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Home My WebLink AboutBLD2003-01256 Final SFR - BLD Permit / Conditions - 3/15/2004 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 1P4 Shelton,WA 98584 RESIDENTIAL BUILDING PERMIT BLD2003-01256 OWNER: MARC BUCHHEIT RECEIVED: 9/3/2003 CONTRACTOR: ALLEN HOMES AND CONSTRUCTION LICENSE: EXP: ISSUED: 10/21/2003 SITE ADDRESS: 681 E GREENVIEW LN SHELTON EXPIRES: 4/21/2004 PARCEL NUMBER: 321352390011 LEGAL DESCRIPTION: LOT: 1 OF SP#2245 PROJECT DESCRIPTION: DIRECTIONS TO SITE: SFR HWY 3 NORTH L MASON LEK RD, R MIKKELSEN RD R GREENIEW LANE, 1 MILE DOWN ON LEFT General Information Construction &Occupancy Information Square Footage Information No.of Bedrooms: 3 Type ofConstr.: VN Type of Use: SF Insp.Area: No.of Bathrooms: 2 Occ. Group: R3U1 Lot Size: Deck: Type of Work: NEW Fire Dist.: 5 No.of Stories: 1 Occ. Load: Building:1,292 Garage-Attached 528 Valuation: Building Height: Occ. Status: Primary Basement: cov porch 180 Manufactured Home Information Setback Information Shoreline&Planning Information Water Body: Make: Length: Ft. Front: W 150.0 Ft. Shoreline: Ft. SEPAy: No Model: Width: Ft. Rear: E 107.0 Ft. Slope: Ft. Shoreline Desi Side 1: N 107.0 Ft. g Year: Serial No.: Side 2: S 75.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Dishwasher 1 Exhaust Hood 1 Plan Check Fee KS 9/3/2003 $632.29 S12003 Hosebibs 2 Exhaust Hood 1 Planning Review Fee KS 9/3/2003 $150.00 S12003 Kitchen Sink 1 Gas Outlets 2 Address Fee GMM 9/4/2003 $140.00 S12003 Lavatories 3 Propane Tank 1 Adjust Plan Check Fee DLC 9/12/2003 $13.65 si2oos Showers 1 Ventilation Fan 3 Building State Fee DLC 9/12/2003 $4.50 s120o3 Water Closets (Toilets) 2 Propane Stove 1 Building Permit Fee DLC 9/12/2003 $993.75 Si2003 Water Heaters 1 Dryer Vent 1 Mechanical Fee DLC 9/12/2003 $123.90 512003 Bath Tubs 1 Mechanical Base Fee DLC 9/12/2003 $23.50 S12003 Clothes Washer 1 Plumbing Fee DLC 9/12/2003 $77.00 S12003 Plumbing Base Fee DLC 9/12/2003 $20.00 S12003 Public Works Review AT 10/6/2003 $39.22 S12003 EH Plan Review CEW 10/7/2003 $75.00 S12003 Total $2,292.81 J��BLD2003-01256 Please refer to the following pages for conditions of this permit. 1 of 5 CASE NOTES FOR BLD2003-01256 CONDITIONS FOR BLD2003-01256 1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-9982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 'fS 2) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building Department prior to any further inspections being performed or approvals granted. X --ZZz 3) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located 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 re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or contractor fail to post the address on site prior to requesting inspections. X 4) 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 5) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason County ordinances and building regulations. X J2 6) The plan review check list and corrections, along with the Energy Compliance Worksheet(when applicable)are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or removal of approved documents will result in failure of required building inspections. X 4 BLD2003-01256 Please refer to the following pages for conditions of this permit. 2 of 5 7) The"approved" plot plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" plot plan is not on site, then approval will not be granted. In addition, a re-inspection fee(refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. X _-�t 8) Washington State Energy Code Compliance has been approved using the following: Heat Type: Electric or other fuels Compliance Method: IV Window(Max U-Factor):0.40 Skylight(Max U-Factor):0.58 Doors (Tte/Max U-Factor):0.40 or less, Wall insulation R-21 , Floor insulation R-30 , Ceiling Insulation R-38, Vault Insulation R-30, Slab Insulation R-10 X _� 9) The Uniform Fire Code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150'from an approved access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where such roads connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 10) All construction must meet or exceed all local ordinances and the 1997 Uniform Building Code requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. X —4i, 11) Placement of structure must comply with standards setforth per 1997 UBC Chapter 18 regarding descending and/or ascending slopes. X __dl�? 12) All changes to"approved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction. X > 13) The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the Uniform Codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shall be made prior to requesting additional inspections. X � 14) All propane tanks must be installed in accordance with the Uniform Fire Code and all applicable Mason County ordinances. All propane tanks must meet the install tion requirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks. Xj 15) Fuel piping shall be inspected after the installation of gas piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the time of inspection the test pressure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system shall not be use until the final inspection has been performed and approved by a Mason County building inspector. X 16) All property lines shall be clearly identified at the time of foundation inspection. X BLD2003-01256 Please referto the following pages for conditions of this permit. 3 of 5 17) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have prevented action from being taken. No more than one extension may be granted. X. _..41 7 18) The approval of this project is subject to the recommendations and specifications outlined in the attached geotechnical report or assessment. Structures and/or land modifications (grading, cuts,fills, etc.)required in the geotechnical report/assessment, may require a seperate permit. The geotechincal report/assessment shall remain attached to the approved building plans. X 19) All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X ;,;j 20) All construction and debris must be removed from the area after project completion. Proper disposal of construction debris must be on land in such a manner that debris cannot enter the ravine or cause water quality degredation of State waters. X -,191- 21) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. Silt fencing must be installed and maintained until upland vegetation has become established. X _ '?-Z 22) Approved per dimensions and setbacks on submitted site plan. No allowable buildable area shall be allowed along the south and west side of the proposed residence due to location of Type 4 stream. X 23) The Mason County Resource Lands and Critical Areas Ordinance requires vegetative management of the site. There shall be a minimum disturbance of trees and vegetation in order to minimize erosion and stabilize Landslide Hazard Areas. Limbing trees for view purposes is preferred over tree removal. Vegetation shall remain undisturbed along top of ravine and steep slopes to prevent erosion and siltation from entering stream .X 24) Regulations which apply for GRADING of the site (per Mason County Resource Lands and Critical Areas Resource Ordinance): A. No grading shall be performed in Landslide Hazard Areas