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Home My WebLink AboutBLD10383 SFR - BLD Permit / Conditions - 11/29/1990 BLAIR, Allen #10383 04-15-81 13 mi. from Belfair, No. Shore Rd. EV lot 8 and all lot 9/10 Pattisow Brown, Hood Canal Tracts Contractor Residence B.C. Construction Shoreline Exemption Plumbing Permit $50,471.00 Mechanical Permit /OnmS • BUILDING PERM IT 'APPCICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. [J OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE ,p, o �' - DIRECTIONS TO JOB SITE I ' i rQ ,,_, El rA Q p LEGAL (❑SEE ATTACHED SHEET) DESCR. fa-.(.� t/.o + S /41 1 + T)A SoL0 -1�12cy-6 U N009) C' uJA I "T "- NAME AIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR ifl),C. u r S1 Q-T Eli i2 WA B, C. - INJ A - USE OF I BUILDING S' �� {� �A vx^ i ` (Z G-S Class of work: ;NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: c7 co Valuation of work: $ !%O 4/ O� PLAN CHECK FEE J �_ PERMIT FEE /QU SPECIAL CONDITIONS: J co BEDROOMS 2- DECKS CARPORT [] NOTICE BATHROOMS— TOTAL SO. FT. `Z- GARAGE [] I ATTACHED L; SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT L] OR AIR CONDITIONING. TOTAL SQ. FT.142(c FIREPLACE p DETACHED L] THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER I certify that I am a currently registered contractor in WORK IS COMMENCED. the State of Washington and I the aware of the FOR OFFICE USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. "9UM:A 2 PERMANENT SHORELINES SEASONAL f i FLOODPLAIN I Firm �• Cno-,st S- Qk 2- '�X '1 Oho E.D. NO. S.E.P.A. I I By A QL f t 1'Lle Special Approvals IN OUT YES APPROVED NO Lic. No.&C- .Cn—IUD -A 1AA0 Date ZONING PLANNI T. $ OWNERS AFFIDAVIT HEALTH DEPT P RKS I certify that I am exempt from the requirements of the FIRE MARSHAL contract or registration law RCW 18.27, and am aware of the Mason County ordinance requirements for BUILDING DEPT. M IZ which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT APP TION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owner Date . _1 BY it I PL N CHECK VALIDATION CK. M.O. CASH /1_�[ �/��E PE�iM1T �DATION� CK. M.O. CASH y'r/ i/ 1 f MASON COUNTY PLANNING DEPARTMENT P.O. BOX 186 Shelton,Washington 98584 PLUMBING PERMIT APPLICATION IMPORTANT— Complete ALL items. Mark boxes where applicable. Name Mailing address—Number,street,city,and State Zip code Tel.No. Owner J z- II ,, 11 Z I 2. � C� l W Q Contractor _ The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington Signature of ap licant /7 Address Application date X// 8C f I Q,T Qt k M G A 19 1 FA I'A2 UJ Z 8l LEGAL DESCRIPTION Location Of Building "L) ll D 'v NO. PLUMBING FIXTURES FEE WATER CLOSETS �— BASINS — BATH TUBS SHOWERS _ WATER HEATERS — AUTO.WASHERS SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer �( DISH WASHER 2 DISPOSAL URINAL 1 tit�J — (Show Street Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT '� SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT v ON OTHER SKETCH. DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Approved by Permit fee Date pemit issued Permit number Receipt No. MASON COUNTY PLANNING DEPARTMENT P.O.Box 186 Shelton,Washington 98584 MECHANICAL PERMIT APPLICATION IMPORTANT-Complete ALL items.Mark boxes where applicable. 1. LEGAL DESCRIPTION Location �L 8 v- f ,r io / uJAldytjAl Aoc l-) v.¢/ 74eJ Of N s N s Building E W side of feet E W from intersection of Sect. Twp. Range NO. DESCRIPTIONS FEE NO. DESCRIPTIONS FEE 1. Forced air or gravity type furnace or burner including ducts 14. For the installation or relocation of each boiler or refrigeration and vents, up to .and including 100,000 Btu's--$4.00 compressor over 50 horse power or each absorption system over 1,750,000 Btu's--$25.00 2. Over 100,000 Btu's-$5.00 15. For each air handling unit to and including 10,000 cubic feet 3. Installation or relocation of floor furnace and vent, suspended per minute, including ducts attached thereto-$3.00 heater, or recessed wall heater-44.00 NOTE: This fee shall not apply to an air handling unit which 4. Installation, relocation, or replacement of each appliance vent is a portion of a factory assembled appliance, cooling installed, not included in appliance permit-$2.00 unit, evaporative cooler or absorption unit for which a permit is required elsewhere in this Code. 5. Repair, alteration or addition to each heating appliance, re frigeration unit, cooling unit, absorption unit, or evaporative 16. For each air handling unit over 10,000 cubic feet per minute cooling system including installation of controls regulated by -$5.00 this code-44.00 17. For each evaporative cooler other than portable type---$3.00 6. Installation or relocation of each boiler or