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Home My WebLink AboutBLD99-00766 Cancelled Garage - BLD Permit / Conditions - 3/13/2000 MASON COUNTY Mason County Bldg. III 426 W. Cedar RO. Box 186 Shelton, Washington 98584 E3 U I L_ C9 I P4 G P E R M i T FOR INSPECTIONS CALL. 427-9670 BETWEEN 5pm AND Sam 427-7262 BLD99-0766 PARCEL : 123315100024 PLAT :BEPLO D1V : BLK : LOT : 24 JOB ADDRESS : 80 NE CAPTAIN HOOK DR HIFL.FAIR OWNER : GREG WILHELM 360-275-4136 CONTRACTOR s TOWN 8 COUNTRY (800)824- 9 552 LEGAL : BEARDS COVE DIV 8 BLK: LOTS 24 CLASS OF WORK . . :NEW BEDR : 0 BATH ; 0TYPf` AMOUNT ABY DAIE RECEIPT =•TYPE AMOUNT BY DATE RECEIPT TYPE OF USE . . . :ACC STORIES . . . . . . . : 1 = 11 OCCUP . GROUP . . , sU1 BLDG . HEIGHT . . : 19 .oft PICK 1 42.11 KV 68119199 51284 TYPE OF CON ST . . s5N FIREPLACES — . : 0 EHCP t 50.01 TN 09115/99 51593 OCLUP . LOAD _ , : 0 WOODSTOVES . . . . : 0 PtRS t 38.06 11 09!15199 51593 DWELL .UNITS . . . . 0 PARKING SPACES : 0 PRMT 1 287.25 it 09115199 51593 INSPECTION AREA : 2 SHORELINE? . . . . :N STFE 1 4,58 111 09;15199 51593 TOTAL: 421.75 VALUTATIONi 19071 SETBAC. S--- - - - --_.____._ TOILETS . . . . . . . . . . : 0 I-UEL TYPES-. _---- -- - BO I LERSr COMP- - MOB I LE HOME - FROO , . .E 841 .oft BATH BASINS , � . . . : 0 0- 3 HP . : 0 (TEAR . . . .W 6 .Oft BATH TUBS . . . . . . . . : 0 3-- 15 HP . : 0 MODELs SIDE ( 1 ) .N 5 .Oft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 --MAKE—. _.. -- SIDE (2 ) .S 38 .Oft WATER HEATERS . . . . , 0 FURN >-100K BTU : 0 30-50 HP . : 0 SHRL I NE .N 0 .oft CLOTHES WASHERS . . : 0 FURN -- FLOOR . . . s 0 50•+ HP . -. 0 -YEAR- ------ AREA ----------------- KITCHEN SINKS . . . . s 0 HEAT PUMP . . . . . . : 0 LOT SIZE . . : FLOOR DRAINS . . . , . : 0 VENT SYSTEMS . . . : 0 E:VAP COOLERS : 0 LENGTH : 0 BUILDING . . . : Osf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . s 0 BASEMENT . . . : Osf LAUNDRY TRAYS . . . . . 0 DOMES . I NC I N :O --SERIAL *-.-- - DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS--- COMML . INCIN :O GARlCARP :G -1080:>f GARB DISPOSALS . . . :' 01_ -r. <- 10000 cfm . : 0 RELOC/REPAIR : 0 ATIDT . :D URINALS . . . . . . . . . . 0 > 10000 of") . : 0 OTHER UNITS . : 0 M I SC PLM F I XTURFS : 0 GAS OUTLETS . ; 0 as.�::•«^x="•ss::.�ras:^s.srsrs.::_z.:_r.�.��s�.-��.s-';.-:-�sz�::,.-s�.�s:a'.•rzrsz:.�•sa:.•^.r-ss-zs:zc-:r_:--msozx�smasz.�s�:.-aar.:.�. •.::xe�.;:an�trs.:.•••..•-•a•,•-•.•�•�:s c:::^;>.�.s..�.�^-•Z::;::::u:a^.:..�c.:.� PROJECT BESCRI?I ION:GARAGE PROJECT-t)CAT ION:MORIHSHORE 1301 OUT OF BELFAIR UP SANA Hitt ROAD, itfl ON LA.RSON BLVD, LEFT 09 CAPTAIN HOOK DRIVE, 310 ON RIGHT LIGHT BROWN DOURLINIDE. j TH19 PERMIT BECOMFS NULL AND VOID IF WORK 01 CONSTRUCTION AUTNORIZE5 IS.NOT COMMENCEO WITHIN 180 DAYS OR IF CONSTRUCTION OR NORK IS SUSPENDED FOR A PERIOD OF180 DAYS Af ANY TIME AFTER WORK IS COMMENCED. EVIDENCE Of CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD. FINAL INSPECIION MUST DE APPROVED BEFORE OUILOING CAN Of OCCUPIED, OWNER 01 AGENT: SLO-PRMT, rev: 1313119t COMPLIANCE TO ATTACHED CONDITIONS i S REQUIRED CONCRETE MECHANICAL MOBILE HOME lk Footings-Setback date by Ribbons date by Gas Piping date b ' Foundation Wails date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date _ y b date by FRAMING Walls FIRE DEPT. date by date date by PLUMBING Attic by OTHER Groundwork date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by ke ".