HomeMy WebLinkAboutBLD2014-00318 Change of Use - BLD Application - 3/21/2014 " ft MASON COUNTY PERMIT NO. �—
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING• PLANNING- FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext-352
Mason County Bidg. III, 426 West Cedar Street (360)275-4467 Belfair ext 352
1854 PO Box 279, Shelton, WA 98584 (3W)482-5269 Elma ext.352 i1 Q 3
BUILDING PERMIT APPLICATION d-
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: e NAME:
MAILING ADDRESS: At G ADDRESS:
CITY:�ellon STATE: W�/4 ZIP: � STATE: ZIP:
PHONE:.Vb- W Z-Wlel CELL:-;3g�,D-6Z-29-91pOS PHONE:
EMAIL: L/ a e ; EMAIL :
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) FIRE DISTRICT
LEGAL DESCRIPTION(ABBREVIATED):
SITE ADDRESS 7 V-�V 40- - /Aei 7AIZZ c _,� CITY JiF_ N
DIRECTIONS TO SITE ADDRESS r
IS PROPERTY WITHIN 200 FT:
SALTWATER❑ LAKE❑ RIVER/CREEK n'POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NOX
TYPE OF JOB: NEW ❑ ADDITION ❑ ALTERATION�❑ REPAIR[I OTHER
USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) EJ��Gt e C :--
IS USE: PRIMARY EK EASONAL❑ NUMBER OF BEDROOMS if NUMB R OF BATHROO
DESCRIBE WORK C
SQUARE FOOTAGE:
1ST FLOOR VZOD sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft.STORAGE /Dd ? sq.ft. OTHER sq.ft.
GARAGE sq.ft. ATTACHED❑ DETACHED❑ CARPORT sq.ft. ATTACHED Q'DETACHED ❑
MANUFACTU D HOME INFORMATION: COPIES OF THE FLOOR PLAN
MAKE M L AR LENGTH
WIDTH BEDROOMS SERIAL 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, owners 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.The 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 authorized construction is not commenced within 180
days or if constpoction work is uspended for a period of 1 s. PROOF OF CONTINUATION OF WORK IS BY MEANS OF
INSPECTIO ACT T11151PFRMIT APPLI OF 180 DAYS WILL INVALIDATE T E APPLICATION.
X
Si nature pplica t Date
X DcCo ; 5. /C cam,5��t �C� OWNER EPRESENT E/CONTRACTOR
Print Name O INDICATE)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT AMtit 3 LS
FIRE MARSHAL
MASON COUNTY
DEPARTMENT OF HEALTH SERVICES
_ f'
April 22, 2014 PO BOX 1666 Shelton WA 98584
Shelton (360) 427-9670
Fax (360) 427-8442
JIMMY RAGSDALE Elma (360)482-5269
161 E AGATE LP RD
SHELTON WA 98584 Belfair (360) 275 4467
Case No.: BLD2014-00318 Parcel No.:420181400030
Dear Applicant:
Your building permit will not be approved by Mason County Public Health until the following r
items are completed and received in our office.
[� Satisfactory pumper report from a licensed pumper with in the last three years.
Satisfactory Operation and Maintenance report from a licensed Operation and
Maintenance Specialist with in the last year.
Please call me at (360)427-9670, ext. 353 if you have any questions.
Sincerely,
,tiJ c�
Cindy Wai e
Environmental Health
Mason County Health Services
Comments: Will need a current maintenance report for the system. Will need to address
grease trap, septic tank, pump tank and drainfield.
This applicationy is the result of an enforcement action b the Mason County Department of Community
Development. Failure to provide the requested information within 30 days from the date of this request
may result in the the issuance of civil infractions or assessment of penalties in accordance with Title
15, Mason County Development Code, Chapter 15.13. For further information, please contact the
Mason County Dept. of Community Development at(360)427-9670 ext 356.
4/22/2014 Page 1 of 1 BLD2014-00318
P�oN-STATFO� MASON COUNTY
o A o N DEPARTMENT OF COMMUNITY DEVELOPMENT
S N Z Planning Division
i� N y 426 W Cedar St, Shelton, WA 98584
O Oy
(360)427-9670
1864
NOTIFICATION OF INCOMPLETE APPLICATION
January 29, 2015
JIMMY RAGSDALE
161 E AGATE LP RD
SHELTON WA 98584
Parcel No.: 420181400030
Proiect Description: CHANGE OF USE COMMERCIAL TO RESIDENCE USE
Dear Applicant:
You have submitted a permit application (case no. BLD2014-00318) 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. 360 if you have questions.
Sincerely,
;���,lGEllc�f
Grace Miller
Land Use Planner
Mason County Planning Department
j 1/29/2015 Page 1 of 2 BLD2014-00318
f '
NOTIFICATION OF INCOMPLETE APPLICATION
1/29/2015 Case No.: BLD2014-00318
Comments:
The Planning Department has received your proposal to change the use of the existing commercial
structure to a residential use. The property is Zoned as Rural Commercial I. Residential
development is not an allowed use within this zoning. I have enclosed a copy of the Mason County
Development Regulations which explains those activities allowed within the Rural Commericla I
Zoning.
In order to change the use of the building to residential, you will need to re-zone the property. I
have enclosed the application form for the re-zone and the process. You may speak with Planner,
Allan Borden, who processes the Re-Zone Applications. Allan can be reached at (360) 427-9670,
ext 365.
Please let me know if you have any questions. Thank you.
1/29/2015 Page 2 of 2 BLD2014-00318
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