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Home My WebLink AboutMIS99-00654 Cancelled Retaining Wall - MIS Permit / Conditions - 2/24/2003 .: ,. M M • MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 TVII 1 il C:: E' I— t.... /q N[, C.3 U 13 R Il=— R RA 1 11" FOR INSPECTIONS CALL 4k Z--967i6 M I S99...0654 PARCEL a2231 350000 r9 PLAT :WOPL O D I V . SLK . LOT i JOB ADDRESS : 2460 NE TAHUYA BLACKSMITH RD YAHUYA �. APPLICANT : L.ARRY NORLIN (206)759--2087 OWNER : LARRY NORL. IN (206)759 -2087 LEGAL_ : 100TFA LAKI TRACTS T1 74 PROJECT DESCRIPTION : RETAINING WALL (2 'ft . HIGH) AND DRIVEWAY ACCESS TO PROPERTY . PpAM�T PROJEC—f LOCATION ; WEST SIDE OF WOOTEN LAKE A I' 2460 TAHUYA BLACKSM1 11T RD , PROJECT NOTES : ••n9h^.L%}.,2(;y'S'-':1%t.Z�T.ffi:`S:.'C:LYGS t6'tY:.,:CF R•t5:��Y21:':fA:iTGltt."d!'Pq�TYG"..`�'�'_C: TYPE AMOUNT CY DATE RE'C:E 1 P'r +.%v2L8f:'?�.•:3.3::'��:w:Y'#'ISL'..1:Y�.^S6'.GRKiiGT�.".'.LTS::.L:1fA.�3%i'!«:.StT,:T.L"'..vr:2�1.',O�a=: . P L C K t 13 , 615 KW 10104199 1661 F'RMT $ 18 .25 KS 10/29/99 BELF'AIR STF E $ 4 , 50 KS 101291 99 BE1_F'A 1 R TOTAL : 36 .40 ovkwp OR AGeNt DATE IIISwFRIT, rev: 0001192 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED f CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date by Foundation Walls date by Set Up date by INSULATION date by j BG/SLAB Insulation Floors Final dote by date by date by FRAMING Walls FIRE DEPT. date by date by date by j PLUMBING Attic OTHER Groundwork date b date by WALLBOARD NAILING D.W.V. date by date by FINAL INSPECTION Water Line date by date by (date by y_ zC> MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 C£se No . : Ml S99-0654 For , LARRY NORLAN Page . 1 1 ) Approved per dimension; and setbacks on submitted site-plan tom, _. _._.._._ �._ .. ..... _.. _ ? The proposed firefeat must be consistent with all applicable polir_-= ies and other pi-uv i s i ons of the Shoreline Management Act ,, its rules . and the Masan County Shoreline Master, Prograny. 31 Proposed structure or any portion thereof greater than 30" in height from grade line, mupt maintain a minimum of 5 ' sethaok from all property lines and oasemettt tines and 10 ' from all CourI y a qd State Road right of ways . 4i `All upland .areas disturbed or newly c;reatod by con,3truction aotivitIes shalt be s,oe,10d, vegetated or ql ven an egtt i va l ent type of erasion protection ( silt fencing or straw matt i nc1> . MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 5 ) A I I construct Ion and demot I t ion debr is must be removed from the shore aria after pro.ject ootupietion . Proper disposal of construction debris must be on lato in such a mmnner that debris cannot enter or cause water quality degradation of State waterFi . X ALL. CONSTRUCTiON MUST MEET OR EXCEED ALL LOCAL CODE�S AND UBC w RE001REMENTS X 7 CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MA ON COUNTY BUILDING OUPARTMENT AND UNIFORM BUILDING CODE , x 6 ) All approved plans are required to oe on-site for inspection purposes . If Inspection is called for, and plans are not on site, Approval WILL NOT be granted . In addition , a Re- Intpection fee in the amount of $42 .00 per tiour (minlit-sum I hour ) wl 11 be charged and must be oolleoted by this department prior to any further inspectieras being performed or approval granted . X 9) PURSUANT TO 19.97 UN I FORM BU I LD I NG CODE , ALL S I TE MUST BE MARKED WITH APPROVED NUMBEfl- OR ADDRESSES' PROVIDED IN SUC14 A POSIT-ION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE Ppopmry . MASON COUNTY BUILDING DEPARTtIENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE, BASED ON RATES ADOPTED FEE SCHEDULES AND THE 1997 UNiFORM BUILDING CODE WILI BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO RE GUEST"ING INSPECTIONS . FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. Name PARCEL NUMBER Date SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E. W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line- , 1 E-adjacent property line I I I I I I I I I (� r( ilk I I I I I I I I I I L ill �-S C D 1,(nn ►1 I I \• I I / I I I I I I I I I I adjacent property line- I I E-adjacent property line SAMPLE SITE PLAN adjar�nt property line4 2La, _ _ E-adjacent property line D 30' rR�S�RvE gel w/AL I ti Lrw 1 I MOM L� I GfxSE�J C2�K I j Prmko LD sapt:c —�1 1 , I � 6 0' —/30 I I VAG jT I C AMAaa I /" 3o 1(� I C0.oPosCO T A&RzCLLLTWLAL50I % I I 80,---�p1 1 ` I \ I /DO" 1 I L—e-LL I I I I adjacent property line- ; 1 \; Fad'acent properf�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 d13t9nGQ fiv rucfil.�Y� dca'ta►,ec fro Stop'. -to¢ dii+�naa. t C-1 Signature Date PERMIT NO.: -BtB ` q,005V MASON COUNTY BUILDING PERMIT APPLICATION lb�y 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 F CONTRACTOR INFORMATION Owner L,Qleay /FOR Contractor Name �BF lot.) Mailing Address / Al 6oVe Mailing Address City `" CokjA Stated Zip Code o City -136(-rn fI2 StatewA Zip Code . Phone(, )`i5Q-2087 Other Ph.( ___) Ph.(Z6o )Z7F;:BSt.* Other Ph.( Lien/Title Holder Contractor Reg. # e i5 r Co n )l Ke— Address no Expiratio > 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. Fire District Legal Description Site Address(Please include street name, street nu%er and city) Nil Directions to site ef>4 , Woo-nFij 1-t4kPQ Will timber be cut and sold in parcel preparation? (Yes/No) tje Is your property within 200' of the following: Body of Water (Name) Saltwater Lake X River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other 4Use 9f Bui(idirig Describe Work f�t� DPl J� uJR Y -- GOlJ +G — 'Q 2�cx r n y a► . L 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 HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms IType of Heat Purchase Price $ Replacement Unit ?(Yes/No) r Installer Name Certification No. I 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. X Date X �3Date _ FOR OFFICIAL USE BEYOND THIS POINT '�/'1-s Accepted by Date� ubmittal Amount Due ( J,L�s Receipt No, DEPARTMENTAL"REVIEW APPROVED DENIED CONDITION CODES Building Department liko L/n()f,, • Occ Group Type Constr. tC I I Q Planning Department Environmental Health Department :rz Public Works Department I Fire Marshal Valuation $ —J�ma .00 FEES Building Permit Fet 07-5 Site Inspection Plan Review Fee 3 6 UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other t Violation Fee Pre-Paid at Submittal :::>::: >:;< TOTAL FEES ><;