- r-e— - .vki rye c k 1-5S o d — IV it -- - -- - — Page No. 1 CONDITIONS/CORRECTIONS FOR CASE NO.: BLD99-0766 GREG WILHELM NE80 CAPTAIN HOOK DR BELFAIR 12/01/99 1) Site Plan -- Approved per dimensions and setbacks on submitted site plan with approved variance or revised site plan with adequate setbacks. X 2) Temporary Erosion Control -- Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or properties. Silt fencing or straw matting must be installed and maintained until upland vegetation has become established. X 3) Structure Setback -- Proposed structure or portions thereof with an projection over 30" in height from grade line, must maintain a 5' separation distance between adjacent structures and that furthest projection. X 4) Sideyard Setback -- Proposed structure or any portion thereof greater than 30" in height from grade line, must maintain a minimum of 5' setback from all property lines, easements and 10, from all County and State Road right of ways. X 5) Multiple Setbacks -- Structure must be setback 5' from all utility and drainage easements, a total of 10' from each property line, or a variance must be obtained from the Building Department. X 6) MCPW Development Requirements -- Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which is proposed to be located within 25, of a Mason County road right of way, it is suggested to contact that office to review future planned work which may affect your project. X 7) Flammable & Combustible Liquids -- The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X 8) Owner Responsible -- Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X 9) Site Plan -- Approved per dimensions and setbacks on submitted site plan. X 10) PLANS REQUIRED ON SITE -- All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of $42.00 per hour (minimum 1 hour) will be charged and must be collected by this department prior to any further inspections being performed or approval granted. X Page No: 2 CONDITIONS/CORRECTIONS FOR CASE NO. : BLD99-0766 GREG WILHELM NE80 CAPTAIN HOOK DR BELFAIR 12/O1/99 11) POST ADDRESS -- PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X 12) UNHEATED STRUCTURE -- THIS STRUCTURE IS CONSIDERED UNHEATED SPACE (NOT TO EXCEED 1 WATT/SQUARE FOOT OR 3.4 BTU/HR/SQUARE FOOT) . AT SUCH TIME THIS CONDITION CHANGES, A CHANGE OF USE PERMIT AND A MECHANICAL PERMIT SHALL BE APPLIED FOR AND APPROVED PRIOR TO THE CHANGE. X 13) PLOT PLAN REQUIRED ON SITE -- The approved plot plan is required to be on-site for inspection purposes. If inspection is called for and plot plan is not on site, Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of $42.00 per hour (minimum 1 hour) will be charged and must be collected by this department prior to any further inspections being performed or approval granted. X 14) U-1 Use Only -- No Occupancy. This structure is limited to U-1 use only (private garages, carports, sheds, and agricultural buildings.) Any other use will be in violation of the Uniform Building Code and Mason County Regulations unless a "Change of Use" permit is approved. X 15) Engineering -- Any changes in construction shall be reviewed by engineer of record and submitted in writing to the Mason County Building Department prior to construction. X 16) ALL CONSTRUCTION -- ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x 17) Field Correct -- CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE.x Building Permit # " MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 9SS84 (360) 427-9670 CORRECTION NOTICE Job Location klle-be�� jrc> "yCxnA va%) This structure has been inspected b Mason Count Building Department p Y Y 9 p and the following VIOLATION of County Laws and Ordinances has been fund: Items Listed below must be corrected to gain code compliance n� /Y✓/.�• G c.�//�A�+�c� 70 /nit'!/t��.0,6�✓rt.o sf`� 7 L C You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection OK to F/ Wl zz- chow ❑ This is not a cofnpiete inspection 7� �"�`'` �"�� Th''9�' `.sr,��• DepartmentC�' Date Inspector 77✓7 • oos No *T Mo *V T I -- T ' ,* m MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P E. R f\41 I i C C:� N U7 I T 1 10 N ;�3 Case No . . BLD99--0766 For : GREG WILHELM page3 1 1 ) Approv,.