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BLD96-0248 GARAGE - BLD Permit / Conditions - 4/11/1996
> Z M Z; Z 8,� > :7 Z V -'�7, 7r qu iz > -t 7V > cl) < z z 77 T. 40 X OD 0 ol c Z :)7 CD < < CZ n s :)7 0, 100- OD Ol 00 z 77 Ci 4a z C 4 77 CONCRETE MECHANICAL MOBILE HOME Footings- etback date by Ribbons date b Gas Piping date b Found tion Walls date by Set Up date by INSULATION date by i BG/SLAB Insulation Floors Final date FRAMING by date by date by Walls FIRE DEPT. date by date by date by PLUMBING Groundwork Attic OTHER d date by ate by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date date by m At: Z`7 Z 77 M ZZ =r cn *17 0 -*j> OD C: r .1117 ol r- cf) ou ZI, 0 cn :7 (> Z 10 m M x OC) CTI > �77 a, co z z T -T Z.c:D 4 77 00 ol Cf) :)7 rr" cn < 07 c jw; (D � — I; Ol OD 1 I'D 7 S 4:1 0 � C� Permit No. {�y���-®2q 0 ��,������'� MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 Owne� ^� 0GPI 1_ Ph #An titeAddress I I gS 0 7)AYTON � l 1 l S MR1V¢ Fire District ��5 N-C�1'--To r�l St I,Lt _Zip Directions to Job Site ' h t Ste: G U G C Owner Mailing Address City St Zip Lien/Title Holder Address City St Zip #2 Contractor Name]-ougj <ot)ATAY Tb<� LA AMC- (t. 1 N &,; Contractor Reg# cam LT Address 41 GH 1A)A Expiration Date__/ 1C City St WA Zip RCI Q37 Phone# A9- #3 If septic is located on project site, include records. Connect to Septic?__bLQ_Public Water Supply Well Connect to Sewer System? Al t; _Name of System (If residential, proof of potable water is required) #4 Parcel No. _-_ 7 _- no rr Legal Description I [5#-6U ry� 15 1 LYT112- ` #5 Building Square Footage: (existing o ose 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle: Attached or etached. Other sq. ft. / #6 of building C������ Describe work�tp ECG C � #7 Type of Job: New V Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION g Model Year A Make Model NRWNNF1 Length Width Serial No. # Bedrooms # Bathrooms Type of Heat RAR 1 �g�6 Purchase Price $ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Name of Flanking Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW S -rTAC-14 C7j APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW S A- T A<R K Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other _Bath Tubs No. Units Fees _Showers _ Furn BTU i f _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 15.00 Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $ No. 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 Permit Basic Fee 15.00 WORK IS SUSPENDED OR ABANDONED FOR A 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 AM AWARE OFTHE 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 DATE DATE Date:FOR.OFFICIAL USE ONLY:Accepted by: ' DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning Environmental Health: 1 Building Plan Review (,,j(- �-3-r I Occupancy Group: Type of Const: STA Fire Marshal: Other: Special Conditions: FEES Building Permit � Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other VIC ' wry Other r TOTAL FEE Building Valuation: 9'r Oy BuildingPermit # ' e��C MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTIOt NOTICE Job Locations This structure has been inspected by Mason County Building Department and the following VIOLATION of County Lars and Ordinances has been found: Items listed below must be corrected to gain code compliance You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WOR ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑OK to Department Date Inspector M D/O NOT REOVE T141!g TAG Building Permit # MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTM 98584 (360) 427-9670 CORRECTION�� NOTICE Job Location ) '� � ' +/e J 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 code compliance D S —r ,f- 1 You ar ereby notified that the above corrections shall be made BEFORE PR EEDING 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 Department � 7-- p �--- Date .