESS O�.50® '
DATE:
INSPECTOR - `�
DRIVEWAY ACCESS t //rr
Length: �i 1 Width: 1 - Surfa�ar7/ 'I-
Size of turn-around:
14-- z'
Condition of shoulders: f
Vertical clearance: 0
( 6121 need post at end of driveway with reflective address numbers.
~
GRADE,OF DRIVEWAY
--" ` %, OF ROAD �—
ROAD ACCESS Surface:
Length: Width:
Condition of shoulders:
Vertical clearance:
( ) BURN PERMIT REQUIRED FOR LAND CLEARING FIRE.
( ) LOT INSIDE FIRES ONLY.
( ) LOT INSIDE UGA, NO OUTDOOR BURNING PERMITTED.
LOT TOO SMALL FOR: BURN PERMITS 4X4 FIRES 2x3 FIRES.
PASSED ( ) FAILED ( ) ON HO D ( ` )
REMARKS ko
(continue remarks on back).
r
,
MASON COUNTY
; DEPARTMENT OF COMMUNITY DEVELOPMENT
4 Mason County Bldg. III, 426 West Cedar Street
PO Box 186, Shelton, WA 98584
N :0
www.co.mason.wa.us (360)427-9670 Belfair(360)275-4467 Elma (360)482-5269
October 8, 2010
Bryon & Janice Swanson
317 NW Overlook Drive
Vancouver, WA 98665-8541
Re: Bld2008-00344 @ 451 N Wynochee Drive, Hoodsport
Residence
ilk
To whom it may concern,
An application for your building permi proved on August 12, 2008 . The 19
International Residential Code specifies yo have 180 days to pick up your applic io rom the
date the permit was approved.
You 1 e exceede I e 180 days
I P1 .se in •ca + intent for the above reference e it.
I wish i c. c• y perm t.
\ok I I , permit active oranaafter
d.I mit process will have to be started al w urrent re! ations and
Coes.
Signature ate
. . ...I
Please return one copy of this plet etter i the provided envelope.
If we do not hear from you within 21 days, from the date of this letter the permit will be cancelled.
An inspection will be schedule to verify the work has not been completed without permits.
Thank You,
Tricia Woolett
Permit Specialist II
360.427.9670 ext. 281
tw(a)co.mason.wa.us www.co.mason.wa.us/permits
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SITE PLAN REQUIRED TO B • SIT
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MASON COUNTY
DEPARTMENT OF HEALTH SERVICES
April 03, 2008 PO BOX 1666 Shelton WA 98584
Shelton (360)427-9670
Fax (360)427-8442
BYRON SWANSON Elma (360)482-5269
317 NW OVERLOOK DR VANCOUVER WA 98665 Belfair (360)275-4467
Case No.: BLD2008-00344 Parcel No.:423295000002
Dear Applicant:
Your building permit cannot be approved by Mason County Environmental Health until
the following are completed and turned in:
Approved septic records or approved septic design for bedrooms
Please see comments at the end of this letter.
Please call me at (360)427-9670, ext. 554 if you have any questions.
Sincerely,
Trish Woolett
tw@co.mason.wa.us
Environmental Health
Mason County Health Services
Comments: NEED AS BUILT DRAWN BY WASHINGTON STATE LICENSED
SEPTIC DESIGNER OR ENGINEER.
4/3/2008 1 of 1 BLD2008-00344