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Home My WebLink AboutBLD2004-00803 Barn - BLD Application - 5/24/2004 FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. 3�-D oY'U')U PLEASE PRESS HARD BUILDING PERMIT APPLICATION 426 W. Cedar • P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-4467• Elma (360) 482-5269 On the web www.co.mason.wa.us APPLIC T INFORkIATION CONTRACTOR INFORMATION � Owner Company Name y\jo— Mailing Addr4s 722t42 Co v 4t Mailing Address City State Zip de City State Zip Code Phone C.140,)�Q46- ?")xx1 Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg.# Exp. E mail address E Mail Address Drivers Lic.#Aj DOB Drivers Lic.# DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No. 413 40 00.70 Fire District Legal Description Site Address (Please include street nam street num er and city) clShe Directio s to site e �- f f Will timber be cut and sold in parcel preparation?Yes/ Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs 1 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building / A_✓✓► Describe Work No. of Bedrooms No. of Bathrooms Square Footage - 1 st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq.ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No.of Bedrooms No.of Bathrooms Type of Heat Purchase Price $ Replacement Unit? Yes/ No Installer Name Certification No. OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revoc io qZ� Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,q e�Q tot"11 further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare th ave obtainedpermis- sion from all the necessary parties.If permission is required from any easement holder or any other party in inter�g�r�g i pplica- tion or the work proposed in the application, I have obtained permission from them to ap ly for this permit and co t work pro_posed. X� �� .r1� Date: Owner wners Representative/Contractor (indicate which one) —�Z OFFICIAL USE BEYOND HIS POINT S�1 a OOL Accepted b Planning Pd��` --Ek# Date Bld P _3 � Receipt o. DEPARTME TAL REVIEW APPROVED DENIED NOTES Building Department &9 Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Buildinq Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee PlanningReview Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES m xi A P !� E PLANNING 4 a 2y ' _ rr s e t, qc) ON srgTF MASON COUNTY c � DEPARTMENT OF COMMUNITY DEVELOPMENT ° S N �' Planning Division o Y �? P 0 Box 279, Shelton,WA 98584 of �0 (360)427-9670 1864 NOTIFICATION OF INCOMPLETE APPLICATION June 04, 2004 HARRY BLEVINS 972 W LITTLE EGYPT RD SHELTON WA 98584 Parcel No.: 420184300020 Project Description: BARN Dear Applicant: You have submitted a permit application (case no. BLD2004-00803) 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. 295 if you have questions. Sinc rely, Tammi Clark Land Use Planner Mason County Planning Department 6/4/2004 1 of 2 BLD2004-00803 NOTIFICATION OF INCOMPLETE APPLICATION 6/4/2004 Case No.: BLD2004-00803 Comments: site inspection was conducted on 6/3/04 to assess critical areas relevant to future residential construction. The proposed project is adjacent to or within 300 feet of a slope > 15%. This area meets the criteria for a landslide Hazard Area per the provisions of the Mason County Resource Ordinance NO. 77-93. Applications for development within 300 feet of a Landslide Hazard Area require a Geotechnical assessment/report to assess slope stability and address specific efforts to remediate the hazard. Enclosed is a copy of the Landslide Hazard Areas chapter of the Resource Ordinance. Please note the distinction between a geologic assessment (Section EA) and a geotechnical report (Section E.5). A geotechnical assessment is required for slopes between 15% and 40%, and a geotechnical report is required for slopes greater than 40%. Please provide the enclosed ordinance to your licensed engineer or geologist so that they are aware of all the requirements per Chapter 17.01 .100, Section E.1-7. Missing information will result in further delay in the processing of your building permit. The report must state that the hazards of the landslide are can be overcome in such a manner as to prevent harm to property and public health and safety, and must also assure the project will cause no significant environmental impact (Section E.7). There will be a Geotechnical assessment/re port review fee of $175.00. 6/4/2004 2 of 2 BLD2004-00803