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Home My WebLink AboutBLD94-00089 Cancelled SFR - BLD Application - 3/27/1995 Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 O VO PLEASE PRINT i I #1 Owner , Phone# Site Addres V l 55 4. 60M YYI L4AJ1'tV C(AAG 90 Fire District# �' City 'S�L-M� St_�_Zip Directions to Job Site Gv1 3— IG A-t J G L(. 4A,) R=Iaffr fZAJ i F� DIZA Owner Mailing Address 1 S 3 (.4� 1'Yl i4PLE 1 �� City N E�n1T� St- _Zip Lien/Title Holder 1 Address Clty St Zip #2 Contractor Name Contractor Reg #:F! 4u�1;13-&\r7 Address T, (y�X �ZIP� Expiration Date_ City �t.�1 St A Zipq Phone # #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4`F Parcel No.� f Legal Description F3T S(p -tr � #5 Building Square Footage: (existing/proposed) 1st FI / I`�Z� 2nd FI / 3rd FI / Loft / Z� Basement / 14'1'1 Deck / # bedrooms/ #bathrooms 3 / Z Garage ?2 Carport / (Circle: Attached or Detached?) Other sq. ft. / #6 Use of building —Describe work #7 Type of Job: New__,,, �Add All Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION _ Model Year Make Model D U Length Width Serial No. # Bedrooms # Bathrooms Type of Heat ;JAN 2 v Purchase Price $ GENERAL SERVICES #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland Lake Marsh (8altwater Seasonal Runoff Other I Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells S Proposed Improvements Easements Indicate Directional by (N, S, E, W) Name of Flanking Street Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW nl i �yt nlW �1 0 �1 h I V(J12 _ �1 Sloe I tln' f o� Lou I'�- ii fLE�/�S�D 2/Z3 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW ° ++o' i Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No.*Toilets i� CIRCLE FUEL TYPE(Gas, lectric, Bath Basins Heatpump, Other Bath Tubs 3 No. Uni s Fees 2 Showers 1 Furn BTU I Hot Water Htr _ Heatpumps Laundry Washer Vent Systems _Sinks Spot Vent Fans _Floor Drains No. Boilers/Compressors Laundry Basins _ HP _LDishwasher No. Air Handling Units _Disposal cfm# _Urinals No. Fire Protection Systems _Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00 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 Fee 15.00 ' WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ 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 BUILDING DEPARTMENT. DEPARTMENT. X OWNER VYr— X BY ` DATE I.2_� 1944 DATE — — FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: 44 Au Environmental Health: 2ACwC-j wU 6)w,4 NSA yr 7 v200 SG�-,Pr M 05'7— Ind 0-00- sexn r Zone i(., At R&C. Rrn A Mu z-- ae REwf2AEw l A 8h1��—T Building PI n Review Occupancy Group:�7 Type of Const:-R� Fire Marshal: Other: Special Conditions. FEES Building Permit Plan Check 0 Plumbing Fee Mechanical Fee 3 (b z Wood/Gas/Pellet Stove + ,5 Radon Monitor pla6 n5 Violation Fee Reour Site Inspection Building State Fee Other Other Building Valuation: ,� TOTAL FEE 5 J MASON COUNTY DEPARTMENT OF HEALTH SERVICES POST OFFICE BOX 1666 SHELTON, WA 98584 (206) 427-9670 FAX 427-7798 May 17, 1994 Howard Bauer 1536 Maple Lane Kent, WA 98031 RE: BLD94-0089 PARCEL NUMBER 22004-11-90220 LOT 3 of SHORT PLAT # 324 Dear Mr. Bauer Your building permit application indicates that you are proposing to build a single- family residence on a lot with an existing septic system. Policy requires that the sewage system be in full compliance will all state and local regulations . The septic system for the above project was reviewed. It has been determined that the septic system does not meet current code because the drainfield has no vertical separation. The existing drainfield cannot be upgraded to meet the vertical separation requirement- -it must be replaced. Before the building permit can be released by Environmental Health you will need to have the following: O an approved On-site Disposal Permit; and O an approved design which demonstrates - - primary drainfield upgrade/replacement, designates a drainfield repair area; If you have any questions, please call me at 427-9670 from 8 : 00 to 9 : 30 Monday through Friday. Sincerely Carolyn Jensen Environmental Health Specialist