or slide prone areas prior to obtaining a grading permit subject to approval by the Director and based on recommendations contained in the geotechnical report with slope stability analysis and grading recommendations. B. Clearing, grading, and other construction activities shall not aggravate or result in slope instability or surface sloughing. C. Undergrowth shall be retained to the extent feasible. D. Clearing methods which minimize soil disturbance shall be used. E. No fill, dead vegetation (slash/stumps), or other foreign material shall be placed within a Landslide Hazard Area. X BLD2003-01256 Please referto the following pages for conditions of this permit. 4 of 5 25) Site is located hin an unstable Landsl' a Hazard Area. A uate drainage/sil tion control/st water plan mus a submitte r review prio 0 evel t, tearing, co r cti on the ite a us t be a r Mas ount g, ilding, an is Wor r' r to vet pm Develop ent sh I esigne res a the na al dr ' ge cours i e ar Sur c inage, i g wnspo all not b d' ecte on in 50 feet a or onto the fac o Landslide ar ea or it's ated buffer. / 26) Proposed structure(s) must maintain a minimum of a 20'setback from all property line , easements and 25'from all County and State Road right of ways. X ^4J 27) All changes to"approved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction. 28) Applicant acknowledges that a type 4 stream flows in a southeasterly direction, estimated at a range of 115'to 125'from the south and west portions of the proposed residence. The type 4 stream eventually intersects with Cranberry Creek a Type 1 stream near the north property line. Per the Mason County Resource Ordinance Fish and Wildlife Chapter 17.01.110, a vegetative buffer is required to protect the Fish and wildlife Conservation area of 100 feet of undisturbed vegetative buffer and 15'building setback. Activities contemplated in the buffer are subject to additional planning review and permits. No structure is allowed in buffer without further planning review. x This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended fora period of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. OWN ER OR AGENT: DATE: BLD2003-01256 Please referto the following pages for conditions of this permit. 5 of 5 . ; p3 %�t5��%c�•-'cam J CONCRETE MEC' IJANICAL MANUFACTURED HOME Footin s /Setbac s Date s; B Ribbons Date It ( o '3 By �(, Gas PIP Date By Foundation Walls Date By Set-up Date By INSULATION Date By B G / Slab Insulation Floors Final Date By Date Z 3 N B Date By FRAMIN A Walls FIRE DEPT Date /I/7F� ,/ ;) Date Z U'-/ Date By PLUMBING Attic OTHER Groundwork Date By Date By WAL BO RD NA D.W.V. Date�/z 041 B Date Z151W � 'C FINAL INSPECTION Water Line Date By Date / /' Date By CD LQ : . s i 10q n3 - tl Ob D 3 s tS 0 L 8 - 2 ZZJ03 r/P z 4 - Z - G• �1- ��<<'� �'/d�-tom' �.rrU��fj/�i� CD �k s Er Rio CIL CD ni N 1 0 oN_STATE MASON COUNTY BPS e DEPARTMENT OF COMMUNITY DEVELOPMENT M o A° Planning Division i o T z P O Box 279, Shelton, WA 98584 N Y ~ (360)427-9670 1864 NOTIFICATION OF INCOMPLETE APPLICATION September 22, 2003 MARC BUCHHEIT 691 E GREENVIEW LANE SHELTON WA 98584 Parcel No.: 321352390011 Project Description: SFR Dear Applicant: You have submitted a permit application (case no. BLD2003-01256) for proposed construction or development in the county. Upon review of your application, I have determined that the contents of the application are incomplete or do not provide enough detail for review. Therefore, review of your application will not proceed until the necessary information is provided (see the comment section of this letter for details.) Once the information is submitted and the application is complete, I will continue to process your application accordingly. If the additional information is not provided to the County within 180 days of this request, the application shall expire and no further action on the proposed development shall take place. Please contact me at (360) 427-9670, ext. 363 if you have questions. Sincerely, Diane M-Jones Land Use Planner Mason County Planning Department 9/22/2003 1 of 2 BLD2003-01256 • NOTIFICATION OF INCOMPLETE APPLICATION 9/22/2003 Case No.: BLD2003-01256 Comments: The proposed building site is located adjacent/contain steep slopes. A steep slope trends downward at an angle in excess of 21 .8 degrees, approximately 75 to 100 feet away from the building site. This area meets the criteria for a Landslide Hazard Area per the provisions of the Mason County Resource Ordinance No. 77-93. Applications for development within 300 feet of a Landslide Hazard Area require a geotechnical report to assess slope stability and address specific efforts to remediate the hazard. Enclosed is a copy of the Landslide Hazard Areas chapter of the Resource Ordinance. Please note the distinction between a geologic assessment and a geotechnical report. For informational purposes only, the ravine on the subject property contains a drainage that is identified as a Type 4 stream. The drainage flows in a southeasterly direction and eventually intersects with Cranberry Creek to the north. Cranberry Creek flows along the northern boundary of the subject property. A type 4 stream per the Mason County Resource Ordinance Fish and Wildlife Chapter provides for a 100' vegetative buffer and 15' building setback from the Ordinary High Water Mark of the stream. 9/22/2003 2 of 2 BLD2003-01256 Scale= 1"=60' Note: This parcel extends another 660'at this comer. 330' 1 1 1 1 I'L 100' well radius Allowable Building Area 1 1 O ' N 1 1 1 , s 1 ' 150' w 107' Y N w Proposed Residence 75'to gully edge N 150'to water runoff at bottom of gully CD < ' CD K 1 1 CD CO-� I 3 U ' `r I CD =•� 1 rq < 1 CD i I I 1 a I 1 1 1 1 1 . I 1 78' 1 1 I 1 APPOVED 330' Greenview Lane Private Road MASON Cv^UNTY DCD PLANNING SITE PLAN REQUIRED TO BE ON CHANGES SUBJECT TO APPRO AL North By �' /b—Lr", Date 0' 1' 150' 38' 30' 82' oN STAr MASON COUNTY �P5 c DEPARTMENT OF COMMUNITY DEVELOPMENT M o A U Z. Planning Division y o T = P O Box 279,Shelton,WA 98584 �0J N Y �,o~ (360)127-9670 1864 REQUEST FOR ADDITIONAL INFORMATION October 07, 2003 MARC BUCHHEIT 691 E GREENVIEW LANE SHELTON WA 98584 Parcel No.: 321352390011 Project Description: SFR Dear Applicant: You have submitted a permit application (case no. BLD2003-01256) for proposed construction or development in the county. Upon review of your application, I require additional information to complete the permit review process. Therefore, review of your application will not proceed until the necessary information is provided (see the comment section of this letter for details.) Once the information is submitted and the application is complete, I will continue to process your application accordingly. If the additional information is not provided to the County within 180 days of this request, the application shall expire and no further action on the proposed development shall take place. Please contact me at (360) 427-9670, ext. 363 if you have questions. Sincerely, Diane M-Jones Land Use Planner Mason County Planning Department 10/7/2003 1 of 2 BLD2003-01256 REQUEST FOR ADDITIONAL INFORMATION 10/7/2003 Case No.: BLD2003-01256 comments: It is determined, per County Planning and Public Works review of the geotechnical