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S� �A ---------- (n z' A� 0 1�0 0 En 3 (D 0 r r L>l Z' Permit# D0I1 ` CIO "SON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTO 98584 (360) 427-9670 CORRECTloiy NOTICE Job Location This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected tog in compliance c ' Sth p at�i e- You are hereby notified that the above rrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK Call for re-inspection when corrections are made before c tinuing ❑ please contact our office Make corrections, items will be checked on next inspectic n regarding possible structural damage incurred by recent ❑ OK to "natural/man made" ❑This is not a complete inspection disasters.This is NOT a CORRECTION NOTICE. Date �� �-� �� Department Inspector THIS TAG DO NOT REMOV Permit# 1"j r %7 Z4MASON COUNTY' BUILDING 111 426 W, CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location ' This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain compliance (� v%#% 1 C- ;, ,,� ��� • � ���� ,' — -� �, eve i��� �l� 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 ❑ please contact our office ❑ Make corrections, items will be checked on next inspection regarding possible structural ❑ OK to damage incurred by recent "natural/man made" ❑This is not a complete inspection disasters.This is NOT a CORRECT/ON NOTICE. Date ���'S Department ��I�° Inspector DO NOT REMOVE THIS TAG cpay PERMIT NO: � MASON COUNTY r DEPARTMENT OF COMMUNITY DEVELOPMENT 00 BUILDING•PLANNING• FIRE MARSHAL WWW.CO.MASON.WA.US 60)427-9670 Shelton ext.352 — - Mason County Bldg. III,426 West Cedar Street 60)275-4467 Belfair ext. 352 IBsa Shelton,WA 98584 360)482-5269 Elma ext. 352 BUILDING PERMIT APPLIC TION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: �1AP,1s; E L f 5 ()MIS NAME: �48 clAs1� M314 Twc,. MAILING ADD SS: S -J�cI �- MAILING AD RESS: t47 !{au.;i¢oN CITY: 15 ►� STATE: (,t ZIP: �' CITY: a-e In s STATE: WV` ZIP: 8 2 PHONE:2; - -2CS' CELL:2 63`30 y- 4 17Y PHONE:%0 2t 2 CELL: 6®w t�go -en-, (8 EMAIL: �tx 6 U15 � �(�. C o"� EMAIL : iG c1 s kt�s (q e u S;n c�rf cc nl L&I REG ft'61 M 1 04q kc EXP. PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) 4 2 Oog d ec o o 1. 2 FIRE DISTRICT LEGAL DESCRIPTION(ABBREVIATED) :Ccr.�,;bdwGaF (ctn Ji t lWas e.°;�Ik+•�fc3 R7 SITE ADDRESS I-1 Sr_ CI DIRECTIONS TO SITVDRESS I �i .Qe 0, le �f +� b IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND SEASONAL RUNOFF ❑ STREAM ❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GRETER THAN 14% YES❑ NO J TYPE OF JOB: NEW ;R ADDITION ❑ ALTERATION ❑ RE FAIR ❑ OTHER ❑ USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) 'a 26 c31 oeu e— SS -4 cr IS USE: PRIMARY ] SEASONAL ❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS Z. DESCRIBE WORK icQU-A-RE FOOTAGE: 1ST FLOORJ!,?7. sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT_ sq.ft. DECK sq.ft. COVERED DECK 45�sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE_ sq.ft. ATTACHED ❑ DETACHED ❑ CARPORT sq.ft. ATTACHED ❑ DETACHED ❑ MANUFACTURED HOME INFORMATION: r� *4 COPI � OF THE FLOOR PLAN MAKE I�i� N©tee�iti'Vers G e-S+- MODEL 4r ak. ok ZQC� 2 O(4 LENGTH WIDTH �� rf BEDROOMS BATHS S NUMBER 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,own rs legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. I he owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permit/application becomes null &void if work or authorzed construction is not commenced within 180 days or if construction work is suspended fcK a period of 180 days. PROOF OF C014TINUATION OF WORK IS BY MEANS OF INSPEOLTION. INACT OF THIS PER IT APPLICATION OF 180 DAYS WILLNVALIDATE T E APPLICATION. X 2C>� 4 I to o pplicant ,t Date x arI WNE REPRESENTATIVE /CONTRACTOR Print Name (CIRCLE TO INDICATE) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONTDITIONS BUILDING DEPARTMENT P f c ,:�-Od -600 PLANNING DEPARTMENT FIRE MARSHAL -- E C' I gr- Ott �c 4 ooS-s iZ� ( 2 t - 2 rl f� i 6 ABA 2Dx10' . 1 C y c OL-A C�at 1 4-- MASON COUN"i CIO SI i.E �., A�\ f �3E ON SITE PI =; E ,APPROVAL G L tvAU L Date E ii I r it f�P2 i I i n sp . Q . s a O s W F2 Naar" i °'.W 411 =gip} Name H qtz( 'S CL—s ) 1 TIS Parcel# 2-00 Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet(page 1 of 2) Per Mason County Code, T"rde 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 squared feet of impervious surface2. "Redevelonment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 'Common impervious surfaces include,but are not lanited 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 natural inf Itration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. - -�S`�ices_3�eas�;Goi�a�' ete::This -- _ _ - - l� Surface Type Length X Width = Area *All dimensions in feet Buildings X = _ Measurements for buildings are taken at the X perimeter of the farthest projections(example: X 2 JR eaves/gutters) X = Driveways X = X Length of drive begins at the right of way X = Parkinq Areas X = Any paved, gravel or packed area per definition ` above table XLJ Patios/Walks X = Any paved, gravel or packed area per definition above table X = the total area of the pi�oposed-slte- X = development is:greater#h n.2�D0�square.feet a mall�aF n. Is-ormwater:Site.Plan;is required.;. Total irnpvioi3s.Surface Ara:(sum-af'all areas); r - 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 Sdormwater Site Plan IS NOTTequired 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 farther ackaowle that the information provided is accurate and employees of Mason County are granted access to the above- des bed prope for evie an inspection as may_be r ed. f XI ar i S �C¢►.�� er/ gentlContractor(circle one)Date: If the To Impervious dace Area is GREA R THAN 2000 Square Fee please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 oPOGP-A-P4-1 9LAIV 'FOR 441 W wn El V14- I E s ,V j � M I ' I I i { M # i It e iK ) dt CILi S n�' �� l ,Zd ewe► 3'. f�'- _ Z '_�_. ._ �� --___-_ _..__ .�.TOPOGRAPHY PROFILE: r 2©"t+af Sc�1� w ° ) Direction, Scale: ;,_ Approval: for office use Building Permit number. rc-----r t1�+�7 Building: I Owner(Appiicant ri SS 1< �t i' 3Q'i � � ` Date of Planning: application: Env. Health: Parcel Number 42C1��'�S O- c�oc�v:i jvf .za3� l3 -� Q-- — 2CI