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Home My WebLink AboutBLD2007-00853 Pole Bldg - BLD Permit / Conditions - 6/7/2007 Inspection Line(360)127-7262 MASON COUNTY DEPT. OF COP. :".:UNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 0 Shelton, WA 98584 L� RESIDENTIAL BUILDING PERMIT BLD2007-00853 OWNER: LINDA NEWSOME RECEIVED: 5/17/2007 CONTRACTOR: TOWN & COUNTRY 800-824-9552 LICENSE: TOWNCPF099LT EXP: 6/30/2007 ISSUED: 6/7/2007 SITE ADDRESS: 1634 NE OLD BELFAIR HWY BELFAIR EXPIRES: 12/7/2007 PARCEL NUMBER: 123174390030 LEGAL DESCRIPTION: TR 3 OF SW SE *TR 2 OF SP#23 PROJECT DESCRIPTION: DIRECTIONS TO SITE: DETACHED POLE GARAGE WITHOUT PLUMBING 2 MILES SOUTH OF BEAR CREEK STORE, ON E SIDE OF ROAD, NAMES ZURN AND NEWSOME ON MAILBOX WITH #1630. THIS SITE IS INFRONT OF 1630 AND 1632. General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: U Lot Size: Deck: Type of Work: ACC Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building: Carport-Detached 1,512 Valuation: Building Height: 16 Occ. Status: Unknown I Basement: Manufactured Home Information Setback Information Shoreline& Planning Information Make: Length: Ft. Front: W 235.0 Ft. Shoreline: Ft. Water Body: UNION RIVER 9 SEPA?: No Rear: E 215.0 Ft. Slope: Ft. Shoreline Desi Rural Model: Width: Ft. Side 1: N 115.0 Ft. g Year: Serial No.: Side 2: S 80.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee KS 5/17/2007 $108.55 S12007000 Planning Review Fee KS 5/17/2007 $170.00 S12007000 Address Fee BLJ 5/21/2007 $154.00 612007000 EH Plan Review TW 5/23/2007 $35.00 B12007000 Building State Fee MAL 6/1/2007 $4.50 612007000 Building Permit Fee MAL 6/1/2007 $542.75 612007000 Total $1,014.80 BLD2007-00853 Please referto the following pages for conditions of this permit. 1 of 5 Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 4 Topic Index Contact Info Search Labor and Industries , - Home Safety Claims Fi Insurance Workplace Rights Trades ft Licensing Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber Printer Friendly Version General/Specialty Contractor A business registered as a construction contractor with L81 to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. License Information License TOWNCPF099LT Licensee Name TOWN 8 COUNTRY POST FRAME BLDS Licensee Type CONSTRUCTION CONTRACTOR 600461076 Verify_Workers Com-p Premium UBI Status Ind. Ins. Account Id Business Type CORPORATION Address 1 16521 HWY 99 STE C Address 2 City LYNNWOOD County SNOHOMISH State WA Zip 980373199 Phone 4257431555 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 6/30/1991 Expiration Date 6/30/2007 Suspend Date Separation Date Parent Company PERMA BILT IND INC Previous License PERMAR1179JR Next License Associated License https://fortress.wa.gov/lni/bbip/Detail.aspx?License=TOWNCPF099LT 6/6/2007 Mason County Planning Intake Checklist Owners Name: i Date: 5-1-1-6-1 Project: e d�2 Reviewed By: _G_f 2Xt LZ Commercial Development: YES (X00 Comments: PLANNER: GBM TSC CMM KIM PBC RDH Site Plan:,,Ie, North Arrow Property Dimensions: —')7 O X 3`/ S Streets and Driveways Shown. Road name: 00 -EE J j�e L_ OW t5ftn ru es s wn tbacks ell Location, Septic and Drain-fiel hown with setbacks ;1ponds, shoreline, wetlands, natural or historic