�`! �! Inspector 7 DO NOT REMOVe, THIIS TAG Town&Country_" Suite B•16521 Highway 99•Lynnwood,WA 96037-3199 POST FRAME BUILDINGS A ini:(206)Headquarters: rs: (206) 43-1 eao-s552 Iding FAX:(206)7 Headquarters: e: 1 743.1555 - FAX:(206)742-4378 TON Free: 1-n00-624.9552 wv ov Contractors Lic.C TOWNCPF099LT Quality:Our Future Depends On It.n µ. _ Draw.North Arrow i Circle FLOOR PLAN p __ LENGTH �,t MctA►.. c>��1�,�1>��t_ u��oa �+ ���_ t�Sut,llTta�f �� ���Ir poky � ._ -- Q- . .........._ ................... _ ►o'+in W"e . IL MIr 'PAnN' tp r .� y0___Ca�c >art __st Syo ' FINISH _IUIT14 Fi1s1MAOC ' fZt°p �'tRlp �� No , PLEASE CHECK., ._ ...BUILDING ELEVATION..... R�Roof Pitch 141112- fvf Eaves Height 1 Q , Minimum Clearances Roll-ups fit in Bays yr-S Roll-ups will'.not hit Truss Al ►8.3. I At o' �:o ---- Customer has verified and approved the orientation of the building to the North an to hat all items s to Par ph B of the contract are shown on this drawing and vice versa. Customer Signat e: White-Customer Copy Canary-Office Copy Pink-Accounting Goldern I Production ©1995 PetmaBilt Industries FR#85 2/96 TITLE NOTIFICATION OF AQUIFER RECHARGE AREA DATE:- 3 PARCEL NO.: � (�� 77 l 0OS.L LEGAL DESCRIPTION:` d .OWNER: . (lam � 1,tL;f V . NOTICE: This site lies within an Aquifer Recharge Area as defined by Chapter 17.0.1, Mason County Code. The site was the subject of a development for: List proposal(s), corresponding permit number(s), and application date(s): APPLICATION. TYPE OF PROPOSAL PERMIT NUMBER,�c� DATE q Le Restrictions on use or alteration of the site may exist due to natural conditions of the site and resulting regulation. Review of such application has provided information on the location of an aquifer recharge area and the restriction-on their. use. A copy of the plan showing the aquif r rech rge area is attached hereto. Signature of O ner: On this day personally appeared before me to me known to be the individual described in and nhq executed the within and foregoing instrument, and acknowledged that 1 , signed the same as free and voluntary act and deed, for the. uses and purposes therein mentioned. L� , GIVEN under my hand and official seal this day ofl % 19 . Cl Notary Public / _ LL. T. F, Expiration Date: e6- HJ'�R 22 Fib S: 51 County residing in P,EC''ES T CF: l.,c� . a sv � l.G 'v -•Y�-�� �.3' l `!,;:rat=�k; GARY YANDO,DIRECTOR PEON.STATE°� o M o 9 DEPARTMENT OF COMMUNITY DEVELOPMENT N = PLANNING - SOLID WASTE - UTILITIES ti7 N Y y BLDG. I • 411 N. 5TH ST. • P.O. BOX 578 SHELTON,WA 98584 (360) 427-9670 1864 March 21, 1996 Doug Hall W 250 Dayton Trails Drive G f Shelton, WA 98584 c t G Re: Permit no. : BLD96-0248, post frame garage. Dear Mr. Hall : Review of your permit application shows that your proposed development lies within a highly critical aquifer recharge area. In order to protect the public health and safety, prevent the degradation of groundwater aquifers used for potable water, and to provide for regulations that prevent and control risks to the degradation of groundwater aquifers, Mason County has adopted standards for development in those parts of the county which have been identified as critical aquifer recharge areas . Prior to permit approval it is a requirement that the legal owner of the property execute a Title Notification of Aquifer Recharge Area and record it with the Mason County Auditor' s office. A blank Title Notification form is enclosed for your use. 1 . Complete the enclosed form, having the signature notarized. 2 . Record the document with Mason County Auditor' s office; at the same time, obtain a copy of the recorded document. 3 . Turn in the recorded COPY to the Planning Department for our files . In the meantime your permit application will continue to be reviewed by other departments. If you ha e any questions about this process, please feel free to contact me at (360) 427-9670 extension 294 . Sincerely, { Pam Bennett-Cumming Land Use Planner encl : Title Notification of Aquifer Recharge Area Recycled