HomeMy WebLinkAboutBLD2006-00728 Cancelled SFR - BLD Application - 5/24/2006 Case Activity Listing 8/16/2007
11:16:35AM
Case#: BILD2006-00728
Assigned Done
Activity Description Date 1 Date 2 Date 3 Hold Disp To By Updated Updated By
131-DA010 Application Received 5/3/2006 5/3/2006 None DONE KKK 5/3/2006 KKK
BLDB210 Water Adequacy 5/3/2006 5/11/2006 None DONE ADR 5/11/2006 ADR
Well capacity test and satisfactory bacteriological test.
BLDB110 Building Plan Review 5/3/2006 5/16/2006 None DONE JRN 5/16/2006 JRN
review complete,sent to case manager,JRN 05-16-06
BLDB120 WSEC Compliance Review 5/16/2006 None DONE JRN 5/16/2006 JRN
review complete,electric furnace,2004 WSEC path option IV,JRN 05-16-06
BLDB130 Planning Review 5/3/2006 5/19/2006 None DONE KJM KJM 5/19/2006 KJM
Setbacks meet standards per SP12006-00060.Located in floodzone,see floodzone condition.
BLDB200 Environmental Health Review 5/3/2006 5/19/2006 None DONE PJO 5/19/2006 PJO
Waiting for septic design approval.5/19/06 bdrms and plot plans match.No ABA allowed on septic side of residence.
BLDA200 HOLD 5/19/2006 5/24/2006 Hold DONE CMH 5/24/2006 CMH
No ABA allowed on septic side of residence.pj o 5/19/06
BLDA100 Approved for Issuance 5/24/2006 None DONE CMH 5/24/2006 CMH
LMOR FOR APPLICANT.
BLDA560 Permit Cancelled 3/26/2007 None DONE CMH 3/26/2007 CMH
New owner of property.
Page 1 of 1 caseActivity..mt
FORM MUST BE COMPLETED IN INK PERMIT N01Wdp`66U•M
PLEASE PRESS HARD MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar• P.O. Box 186, Shelton,WA 98584
Shelton (360) 427-9670 •Belfair(360) 275-4467• Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR I ORMAT ON
Owner T-tio�,i M G r!-I S Company Name
Mailing Addres e I e X 2 S Mailin Ari ress Q
City;S('� (� � State �} Zip Code , City t to Zip Code
Phone V"A I `j� � 3—Other Ph. yj 0 - 9 Y_� % Phone Other Ph.
Lien/Title Holder Contractor Reg. ✓Exp.
E mail address E Mail Address
Drivers Lic.#Mo t- 7fK1k DOB 77 IJ-7 (01 Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic _ Existing Septic. Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. 3 2 Z Z Fire District
Legal Description
Site Address (Please include street name, street number and city) Vk e LA
Directions to site QT _15Ae �+e'l'I6v� r t�Yccd R if aid _�a�HSeH ( i�=r>tf 6w �+^s F�� y��/ rnrl
'" I e JLcLYe
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - New--)K_Add Alt Repair Other Use of Building Re e
Location of Fixtures/Units - 1 st Floor_ 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric-L LPQ Natural Gas__ Heat Pump_
Toilets _ Type of Unit No. of Units Fees
Bathroom Sink Furnace I
Bath Tubs Heatpumps
Showers Spot Vent Fan _
Water Heater Propane Tank T
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood —�
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other parry in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.
PROOF OF C INUATION O S BY MEANS OF A PROGRESS INSPECTION.—
�--- Date: — � - O f
X w ers Nepresentative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted bye." /Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group-Type Constr.-
Planning Constr.—
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Inspect on
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES
ACCESS & GRADE WORKSHEET DATE• ��'!
ADDRESS
INSPECTOR
DRIVEWAY ACCESS ,
Length: ` Width: Surface:
Size of turn-around:
Condition of shoulders:
Vertical clearance:
I need ost at end of dr-
iveway.with reflective address numbers.
f.,
GRADE,OF DRIVEWAY % OF ROAD %
ROAD ACCESS
Length: Width: Surface:
Condition:
Vertical clearance:
I
( ) BURN PERMIT REQUIRED FOR LAND CLEARING FIRE.
( ) LOT INSIDE SMZ, 4X4 FIRES ONLY.
( ) LOT INSIDE UGA, NO OUTDOOR BURNING PERMITTED.
LOT TOO SMALL FOR: BURN PERMITS 4X4 FIRES.
REMARKS
(continue remarks on back)
IS 30 So
P LA N N I N G
v
\b �xlS N6[PaV^tE. U \� i
rf�P,SC�I C0UNT; DCD ��t rz�'o�."I�vG
Q
M h� � ITE PLAN `r:L-'QUl.?ED TO 3E ON SITE--
CHANGES SUBJECT 10 APPROVAL
3 Gi0Rr1 RES• Ly_ ate s���I
3c3oci,�
�,
.\ _St�t� t"_too' * i �• � ARBM IS GROU ELEVATION AT SOUTHWEST PROPERTY CORNER. RBM EL-100.0
i
tP� UBOUT/CLEAN T EL=99.0
\` �S 2 ARTMENT SEPTIC TANK WITH OUTLET FILTER
98.
\� ►N6REss, E-Z g- ,a4 ws q 5 \ LET OUTLET INC5
OF S T TI 10
C TANK TO BE 10 INCHES BELOW EXISTING GRADE,NO DEEPER.
\� tit�Ltr.�s ,�sE►.ter
pK1Y�
1200 L PUMP CHAMBER,PUMP EL=95:0 TIMER REQUIRED
SAND FILTER.
130 FT OF 2-INCH PVC TIGHTLINE TO SAND FILTER,CLASS 200
9 FT OF 1.5-INCH PVC MANIFOLD,CLASS 200,
SAND FILTER PUMP EL=95.5
E' ELAPSE TIME METER REQUIRED,DOSE COUNTER REQUIRED
DRAINFIELD,
�. . 190 FT OF 2-INCH PVC TIGHTL INE CLASS 200
6 FT OF 1.5-INCH PVC MANIFOLD,CLASS 200
NO S WITHIN 200 FEET OF PROPOSED DRAINFIELD KNOWN TO DESIGNER AT THIS TIME.
M
SOIL LOG-4/18/06 �� � ��_ ZS-O(o
1� EXTREME GRAVELLY LOAMY SAND................0'-28" 51 121
MOTTLED GRAVELLY SAND...........................28°-53" o JIM HENRY
LICENSED DESIGNER
2O SAME AS HOLE#1............................................0"-35" EXPIRES: 0801(Oho
.........................................................................35'-54° SHEET 1 OF 3
30 SAME AS HOLE#1.............................................0"-26°
DIRECTIONS: JIM-HENRY DESIGN SERVICES, INC.
.........................................................................26"-48°
NORTH ON BROCKDALE RD FROM SHELTON TO p0 BOX 14531 TUMWATER WA 98511-4531 360-956r7242
4OGRAVELLY LOAMY SAND.................................0"-23" RIGHT ON JENSEN RD TO LEFT ON EASEMENT ROAD
MOTTLED GRAVELLY SAND........................... BEFORE YOU CROSS JOHNS CRK. SITE IS AT END OF CUSTOMER: -MORRIS
.23'-40" EASEMENT ROAD. TROY
------- ---------------------- T": PERMIT NUMBER:
3213222900QO
SITE ADDRESS:
LEGAL: 953 E JENSEN RD
K K PARCEL D OF SP #884
AN ADDITIONAL FEE WILL BE CHARGED AFTER INSTALLATION FOR FINAL INSPECTION AND ASBUILT DRAWING