drainage, defined drainage ditches) O! n �� le Topography (slopes) 54�(e,�C tee( Proposed Structure Seth. kL (Direction/Setback): F: , 32/� R: )15`/ .S1: I ,5 / n S2: e:,o /v( Utility and Drainage Easements: Yes 6o (if yes enter condition #5022) Other Easements 1�Accessory Appurtenances: Pr Rane / Heatpump o Variance applied for: Yes /i - parking spaces allotted? Yes / No o County Access Permit Needed add condition #0010 o State Access Permit Needed (add condition #0020) �> x 1S+1 el Standard Conditions to be added to all Building permits that planning reviews: #5019 and #0700 Site Access: Are there any impediments (dogs/gates) that my restrict access to your site? nr--, Is the site clearly marked? How? Address M"WX l J-k-- ❑ Name Critical Areas: ❑ Other: Setbacks: Shoreline: Slope: Shoreline Designation: Comprehensive Plan: Rural Zonin ❑ Not Applicable El Agricultural � RR 2. 65 10 20 ❑ Urban ❑ In-holding ❑ RMF Rural ❑ LTCFL ❑ RC 1 2 3 ❑ Conservancy �' Rural ❑ RI ❑ Natural ❑ RAC ❑ RNR ❑ Unknown ❑ RCC-Hamlet ❑ RT ❑ Urban Growth Area ❑ MPR ❑ Unknown ❑ Unknown Water Body (type of at f unnamed): L�(L�c vL. SEPA: Yes/ No i Unknown Flood Plain: YES/NQ Unknown Map# Aquifer Recharge: YES/NOS- Unknown Map# - Tags/Cases: -- - RLC/SPI Case: 6-Year Dev. Moratorium: YESINO Eagle Nest Tag: YES`/NOQ Other YES/NO J Revised: 09-29-2006 FORM MUST BE. 100IMPLETED IN INK MASON COUNTY PERMIT PLEASE PRESS iI4AI3D BUILDING PERMIT APPLICATION � �3 �� d 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton (360)427-9670 • Belfair(360) 275-4467 • Elma (360)482-5269 UC.ikl_ `\On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner--�,.LmLZ;!.t�.�lF_�rizSaMC Company Name Ihu%r.1 n ,rlrit/ �t��nlbi C.5 Mailing Address . _(i:-;i 2, N&z fi in Mailing Address_ City.B LI=Ai 12 ._State _Zip Code ` 1952-8 CitylYtit,lre�o� __ D_ State _WL) _ Zip Code q go 37 lPhone.36-0z,` :l Other Ph.360 3�f(1 Sc�Y Phone_Qao• A21t- �} s2 Other Ph. '"= I S Lien/Title Holder^•N I � Contractor Reg. tp6=/929 't Exp" 2 E mail address_._._. E Mail Address_ j?ERAAnI LT, CQ M Drivers Lic.#� _ DOES Drivers Lic.#__ /,n DOB &1 ,A SEPTIC /WATE::R ,SYSTEM INFORMATION - Connect to New Septic H-rt Existing Septic NI 0 Connect to Water System lit) Name of Water System�� I f1 Well_ S:!wei•System M.D Name of Sewer Syste PARCEL INFORM,i%TiON - 12 Digit Parcel No" o Fire District Legal Description._. Site Address(Plt::ase include stfeet name, street number and city) 1(0 3D N,E o 0 t"',10913 r r A t j3 ti ^' Directions to site.1,.1 t 1r.S51 CI. ,w, 0k WI'F4A t(o•36 Will timber be cw and sold in parcel preparation?Yes Is property within 200'of Saltwater Lake River!Creek pond Wetland :_&a asonal Runoff Stream Slopes or Bluffs �15% is this permit s,lubmittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes o TYPE OF JOIIa - P tew t/ Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building_.S;zl:�tkA6 r- Describe Work'DWiAcrA r:« 'Po Ii C>A I Ac�v I'L"t- u n w-1 aLE N N C' No. of Bedroom::_. No. of Bathrooms Square Footage- 1st Floor 2nd Floor, 3rd Floor ..____Basement Deck Covered Deck Other Sq. ft. Garage i a j lin— Attached Detached _�_ Carport Attached Detached MANUFACTURED HOME INFORMATION - Make N I¢1 Model Year Length V1r,idth. Serial No. No" of Bedrooms No. of Bathrooms Type of Heat____,.._. Purchase Price $ Replacement Unit? Yes/ No Installer Name_._._. . Certification No. OWNER/BUILDEFI Actinowledges submission of inaccurate informabo r n rk order or N.�;� permit revocation. Acknowledgement of such is by signature below. i declare that I am the owner,ow�iis i g. X r entative, or the contractor.I further declare that I am entitled to r:ceil,pe this permit and to do the work as proposed in th��p%gtion. ! ' that i have obtained the permission from all the necessary parties_ If permission is required from any easement holder a ny tithe�q/��p��rr��yy in interest regarding this application or the work proposed in the appliratko, I have obtained permission from them t' I for this peht(*d conduct the work proposed. The owner or agent on owners behalf, uepresents that the information provided is�i=�(� ants employees of Mason County access to the above described property and structure for review and inspection.This permit/appltca ro uU& void if work or authorized construction is not commenced witt i n 180 days or if construction work is suspended for a period of 113 )PROOF OF CONTINUATION OF WORK IS BY MEANS OF PRO RE IN PELT ON_INACTIViTYOF THIS PERMITAPPLICATiON OF 180 DAYS WILL INVAUDATE THEAPPLiCATION. X i! "(. --- Date: i U Owner! Liners Representative<Eontracto (indicate which one) FOR OFFICIAL USE_ BEYOND THIS POINT Accepted by: Dates- 17.6 DEPARTMENTAL REVIEW APPROV DENIED NOTES Building De artmerrt Planning De artmimt Environmental Health Department Fire Marshal .T m. Li _ FEES Building Permit Fe+:._ Site Inspection Plan Review Fee _ EH Review Fee Plumbin & Base f ee Planninq Review Fee Mechanical & Base fee. Other Wood/Gas/Pellet_ Stove Fee State Fee Violation Fde Pre-Paid at Submittal Q Valuation $ C _- TOTAL FEES Suite C•16521 Highway 99•Lynnwood,WA 98037-3161 PI ase Check After Doing Site Plan: Septic and drainfieId Lis of size Draw North Arrow in C'cl Town &Count 9 y y tr Everett:(425)258-4171 Puyallup:(253)840.9552 roperty dimensions ewer lines Elevation of property POST FRAME BUILDINGS Administrative Headquarters: (425)743-1555 Existing buildings Setbacks of proposed&existing buildings ❑Bodies of water FAX (425)742-4376 Toll Free: 1-800.824-9552 ` Contractors Lic.a:TOwNCPFos9lT Proposed building C�fvtain road with name ❑�loorplan f Dnlsior,or �( Q' Quality:Our Future Depends On It."' ❑Easements Access to proposed building Slopes&Contours(5'Increments) t. Job Name:—Li l-�n A r--W z D o E Job Site Address: l&30 (5Lp BE LFA.I Rk L4)y R LF W Tax AccountA':_��-317 y 3� �OA_ Legal Description:O I f ODD gF PLANNING 3s. 1 PLANNING: %A t0ALL SETBACKS ARE MEASURED +I FROM THE FURTHEST PROJECTION OF THE BUILDING -,�� dv Ol�3rens 311S NO 36 Ol 031HA0138 N uls r JNINNVId a04 AiNnl d NOSM a3A0add 4 2sn' U I+ WON Ii5 RoP 1 IRAGB Zot r I PaR�el SHt D ,P k STr l �F '0 w o14 M O-D- N� 0 O•o DO NOT SIGN INCOMPLETE SITE PLANT Customer has verified and approved the location of the building,orientation of the building to the North,and verifies that all White-Customer Copy White-Office Copy Yellow-Accounting utilities are shown on this drawing i iretop i CUSTOMER SIGNATURE_. ?/I� `?�+ LEAD# 2F 18 4 01995 Perma-Bilt Industries FR-34 12/04 I/