-id per dimensions and setbacks on submitted Ian with approved valane or revised site plan with adequate setbacks . X S4 r c 2 ) Temporary erosion control measures must be implemented to prevent water quality degradation of ad acent waters or properties . Silt fencing or straw matting must be -tailed an stained until upland vegetation has,ins become established . X �A 77 3 ) Proposed structure or gortions thereof wlAh an projection over 30" in height from. grade line, must maintain a separation nce between adjacent structures and that furthest projection . X 4 ) Proposed structure or any portion thereof greater than 30" In height from grade line , must maintain a mi Ifflum of 5 ' setback from all property lines , easements and 10 ' from all County and to Road right of ways . X 5 ) Structure must be setback 5 ' from all utility and drainages easements , a total of 10 ' from each pr p fine , or a variance must be obtained from the Building Department , 6 ) Provisions for surface/ subsurfaoe drainage control must be implemented with new r,construction o development on site and MUST NOT adversely impact adjacent parcels . .Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or, prior approval will be granted to use. an existing utility and draina e easement dedicated for that specific purpose . For further information regarding Nis ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department rior to construction at Ext 450 . or any construction which is proposed to be located within 25 ' of a Mason County road right of way, It is suggested to contact that office ,to review future planned work which may affect your project . X --------------------- - i MASON COUNTY Mason County Bldg, III 426 W. Cedar C P.O, Box 186 Shelton, Washington 98584 7 ) The use, handling and storage of hazardous materials or flammable and combustible liquids In excess of 0 gallons is not allowed without the approval of the Masora County Fire Marshal . X 6 ) Owner/ builder assumes all responsibility If drainfietd/reserve area is encumbered . X 9) Approved per dimensions and setbacks on submitted site plan . X.- 10) All approved plans are required to be on-site for Inspection purposes . if inspection is called for and plan^ are not on site Approval WILL NOT be granted . In addition , a Re- Inspection fee in the amount of $42 .06 per hour (minimum 1 hour ) will be charged and must be collected by this department prior to any further inspeot. ions being performed or approval granted . � � n 11 ) PURSUANT TO 1997 UNIFORM BUILDING CODE ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION .AS TO BE. PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED ON RATES AS ADOPTED BY THE .JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . 12 ) THIS STRUCTURE IS CONSIDERED UNHEATED SPACE (NOT TO EXCEED 1 WATT/SQUARE FOOT 0 . 4 BTU/HR/SQI.JARE _FOOT ) . AT SUCH TIME THIS CONDITION CHANGES , A CHANGE OF USE P AND A MECHANICAL PERMIT SHALL BE APPLIED FOR AND APPROVED PRIOR TO TFIE CHANGE . X 13 ) The approved plot plan is required to be on-site for inspection purposes . If inspection is called for and plot plan is not on site , Approval WILL NOT be granted . In addition , a Re- Inspection fee in the amount of $42 .00 per hour (minimum i hour ) will be charged and must be collected by this department prior to any further inspeotions being performed or, approval granted . ———— ————————--—--———— MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 14 ) No Occupanoy . This structure is limited to U-1 use only (private garages , carpports , sheds , and agria A urai buildings . ) Any other use Will be in violation of the tlniform Building Code Mason County Regulations unless a "Change of Use" permit is approved . 15 ) Any changes in construction shall be reviewed by engineer of record and submitted in writing to t Masan County Building Department prior to construction . X r 16) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION . ANY CHANGE OF USE OR OCCUPANCY WOULD RESULT I PERMIT REVOCATION . CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE . x � 17) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS RE U ER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE .x Case No . : BLD99-0766 Page No. 1 CASE HISTORY FOR CASE NO.: BLD99-0766 GREG WILHELM NE80 CAPTAIN HOOK DR BELFAIR 12/01/99 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By BLDA010 Application