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Home My WebLink AboutBLD26409 2 Story Cabin - BLD Application - 8/9/1990 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. D NAME MAIL ADDRESS CITY d STATE Z1548-6245"WbIrk OWNER Kenneth A. Krohn 11 DIRECTIONS TOJOBSITE Lot 1A is at the N. end of a gravel road along the W. side of Erickson Lake. This road is accessible off Blacksmith RD or Bear Creek-Dewatto Rd PARCEL LEGAL NUMBER 22304 76 90010 1 DESCR-1 Erickson Lake Tracts Lot 1A (see attached from title) NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. ZIP PHONE CONTRACTOR self build with qijbcnntract(; to Jesfield Construrtion for some tasks USE OF BUILDING cabin dwelling and attached garage for recreational use CLASS OF NEW XX ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK Build a new 2 story cabin with garage on site that has not been built on previously. BEDROOMS 2 DECKS IDDR N CARPORT NOTICE TOTAL SO.FT. DECK SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS 2 TOTAL SO.FT. 100 TOTAL GARAGE SEPARATE FT. 320 CONDITIONING. NO.OF STORIES 2 BASEMENT Y OR THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT LIVING AREA 1020 BASEMENT COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. TOTAL SQ.FT. CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT FIREPLACE no ATTACHED e� SEASONAL XX SHORELINE DETACHED OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIF THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTR ION W RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIR EN FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CO F ANCE THEREWITH. NO CHA GES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAI I APPROVAL FROM THE BUILD E RTMENT. APPROVAL FROM THE BUILDING DEPARTMENT, Al V A ffJAE I � "� ` 0 X BY DATE FOR OFFICE USE ONLY DEPARTMENT YES APPROVE NO DEPARTMENT YEAPPROVED,O BUILDING VALUATION o j. C0 HEALTH PUBLIC WORKS EE PLANNING FIRE BUILDING PERMIT '� `- 'S D.O.T. BUILDING PLAN CHECK 00 SPECIAL CONDITIONS BUILDING GROUP �� PRE-INSPECTION SHORELINE WOODSTOVE -20 2J U PLUMBING 4-1a- 0 MECHANICAL ` (� `4 do o STATE BUILDING FEE 'A S(� STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY A ED F R ISPUANCE PERMIT VALIDATION TOTAL ~� BY CASH CK MO I PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER Kenneth A. Krohn, 11322 23rd Ave NE, Seattle WA 98125 365-1060 (h) , 548-6245 w DIRECTIONS TO JOB SITE Lot 1A of Erickson Lake Tracts is at the N. end of a gravel road along the W. side of Erickson Lake. This road is accessible from Blacksmith Rd of the Bear Creek-Dewatto Rd. LEGAL DESCR. Erickson Lake Tracts Lot 1A Mason County Parcel 22304 76 90010 CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF BUILDING Cabin dwelling and attached garage for recreational use. PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE ° WATER CLOSETS fQ FORCED-AIR I GRAVITY TYPE FURNACE 6.00 BASINS t„ o^ FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS o BOILER I COMPRESSOR 6.00 SHOWERS REPAIR I ALTERATION 6.00 WATER HEATERS "2_01C) REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER AIR HANDLING UNITS 7.50 SINKS HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT LAUNDRY TRAYS 7 GWOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL Z�j�"� TOTAL SPECIAL CONDITIONS: NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. OWNERS F DAVIT: I CERTIFY THAT I AM E MPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED THE CONTR OR REGISTRATION LAW UBUIL M AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE COUNTY OR ANCE REQUIREMENTS FOR T IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DO WI BE IN CO NCE HANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT RS T INING APPR FROPARTMENT. ' WITHOUT FIRSTOBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. XOWN ( �� l 'D X BY DATE FOR OFFICE USE ONLY PLANS CHEC BY LDING GROUP A�PPR9 D R I SUANCE PERMIT VALIDATION 177 CCEPTED BY C 19 �� BY / CASH CK Mo PLOT PLAN Kenneth A. Krohn, 11322 23rd Ave NE, Seattle WA 98125 ADDRESS PERMIT NO. i10 LEGAL Erickson Lake Tracts Lot 1A DESCRIPTION LOT BLK ADDITION 0. SITE AREA 70,000 Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 900 Sq. Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION AND SEWER SERVICE ELEVATION. SH(�W LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. Further details provided on attached three drawings. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' N- -tA bgL%k'%,, .