HomeMy WebLinkAboutBLD97-0924 GARAGE - BLD Permit / Conditions - 8/28/1997 -r z 71
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Footings-Setback date by Ribbons
date- by` Gas Piping date b
Fouirdation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
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MASON COUNTY
DEPARTMENT OF HEALTH SERVICES
Environmental Health hater Qr�allty Personalllealth
PO BOX 1666 SHELTON, WA 98584
August 20, 1997 LOCAL (360) 427-9670
BELFAIR (360) 275-4467 & 4468
TOLL FREE 1-800-562-5628
FAX (360) 427-7798
George and Dorothy Gray
E-61 Island Lake Road
Shelton, WA 98584
RE: BLD97-0924
Parcel Number 42012-52-00022
Dear Mr. and Mrs. Gray
During the review of your building permit, the plot plan submitted with your building permit was
compared to the as-built records of your septic system. When compared they show that the
proposed storage building will be placed over the top of the drainfield. The drainfield as-built
records show that at least a twenty foot setback from the property line is needed to avoid
encumbering the drainfield.
On-site sewage regulations (WAC 246-272) do not allow structures to be built over drainfields.
Furthermore, an additional ten feet of space may be needed to maintain setbacks between
foundations and drainfield trenches as per WAC 246-272.
A new complete and accurate scaled plot plan will need to be submitted. The proposed building
will need to be located off of the drainfield and there will need to be a ten foot setback between
the foundation of the building and the drainfield trench. Post and pier construction may allow you
the site your building closer than ten feet to the drainfield. A variance may also allow you to site
the proposed building closer to your drainfield.
If you have any questions, please call me at extension 358 or am Denton extension 554.
Sincerely
Carolyn Jensen
Environmental Health Specialist
GARY YANDO,DIRECTOR
Pcio�� STgrF
0
M o DEPARTMENT OF COMMUNITY DEVELOPMENT
S H = PLANNING - SOLID WASTE - UTILITIES
N Y oy BLDG. I • 411 N. 51 ST. • P.O. BOX 578
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o SHELTON, WA 98584 • (360) 427-9670
1864
DISCLAIMER/WAIVER OF COUNTY LIABILITY: PERMITS ON EXISTING LEGAL LOTS OF RECORD,
LAND DIVISION APPROVALS, SHORELINE PERMITS, VARIANCES, AND SPECIAL USE PERMITS:
The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created
by the Growth Management Hearings Board's Order of September 6, 1996, and in consideration of Mason County's
willingness to proceed with processing of applications which might be affected by that Order, the undersigned property
owner hereby agrees to waive any lawsuit, action, or claim for damages against Mason County which may arise out of
Mason County's actions in acceptance, processing and/or issuance of such permits or approvals (hereinafter"permitting
actions'), which damages are attributable to the County's decision to take permitting actions despite the risk that changes
to the County's�development regulations might later make the County's permitting actions invalid.
4,) al �a
Date (Parcel No. or Legal Description)
Property wner's signature(Notarized)
(or the County may accept the signature of the owner's authorized agent upon proper proof of authorization)
r
ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL)
STATE OF
COUNTY OF
On this day of in the year , before me Notary Public,
personally appeared personally known to me to be the person whose name is
subscribed to this instrument, and acknowledged that he/she executed it.
WITNESS my hand and official seal. For County use only-
Reviewed by applicant on
(Date)
Notary's signature Staff Initial:
My Commission Expires:
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION 1 �
426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670/1-800-562-5628 q
(Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269) ORro,a
PLEASE PRINT '"'CCCC✓✓✓✓
#1 Owner Geov- e F br Gr ,one# Y Z 7-
Site Address G -3;-- ►q Mp c1c 6J Fire District#��
City c", St W f- - Zip q
Directions to Job Site b lka S d P)off.
�1 vw U 41, cx� a
Owner Mailing Address E -G I
City C'kp � St fi Zip 858
Lien/Title Holder
Address
City St Zip
#2 Contractor Name /wYGE �3,(�o71r�/LS Govs7- �7a'vt- Contractor Reg# 4t) i3ev8.-iCG-
Address 40 U. Vq Z Expiration Date Z
City AEzimA St w a Zi `�gr' � Phone# g Z
#3 If septic is located on project site, include records.
Connect to Septic? N 0 Public Water Supplyell
Connect to Sewer System? I�0 Name of System
(If residential, proof of potable water is required) (_ �C,/
#4 Parcel No. Zy b,z
Legal Description a✓k wov L o ZZ V
#5 Building Square Footage:
1st FI 2nd FI 3rd FI Loft Basement
# Bedrooms # bathrooms Deck Other
Garage Z436 Carport (Circle:Attached or etached?
#6 Use of building STb ►2P�Cr� Describe work
#7 Type of Job: New��Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Serial No.
#Bedrooms #Bathrooms Type of Heat
Purchase Price$
Indicate by circling the applicable ou�c� if any water is on or adjacent to subject property:
River Pond Creek Stream W A�-\Lake Marsh Saltwater Seasonal Runoff Other
Show following on the site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Drainage Plan Wells
Septic Systems Easements
Proposed Improvements
Name of Side Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
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PA-vEo
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Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 each)
No. Toilets CIRC E FUEL TYPE: Gas, Electric,
_Bath Basins Heat pump, Other
Bath Tubs No. Units Fees
Showers — Furn BTU
Hot Water Htr Heatpumps
_Laundry Washer _ Vent Systems
Sinks _ Spot Vent Fans
Floor Drains No. Boilers/Compressors
_Laundry Basins _ HP
Dishwasher No. Air Handling Units
Disposal _ cfm#
Urinals No. Fire Protection Systems
Other Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 16 5 _ Auto.Fire Sprink Sys 35.00
TOTAL PLUMBING $ No. Other
Gas Outlets
Wood, Gas, Pellet Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permii Basic Fee 16.75
WORK IS SUSPENDED OR ABANDONED FORA PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AMAWA, OFT HE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL. WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY
za
DATE DATE —
OFFICfAL'USE ONLY:Agoepted Oaf:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY e
Approved Cond. Hold
cc-- tt Approval
Planning: Nut " �J)2S&4 "5
Environmental Health: PQ
Building Plan Review L 12p d- FoU
La -t-�
ool oZ 0 1005- oco 5-0a3 S70 50
Occupancy Group: Type of Const: —0kj
Fire Marshal:
Other:
Special Conditions: FEES
2 6-6, W6Ce Building Permit �2 ,
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee -10
Other EA/U.
Other
�l Other
Building Valuation: �"� J' TOTAL FEE
Permit No.
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 •427-9670
PLEASE PRINT
#1 Owner Phone#
Site Address F
City St Zip
Directions to Job Site
Owner Mailing Address
City St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name Contractor Reg. #
Address Expiration date
City St Zip Phone
#3 Parcel No. - -
Legal Description
#4 Use of building Describe work
#5 Type of Job: New Add Alt Repair
Plumbing Fixtures ($3.25 each) Fee Mechanical Fixtures ($6.50 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. Units Fees
_Showers Furn BTU
_Hot Water Htr _ Heatpumps
_Laundry Washer _ Vent Systems
_Sinks _ Spot Vent Fans
_Floor Drains No. Boilers/Compressors
_Laundry Basins _ HP
_Dishwasher No. Air Handling Units
_Disposal _ cfm#
_Urinals No. Other ' �l
_Other Gas Outlets (p.
_ Wood, Gas, Pellet Stove 32.00
Permit Basic Fee 16.25
TOTAL PLUMBING $ �/�zza�Z. (- eQt2,(_ a
Permit Basic Fee 16.25
TOTAL MECHANICAL $
No Basic Fee for Wood, Gas, Pellet Stove
NOTICE: This permit becomes null and void if work or construction authorized is not commenced
within 180 days or if construction or work is suspended or abandoned for a period of 180 days at any
time after work is commenced. Proof of continuation of work is by means of a progress inspection.
NOTE: If this permit application includes the placement of a fuel tank, heat pump or other unit to be located
outside of the existing structures, a plot plan MUST be submitted as required below:
Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems,
Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRAC-
THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
AWAREOFTHE MASON COUNTYORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR
FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES CONFORMANCE THEREWI . NO CHANGES SHALL BE MADE
SHALLBE MADE WITHOUT FIRST OBTAINING APPROVAL FROM WITHOUT FIRST OBTAIN APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARM4A
X OWNER X BY
DATE DATE I J
Z
Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 . 427-9670/1-800-562-5628
FOR OFFICIAL USE ONLY: Accepted by: Date:
Receipt No. Referred To
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal: