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BLD2001-00493 Cancelled Pool - BLD Permit / Conditions - 2/5/2003
Inspection Line (360)427-7262 NoMASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton, WA 98584 t RESIDENTIAL BUILDING PERMIT BLD2001-00493 OWNER: VILMOS KEREZSI RECEIVED: 05/24/2001 CONTRACTOR: SITE ADDRESS: 288 NE TEE LAKE RD TAHUYA ISSUED: /20/2001 12 PARCEL NUMBER: 322027590071 EXPIRES: /20/2001 LEGAL DESCRIPTION: TR G-1 OF SP#2377 SEE SURV 3/6 PROJECT DESCRIPTION: DIRECTIONS TO SITE: Construction of swimming pool 60'x 20'x 4' PEPJW 1#ULL d VOID DY-EXPIRATION General Information Construction & Occupancy Information S quare f No. of Bedrooms: Type of Constr.: Type of Use: SF Insp. Area: 1 No. of Bathrooms: Occ. Group: Lot Size: Deck: Type of Work: ACC Fire Dist.: No. of Stories: Occ. Load: Building: Valuation: $500 Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline & Planning Information Make Length: Ft, Front: E 50.0 Ft. Shoreline: Ft. Water Body: Rear: W Ft. Slope: Ft, SEPA?: No Model: Width: Ft. Side 1: S 15.0 Ft. Shoreline Desig.: Not Applicable Year: Serial No.: Side 2: N Ft. Comp. Plan Desi .: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt EH Plan Review CEW 05/30/200 $25.00 BELFAI Plan Check Fee TLG 06/06/200 $15.28 BELFAI Building State Fee TLG 06/06/200 $4.50 BELFAI Building Permit Fee TLG 06/06/200 $23.50 BELFAI Violation Investigation Fee TLG 06/06/200 $47.00 2193 Violation Fee TLG 06/06/200 $23.50 BELFAI Planning Site Inspection SAL 06/11/200 $70.00 BELFAI EH Plan Review KS 06/15/200 $50.00 BELFAI Total $268.78 BLD2001-00493 Please refer to the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR BLD2001-00493 CONDITIONS FOR BLD2001-00493 1) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X T _ 2) This applicatiop_is.subject,to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036.X I'a 1 (-t—\_�c"_ 3) 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 1••�f. 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 ff ect your project. X 5) 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 all County and State Road right of ways. X 1. W 6) 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 ost the address on site prior to requesting inspections. X to 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 in the amount of$47.00 per hour(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 ::�__, �(. 8) 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_shaJl'be made prior to requesting additional inspections. X I I� BLD2001-00493 Please refer to the following pages for conditions of this permit. 2 of 3 • 9) 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 10) •Approved per dimensions and setbacks on submitted site plan. X I 11) The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire. This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a 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. OWNER OR AGENT: '1 C' It DATE: BLD2001-00493 Please refer to the following pages for conditions of this permit. 3 of 3 CONCRETE MECHANICAL MOBILE HOME FDOtings-SObaC c date by Ribbons date by Gas PkQ date by FoundaWn Watts date by Set UP date by INSULATION date by BG/SLAB Insulation Floors Anal date by date by date by FRAMING FIRE DEPT. d date by Walls date by date OTHER PLUMBING Attic Groundwork date by data b WALLBOARD NAILING D.W.V. date by date by FINAL INSPECTION Water Lin© data by date by date by , i PERMIT NO.: BL ,8 MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner ',q �C1� �5 i Contractor Name '1 kCx,� --'Si Mailing Address T,4 L 1-4 /l'J Mailing Address h4 `t F4_ J-k /rj✓ City T ri t /u ►=t State Zip Code q City /`�' ice+)h7 State l� Zip Code Phone zt 3 1 they 1 rX,871 Ph.( j )37.� Other Ph.(,2 06 ) 7 G-J577 Lien/Title Holder a Uc-P Contractor Reg. # Address l -7 VI'/ &,u a L4 b-Se);-Y , Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic� connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. S / yn / -7/ Fire District Legal Description T - S " lj T 7 5 L"i- S U+? V 3/6 Site Address(Please include street name, street number and city) TEE Lk IV Directions to site ' r , T)04-1U_ a - Lt't! 0 N Tlr 1/d pla I L f_y-*7 Cry T.t 1__ -5 Will timber be cut and sold in parcel preparation? (Yes/No) U 0 Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work S tz,-/ L (e1 f X .t, -)�- - No. of Bedrooms --- No. of Bathrooms — SQUARE FOOTAGE-1st Floor- 2nd Floor 3rd Floor ^ Loft --- Basement Deck Other sq. ft. Garage Attached --Detached —Carport --Attached Detached MOBILE HQMF INFOR MATION-Make Model Length Width o. of Bedrooms No. of Bathrooms Type of Heat urc ase Price $ Instal 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 d ibed property and structures for review and inspection of this project. Acknowledgment of such is by signature below:j� r - i OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 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 c nges shall be made without approval first obtaining approval X(.�/jr �L,r cfG(v�,, Date / X �;.�r 1/r_uc �; ` 4 ,. Date It' ri FOR OFFICIAL U E BEYOND THIS POINT UG. Accepted by {�� Date G S 11 ubmittal Amount Due L 7 Receipt No. Iq DEPARTMENTAL.REVIEW: AP OVER pEN1ED'' CUNDIT1rJN COPES Building Department \ ,( Occ Group Type Constr. 1 p Planning Department C�9"Y1�QC� Environmental Health Department ' Public Works Department i as Fire Marshal Valuation $ FEES f Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other () Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION m Case No. Name V 1LMU S kF f?1=ZS] PARCEL NUMBER) 22 Ox] =�/C0J Date SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the sit [an Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines S Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System 17�/ DRAW SITE PLAN B L W Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent pro erty line 2 42 LL <-adjacent property line ' I I 0 I I � I I 7 1 o � I I � v 2- 7 I I S'Y [jT rC I I r I I I I I I I I I adjacent property line-) E-adjacent property line SAMPLE SITE PLAN adjacent property line-> Fadjacent property line D 30" r �RvE gel .SFASo w/AL_ J. I � � MOM 6 I Cfl3leu I i�ous� I j PraOPaseD septa a ;I I 1 , I I VACANT I fi C ArtAo� I j" I ji I PM1cPo�CD I T A&R=LLLTuMAL SO yo' I I , eo' I � I I � I � c.....aLL I \ I I I I L��GLL I I i R I adjacent property line-� Fadjacent ro ert' line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE d,s+a"cm +o ru.LYt.4-YC- 8 S't'a." *o Slop¢. to¢ dii+3n�Q. q ppoL C)" Signature Date 427-9670 MASON COUNTY BUILDING DEPARTMENT ALL PERSONS ARE HEREBY ORDERED TO AT ONCE TOP WORK On these Premises at 2- This order is issued because A.M. Posted P.M. 19 By WARNING The failure to stop work, the resuming of work without permission from the Building Official, or the removal, mutilation, destruction or concealment of this Notice is punishable by fine and imprisonment. r I � I i I 1 1� w t w sJ 'ILA. x z z' Ks- C743 qs-c Ge�t /7_ r xcI�,5 o f