HomeMy WebLinkAboutBLD93-01592 Cancelled Mobile Home - BLD Application - 5/9/1994 �0 -S Tq TF O
o a �► DEPARTMENT OF COMMUNITY DEVELOPMENT
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1864
March 8, 1993
Jerry & Joann Glavin
E 701 Mikkelsen Road
Shelton, Wa 98584
Dear Mr. & Mrs. Glavin:
The Planning Department can not proceed with your building permit
request until we receive an adequate site plan. Enclosed you will
find a copy of the site plan that you submitted and a blank page
for your new plan. When you submit your site plan be sure to
indicate the dimensions of the lot, dimensions of the structure,
the distances between the structure and the lot lines, and
indicate clearly where the property line is that separates tracts
3 and 4.
In the meantime this department will forward your permit on to
Building for their review. If you have any questions, please call
Michael MacSems at 427-9670 x281.
Regards,
xwpkNoj--�
Michael MacSems
Gary Yando,Director of Community Development • Erik Fairchild,Planning Director
Mason County Bldg. III • 426 W. Cedar P. O.Box 578 • Shelton,WA 98584 • (206) 427-9670
-Recycled �`;�
STgTFo GARY YANDO,DIRECTOR
o A° N DEPARTMENT OF COMMUNITY DEVELOPMENT
u
oN i
T PLANNING - SOLID WASTE- UTILITIES
Zoo N Y o~ BLDG. III • 426 W. CEDAR • P.O. BOX 578
J 1864 SHELTON, WA 98584 • (206) 427-9670
April 2, 1992
Jerry & Joan Glavin
E 701 Mikkelsen Road
Shelton, Wa, 98584
Dear Mr. & Mrs. Glavin:
This is your second letter from this department requesting an
adequate site plan to accompany your building permit. Enclosed
you will find a copy of the site plan that you submitted and a,
blank page for your new plan. When you submit your site plan, be
sure to indicate the dimensions of the lot, dimensions of the
structure, the distances between the structure and the lot lines,
and
a indicate clearlywhere
ere the property line is that separates
tracts 3 and 4 .
Plea _Please call Michael Mac Sems at 427 9670 x281 with any questions. i
Regards,
Michael Mac Sems
Recycled ,
MASON COUNTY DEPARTMENT OF HEALTH SERVICES
~ POST OFFICE BOX 1666
SHELTON, WA 98584
(206) 427-9670
FAX 427-7798
February 28, 1994
Holly Brownell
c/o 530 - 171st Avenue SE
Tenino, WA 98589
Re: BLD93-1592
Parcel #32134-13-90030
Dear Ms. Brownell
In October 1993, you were notified that your building permit cannot
be processed by Environmental Health because there are no septic
records on file. Your building permit cannot be issued until one
of the following has been completed:
1) Provide a complete set of sewage records which includes
an As-built; or
2) Create records by- -
0 Having the septic tank pumped, inspected and submit
a copy of the pumper' s report to our office;
o Taking out an On-Site Sewage Disposal Permit to
initiate an inspection of the existing drainfield;
o Exposing the ends of the laterals, all junctions
and bends, the D-box, and the septic tank of the
existing drainfield;
o Have an As-Built drawn up of the dimensions of the
septic system and its location on the lot in
relation to boundary lines, structures, wells,
driveways, and fences; (A sewage designer can do
this)
O Dig one test hole in close proximity to the
drainfield and two additional test holes in an area
suitable for drainfield repair;
O The existing drainfield area and the reserve area
will be evaluated and determined if adequate.
A considerable amount of time has passed and no further action has
been taken by you towards the issuance of the building permit;
therefore, the status of your project has been classified as
inactive.
Brownell
February 28, 1994
Page 2
If you have any questions, please call me at 427-9670 from 8 : 00 to
10 : 00 Monday through Friday.
Sincer
Carol n Jensen
Envi onmental Health Specialist
BLD
MASON COUNTY DEPARTMENT OF HEALTH SERVICES
POST OFFICE BOX 1666
SHELTON, WA 98584
(206) 427-9670
FAX 427-7798
May 9 , 1994
Holly Brownell
c/o 530 - 171st Avenue SE
Tenino, WA 98589
RE: BLD93-1592
PARCEL NUMBER 32134-13-90030
Dear Ms . Brownell
The septic records for your parcel have been located; however,
there are some difficulties that need to be addressed before
Environmental Health can sign off on your building permit . Your
building permit indicates that you are proposing to place a 3
bedroom mobile home on a lot with an existing septic system that
was sized for 2 bedrooms . (A two bedroom septic system is the
equivalent of 4 people) Before your building permit can be issued
you must do the following:
O Have the septic tank pumped and inspected by a certified
pumper. Submit a copy of the pumper' 3 report to this
office (Normally this requirement would be waived for a
newer septic system but a complaint indicates that more
that 4 people might use the septic system on a daily
basis) • and
0 Apply for a On-site Sewage Permit and upgrade the
existing drainfield; or
13 Record a Certificate of Residential Use with the deed of
this parcel which states that the single-family residence
has no more than two bedrooms at the Mason County
Auditor' s office (form can be obtained at this
department) and
O designate a an adequate repair area on a scaled
plot plan signed by you.
If you have any questions, please call me at 427-9670 from 8 : 00 to
10 : 00 Monday through Friday.
Sincerely
Carolyn Jensen
Environmental Health Specialist
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 'Q�q
PLEASE PRINT
#1 Owner kc;U I 71�(^C:�� LJn'o Phone# �)O(� a&
Site Address 7n 1 120 'Kelano R d Fire District#
City St_1)Pr Zip
Directions to Job Site"' � ��2
Gt
o O O
Ll re, �e f>✓.
Owner Mailin Addr s _
City rziV Ct Je./ St Zip
Lien/Title Holder 'Exo nil' u-.S ct�O�C
Address
Clty St Zip
#2 Contractor Name vt>°s 0 dO .S(—A Contractor Reg#
Address -7 O� Expiration Date
City St Zip 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
rnob►-c-qq� 0 j 3 3 O co c
#4 Parcel No q - 1-3- O O L-n Y18
Legal Description )-4nd 4& ,-::-,h0(-t 2)0+ # -?Y3 �rC((�� Re- nr —4-IV- )
MO)Dt is 3 1k, USi e,
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / ,16 #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building Describe work May1 !- l,kl
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HQME INFORN4ATION
Model Year (95 Make�odel ocI cu) one,
Length `_Width 443 Serial No. ` n�,,,n,Cef- p e i alp3�
#Bedrooms_ # Bathrooms _Type of Heat t SSG — p Y- 1 a� 3a3�
Purchase Price$ 5 Vlur�'t S i� iaO
#9 Indicate by circli he 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 Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
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5
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APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
I VP
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Ta(,
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t ►Q of 1(Y�i K K��s��
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bat UaLFees
Showers Furn BTU
Hot Water Htr Heatpumps
_Laundry Washer Vent Systems
_Sinks Spot Vent Fans
_Floor Drains m r or
_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
Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ No. h r
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 JZ/'2' �C�,_ X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date: l l 5
I
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: 101h1-,7f''15
Environmental Health:
Building Plan Review -:�NarXFt-L- ✓ 17 SPA wpC ��� /,S7D
iV V4T- mAi^rt-,4i/V f!- 'To Sig4e- S'�TBA-Lt—
Occupancy Group:mn[3ii Type of Const:
Fire Marshal:
Other:
Special Conditions: No %ANC f=o2 FEES
be-LkS &D -4/1 Zest ciG Building Permit
:b Be Bi�t(c7r- W/o 4 ,G�lzwi7— /S Plan Check
J"36 ,14 6 1" `N 4-i r4- 77-1 0 N �r Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE