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Home My WebLink AboutBLD97-0629 Storage Addition - COM Application - 6/25/1997 MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg.III 426 W.Cedar P.O.Box 186 Shelton,Washington 98584 (360)427-9670 BUILDING PARKS 8 RECREATION FAIR/CONVENTION CENTER ADMINISTRATION June 25, 1997 Denise Lahmann, P.E . Southwest Dringking Water Operations Division of Drinking Water P.O. Box 47823 Olympia, Washington 98504-7823 Re: Sandhill Park well house expansion. Dear Denise: Enclosed is a proposal to enlarge the well house at the Sandhill Park complex. Mason County Environmental Health is holding the permit pending your approval . Please review, comment and return to me for final processing. Thank you. 3 Mike Byrne, irector 9/23/96(,.pI.ces 4/10/96) �EC E I V E L. SOUTHWEST DRINKING WATER OPERATIONS DIVISION OF DRINKING WATER NOV -- 71996 PO BOX 47823 OLYMPIA WA 98504-7823 1;FRV1r (360-664-0768) FAX (360-664-8058) REQUESTS FOR INFORMATION AND TECHNICAL ASSISTANCE Please direct all inquiries for the Southwest Drinking Water Operations to (800) 521-0323 when necessary. A staff person will be available 8AM--Noon & 1 PM---5PM Mondays through Fridays to handle your requests. Voice Mail will be available to take messages when that staff person is not able to respond during lunch or when on another phone call. Most questions will be answered immediately. Other questions will be referred to the appropriate staff person for a response. SECTION HEAD: Bill Liechty, P.E. (360-753-5953) Supervises the Regional Office and participates on the Drinking Water Management Team. Feel free to call Bill to discuss any issue related to the operations of the office. LEAD ADMINISTRATIVE SUPPORT: Judy Passey (360-664-9280) Provides information to the public, local health jurisdictions, and utilities Routes requests for information to the appropriate staff Provides administrative support to professional staff Handles complaints for SW Region water systems REGIONAL ENGINEERS: Regional Engineers are responsible for the implementation of the state's drinking water program in assigned counties. They conduct sanitary surveys and special purpose investigations of public water systems and promote needed water facility improvements. They also review and approve water r system plans and specifications for system improvements and provide technical assistance to local health departments upon request. Karl Johnson, P.E. Clallam, Jefferson, Thurston (360-753-2452) Denise Lahmann, P.E. Kitsap, Mason (360-586-8733) Mike Olden, P.E. Cowlitz, Grays Harbor, Pacific, (360-664-8733) Wahkiakum Jim McCauley, P.E. Clark, Lewis, Skamania (360-586-5209) CLERK TYPIST: Kathy Devine (360-753-4152) Types and files office correspondence Project billing for water systems Timekeeping and Payroll r COMPLIANCE PROGRAM MANAGER: Tim Blake (360-664-8944) Initiates enforcement actions and tracks compliance Implementation of the Operating Permit Program Conducts Field Investigations WATER.FACILITIES TECHNICIAN: Cheri Paine (360-753-2884) Reviews and processes Water Facilities Inventory (WFI) forms Prepares "health letters" and "loan letters" Researches compliance status of. individual water systems WATER QUALITY PROGRAM MANAGER: Belle Fuchs (360-586-5179) Oversees implementation of Bacteriological, Inorganic, turbidity, SOC and VOC monitoring programs Develops new monitoring programs Conducts water quality investigations Provides technical assistance to utilities and local health departments with respect to water quality sampling Lead and Copper rule Coordinates Phase II/V waiver project for SW region which includes susceptibility surveys, chemical monitoring requirements. SANITARY SURVEY COORDINATOR: Vinnie Wright (360-664-2203) Schedules and conducts sanitary surveys for the SW region WATER QUALITY SPECIALIST: Sandy Brentlinger (360-753-5090) Administers the bacteriological, coliform, inorganic, and radionuclide monitoring programs r Compiles and interprets water quality results Evaluates water system operations reports Day-to-day contact person for monitoring requirements and monitoring compliance REGIONAL PLANNER: Sean Orr (360-664-3952) Reviews and approves Water System Plans (WSP) DOH lead in implementation of Public Water Supply Coordination Act Liaison between Department and local government concerning land use and water system development issues Researches compliance status of subdivisions SPECIAL PROJECT ENGINEER: Craig Downs (360-664-9696) Conducts special projects to support the Southwest Operations Section Regional Engineers, which includes Existing System Evaluations. Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT (Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269) 1D /��^ /� i� #1 wrier �AA5;9 Q ��O �/'rl(�1� Phone# 360 7-9V70 X ite Address n E l UC "Z 57AND i+/U., OD Fire District# City 3,6t,PJQ'112 St—LA.M Zip Directions to Job Site 44 A20X774S ! EOAD 4 a7V 7-D L 55 N O k - gw6f-4 P �-nr� Zt Owner Mailing Address Z3 0 CityLTOAJ Zip Lien/Title Holder Address ILI City ix St Zip 2 Contractor Name ftractor Reg# Address ration Date City Zip Phone# 3 If septic is located on project site, include records. Connect to Septic? �40 Public Water Supply Well X _ Connect to Sewer System? Name of System (If residential, proof of potable water is required) 4 Acel No.I Description 5 Building Square Footage: 1st FI 2nd FI 3rd FI Loft Basement #Bedrooms # bathrooms Deck Other ;� "TD L Garage Carport (Circle:Attached or Detached?) / :Jo1L 5 #6 Use of buildin Describe w #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length Width Serial No. # Bedrooms # Bathrooms Type of Heat 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 k) Show following on the site plan Lot Dimensions Fences Existing Structures Driveways }! Structure Setbacks Shorelinesi vJ- Water Lines Topography Drainage Plan Wells Septic Systems Easements Proposed Improvements Name of Side Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW bit ILL, FAz-t< �l 2 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW i I f Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other Bath Tubs No. Units Fees Showers Furn BTU Hot Water Htr _ Heatpumps —Laundry Washer — Vent Systems G _Sinks — Spot Vent Fans —Floor Drains No. Boilers/Compressors Laundry Basins — HP _Dishwasher No. Air Handling Units i Disposal cfm# _Urinals No. Fire Protection Systems —Other — Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 16.75 — Auto Fire Sprink Sys 35.00 TOTAL PLUMBING $ No. Other I _ 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 16.75 .11 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $ € MENCED. PROOF OF CONTINUATION OF WORK IS BY f 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 k 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 THEWORKFORWHICH 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 BUI_ DEPARTMENT. DEPARTMENT. I I X OWNER M'�- X BY LL DATE �2LDATE FOR OFFICIAL USE ONLY: Accepted by: Date: FOR OF DEPARTMENTAL REVIEW ,r 3 FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: 'm 6A1 Environmental Health: i i 7 i Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: _ FEES Building Permit Plan Check Plumbing Fee Mechanical Fee -- Wood/Gas/Pellet Stove Violation Fee Site Inspection --- Building State Fee Other Other Other :Building Valuation TOTAL FEE i