- w A 04'fR V-o ct s C 0 0 1J 4— JI N p -, I/We certify that the proposed construction will conform to the dlmensi •and uses shown above and th�ayS no changes will be made without first obtaining approval. a co Ctc.c)``1w. /�j.S f {Y�47 . KE Kenneth A. Krohn & Marijane A. KrohnNAME(S) OF OWNER(S) OF SITE 6 STIRUCTUREIS) (PRINT) OF OWNER(!) O A NORIZED REP E N TIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE J EXHIBIT ' A' Kenneth and Mariiane Krohn 11322 23rd Ave.NE Seattle,WA 98125 DESCRIPTION: Order NO. : Q-87180 PARCEL 1 L r " That portion of the North one-half of the Northwest quarter of the Northeast quarter of the Southwest quarter ofd Section crlbed4, Township ;23 North, Range 2 West, W.M., In Mason County, Washington, follows BEGINNING at the Northwest corner of the North one-half of the Northwest quarter of the' Northeast quarter of the Southwest quarter of said Section 4; thence South 20 44' 53" West along the West line of +hidsu0dI35s1on 11 East11011a03 feet; feet;hthenceoNorthuth 9° 02' 31" East 671 .16 feet; thence Nor 30 0 890 06' 44" West 671 .69 feet to the beginning. (Also known as Tract A ° Shrecorded Inlat cVodlumeu12 ofASurveys, page 68,s File No. u6nde82. Also known as Tract 1A Survey of Su y Auditor' s File No. 460392) . PARCEL 1 A TOGETHER WITH a '60 foot wide access and utlltles easement toMErickasonCo Lake Road as shown on survey recorded In Volume 12 of Surveys, page Washington. PARCEL 2 of That portion of the North one-halof°f the Sectlono4,hwest Townshlpr23rNorthheRangeh2aWest, quarter of the Southwest quarter W.M. , In Mason County, Washington, described as follows : COMMENCING at the Northwest corner of the North one-half of the Northwest quarter of the Northeast quarter of the Southwest quarter of said Section 4, thence South 20 44' 53" West along the West line of said subdivision 110.18 feet to the TRUE POINT OF BEGINNING; thence continuing South 20 44' 53" West 110.19 feet; thence South 880 58' 15" �as317West 671t16 thence toNorth the TRUEOPOIN'T OF East BEGINNONGfeet; thence North 890 O (Also known as Tract B of Short Plat No. 1629, recorded under Auditor' s File No. 460482. Also known as Lot 1B of Survey recorded In Volume 12 of Surveys, page 68, under Auditor' s File No. 460392) . PARCEL 2A TOGETHER WITH a 60 foot wide access and utilities easement to Erickson Lake Road as shown on survey recorded In Volume 12 of Surveys, page 238, .Mason County, Washington. SUB= Tp any prohibition or limitation on the use, occupancy or improvements of the land resulting from the rights of the public or riparian owners etc. SUBJECT To easement recorded under AF#453228. SU&TEC'I' To covenants, conditions and restrictions as recorded under AF#460305. SUBJECT TO the effect of the inclusion or the subject property in a short plat, MASON COUNTY SUN 14 1990 DEPARTMENT of GENERAL SERVICES Mason County Skit Ill 426 W.Cedar GENERAL�ERVICE P.O. Box 186 S Wton. WagWngt,on 98S84. .�' (206) 427-9670 buildn; ertrramnend health rr&Wfflance tandfi parks&reavam &r/corrvervdon center pl mmg sewer&water PERMIT REQUIREMENTS Kenneth and Marijane Krohn APPLICANT OFFICE USE 11322 23rd Ave.NE Seattle,WA 98125 r C ✓ ] C 3 Building Permit Application Forts (including a legal description, address, 4 directions to the job site and all other requested information) . [ ✓ ] [ 3 Accurate site/plot plan - two conies (please see the following pages for site plan requirements: permit rill not be processed unless all required information is included). r E 3 ( 3 Plumbing-Mechanical Form (if required) . �- C y3 C 3 Energy Audit (if required) . C 3 Blue Prints - two conies (to include cross section). l [ ✓ 3 C 3 Septic System Records. site approved 5/30/90 CN(A 3 C 3 Mobile I. D. Form (if required) . C 3 [ 3 Shoreline Exempt. ( Is property located within 200 feet of a designated shoreline, wetland or flood plain b u d.a ' ) pro pperty.Roes .to $hor o` PricUC n [ ] [ 3 Pre-ibnu l�i a sits 1s ft from lake shore p ct on Fels i required) . PLEASE NOTE: IF ANY OF THE REQUIRED INFORMATION (as outlined above and on the lollowing pages) S MISSING FROM A SUBMITTED APPLICATION IT WILL BE RETURNED TO H APPLICANT FOR COMPLETION. Proposed development B d a cabin at Ch d arage On Lot 1A, 1' of Erickson Lake Tracts Applicants signature T�;E:Date June 10, 1990 Ke eth A. Kroh FOR OFFICE USE ONLY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Received by Time Date Health Exempt (initials of Health Officer` } PlanningExempt P (initials of Planner) (12/15/89) I^ I Kenneth and Marijane Krohn 11322 23rd Ave.NE Seattle,WA 98125 Shoreline I I U I f I c iLDT I— I U I I E3 ( Mason County Parch 22304 76 90010 No buildinCD - gs � 0 �0 ,_X 90 ' U T clear & level ] n -36— Entren e ^ 35' —40i U /ll V Dr1 2 OP rk hoI• U ivel rain I ~� field FIX 0 0 r� � erk hole I Gate I I Q� POWER Box 747 - 35 ®►WATER n 288 ' to house 465 ' underground line to house �JJ U � i1i � ices Fo I I vw r-, ond / dr ive �_ o NW cor-- mer of house