received 08/18/99 / / 08/19/99 DONE KW 08/19/99 KW BLDA011 WARNING!! SEE PARCEL FLAG / / 08/14/99 08/14/99 THIS IS JUST A GARAGE. DONE KS 09/14/99 KS BLDA100 Approved For Issuance / / / / 09/13/99 DONE KS 09/14/99 KS BLDA200 (H) Hold / / 08/23/99 09/13/99 on hold for setback from easement DONE MMS 09/13/99 MMS variance BLDA500 (F) Issue building permit / / / / 09/15/99 DONE TW 09/15/99 NJP BLDB110 Building Plan Review 08/19/99 / / 08/09/99 ALL ENGINGEERING STOCK PLAN DONE JHC 09/13/99 MMS SENT TO CASE MGR. BLDB130 Planning Review 08/23/99 / / 08/31/99 REVIEWED WITH APPROVED PROP. LINE DONE AHB 08/31/99 AHB VARIANCE OR REVISED SITE PLAN; LOCATED NEAR EXISTING HOME. AHB BLDB134 RLC Review / / / / 08/31/99 NO SLOPES OR CRITICAL VALUES OBSERVED. N/A AHB 08/31/99 AHB AHB BLDB135 Addressing 08/19/99 / / 08/19/99 DONE GMM 08/19/99 GMM BLDB138 Planning Pre-Review 08/19/99 / / 09/13/99 see above DONE MMS 09/13/99 MMS BLDB200 Environmental Health Review 08/19/99 / / 08/24/99 plot plans do not match. garage is being HOLD CEB 08/24/99 CEB built over drainfield area. BLDB200 Environmental Health Review 08/30/99 / / 08/30/99 received additional information on DONE CEB 08/30/99 CEB drainfield. original as built has had a mobile removed and another replacing it in another location. see condition BLDC220 Hole inspection 10/18/99 / / 10/20/99 RIGHT REAR POST HOLE TO CLOSE TO REAR FAIL TR 10/21/99 KW PROPERTY LINE, MIN CLEARANCE TO FINISHED BUILD 51, 2. ALL OF RIGHT SIDE REAL CLOSE TO P/L MIN CLEARANCE TO FINISHED BUILDING 51. FIX AND PROCEED WILL CHECK TO FINAL REMEMBER ITS EASIER TOMORE NON THAN LATER. Do1� �u tj �I6T CoA te4e S�aIr-'e- 'X� 0u3nle 4d0-1 � �-Pw� -��►c,� ci z -trNe, (4j l T ero3e'f Ctv,f 1-o-t- -Tam NaXT Ca I1 -E'Qr ZN4 L N setrTM I, CC, Q ll e-oM sol Q Suite B•16521 Highway 99-Lynnwood,WA 98037,3199 Own 1121 Everett: (425)258-4171 Puyallup: (253)840-9552 POST FRAME BUILDINGS Administrative Headquarters: (425)743-1555 FAX: (425)742-4378 Toll Free: 1-800-824-9552 Building Design Contractor's Uc.t+:TOWNCPF099LT CCBM: 129311 Qaddq:Ow Frtrn DVank On It. ASE CHECK: FLOOR PLAN Draw North Arrow i Circle Roll-up doors fit in Bays �� Wind MPH. ollll-up doors will not hit Truss 3 Wind Exposure Roof Pitch Eave Height _ Snow Load I 13 Minimum Clearance _.-........ ......_.........__...........-...»........--............_........ ;....._...._..._-._....,.._......-..-.._.--..-................-....._,_.-..._....__.»_..__........_........................ __,...._._......_..... _......»_»_.._.__....__..._._._.___.......... : I ........-.»L.............!.........._'......._._t............_............ .............i.....__...i... ! ........ t I i t ? i i .s € i € € fTlo� . N i ....:.................... .......__,..__»_;»......_.. ._.__..,.._._.._,... .....i'�.. 11 P... .._8 !1r?( .G._X!�tT39!1�..8AL .! !!c....l.li�U... .............hL--.... ._... I N FlvnF bN = ......_.._..._..... ......-»...._..........-........ ...................._..... ....__. ........................._....__._._.._...__`............1...._.. _...... - ! :t f • _.f.. I i i ! ! i _ ..». _ .. 3p }— - : ! .1..._..._.---_..:._......._'...........__._»�:»......... ..._._ i_.�h I--- .. .._ _ .. ...._ ._. ...-IF ..... ............. ...__I_.._......« ! ! { I i .3.. .... -lir..... ir c. �R �.stiff$.E.....5..»!4�z?...:.fit-N�`.._H..._....__. .. ._._....` ......... ............7.........»»:.... _"_ . �._y..,tilt F tgtE�rl t1t iAK]I x P STQt'1t � A a ! ! 114 N i ! `I i ! i ! i ! 3 A. •. _....__.»_.._—`............:-..._.._;_...--.-:....._-_..;_.._».........---....r_...._._......... .... .._ ..... .. ..OL .... .._. _ ._ ._{_.._._.......__._..__._..._:_..._—..�..... I ; ! k i ! : II i ( ? I i ... ... _.. ..._ .» »... .... ..... _._ ..... .. _...-e............ i .» ._.,.... r ._.t.. i € i i I I I ` i i i i i i i ! i .......'.........._......_. _._.._i..._.......'..__.-_' ....._ .....i......._ ..... ..... .... ..._ .. _ ._. _ ..... l I ....5......i.... _.y..._.._.__ i ! ! ; ! ! i i i ! i ` ` ..... : : ! ....._..