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HomeMy WebLinkAboutBLD94-0285 Garage - BLD Permit / Conditions - 10/8/1997 MASON COUNTY PERMIT Mason County Bldg. 111 426 W. Cedar NULL I VOID BY EXPIRATION P.O. Box 186 Shelton, Washington 98584 nATIF 1" BY F3 U I I_ U) I N 0 V4 L. I ,?I 1 _.I. FOR INSPECTIONS CALL 427-9670 34 -qoo BETWEEN 6pm AND 8am 427--7262 BLD94-0285 PARCELz2232(?---r PLATt D 1 V X BLKt LOT : JOB ADDRESS : NE 181 RANCH DR TAHUYA OWNER : THOMAS CROSSWHITE 275-3339 CONTRACTOR : LEGAL 1 1`1 2 Of SVIVEY 611510 I's 05411 1K 167 CLASS OF WORK . tNFW 8FDRt 0 BATH: 0 TYPE ANOVOT By DATE RICHPI ;TYPE AMOUNT BY DAZE RECEIPT TYPE OF USE . . . . :ACC STORIES . . . . . . . :0 OCCUP I GROUP . . . t 7 BLDG . HEIGHT . . . 0 .0ft ?IIIIT 1 112.011 116 03116195 0000 TYPE OF CONST . . :7 FIREPLACES . . . . ; 0 PICK 1 44.51 11 t 03115195 0060 OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . t 0 SIFE 11 4.50 TLG 03115195 0000 DWELL. .LIN ITS . . . . 1 0 PARKING SPACES : 0 VIO 1 112.00 ILG 03115195 oleo INSPECTION AREA : I SHOR E I_ I NE 7 t N INV 1 25.00 TIG 03/15195 0060 10 T(I't—2-98-I'd 9 t A 110 N 134401 SETBACKS-------------- TOILETS . . . . . . . . . 0 FUEL TYPES---_____-_ BOILERS/COMP---- MOBILE HOME­ FRONT —S 30010ft BATH BASINS . . . . . .. : 0 s7 0-3 HP . : 0 REAR . . . .N 10010ft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL :7 SIDE ( 1 ) -w 5 ,oft SHOWIFFIS . . . . . . . . . . 0 FURN < 100K BTU : 0 15-30 HP . . 0 -MAKIF---­­ SIDE (2 ) .E 5 .0ft WATER HEATERS . . . . g 0 FURN >-100K BTUs 0 30-50 HP . i 0 7 SHRLINF .7 0 .01ft CLOTHES WASHERS . . : 0 FURN - FLOOR — t 0 50+ Hp . l 0 -YEAR------- AREA ------------------ KITCHEN SINKS . . . . 3 0 HEAT PUMP . . . . . . : 0 7 LOT SIZE . . z7 FLOOR DRAINS _ _ s 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 L.FNGTHs 0 BUILDING . . . : Ost DRINKING FOUNT - 3 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . t 0 BASEMENT . . . : Ost I.A(INDAY TRAYS — ,. , 0 DOIAFS . INCINiO -SERIAI-#--- - DECKS . . . . . . Ost DISHWASHERS . . . . . . i 0 AIR HANDLING UNITS--- COMML . INCIN :O 7 GAR/CARPtG 1120st GARB DISPOSALS . . . . 0 <- 10000 nfm _- 0 RELOC/REPAIR : 0 AT/DT . sD URINALS . . . . . . . . . . a 0 > 10000 ctm . : 0 OTHER UNITS . : 0 MISC PUM -P-i-kTURES . 101 GA 0 1.JT 1,E I"S', e 0 P101ECI DFSC1%!PTI#AtGA1A0E PROJECT LOCA1104cRI6111 01 BVLFAIR IAHUYA RAOO 4.8 MILES; RIGHT ON RANCH DRIVE, SECOND DRIVEWAY ON RIGHT. 181 RAN"N 91IVf. THIS PEROT BECOMES NULL All VOID IF WORK Of CONSfRUCT101 AUTHORIZED IS 101 COMMENCED WITHIN 1411 DAYS, 09 If CONSIIVCTIOK 00 1011 IS SUSPENDED FOR A PERIOD Of 188 DAYS AT ANY TIME AFTF1 WORK IS COMMENCED. EVIDENCE Of CONTINUATIO4 Of WORK IS A PROCAFSS INSPECTION WITHIN THE III# DAY PERIOD. FINAL INSPECTION 00S1 gf� APPROVED BEFORE BUILDING CAN Of OCCUPIED, OWNER OR oto-PRIT, revs #3131191 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I Page No. 1 CASE HISTORY FOR CASE NO.: BLD94-0285 THOMAS CROSSWHITE NE181 RANCH DR TAHUYA 04/04/95 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By BLDA010 Application received / / / / 03/10/94 03/10/94 KW BLDA100 Approved For Issuance / / / / 04/04/94 DONE KW 04/04/94 KW BLDA500 (F) Issue building permit / / / / 03/15/95 TLG 03/15/95 TLG BLDA600 File Possession / / / / 03/10/95 File in violation drawer for TLG 03/10/95 TLG non-compliance to pick up permit and grading violation BLDA940 RLC Checklist Completed / / / / / / n/a 03/21/94 JEM BLDB110 Structural Plan Review 03/21/94 / / 03/29/94 DONE WLC 03/29/94 WLC BLDB129 Sent to Planning / / / / 03/10/94 03/10/94 KW BLDB130 Planning Review 03/10/94 / / 03/21/94 DONE MMS 03/24/94 TMJ BLDB135 Addressing / / / / 03/10/94 DONE GMM 03/10/94 GMM BLDB200 Environmental Health Review 03/29/94 / / 03/30/94 see condition DONE CAJ 03/30/94 CAJ BLDC155 Final inspection 04/03/95 04/04/95 04/04/95 CORRECTIONS: FAIL LW 04/04/95 LAW 1. PROVIDE H CLIPS EVERY OTHER TRUSS. 2. VENT ATTIC 1/150. 3. INSTALL RESTRAINT PANEL AS PER PLANS. 