assessment for a single family residence located at 681 Greenview Lane, Mason County, that additional information is necessitated in order to have their geotechnical assessment completed to meet geotechnical reporting requirements. As noted, even though the assessment adequately addresses slope stability issues, due to the ravine which contains slopes in excess of 100%, located approximately 80 feet from the proposed building site, a geotechnical report is the necessary appropriate level of reporting that applies to this site. 10/7/2003 2 of 2 BLD2003-01256 Mason County Dept. of Community Development Mason County Bldg. 3 426 W. Cedar rioP.O. Box 186 (360) 427-9670 Local (360) 482-5269 Elma Shelton, WA 98584 (360) 275-4467 Belfair Notice to Obtain Final Inspection November 07, 2007 MARC BUCHHEIT 691 E GREENVIEW LANE SHELTON WA 98584 Case No.: BLD2003-01256 Parcel No.: 321352390011 Proiect Descri 610p: SFR _,—�m The Mason County Department of(,omunity Development is currently reviewing all permits that are expired and have not been approved for occupancy and use. Pursuant to Mason County Code, Title 14 BidTding and Construction, a permit and final inspection for this type of activity is requi nder the 2006 International Building Code and your property is currently in a ion status of occupancy and use. Please contact our office to make the necessary arrangements 21 days from the date of this letter. Failure to contac!-,oKoffice to make the necessary scheduled inspections will result in enfor7e, To bring your site into co r liau mus cheduIe an inspection. One (1) $64.00 site investigation fee will needaid pri on along with any outstanding fees currently due on your building pe t. F r every inspection required after that, you will be charged $64.00 again, per i pec ion until final inspection and conditions are met. To schedule an inspection, please call (360) 427-9670 ext. 262. If you should have any questions regarding this notification, please contact me at (360) 427-9670 ext 359. Sincerely, Terry Ryan7� Mason County Department of Community Development Cc: Property File November 07, 2007 BLD2003-01256 MASON COUNW BUILDING PERMIT'Permit No " f*" � � r Date • Address Owner Contractor f f:, ,� ., R i.. Job Description Foundation 'Footing tit t!LeiZ,.—? Foundation Wall Below Grade/Slab Insulation Plumbing Inspections " Mechanical Inspection 2 Frame Inspection Insulation Inspection "ti lkc s A-70,W 2 S U Wall Board Inspection Fire Marshal 'Final (commercial only) Final Inspection t /bV' Pi;,& . c Applicant Must Call lssu:ad By 427-7262for Required Inspection POST THIS CARD IN A CONSPICUOUS PLACE AT THE FRONT OF PREMISES. This Building NOT To Be Occupied Until Finaled CRA�ER�Y ?R?� soYD 1 "1f"'' , SHOfR T PL�I T 88'06'17' W 337.61 v 67.70 FOR 1 4' 202.07' WHl TEHAL L O 559079 F �/ 15.28' 29.55' 7 A SSOC/A TES l� ✓/% l ••. G THE SW 112 OF THE NW 1/4 OF 15 o W SEC T/ON 35, Do TOWNSHIP 27 NORTH, <� E o "' RANGE 3 WEST, W,U. o Z a �'�' v 6740 CAPITAL BLVD. #760 p } }�: :.� ``� PRIVATE ROAD TUMWA TER, WA. 98501 EXISTI EASEMENT PARCEL NO, J2135-23-00010 li ALL ...[[[` � � 01 ►_ '-�� 100' R �� \•'' _ C R cr .,➢ ti 13 �I h Q o \ B OA N 36'34'19" E 21.76' � � � N 82.42•�9"W� N 17*54'01" W 17.66' 129,48' 11.20' A O N 73'20'16" W 80.67' ON 64'12'34" W 73.86' FOUND HOUSE a W ' O N 43`17'17" W 100.76' FENCE - �� J w m 2.0' EAST %-m = o SEPTIC ❑F N 39'56'57" E 116.63' o OF LINE W ►� W u� o ❑G N 90'00'00' E 15.00' S. LOT :* C'4 O 2.69 ACRES m W w GREEN o _ w Q- z HOUSE Z 2 z Q Q SHED T RE EPT IN THE vSHED @° ❑ o ❑ PAR EL FILE tv ,.E y � Q � � Q S 88'16'48' E m s CARPENTER 2 Q ti t 2 70.72' c 2 C� J Qo o I m (o2 , � � I o POSSIBLE MERIDIAN 2 WELL SITE O '• BASED ON VOLUME 16 PAGE 77 N lz / OF SURVEYS Lu o 100' R z J zo19 TA 04 O X m Io LOT CD w n I m 5.07 ACRES CN L E- j CREEK �> la 7�j T�� Clot a �7 0� 0 o , �. Z L �� AL LAB o C) > >I >y - r— EXPIRES: 8-19-93 II 30; N 20.30 �.. o _ PRI ............. 