HomeMy WebLinkAboutBLD95-1715 Cancelled Garage - BLD Application - 3/27/1997 Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 Vner n�;.►ram ti L . E�_ Phone# i�c9 -"�"7 Z-Z-(c �"�Address uF-59n i �o Frzy,u � lid , Fire District#
y Q2 St U3 Zip 9i35Z$
Directions to Job Site
Owner Mailing Address
City St k, P, Zip g95ZF'
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name '�► M atiCLLc�w��aO 7w�S;R_yc l� Contractor Reg# i►MG(_L-k-O55&
Address P. , 19$ Expiration Date I /_J__/. 3tc
City St Lk� r+ Zip` 616-2..8 Phone# 3 Zoe,) -3-i Z-Z!S3 fo
#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)
#4 arceI No. z.t'3eZ - 4 7- - 9.o i'-1 ( r
Legal Description iCSG- Qr,;A-C.A E i� /I P- 1+ 6 �' ��¢- � ��S P +3�
#5 Building Square Footage: (existioipro 0
1st FI / 2nd FI / 3rd FI / Loft /
Basement � Deck / #bedrooms / #bathrooms /
Garage / Avacarport / (Circle:Attached o etache o
Other sq. ft. /
#6 Use of building '�DTo (L-A4y-C-- Describe work
1-- ChtA a c� ur tJ6400P� I L.t'I tit
#7 Type of Job: New115f
Add Alt Repair Other O
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No.
# Bedrooms # Bathrooms Type of Heat
Purchase Price$ Q' O
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property: Nw/
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
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
� a
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
Showers Furn BTU
Hot Water Htr _ Heatpumps
_Laundry Wisher Vent Systems
_Sinks _ Spot Vent Fans
_Floor Drains . Boilers/Compressors
_Lau nd iy, s 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. 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 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 OF THE 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 WITHOU FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDI D PARTMENT. DEPARTMENT.
X OWNER X BY
DATE -L 9 DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
1 1 ��
Environmental Health: P
A'
AKff
Building Plan Review II
� f
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit J
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE
EXHIBIT 'A'
DESCRIPTION: Order No. : Q-98488
PARED
All that portion of the Southeast quarter of Section 2, Township 23 North, Range 2
West, W.M. , in Mason County, Washington, described as follows:
BEGINNING at the Northwest corner of said Southeast quarter; thence South 85
degrees 41 ' 48" East along the North line of said Southeast quarter 10.23 feet;
thence South 34 degrees 15, 35" East 1307.15 feet; thence South 55 degrees 44, 25"
West 182.43 feet; thence North 34 degrees 15' 35" West 1068.90 feet to the West
line of said Southeast quarter; thence North 1 degree 13' 52" East 300.44 feet to
the POINT OF BEGINNING.
Said land also known as Tract 14 of Peste and Stohr Acreage Tracts.
PARCEL 2
TOGETHER WITH AND SUBJECT TO an easement for ingress, egress, and utilities, 60
feet in width, as described in instrument recorded June 21 , 1977, Auditor's File
No. 330062.
,3p
9X
ASTALL TRENCHES NO DEEPER THAN 14
INSTALL SYSTEM ONLY WHEN SOILS
ARE PROPERLY DRY.
D1'n.,1ENSIONS ARE CRITICAL. ap
0-VI ,. E FROM DESIGN. F REMOVE NO TOPSOIL DURING SITE PREq.
u:-"E_ E IX EME CARE IN SITE PREP )pp OWNER TO PLANT GRASS OVER SYST11
AND MAINTAIN GROWTH. I
per I
SEE ALL ATTACHED CONSTRUCTION NOTES. I
2. 75 AuE.5 + -
13gX� P1?oFlzPo�
��. �^ I
l-4 SANDY COVER.AjlFilri`IUM 5 MIN/IN RATING.
0 OA-�tre-" VEHICULAR TRAFFIC 014 SiP•T!C SYSTEM. �~
1N }r CIJq AIN GRAIN _Nor R;QUIRED AT THIS TIME.
10 / '—LATERALS TO FOLLOW CONTOUR OF SLOPE.
Iry I,,- V1
g MAINTAIN A MINIMUM OF I 2-
yo,y� a VER i';CAl. SEPARATIONDI STANCE.
u MAINTAIN IUU'FROM WELLS&SURFACE WATER.
4 �`LNG rA�,k-
I
masonCOliiity u
Ir�I
/ 1,i 1 ..•.+_, 1
1�
If11tIaIS �
Cal
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I 9
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FW. DNR CONC. MON. SHORT PLAT SHORT DATE
AM BRASS CAP AT � FOR
E //4 COR. RANDY E . SPEECE PLAT N0. APPROVED
SEC. 2 LEGAL DESCRIPTION
tih NE 580 TOONERV I LLE DR.
BELFA 1 R, WASH. 98528 t SEE ATTACHED SHEETS ) DIRECTOR OF
�0 ti ALL THAT PORTION OF THE SE 1/4. SECTION 2.
(206) 3 72-28 3 6 TOWNSHIP 23 NORTH. RANGE 2 WEST. W.M. IN
COMMUN I T Y
MASON CO. WASH. . SAID LAND ALSO KNOWN AS
DEVELOPMENT
TRACT 14 OF PESTE AND STOHR ACREAGE TRACTS. ¢
PARCEL N0. 22302-42-QOMM
CENTERLINE 60' EASM'T. cc
c J��tl
(Burp-ON) AF NO. 330062 \a =
N 34.15'35 W 1277. 15 - v
FM. IRON PIPE WI CAP 770. 80 - 506. 35 - 3 �
�J LS NO. 7879 ` ® 4i L 0 T 21� EXIST m
� Q?4� ® N a 2.06 AC. DRAIPFtEZD
W
Fo ,�� LOT 11.0
I) yJ / aARA EXISTIMB f+
,L ,� h 1 FE7MCFD DRIVmy 1�v9E r
�e YA 3 \ Z RD
i3 \ b tn
`s?• / - (506. 35 - 30 2
F 4
N 340 15'35' W 1038. 90 -
� EXIST.
BASIS OF BEARINGS J �S A B L A N) 8 '�` / FPS 3/4' 1 P g o
FND. Ow CONC. MON. \ / 0.48 S. vi
UNRECORDED MAP OF Ay / <
PESTE AND STOHR .yJ` AND BRASS CAP AT 0.47 W. OF CAL C.
S 1/4 COR. SEC. 2
ACREAGE TRACTS \
B SCALE
�G.
THE PROPO= COGITION OF MMLS MD 100' W. 100 260
RE A Aovt-"y m&y. waLJITE AmicATtm MD \ LEGEND t F� �0 `OA
� � _
JEPTtC SITE INSPECT/CW MUST DE APPLIED FOR -r
PRIOR TO BUILDIM PEMIT. + - 5/8' REBAR W/PLASTIC CAP SET o a�r o AGATE LAND SURVEYING
LS NO. 28237 �23237 E. 2680 AGATE RD.
rAravnuer SUMcotr/TY HAJ NoterLtTY ro Q - FND. I.P. W/CAP LS 12309 OR AS NOTED ��_ •_�
-BUILD. MAINTAIN. IMMOVE OR OTHERWISE SERVICE �hr�L�r
THE PRIVATE ROADS CONTAIMM WITHIN OR PROVIDIM ® - SOIL LOG SHEL TON, WASH. 98584
SERVICE To THE PgWERTY DE=IBED IN THE ae-�c- EXISTING FENCE E 3&W qhr k_MORT PUT. ( 206 ) 426-4/ 72
JQB NO. 8"-148