°..........._:........._i_...........:._..........i.............:........... _.. _....... -.. _. _ — — — 3 � � - i► Q i j i j i i I i i { I i ii . .............j..............i.........._' «............t......_...: i ' ! i ! ! i ! i i i i I i I ; ! ! [ i i i ! rr BUILDING ELEVATION Customer has verified and approved the orientation of the building to the North and verifies that all items specified in Paragraph B of the contract are shown on this drawing and vice versa. Customer Name: G I / Lead# 371 1 b Customer Signiture: White-Customer Copy Canary-Office Copy Pink-Accounting Goldenrod Production 01995 Perma-Bift Industries FR 95 "8 %6�r .. 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O a� CO) _ ° 3 O coc,� fl '0 N N a NID O _N >=5 O O_ ..... mli(A F 7❑❑N N ctD1 EL C_ L O 07 N r N O rf AA V J N a m P" d O C C O 7 _ O. a a t o a c O} P C N O c0=U O N n3a c aNi IL I c 0 to O co N Oi N .. - C ch.- N - O L 01 N O E N � O m X ° � z 7 n,u�aw a o a��t7❑ 0 � 1 p l a N n AA C 1 N'N _ J .....,sL Q La a Li rn C L) ? t16 S uNid�; i N 2 N U NN mAJ.- p N N O N m N h i EQ cU NWQWUU IIOU4 0 46 CA'TArM t4ovtr -DPLU v m ti G �4 ri r 4 .R-4 al cam. l (I , � G � Site Plan Town &Court}�' su+tee•16521 Highway 99•Lynnwood,WA 98037-3199 Please Check After Doing Site Plan: •••• Everett: (425)25e-4171 Puyallup: (253)840.9552 L'a Septic and drainfield Lot size Draw North Arrow in Circle -� POST FRAME BUILDINGS Administrative Headquarters: (425)743.1555 perty dimensions ❑ ewer lines FAX: (425)742.4378 Toll Free: 1-800-824-9552 xlsling buildin s Elevation of property Contredora Lic.e:TOWNCPF099LT g �etbacks of proposed&existing buildings ❑Bodies of water Fro roposed building ��CCC]]��111 and CCBN: 129311 9 ain road with name Q q•:Our FurureOr Depends On It" Access t0 proposed building ❑FI00 I r ❑Easements rp an /+•f-�...^ 9 eSiopes&Contours(S increments) Job Name: r IL)UZI.Ilk-Job Site Address:_Pf) t^AT'TAfy Npt)'<M , -lFA 1S 1R rfA Legal Description: t �'S C�7V E 'D t U 1 nu 1 t� Tax Account, tT.t4 f - Oro ..- : 7� • ' p rr zp• L I I I z ST ' ° q _ t. : ------------------- R6.S ID�NCP ! i I i r. ; : 0 _ a C c� o ro' �f•eel l■rwas.wws.wesraea� ._�_�_ n i! y PERMIT NO.: LD glc)7`� MASON COUNT B BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Betfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner GRE6 r--. UOILN6LH Contractor Name 0 r-ItAttir Mailing Address P.p,$oX plok3 Mailing Address 10691 l4tcoRUM 01*1 City BELFA I FL State_UA Zip Code 90S;L8 City L4I414WOWD State yiA Zip Code 4603Z Phone(3loa )M-q13(o Other Ph.L___) Ph.(&oo )224-955�2. Other Ph.( $425 )7NA-ISSS Lien/Title Holder R JA Contractor Reg. #To(oNf-TFo991-T Address NIA I Expiration___& /_Ip SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic tV D Existing Septic •1 o Connect to Sewer System (Name of Sewer System N JA Well do Water System N o Name of Water System N I A PARCEL INFORMATION-12 digit Tax Parcel No. 12-3131 / rl / 00024) Fire District Legal Description IS CoVL; . -Dy ISIOR A _ Loa ZH Site Address(Please include street name, street n—ur�r and city) Directions to site a {. 4. S L 0110 Will tim er be cut and sold in parcel preparation? (Yes/No)14 C Is your property within 200' of the following: Body of Water (Name) M /A Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Vor Add Alt Repair Other Use of Building &ARA&F- Describe Work U)II-nWUT No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make N JA Model 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. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtainin ppr I. X Date X Date SjfLY19�1_ FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED'; CONDITION COPES Building Department q-8- Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department I Fire Marshal Valuation $ FEES Building Permit Fee `7 3 Plan Review Fee / UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other i Violation Fee Pre-Paid at Submittal ( ) ..................................................................::.: OTAL FEES :!.:.. 7 5