20.03' W � ri N W 5 753g-31 RO;gp EASEMENT r a0'__ c�v M o __1592j, F.' --N s97o'43"'w LEGEND N ch Q J U 20.30`-1 171.75' (/) --- O FOUND CORNERS AS N (1: N ;14.67' 20.03' - —— NOTED SET 5/8" REBAR be In — co CD \ PLASTIC CAP Z I O irk 100' R LS #18918 Q U Z SOIL LOG HOLES .J Z POSSIBLE o WELL SITE m z M LOT 4 •.iN �.•' H = 1.35 ACRES w cn ,. a _ o w � � 3 m o Z 0 M / ul tp LOT 3 O cV Q M: 1.3 ACRES M M O U o w FUND IRON PIPE 100' R o FOUND F.L.S. V" ry a � PER VOLUME 16 z PAGE 77 / POSSIBLE PER VOLUME 16 4 3 _ I OF SURVEYS O WELL SITE PAGE 77OF SURVEYS 690.20' I. I. I, 34 3 172.55' 172.55' I. is >u N 88'16'48" W 345.10' 35 36 '° �' SOOR A n a, s, ,, ,, s, FOREST PRACTICE BASE MAP TOWNSHIP 21 NORTH , RANGE 03 WEST ( W . M . ) SECTION 35 APPLICATION � �p0 i �PNBER 190 2071 24 EH ffi EH i i 189 / 2061 2 � I i 2❑ ®e 22 SCALE 0 2000 3000 4000 5000 6000 FEET 1 Mile (s2ao a) MAP DATE: February 23, 1997 CONTOUR INTERVAL : 40 Feet LEGEND : See Instructions NAD 27 DISCLAIMER : See Legend Water/Wetlands including their location and class may be incorrectly displayed or not shown on the Base Map. Applicants are responsible for verification and correction. FOREST PRACTICE BASE MAP T 0 W N 5 H I P 21 NORTH , RANGE 03 WEST ( W . M . ) SECTION 34 APPLICATION 140 7 17 y / m \ 1 m ® / / /® 1 /156 �O� 173 P�g�R I � EB ' a 1138 �. 155 1 2 N / J / / J / \ r � f / r B, — I SCALE 0 1000 2000 3000 4D00 5000 6000 7-71 FEET 1 Mile (52M It) MAP DATE: February 23, W7 CONTOUR INTERVAL : 40 Feet LEGEND : See Instructions NAD 27 DISCLAIMER : See Legend Water/Wetlands including their location and class may be incorrectly displayed or not shown on the Base Map. Applicants are responsible for verification and correction. FOREST PRACTICE BASE MAP TOWNSHIP 21 NORTH , RANGE 03 WEST ( W . M . ) SECTION 27 APPLICATION a 1� 59 Q 76 19 158 175 19 C�9 EB NB F� 7 17 19 0 SCALE 0 1000 2000 3000 4000 5000 6000 FEET 1 Mile Ox a) MAP DATE: Februcry 23, 1997 CONTOUR INTERVAL : 40 Feet LEGEND : See Instructions NAD 27 DISCLAIMER : See Legend Water/Wetlands including their location and class may be incorrectly displayed or not shown on the Base Map. Applicants are responsible for verification and correction. MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION'�Oc-J- bi,�,s z 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 CAQkoS/1t<i; CONTRACTOR INFOLZMATION �C Owner �Rc + WDIA at)(HNEoT Gi coCz- Contractor Name Mailing Address Po e0y '3114 Mailing Address o tsnk .2 143 City State WAr Zip Code SBA City C,JLJ State ko&_Zip Code Phone ( 3tnb)V1-11SIP Other Ph. (3(00) -q10L Phone ( ) 14271-/2Q Other Ph. ( 0) ;b Lien /Title Holder Contractor Reg. # C `SSJ txp.Qom/21 1-64 Email Address Uc i t Email Address SEPTIC I WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System L'►V1n i W<+ei- Wt't+ %A)_ Ch'l PARCEL INFORMATION - 12 digit Tax Parcel No. Fire District 5� Legal Description LJ _ E9or4 .'.,,j 01 / -'!'.. WI/Li NtJ I/ii Sec, 3,5' 'lew''Sh'P Pt Al Ankij-e 3 Site Address (Please include street name street number and city) Directions to site IHLXl ?, 04X+11 , C now,-, 1.rAk. '4J 1 kkfl ei G►'teiyNc*j ci, 1 ,III 1 e. A<31V/1 un Le ki Will timber be cut and sold in parcel preparation? (Yes/No) 1� Is property located within 200' of saltwater Lake River/Creek Pond Wetland Seasonal Runoff )i� _Stream Slopes or Bluffs_ PERMANENT RESIDENCE ❑ SEASONAL RESIDENCE ❑ TYPE OF JOB - New X Add Alt Repair Other Use of Building Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action? (Yes/No) Nc Describe Work ill&l No. of Bedrooms a No. of Bathrooms SQUARE FOOTA E- 1st Floor 2nd Floor 3rd Floor Loft Basement Deck IYA Other sq. ft. Garage :Z_V Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make 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. OWNER/BUILDER ACKNOWLEDGES SUBMISSION OF INACCURATE INFORMATION MAY RESULT IN A STOP WORK ORDER OR PERMIT REVOCATION. ACKNOWLEDGEMENT OF SUCH IS BY SIGNATURE BELOW: OWNER AFFIDAVIT- I certify that I am exempt from the require- CONTRACTOR'S AFFIDAVIT - I certify that I am currently regis- ment of the Contractor Registration Law RCW 18.27 and am aware tered as a contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and of the ordinance requirements regulating the work for which this that all work will be done in conformance therewith. No changes permit is issued and all work shall be done in conformance there- shall be made without first obtaining approval. with. No c nges shall be made without first obtaining approval. X L41'drsa- n-1 ilAd-4, Date �-/03 X `-- Date '1`6 FOR OFFICIAL USE BEYOND THIS POINT Accepted by Planning Pd l��3 0— Date 'l> - Bld Pd. c�0 , Reciept No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building DQpprynent O 0 -y)J Occ Group'\ Type Constr. r- O I I Planning Department T �, Environmental Health Department Public Works Department Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee t rt.( EH Review Fee Plumbing& Base Fe `1 ,( Planning Review Fee Mechanical&Base Fee ` Cl p Other Y Wood/Gas/Pellet Stove Fee State Fee Lj Violation Fee i\ Pre-Paid at Submittal ( ) V TOTAL FEES PERMIT NO.: MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186 Shelton,WA 98584 Shelton(360)427-9670 Belfair(360)�75-4467 Elma(360)482-5269 APPLICANT INFORMATION . E (A4(4, CONTRACTOR INF RMATION Owner a Contractor Name Qtc.�� .LC Mailing Address Mailing Address City Ghe I4 on State WF Zip Code 0116 2q City State L&- Zip Code Phone(3(e6 ) 4 A1-1950 Other Ph.(5.120 )gg0--q12 Ph.1T Other Ph.(&O ) a0 (SC20 Lien/Title Holder IContractor Reg. # Address i wh Expiratio /_I / OL4 SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. 3a 13 5 / a i 9 DO 11 Fire District c� Legal Description Lt+ -. fbo&Sub Dl✓ aal q5 SIJI/t. I W KI 5,ec. 35 :n 93io Q I kh Raue 73 W Site Address(Please include street name,streef number and city) Directions to site fZ V 1. ' Mlle- oa LP Is your property within 200'of the following: Body of Water(Name) Saltwater Lake River/ reek Pond Wetland Seasonal Runoff_Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Location of Fixtures/Units 1st Floor2nd Floor Basement Garaged Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Fuel Type: Electri Type of Fixture No.of Fixtures Fees LPG Natural Gas Heatpump Toilets 2 Type of Unit No.of Units Fees Bathroom Sink .r _ Furnace Bath Tubs / Heatpumps Showers / Spot Vent Fan Water Heater / Propane Tank / Clothes Washer / Gas Outlets _ Kitchen Sinks / Wood/Gas/Pellet Stove / Dishwasher Kitchen Exhaust Hood / Hosebibs 2. Dryer Vent / Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. 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 obtaining approval. )( �� ( / Date d" ? X Date ' .3 FOR OFFICIAL USE B OND THIS POINT Accepted by Date Submittal Amount Due Receipt No. QEPAR7IiAENTAE 1;iEV[EIfY kPFRC]FIED [2ENIED :CONDITION:CORES Building Department Occ Group T pe Constr. Planning Department Other Other t E5 Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES