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Home My WebLink AboutBLD96-01260 Cancelled Mobile Home - BLD Permit / Conditions - 10/29/1996 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 IE3 U I L_ D I N G P E RNA I T FOR INSPECTIONS CALL 427-9670 BETWEEN 5pm AND Sam 427-7262 BLD96-1260 PARCEL :321341390100 PLAT : DIV : BLK : LOT : JOB ADDRESS : E 441 MIKKELSEN RD SHELTON OWNER : LINDA COMBS 427-4404 CONTRACTOR : ROBS EXCAVATING 427-8917 LEGAL : TR 10 OF SI NE TR C OF SP #785 SEE SURVEY 8132 CLASS OF WORK :NEW BEDR : 3 BATH : 2 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT TYPE OF USE . . . . :MH STORIES . . . . . . . : 1 OCCUP . GROUP . . . :? BLDG . HE I GHT . . : 0 .Oft R L C $ 42.00 KS 11/12196 4 343 7 TYPE OF CONST . . :? FIREPLACES . . . . : 0 EHIP E 52.00 KS 11112196 4 343 7 OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 MHOF $ 150.00 KS 11112196 43437 DWELL .UNITS . . . . : 0 PARKING SPACES : 0 STFE $ 4.50 KS 11/12/96 43437 1 � I INSPECTION AREA : 3 SHORELINE? . . . . : N TOTAL: 248.50 VALULAT ION: 0 SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME-- FRONT . . . 0 .Oft BATH BASINS . . . . . . : 0 0-3 HP . : 0 REAR . . . . 0 .Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : SIDE ( 1 ) . 0 .Oft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 -MAKE------ SIDE (2 ) . 0 .Oft WATER HEATERS . . . . : 0 FURN >=100K BTU : 0 30-50 HP . : 0 SHRLINE . 0 .Oft CLOTHES WASHERS . . : 0 FURN - FLOOR . . . : 0 50+ HP . : 0 -YEAR------ AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 LOT SIZE . . : FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0 BUILDING . . . : Osf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0 BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN :O -SERIAL#---- DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN :O GAR/CARP :? Osf GARB DISPOSALS . . . : 0 <= 10000 cfm . : 0 RELOC/ REPAIR : 0 AT/DT . :? URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : 0 MISC PLM FIXTURES : 0 GAS OUTLETS . : 0 PROJECT DESCRIPTION:MOBILE HOME PROJECT LOCATION:HWY 3 LEFT ON MASON LAKE RD RIGHT ON MIKKLESON RD .25 MILE LEFT AT ADDRESS POST WITH FOURTH ON IT RIGHT SIDE OF ROAD FOLLOW PERC SIGNS. o ! iuN AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD .,tNCED.` EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD. FINAL INSPECTION MUST BE APPROVED BEFORE BUILDING CAN BE OCCUPIED. 1 r i OWNER OR AGENT: J& DATE: %�� _ �� 4 BLD-PRMT, rev: 03131191 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED Q MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 1`3 U 1 L.. D 1 NO PERM I FOR INSPECTIONS CALL 427-9670 BETWEEN hpai AND Sam 427-.7262 BLD96-1260 PARCEL :321341390100 PLAT : DIV : E3t.Kr LOT : JOB ADDRESS : E 441 MIKKEL-SFN RD SHEL.TON OWNER : LINDA COMBS 42f -4404 CONTRACTOR r ROBS EXCAVATING 427-8917 LEGAL : TN 11 OF SW OF T1 C OF SP t115 SEE SIOVEY 102 .kt'R 'ABYY7.-Ytt2'.^= LCS�^A'ti:+ v� CLASS OF WORK . . :NE A BE`.DR : 3 BA TH 2 TYPE A1001 BY DATE RECEIPT TYPE AMO»NT BY DATE AFCE I PT1 TYPE OF USE . . . . :MH STORIES . . . . . . . . 1 =mom= OCCUP . GROUP . . :7 BLDG . HEIGHT . . : O .Oft RtC = 42.00 KS 11/12196 43437 TYPE OF CONST . , : 7 F I REPLACES . . . c 0 EHIP 2 52.11 KS ti112196 43431 OCCUP . LOAD . . . 0 WOODSTOVES . . . . t 0 bNof 1 150.11 KS 11112196 43437 DWELL .UNITS . . . .. : 0 PARKING SPACES : 0 STFE i 4.56 KS fill?196 43437 INSPECTION AREA : 3 SHORELINE? . . . . :N TOTAL: 248.60 VALUtAT ION: 1 ...•,c_._-=:.sr;.av:.rs-:...-xsr:..-.---.�:�:... ems^.x..c�:.�aarc:sz�c-;.:saa SETBACKS -- - -- ----- TOILETS . . . . . . . . . . . 0 FUEL TYPES------ _._.__ _ BOILERSICOMP--- -- MOBILE HOME— FRONT _ O .Oft BATH BASINS . . . . . . : 0 s 0•-3 HP . . 0 REAR . . . . 0 .Oft EZA.TH TUBS . . . . . : . . 0 3-15 HP . ! 0 MODEL - S I DE I 0 .01ft SHOWE:RS . . . . . . . . . . 0 FURN -: 100K BTU : 0 15 -30 HP . : 0 --MAKE.--...-_. . _ IDE ( 2? . 0 .Oft. - WATER HEATERS . . . . : 0 FURN >g100K BTU : 0 30-50 HP . : 0 SHRL I NE . O .Oft ;CLOTHES WASHERS , . : 0 FORN FLOOR . . . : 0 50+ HP . 3 0 -YEAR- -.-- - j AREA --__.__._.__ ____.__ KITCHEN SINKS _ . : 0 HEAT PUMP _ . . . : 0 LOT SIZE . . e FLOOR DRAINS . . . . , : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0 BUILDING _ : O,f DRINKING FOUNT . . . ; 0 VENT FANS . . . . . . : 0 HOODS . . _ . . , 0 WI D'I•H . : 0 � BASEMENT , 0:3f LAUNDRY TRAYS . . .. . , 0 DOMES . INCIN :O --SE:RIAL#----.-- DE:CKS . . . . Osf DISHWASHERS . . . . . . 0 AIR HANDLING UNITS-- COMML . INCIN :O GAR/CARP :? Osf GAREa DISPOSALS . . . : 0 <— 10000 c:fm . : O RELOCIREPAIR : 0 AT/DT . e? UR I NAL.S . . . . . . . . . . : 0 > 10000 ctm . : 0 OTHER UNITS . : 0 MI SC PLM F I XTUPE:S : 0 GAS OUTLET.'-..'• . s A ice.:.. ;nesam.:.r_rcrssmmc:cca-zr.+.-.^�aarme:-.�cx.:aacaer:ranee:z:a^.rx:orma:�cxtac<as,�siearx^sc>a:�—s xx�:sc�ac�-:.��.•�rasmcrrsa[-;:c+-rxm:+.aseasaxnerm+rr_ raa:-:=tee-�=v:ay.sa. a I PROJECT /ESCIItTI0N:M06lIf NONE 1 PROJECT LOCATION HRY 3 tff; ON MASON LAKE RD RIGHT 00 111KXIESOM 90 .25 MILE LEFT AT ADDRESS POST WITH FOURTH ON 17 RIGHT S1OE Of ROAD FOU OW PERT: S1&lit, THIS PEIMIT BECOMES ANTI AN1 1011 IF 101K 01 COKSTIDCTIO# AVINOIIZ.ED IS NOT COMMENCED WITHIN 160 DAYS 04 If CONSTRUCTION 09 1081 IS SUSPEIDEO FOF. A PERIOD OF 191 DAYS AT ANY TIME AFTER WORK IS COMNENCIP. EVIDENCE OF CONIIMUATION BF WORK IS A PROGRESS INSPEITION 1110IN TOE i$M [JAY PEAfOD. FiNAI 11SPFC1101 MUST BE APPROVED RFFORE RUII011IG CAM RE OCCVFIFI. OWNER OR A6EkT: j r^ _ DATE: PIO_11111, riv: 03131!9t COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED i 1 I CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date b BG/SLAB Insulation Floors Final ��//cT by date by date by date Z f f FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by -�? R 6 �a OCR Aqq ` N i I II J MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 �i 1 V Case No . : BLD96-1260 For : LINDA COMBS Page : 1 1 ) This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance 1 .03 .036 . -�� )I> 2 ) 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 ) �i 3 ) 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 X 1_4- -�(,0Ulty �nd State Road right of ways . 4 ) Approved per dimensions and setbacks on submitted site plan . X /2� 5 ) Applicant acknowledgges that this development is subject to policies and regulations of MasQA County,Comprehensive Plan and Development Regulations . � x � Z I ), 6 ) Sub ' ect to et e conditions of Resource Lands and Critical Areas ( RLC ) Checklist notification I ;r . 7 ) PURSUANT TO 1994 UNIFORM BUILDING CODE , SECTION 305 ( C ) AND SECTION 513 , 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 IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . MASON COUNTY Mason County Bldg, III 426 W, Cedar P.O. Box 186 Shelton, Washington 98584 I� t` RM 1 T C40N0 1 T' 1 C-)PJ (;a se No . : BLD96 - 1260 For : L I NDA COMBS Page : 1 1 ) Th i r: a1,pl i cation is sub lecat to Buffer, and Landscaping requirements as establ i hed tinder Hagon bounty Ord i nsi4ce 1 .03 .036 . 2 ) The use , handling and storagge of hazardous materials or flammable and combust i b 1 e liquids in excess of 10 gallons is not altowed without the approval of the Mason County Fire Marshal . 3 ) Proposed structure or any portion thereof greater, than 30" In height from grade fine , must maintain a minimum of b ' setback from all property lines , easements and 10 ' front ali..._;(;ounty 4pd StRto Road right oi ways . 4 ) Approved per dimensions and set:tihok s on submitted site plan . X___,: 5 ) Applioant acknowledges that this development is subject to policies and regulations of Masojp County Compre ensive Plan and Development Regulations . X s ! 7 J. , 6 ) Sub ect to conditions of Resource Land:, and Critical Areas (PLC ) Checklist notificatioif let er . 7 ) PURSUANT TO 1994 UNIFORM BUILDING CODE SECTION 305(C) AND SECTION 513 ALL SITES MUST HAVE APPROVED NUMBERS OP ADDRESSES PR6VIDED IN SUCH A POSITION AS 10 St PLAINLY VISIBLE AND LEGIBLE FROM TOE 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 9 ASFD ON RAPES IN TABLE 3.A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNEA1CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 8 ) REQUIRED INSPECTIONS ( Footing Inspection-prior to pour , Set-up Inspection-prior to skirting , Final Inspection-prior to occupancy ) . I have received a copy of the General Information and Guidelines-Mobile/Manufactured Housing Installations Handout for detailed descriptions of all required inspections on my mobile/manufactured home installation . I hereby assume all responsibility for the scheduling of these required inspections . If these required inspections are not requested , inspected and signed off ( approved ) by the inspector in the prescribed order , I understand that reinspection fees and an hourly investigation fee pursuant to the 1991 UBC , Table 3A will be assessed in addition to my original permit fees to resolve any questionable practices or problems that have been discovered . I further understand that this investigation will be scheduled as time allows . Until resolution of any/ all problems no occupancy ( Final Inspection ) will be granted for the residence . OWNER/CONTRACTOR ( indicate which ) Signature X, 9 ) All mobile/manufactured home landings or decks must be freestanding ( self supporting ) . The largest landing or deck permitted without drawings or a building permit is 36" x 36" . Any landing or deck that is 30" or more in height from walking surface to finish grade requires a guardrail . Any landing or deck that has 4 or more risers requires a handrail . Any landing or deck larger than 36 " x 36 " must be permitted which requires structural drawings and a building permit application . This Installation Permit does NOT include any landing or deck larger than the 36 " x 36 " size . X 1 � � 10) OWNER MUST SHOW PROOF OF SATISFACTORY WATER SAMPLE & CAPACITY TEST PRIOR TO TEMPO�3ARY/ PERMANENT OCCUPANCY OF THE RESIDENCE . X J� 2 0 MASON COUNTY Mason County Bldg, III 426 W, Cedar P.O, Box 186 Shelton, Washington 98584 X 8) REQUIRED I NSPECT i ,-,NS ( Footing Insppsc�t i on--prior to pour Set--tip I nspeact I on--prior to skirtin ! Final Inspection--prior to occupancy) . I have received a copy of the general Informs " on and Guidelines-Mobile!Manufaotured Housing installations Handout for detailed descriptions of all required inspections on my mobile/manufactured home Installation . 1 hereby a,3sume all t espons i b i l i ty for, the scheduling of these required Inspections . If these required Inspections area not requested, inspected and signed off ( approved ) by the inspector In the prescribed order , I understand that reinspection fees and an hourly Investigation fee pursuant to the 1991 USC, Table 3A will be assessed in addition -to ray original permit fees to resolve any questionable practices or Problems that have been disoovered . I further, understand that this Investigation will be scheduled as time allows . Unt i I resolution of any/all problems rao occupancy (Final Inspection ) will be granted for the residence . OWNER/CONTRACTOR ( indicate which ) Signature X- 9) All mobile/manufactured home Iandin, or decks must be freestanding ( self supporting) . The largest landing car deck permit ed without drawings or- a buildinig permit Is 36" x 36" A►iy landing or deck that is 30" or more In height from walking surface to finish grade requireps a guardraiI . Any landing or deck that has 4 or More risers requires a handrail . Any landing or deck larger than 36" x 36" must be permitted which requires structural drawings and a building permit application This Installation Permit does NOT Include any landing or deck larger than the 36" x 36" size . X 10) OWNER MUST SHOW PPOOF OF SATISFACIONY WATER SAMPLE CAPAC )IY TEST PRIOR TO TEMPOnARY/ PERMANENT OCCUPANCY OF THE RESIDENCE . Building Permit # MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location ,may /t 11� jC/ I r'e) This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain code compliance �14 Z 7z>-,4cc 4 ,Qfoe,- Off✓ /��1� I 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 Department , /i' f' Date _ l —> Inspector / u /2c �S • �� N �T MOOV T141' - " Tm ,0[ qi Building Permit e4��40 MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location This structure has been inspected by Mason County Building Department and the following VIOLATIO4 of Pounty Laws and Ordinances has been found: �nAxS1)c�e N �Q i I ' � � / nNO NOT- I N S � l��2 !`h ►��c.�,��-Gr.c'a�S � ��t,�t£�n EIS Items listed belo must a corrected to gain code compliance S _ 20 K d rile '�-ke/070at -7/7V5 0- 7'11 o Ck iF ) /�d re--ef 09 .I AIr Sp CC7110 / (D O /� '�i�e A 7'l� c� t N l�►9 w L- 5 V�C E� WOOD r U e-fs o I- j+Aojr- O�(/ Fog a !moor x,n r 14oA-ie< �e�-,,.x�,e�-Q y sT��s �• You are hereby notifieqhhat th above corrections shall be made BEFORE PROCEEDING WITH A FU TI ER WORK ❑ Call for re-inspection when correction are made before continuing a Make corrections, items will be checked on next inspection ❑OK to Id Department f v Date -1 —z6— 7 7 Inspector n o* * NnT ► MnV THI _ , T " ,� tYVS 10060 2 ,l2• ww-10060 2.1rz• ! 6• 1/2- tWS-10090 2-1/2• tWS-1009OG 2.1/2' WW-10090 2.1/2• 1"B 9• 31/2' 4-1/2' 300 twS100120 2-1/2' 12' 6.1/2- tWS-12590 3.1/2' 91 2-1/4" tWS•125120 3-1/2' 1.1/4'/7 12• 5-1/4• 5-1/2• 500 Tie wire Eye Dia. TWS-1400 N/A 114' 2-3116' 9/32• 1-1/8' 1 N/A PERFORMANCE CHARTS CARBON STEEL STAINLESS STEEL tCaftm SOW awbor sues WwO7fr'adwmttrpre=mhrss VOW upansme*3 Larprrdw-frrc&'bW stw ad par+aw*mcW%pw coam she/upusrw dos AI sue sWaUss steel arclors pw stkmMss steel 4000PSI 4000PSI tjjmm C tD*wW canoe AW c* Embeo- Uttxnate "ate Embed (1tbm7te tlttMfl7te Urroafe bee CAuXAfy n 4(X17 PSI stag ag7egare-acrefe L#rrwte aiW ao star 60S are rdcated for tre eenrr of mft"era n co fele snam n Or Erraoed err n Cmcmre calm Based on row&-Oent Tesrrp Andw meM In Polder• Shear* Anchor meet in Puloat' Shur' tao0.way rests Size Concrete Lbs. Lb& Sin Concrete Lb$. Lbs. f I,r afar.,w c.N"steer anus om restea at a aeom of K}117'for tens*caoacres aw V'for&fear 1-1/8" 1559 1828 1-1/8" 1869 2354 r aamerer sraakss steer a CA=owm restea at a aepm of 101,7 to tensile caaactes aro 10114"fo veat 1 1/4" 1-15/16" 2999 1910 114" 1-15/16" 3084 2375 Sak wmry baz b'sme nstallatrats aw srafc ktadov SMtrr1 to erceea 25%of tfe urrr we tow c3oaary 2 3/4" 3051 1991 2.3/4" 3102 2395 For WwrWAcn on afe•;orators caeaa Vw nearest/achy tepmserrarne Fa 6W caµ"es n stnctUral hVPrVeQV agprepare coacfere refer to CBO Aepar n1372 or contact TeC1nK-al 1-112" 3219 4029 1.112" 3145 4338 SenceDepxm?an 3/8" 3" 5678 4305 3/8" 3" 5661 5012 For eomne Ur twpaatae agooc ms use starless steer aVw 4.1/2" 5935 4581 4-112" 6396 5686 hOTE Caaaores sfown in Sekcron Cnan are ease0 on most recce festrq peffWrra7 n Candurce el)AS TM 2-114" 6032 9542 E 454 aW CW Fesumn Committee Staroaros to Testrp Euarcsxn Ancnas in Corrmfe 112" 4-1/8" 7333 7449 1/2" 4-1/8" 8593 9773 '— <� A--" •rrtacates 8) tmrq 6" 9974 10003 " W*1 "000 materW may w Type 303 or Tyre MM accaary to meat f=n ellcency Type 302W meers c=sm revsfanr p;t<erres of Type 303 aro 304 2-3/4" 8000 12478 2-3/4" 7646 13339 — 5/8" 5-1/8" 10178 13285 5/8" 5-1/8" 11897 14227 7-1/2" 12453 14092 7-1/2" 12791 15115 Also available in 3-1/4" 9921 18128 3-1/4" 10069 18773 O tie-wire version. 3/4" 6-5/8" 16489 18585 3/4" 6-3/8" 16027 2179 =5 1 10" 19W 19042 9" 16839 24153 3-3/4" 13672 25122 4-112" 18988 33408 C 7/8" 6-1/4" 20029 25122 1" 7-3/8" 20764 36260 1 8-3/4" 20707 25122 10-1/4" 22755 39111 4-1/2" 20871 28431 1" 7.3/8• 30610 29763 10.114" 37820 31094 A A o 5 81, 57161 46776 1 1/4" 8" 53261 46776 10-112" 60417 48689 Tie Wre 1-1/8" 1559 N/A Trubolt° Anchor and Tie Wire Wedge Anchor Selection Chart 302tt0M" 316 Anchor B Carbon Galvanized Stainless Stainless Diameter Max. D eel Steel Steel Steel 8 Drill Thickness Min. Instal- C C C Bit Size/ A of Material Embed- lation C i Catalog Tbmad Catalog Thread Catalog Thread Catalog Thread Threads Length s be merit In Ft.Lbs } Number Number Len Number Len th Number Len Per Inch Length Fastened Concrete (Ft.Lbs.)4 WS-1416 3/4' WW-1416 3/4' SWW-1416 3/4' 1-314" 3/8' WS-1422 1-1/4' WW-1422 1-114' SWW-1422 3/4' 1/4"/20 2-1/4' 17/8' 1-1/8" 8 WS-1432 2-1/4' WW-1432 2-1/4' 4•WS-3822 1-18' O-WW-3822 1.118" 2-1/4" 318" '•WS 3826 1 SB' ♦•WW-3826 1-5/8" 4•SWW-3826 1.5/8" 2-3/4" 17/8' 1•t/2" 25 / "/16 3' #•WS-3830 1-7/8' �•WW 3830 1-7/8' 4•SWW 3830 1.7l8' 3 8 ♦•WS-3836 2-5/8' 4•WW-3836 2-5/8' 4•SWW-3836 2-5/8' 3 5" 1-7/8" ♦•WS 3850 2-1V #•WW-3850 2.12' S" ♦•WS 1226 1-1/4" #•WS-1226G 1-1/4" 4•WW-1226 1.1/4" *•SWW1226 1-1/4' 2-3/4" 1/8" ♦•WS-1236 2.1/4' *•WW-1236 2-1/4" #•SWW-1236 2-114" 3.3/4' 1" f•WS-1242 2-3/4' 1•WS-1242G 2-3/4' ••WW-1242 2-3/4' /•SWW-1242 2-3/4' 1/2"/13 4-1/4' 1-112" 2-1/4" 55 ♦•W -1254 3' 4•WS-1254G 3' 4•WW-1254 3" 4•SWW-1254 3' 5-12' 2-3/4" ♦•WS-1270 4-12' 4•WS-1270G 4-12' 4•WW-1270 4-112' 7' 4-1/4" ♦•WS-5834 1-3/4' ♦•WS-5834G 1-3/4' 4•WW-5834 1-3/4' 3-12' 1/8" ♦•WS-5842 2-12' 4-t/4' 718" ♦•WS-5850 2-1/2' #•WW-5850 3-1/4' ••SWW-5850 3.1/4' 5" 1-5/8" 4•WS-58W 3-12' 4•WS-586OG 3-12' ♦•WW5860 3-12' 5/8"/11 6' 2-5/8' 2 314' 90 #•WS-5870 4-1/2 f•WW-5870 4-1f2 7" 3 S/8' ♦•WS 5884 1-3/4' 4•WW-5884 1-3/4" ♦•SWW-5884 1-3/4" 8'10/2" 5-5/8' f•WS-58100 1-3/4' O 4-1/4" 1/4" ♦•WS-3442 1-314' 4•WS-3446 2-1/4" ♦•WS-3446G 2-1/4' ♦•WW3446 2-1/4" 4-SW I-3446 2-1/4" 4-314" 3/4" Y 4•WS-3454 3' /•WS-3454G 3 4•WW-3454 3' 4•SWW-3454 3" 5-1/2" 1-112" 5 6-1/4" 2-114' 4•WS-3462 3.3/4' 3/4"/10 7" 3" 3-1/4" 175 4•WS-3470 4-12' 4•WW 3470 4-12" ♦.WS-3484 1-3/4' 4•WS•3484G 1-3/4' 4•WW3484 1.3/4' 812" 4-1/2' - 4•W$34100 1-3/4" 4•WW-34100 1-3/4" 10" 6" 12" 8" 4•WS-34120 1-3/4' - 6" 1.3/8' WS-7860 2-1/2' WW7880 212" 7/8'/9 8' 3.318" 3-314" 250 WS-7880 2-12 - ' 10" 5-3/8' WS-78100 2.12' BIIILDING PERMIT q l.o ` Z- 6 0 �/ WO DATE 1 D l L Planner Area 4 , 13 t 9o)oo v � CHECKLIST FOR PROPOSED CONSTRUCTION Yes No A [ ] [X Within 200 FT of designated shoreline, wetland, or associated wetland Where? [ ) [ ] Proposed construction on/over/in wetland [ ) [ Proposed construction within floodplain [ ] Eagle nest State road access needed [ ] [ 7 Commercial Development (parking standards, sign ordinance, public works review, other applicable agencies) [ ) [ ] Mobile Home or RV Park [ ] [ ] Exempt from building permit application [ ) [ ] Exempt from SEPA process (WAC 197-11-305, WAC 197-11-800) [ ] [ 7 Meets all requirements (which section (s) of SMP does proposed construction pertain to?) I ] [ ] Variance or Conditional Use Permit required I ) [ ] Exempt from Shoreline Substantial Development Permit process (Wac 173 -14 -040) I ) [ ) Exempt from Substantial Development, but within Army Corp_ jurisdiction (WAC 173 -14 -115) [ ) I ] Address needed MEMORANDUM DATE: August 20, 1996 TO: Department of DCD - Planning Divisio FROM: Director of DCD RE: Policy Regarding BLA 8 ail POLICY The following Policy will be followed to clarify Boundary Line Adjustments : 1 . Boundary Line Adjustments between parcels, that are less than five acres in size, located in designated Rural Areas of Mason County (non-conforming lots) are allowed to do a Boundary Line Adjustment so long as all other applicable requirements including those of Environmental Health, are complied with. 2 . Boundary Line Adjustments that would result in a conforming parcel becoming non-conforming will require an administrative variance from the Director of Community Development if the differential is 10t or less (no fee) . If the differential is greater than 10% the applicant will be required to secure a Variance from the Board of County Commissioners (fee $400) . GARY YANDO,DIRECTOR �oN.sTAA o A v N DEPARTMENT OF COMMUNITY DEVELOPMENT S T Z PLANNING -SOLID WASTE- UTILITIES N Y y BLDG.-I • 411 N. 5TH ST..• P.O. BOX 578 OJ yesa SHELTON,WA 98584 • (360) 427-9670 DISCLAMMR/WAIVER OF COUNTY LIABILITY:PERMITS ON EXISTING LEGAL LOTS OF RECORD, LAND DIVISION APPROVALS, SHORELINE PERMITS, VARIANCES,AND SPECIAL USE PERMITS: The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created by the Growth Management Hearings Board's Order of October 2, 1996, and in consideration of Mason County's willingness to proceed with processing of applications which might be affected by that Order, the undersigned property owner hereby agrees to waive any lawsuit, action, or claim for damages against Mason County which may arise out of Mason County's actions in acceptance, processing and/or issuance of such permits or approvals (hereinafter"permitting actions'),which damages are attributable to the County's decision to take permitting actions despite the risk that changes to the County's development regulations might later make the County's permitting actions invalid. Date (Parcel No. or Legal Description) Property owner's signature(Notarized) 'or "�S�ronf� :�� (or the County may accept the signature of the owner's authorized agent upon proper proof of authorize ' 79Fs.' f_; V40TARY PU UG ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL) �� OF WA ��'� STATE OF W( � COUNTY OF On this a day of , in the yearq before me ^"11 f Il7Li ( oc:> • Notary Public, personally appeared personally known to me to be the person whose name is subscribed to this instrument, and acknowledged that he/she executed it. WITNESS my hand and official seal. -For County use only- ReviewWate)(02 licant on Notary's signature / Staff Initial: My Commission Expires: J y He(;Yded r 7 Permit No. MASON COUNTY BUILDING PERMIT APPLICATION C 426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670/1-800-562-5628 ,(1�! p /tp PLEASE PRINT / / e-� #1 O er L n�'�"& 0 0 w''4S Phone# J 100' qr_� r g 4 U Site Address fE!v L{ 1 M i if 15 e i� ` (1 t Fire District# City I hS� -) St(K,'CA _Zip Directions to Job Site 44t , , V h L k c.Q - y Addyes-,N , \ + - D r Q D yr+4 C , gk � hf Z,' Ce a-� Pry Owner Mailing Address '� C� C7�u fQ si D r i J e City St )a—. Zip Lien/Title Holder Address City St Zip #2 Contractor Name Q'c NG Contractor Reg# n o1�K� Address Tast 1871 Johns Prairie Rd. Expiration Date /�S CityShelton WA 9 St Zip Phone# �W9-7 � P #3 If septic is located on project site, include r;�?ya__ Connect to Septic? ublic WA�ate Well Connect to Sewer stem? f System (If residentia roof of potable ter is required) #4 arcel No. a - - 10 D 4 Legal Description �� C bra c+ 5 • �/3 Z #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / o Garage / Carport / (Circle:Attached or Detach Other sq. ft. / �^ OCT 1 1 #6 Use of building _=�X. Describe work #7 Type of Job: New��Add Alt Repair Other #8 MOBIL5;y URED HOME I F T Model Make �olG 'Q ti;c� nt (�ti,c� (J(`� f?c� Length h Serial No. <J # Bedr # Bath ooms Type of Heat E I eCA Y i C✓ Purchase Price$ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: x y River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other /v Ifr 1K. 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 _1c I \ � Z Q� .4- -►� I V t � 0''r f5c 3. .2 2 -- APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Ic Plumflina Fixtures ($3.25 each) Fee Mechanical Fixtures ($6.50 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other Bath Tubs No. Units Fees Sh ers Furn BTU Hot Water r _ Heat ps _Laundry Washer ent 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 Fi Fire Supp. Sys 50.00 Permit Bas' Fee 16.25 Auto Fire rink Sys 35.00 TO L 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 16.25 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD 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, "n ( � ��• ��J'3 t X BY DATE l C� /- DATE FOR OFFICIAL USE ONLY: Accepted by: 1 Date: Z Z// DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold 1, Approval Planning: O Gfi)VCtf vtio Environmental Health: ghdrisqt ,M0Q-iQE- Building Pkaq Revie C' Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other iL Other Building Valuation: TOTAL FEE