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Home My WebLink AboutBLD2004-00618 - BLD Application - 12/31/2004 FORM MUST BE COMPLETED IN INK /��• �Ay�y'� PLEASE PRESS HARD PERMIT NO BLD Q 1 WI-�I MASON COUNTY BUILDING PERMIT APPLICATION 416 W.Cedartill Box 196,Shelton,WA 98584 Shelton 360 27-%70 Bettau 60 2764467 Elnw 7601482-5769 Seattle 206 464�6968 APPLICAf4T INFORMATION CONTRACTOR INFORMATION Owner WAI J t/ W• /ETA Contractor Name_ MailingAd: es //.�r� /7n_ rFUF E• MailingAddress_-- - - - — City 1 (� State�Zip Code_ 00 City State Zip Code Phone d&Other Ph.( Ph.(_) Other Ph.(_� Lien/Title Ho r '' 7 Contractor Reg.# Address !r+ t Expiration 1 I 78'5v ehteo GtIel V 43,00 mov ,l ;;L SEPTICIWATER SYSTEM INFORMATION-Cornect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. If 71 Op 00,5 F re District Legal Description (' T — Ab u e T T s q Site Address(Ptease include street n e,street aun bar and city) Directions to site l/ U Will timber be cut and sold in parcel preparation?(Yes/No) A10 :[/ Is your property within 200'of the following Body of Water(Name) hDCc/ (1/1 rite 1 Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or �) Bluffs rl c� PERMANENT RESIDENCE❑ SEASONAL RESMENCEIZ TYPE OF= Add Aft Repair_ Other Use of Building V Describe 0 A,h P i l d _ - - - - f No.of Bedroomj_J—No.of Bathrooms_SOUR FO 1st Floor_�� 2nd Floe:_ _ — w3rd Floor -- Lott -- Basement Deck�200 Other Garage Attached Detached_Carport _ Attached—Detached MOBILE HOh E INFORMATION-flake lhah larldp r Model � M D � del Year �nD 2 Length Width!_Serial No V3 /3 No.of Bedrooms i No.of B hrooms_� Type of Heat�L 4i7� Purchase Pnce$ Replacement Unit?(Yes 1 B_2 Installer Name Certification No. 140TICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.The owner or agent on owner's behalf,represents that the mtornatwn provided is accurate and grants employees of Mason county access to the above descnlsed property and structures tot review and inspection of this project. Acknowledgment of such is by signature below- OWNER AFFIDAVIT4 certify that I am exempt from the irq ements of:ne CONTRACTOR'S AFFIDAVIT-:centy inat I am currennr reg:sterec as a Contractor Registration law RCW 18 27 and am aware of the ordinance contractor in the Slate of V2ashirgton and that I am aware of the ordinance requirements for which this permit rs:sued and that ail rk will be done in requirements regulating the work for which this permd is ensued and all work Conformance therewith. No changes shall be made ho, firs;obtaining shall be done In Conformance therewith. No charges shall be made wnnxv appic'al- LL ` first obtaining approral. nG 7�1 e X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEW'. APPROVE[Y. DENIED CONWft7NCWDES Building Department Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department Flre Marshal -- Valuation$ FEfS. Building Permit Fee Sibs Inspection Plan Review Fee EH Review Fee Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/GastiPeflet Stove Fee State Fep Violation Fee Pre R Pt f*j4P {tal ( ) TOTAL I . . MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Mason County Bldg. III, 426 West Cedar Street PO Box 186, Shelton,WA 98584 ts;4 www.co.masonma.us (360)427-9670 Belfair(360)275-4467 Elma (360)482-5269 Date 12-27-2005 Kandy Teter 1130 140`h Ave. NE Bellevue, WA 98008 Re: BLD2004-0061 BLD2004-00618,BLD2004-00619,BLD2004-00620 Dear,Kandy Your plan for the building permit referenced above has been reviewed. This review letter contains only those comments related to the Building Department review and does not reflect any additional needs of the other county departments. Please review the following project data and plan review comments. PLAN REVIEW COMMENTS: 1)3 sets construction plans for decks 2)accurate site plan Please make the required corrections and/or clarifications and submit two sets of the plans showing the revisions, marked on the sheets and noted with a cloud surrounding them or some other method of distinguishing the revised portions. Be sure to reference the BLD number noted above to identify the file to which all re-submitted documents belong. Sincerely, Rich Balderston,Building Inspector Mason County Building Department Plan Review Enclosed are the activity listings for each permit 0 �j mom co O CD T \ 0 13,8 CT ��N iL - _ ' _1-__ _ _i i I TIT.__-(_- -__�I __T_- I _I_ I L-IT= _!-=-I- =-I---� i -_'--_ -- _ ! � i I I I i -�---!- �- ! -�---I ---I I---I I- t- _ --- r i _I__I�I (__='1=-!_ � �-�_ !- -_�---�-'---'--'- �_ _� � T-( � ��'� '�' ' I I ITS _ TI T_T I _� 1 I _I-I--IT__1-!--- ! !---i !-'--I - I '-=- _L _ _T- _ T _ _ _ __ - T _ _ t t-J LL _� ! } � T I I I I ! ! l t I I-_ I- I I I ! _r_ ; i ! ! --�--_� �_ �_ ; I__�� - -- IFF -1 1�i I T� I � � I 1 I ► I I L_ .I____r _ --- (__ .__ _L.._ _ � _11__ !- -, I ---------- __1-' _LL L I ! _ T � I .�f_ I � I `L --!-- I �_ i i I I I ! - - - - - I i- i --L I 714 F F, I To I I -r- ( r T- - - - • t L I ____F' Fj Njf ON.STgTF MASON COUNTY o PC, n c N DEPARTMENT OF COMMUNITY DEVELOPMENT 0 U Planning Division o Y �? P O Box 279, Shelton,WA 98584 �� Doti (360)427-9670 1864 NOTIFICATION OF INCOMPLETE APPLICATION May 06, 2004 KANDY M TETER 1130 170TH AVENUE NE BELLEVUE WA 98008 Parcel No.: 122065000005 Project Description: Install Park Model Dear Applicant: You have submitted a permit application (case no. BLD2004-00617) for proposed construction or development in the county. Upon review of your application, I have determined that the contents of the application are incomplete or do not provide enough detail for review. Therefore, review of your application will not proceed until the necessary information is provided (see the comment section of this letter for details.) Once the information is submitted and the application is complete, I will continue to process your application accordingly. If the additional information is not provided to the County within 180 days of this request, the application shall expire and no further action on the proposed development shall take place. Please contact me at (360) 427-9670, ext. 577 if you have questions. n er , Rick Mraz Land Use Planner Mason County Planning Department Comments: A site plan that shows all property lines, critical areas, and setbacks is necessary to complete review. 5/6/2004 1 of 1 BLD2004-00617