compressor to and including 3 horse power-$4.00 18. For each ventilation fan connected to a single duct-$2.00 7. Over 3 horse power to and including 15 horse power-$7.50 19, For each ventilation system which is not a portion of any heating 8. Over 15 horse power to and including 30 horse power-$10.00 or air conditioning system authorized by a permit-43.00 9. Over 30 horse power to and including 50 horse power-$15.00 20. For the installation of each hood which is served by mechanical exhaust, including ducts for such hoo"3.00 10. Installation or relocation of each absorption system to and including 100,000 Btu'S44.00 21. For the installation or relocation of each domestic type in- 11. Over 100,000 Btu's to and including 500,000 Btu's-$7.50 cinerator-$5.00 12. Over 500,000 Btu's to and including 1,000,000 Btu's Commercial or industrial type incinerators-420.00 -410.00 22. For each appliance or piece of equipment regulated by this 13. Over 1,000,000 Btu's to and including 1,750,000 Btu's Code but not classed in other appliance catagories, or for which -$15.00 no other fee is listed in this Code-$3.00 ,Uv FIELD INSPECTION Basic Fee $3.00 Date By Remarks TOTAL 700 Name Mailing address - Number, street, city, and State Zip code Tel. No. Owner C f 7 X 706 I;BE/�1/e�i9 c/Q5 Z8 76' 7/ Contractor The owner of this building and the undersigned agree to conform to all applicable laws of MASON COUNTY Signature of applicant Address Application date DO NOT WRITE IN THIS SPACE - FOR OFFICE USE Approved by Permit fge� Date permit issued Permit number Receipt No. $ 7J� tMiLTON PRINTING CO. I PLOT PLAN ADDRESS �XiQQ. .(G7- BQ)e70e-/ PERMIT NO. f o �_ "y1aAf+��ex� Ems+✓ aJ > LEGAL DESCRIPTION LOT BLK ADDITION ,0 SITE AREA 4504 020 Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS /Ud'U� Sq. Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION A"'D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. I INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' 00 looll 01 aN 1-� u Ll I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. ;05e IC l'19�1 E d F 16v.34LP r �- NAME(S) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWN E ( R AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED,'-) Y/' DISTRICT AS NOTEDJ1/�e DATE SHELTON PRINTING r Mason County Health Department MEDICAL-NURSING SECTION B.M.Pederson,M.D. ENVIRONMENTAL HEALTH SECTION 110 West"K"Street County Health Officer 428 West Birch Street Shelton,Washington 98584 Shelton,Washington 98584 Phone 426-4407 August 9, 1979 Phone 426-5561 Mr. Allen C. Blair 5629 - 42nd. Avenue West Seattle, Wa. 98199 Re: Variance for building location per existing drainfield Dear Mr. Blair: This is to advise you of the granting of a variance by the Mason County Board of Health to allow you to place a two bedroom residential structure to within four feet of an ixisting drainfield on your property: Provided that: 1) The new house foundation extends no deeper into the soil than the top of the adjacent drainfield. 2) The ground beneath the house is left open to the air above it (is not covered by any air impermeable barrier - concrete, plastic, etc. ) 3) The foundation is to be well ventilated to prevent the potential build- up . 4) Only one building (the other being the existing house(cabin) be used for dwelling purposes--you have said you will remove the cabin when the new building is completed. Please contact us if we may be of further assistance regarding this matter. Sincerely, Bruce Pederson, M. D. County Health Officer Jesse T. Wilkins, III, R. S. Environmental Health Specialist JTW:vl cc: Planning Department✓ �, �; 4 �f AUG 13 1979 REGIONAL PLAO iv.NG Equal Opportunity Employer I EXEMPTION FROM SHORELINE MANAGEMENT ACT SUBSTANTIAL DEVELOPMENT PERMIT REQUIREMENT TO: 4ic-AuizeA j (name and a -dress o t e applicant)" The proposal by sn Me to undertake (name of applicant the following development f r Ce (be specific) upon the fo I ow i ng property L?L ¢ n raA� & 0-I- 4�_4 ( legal description; i .e., section to the r Bro�y()quarter section) within and/or its associated name of water area) wetlands is exempt from the requirement of a substantial development permit because the development 14 4�t 41?6 G j K I-� 3 ( 7 (identify exemptions as outlined in 113-14-040) (Corps Public Notice Number if available) - i i The proposed development is consistent or inconsistent with: CHECK ONE CONSISTENT INCONSISTENT Policies of the Shoreline Management Act. Y The guidelines of the Department of j '\ Ecology where no master program has i been finally approved or adopted by the department. i The master program. --�-� _� (date) (Signatufe of A orized Loe6l Govern- ment Official ) /C i