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Home My WebLink AboutBLD98-00230 Cancelled Park Model Home - BLD Permit / Conditions - 3/26/1998 Permit No. 5Lb99.0a3b MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670 (Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269) PLEASE PRINT #1 Owner Phone# ;7Z 2 z Z Site Address �'� oS� _2sv� ,.r�'�ja 4iing- Fire District# City St Zip f Directions to Job Site_ -�LGh' GUI % •,� /�'T/L�- �='.2 ��. d1� — Owner Mailing Address ��/y[,` City St Zip Lien/Title HolderT�,�� Address City Szq=X4 St Zip #2 Contractor Name 4S��-- / UBI # Address Contractor Reg# City St Zip Phone# Expiration Date #3 If septic is located on project site, include records. S Connect to Septic? I)< Public Water Supply Well r/ Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 Parcel No./—L- Z - 0/1 p' Legal Description L. #5 Building Square Footage: 1st FI 2nd FI 3rd FI Loft Basement # Bedrooms , # bathrooms Deck Other Garage Carport (Circle: Attached or Detach :e-/d #6 Use of building �/-�/�/�, L =J Describe work #7 Type of Job: New_,-----,- ew_ Add Alt Repair Other i #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 Show following on the site plan Lot Dimensions Fences Existing Structures Driveways ` Structure Setbacks Shorelines 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 �v p APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW 16��VV VIumbing Fixtures 3.45 each) Fee Mechanical Fixtures ($7.00 each No. Toilets CIRCLE FUEL TYPE: Gas, ctric, _B Basins Heatpump, Other Bath bs No. Units Fees Showers F n BTU _Hot Water Ht Heatpumps _Laundry Washer Vent Systems _Sinks _ Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins _ HP _Dishwasher No. Air Handling Units _Disposal _ cfm# _Urinals No. Fire Protection Systems _Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Per it Basic Fee 17.25 _ Auto Fire Sprink Sys 35.00 TOTAL PLUMBING $ No. Other 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 a 17.25 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHA ICAL $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY 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 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 THE WORK FOR WHICH 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 BUILL'ca�ARTMENT. DEPARTMENT, %OV�NER X BY DATE DATE FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: 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 DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review 0 lytoze 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 Page No. 1 CASE HISTORY FOR CASE NO.: BLD98-0230 \ FRANK SHERBONDY NE11 QUAIL TRAIL BELFAIR 08/27/99 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA010 Application received 03/26/98 / / 03/26/98 DONE KW 03/26/98 KW BLDA011 WARNING!! SEE PARCEL FLAG / / 03/27/98 / / After the fact permit TLG 03/27/98 TLG RETURN FILE TO TAMI AFTER ISSUE PLEASE BLDA200 (H) Hold / / 03/31/98 / / DONE PSD 03/31/98 PSD BLDA201 STOP WORK ISSUED / / 03/18/98 / / TLG 03/27/98 TLG BLDA900 Telephone call / / / / 03/30/98 called Frank to set up meeting but he is TLG 03/30/98 TLG too sick to make it this week. Will call him back next week to set a date BLDA920 Miscellaneous action / / / / 08/27/99 Refer any activity on this case to Dana TLG 08/27/99 TLG for the week of 8/27 - 9/3 BLDB110 Structural Plan Review 03/26/98 / / 06/OS/98 PEND DH 06/08/98 DLC This is a pre-76 unit from Snohomish County, already on site. HOLD until L & I CORRECTIONS have been done. Copy of L & I permit submitted as required--Do Not issue until signed off my L & I Pending L & I approval BLDB130 Planning Review 03/27/98 / / / / AHB 03/27/98 MMS BLDB134 RLC Review / / / / / / 03/26/98 KW BLDB135 Addressing 03/26/98 / / 04/02/98 DONE GMM 04/02/98 GMM BLDB138 Planning Pre-Review 03/27/98 / / 03/27/98 DONE MMS 03/27/98 MMS BLDB200 Environmental Health Review 03/26/98 / / 03/31/98 This is a permit for a moblie home, one HOLD PSD 03/31/98 PSD bedroom. There are complete septic records, it was installed in 1992. Need 1) pump/inspect the tank and 2) show a reserve area on a plot plan.psd BLDB210 Water Adequacy 03/26/98 / / 03/31/98 Need water adequacy.psd HOLD PSD 03/31/98 PSD BLDC050 Pre-site Inspection 04/01/98 04/01/98 04/01/98 old trailer on bank. 6' of firm soil DONE DH O5/29/98 TLG from face to slope. There is an area of fill on bank beyond trailer location. No more fill is to be added to bank area. Water needs to be controlled away from bank and towards driveway. No more structures are to be located between trailer and bank. Printed by Tami Griffey 3/19/98 12 :47pm --------------------------------------- From: Debbera Coker To: Tami Griffey Subject_ two-atf came in today._. ===NOTE===============3/18/98==5:14pm== 1. Frank Sherbondy, on Quail Trail, has an older MH moved from Everett, picked up an application and L&I requirements. Said he will be applying ASAP 2. John Holmes, NE 481 Northshore Road Reapiring a deck w/o a permit. Apparently Terry stopped in a few weeks ago. Will put together plans and application , submit to Belfair soon. --------------------------------------- i 1 lD G.nd a tow a�o�'S ctiriW a I rVA7 II a V— Page : 1 -