4. INSTALL ANCHOR BOLTS WITHIN 12 INCHES OF THE END OF EVERY SILL BOARD. 5. BACK FILL AROUND THE FOUNDATION. THE FOUNDATION OF THIS GARAGE WAS POURED WITH OUT A PERMIT OR AN INSPECTION. THE REBAR CHECHER SHOWED THAT THERE IS REBAR IN THE FOOTING BUT WHAT SIZE OR IF IT WAS PLACED PROPERLY IS UNKNOWN. THE FOUNDATION DIMENSIONS MEET MASON CO. REQUIREMENTS FOR 1 STORY. MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PE " MI -T- CONDI -TIC-) NIS Case No . : BLD94--0285 For : THOMAS CROSSWHITF Page : I 1 ) The iise, handling and storage of hazardous materials or flamrsiable and nombus;t i b l e liquids In excess of 10 gallons Is not allowed without the approval of the Mason County Marshal.. 2 ) Proposed ttructure or any portion thereof greater than 30" In height from grade firle must— mainfain a m� u nlmm of 5 setback from all property lines, easements and right o+ w 5 X 3 ) All approveki plans are required to be on-site for inspection purposes . If inspection is called for and plans are not on site A roval WILL NOT be granted . In addition, a Re- inspection fee I n the amount of $30 .99 per hour (m I n Imam i hour ) w I I I be charged and must be collected by this department prior to any further inspections being performed or a� ova I granted . L At PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C) AND SECTION 513 , ALL. SITFS MUST HAVE APPROV .D NUMBERS OR ADDRESSES PROVIDED 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 REINSPECTION FEE , BASED ON RATES IN TABLF 3A OF THE 1991 UNIFORM BUILDING CODE WILL OF ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING WPECTIONS . 5 ) No Ocoupanty . This structure Is limited to M-1 use only , Any other use will be In violation of the Uniform Building Code and MasoT,.County R,tgu t 1�I o n's u-niess a "Change of Use" permit i s approved . X I' 1k A. �,L 11 1 1,, 6) ALI. CONSTRUCT LON UST MEET OR EXCEED ALL LOCAL CODES ANTS UBC -0,1).I R EME NT S 7 ) Changes to Lpproved building plans that effect compliance to the 1991 Washington State Energy Code, 1L991 Ventilation and Indoor Air Quality Code, the Uniform Building Code and/or Mason County Regulations must MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 be approved by Mason County prior to construct lon)(�'17L-k,.". j�� 8 ) ALL CONSTRUCTION MUSI MEE&OR EXCEED LOCAL CODES . IF ANY dUESTIONS, PLEASE CALL THIS OFFICE BEFORE CONSTRUCTION . 9) CONSTRUCTION PROCESS TO BF FIELD CORREC-T-fl) AS REQWPEP�-PER MA,'.,'Oy COUNTY BUILDING 4 DEPARTMENT AND UNIFORM BUILDING CODE . 10) Ownerlbuilder assumes all responsibility it dr4infield area is enoumbered . Lz Mode : INQUIRY REAL PROPERTY Auto Roll : ON Parcel # 22329 34 90021 Rng 2 Twp 23 Sec 29 Tax Yr 2011 Taxpayer # CROS 7400 CROSSWHITE, THOMAS J T/P Chg Dt 12/07/1993 Title Owner # CROS 7400 CROSSWHITE, THOMAS J T/P Chg By LLT Contract Owner # Loan # Plat/Condo Type Code Blk Lot Unit Dock Description LOT: 2 OF SP #2990 PTN TR 2 S 8/150 Assoc M/H Chg Dt 9/30/2010 Chg By PJL 181 RANCH DR Chg Rs RV FS 05471: Tax Code 0262 1 403 D P3 F2 L H2 Land Use 1113 THREE BEDRM Zoning Code Tax Stat TX TAXABLE Reval 2 Chg Rs F/P? Y Ac Land: Improved Unimproved Timberland Total Land Improvement Total AV Acres 302 3 . 02 Taxable FR 24, 000 24, 000 257, 410 281, 410 Market SR 60, 000 60, 000 320, 630 380, 630 New/C 0/AV Mob Home AV Sub Cd Int% Sr Cit Cd A Reg Exmpt O/R Regular Taxable 112, 565 Lien Date AF # As-Tx Yr App # Agr # WINDOW iCommand Keys : 5, 6, 7, 9, 12 t � MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton,Washington 98584 (360)427-9670 BUILDING PARKS & RECREATION FAIR/CONVENTION CENTER ADMINISTRATION MASON COUNTY ) Case No.:ENF94-0132 Dept. of General Services ) Building Division ) 426 W. Cedar Street/PO Box 186 ) Shelton, Washington 98584 ) NOTICE OF MASON COUNTY CODE VIOLATION: ABATEMENT ORDER: DUTY TO NOTIFY THOMAS J. AND PENNY B. CROSSWHITE ) PO BOX 482 ) NE 181 RANCH DR (TAHUYA) ) BELFAIR, WA 98528 ) 1 LOCATION/ADDRESS AND LEGAL DESCRIPTION: NE 181 RANCH DRIVE, TAHUYA, WA Parcel No.: 22329 75 00020 Legal Description: Tr 2 of Survey 81150 YOU ARE HEREBY NOTIFIED AND ORDERED PURSUANT TO MASON COUNTY ORDINANCE #138-92, AS AMENDED, OF THE FOLLOWING: CODE VIOLATIONS The Mason County Building Department has deemed that the results of the fill and grading done at the above site location meet the requirements of the Uniform Building Code as to constitute a Hazard pursuant to Chapter 70; Section 7004. THEREFORE, YOU ARE NOW ORDERED TO CORRECT THE CODE VIOLATIONS LISTED BELOW: Existing Non-Conforming Fill Blockage of Natural Drainage Channel CODE AND SECTION APPLYING TO VIOLATION: 14.04.010 of Mason County Ordinance No. 138-92 14. 12.030 of Mason County Ordinance No. 138-92 Sec. 7004, Chapter 70 of the Uniform Building Code Page 1 of 3 TO BRING THIS PROPERTY INTO COMPLIANCE: Remove the non-permitted fill which exceeds 50 cubic yards and/or return or provide for the continued drainage through the area which was the natural drainage path prior to disturbance as per Mason County Regulation or obtain a permit to retain the fill on site and provide the required plans and specifications, soils engineering report and engineering geology report. The plans and specifications shall be prepared and signed by a civil engineer. All permits must be secured by March 31, 1995. Removal of the fill or provisions to correct the drainage problem must be corrected by March 31, 1995. FAILURE TO COMPLY WITH THIS ORDER WILL SUBJECT YOU TO PENALTY, ABATEMENT, AND MISDEMEANOR ACTIONS MISDEMEANOR/PENALTY You shall correct all violations by March 31, 1995. Any person, firm or incorporation violating any provision of this Code shall be deemed guilty of a misdemeanor and upon conviction thereof, shall be punishable by a fine of not to exceed $300.00 or by imprisonment in the Mason County Jail for not to exceed 3 months, or both fine and imprisonment. Each separate day or any portion thereof during which any violation of this Code occurs or continues, shall be deeded to constitute a separate offense, and upon conviction shall be punishable as herein provided. Anyone who fails to comply with any final order of the Building Official may be guilty of a misdeamenor and applicable penalties will be assessed. ABATEMENT WORK/NOTICE OF LIEN In the event compliance has not been accomplished by March 31 1995, the Building Official may abate the above violations by causing the correction work to be done. The cost of the abatement work is charged as a PERSONAL OBLIGATION OF THE PROPERTY OWNER and/or as a LIEN AGAINST THE PROPERTY. Page 2 of 3 r APPEAL Any person having any record, title or legal interest in the above-described location may appeal the Notice and Order of any action of the Building Official to the Board of Appeals, provided the appeal is made in writing, as provided in this code and filed with the building official within 15 days from the date of service of such notice and order; FAILURE TO APPEAL WILL CONSTITUTE A WAIVER OF ALL RIGHTS TO AN ADMINISTRATIVE HEARING AND DETERMINATION OF THE MATTER. The appropriate form for appeal may be secured from the Department of General Services, Building Division. YOU HAVE THE DUTY TO NOTIFY THE BUILDING DEPARTMENT OF ANY ACTIONS TO CORRECT THE ABOVE VIOLATIONS YOU HAVE TAKEN SINCE THE RECEIPT OF THIS NOTICE AND ORDER. DATE this 9th day of March, 1995. MIKE BYRNE T MI IFF t Building Official Building Insp U4 Wr Case No.: ENF94-0132 Owner: Thomas J. and Penny B. Crosswhite Notice of Mason County Code Violation Abatement Order & Duty to Notify CC: Mike Clift, Deputy Prosecuting Attorney -,Posted on Site N Certified to NE 181 Ranch Dr. Tahuya & PO Box 482, Belfair, WA First Class mail to NE 181 Ranch Dr., Tahuya and PO Box 482, Belfair, WA. Page 3of3 MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton,Washington 98584 (360)427-9670 BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION May 19, 1995 Thomas Crosswhite N.E. 181 Ranch Dr. Tahuya, WA 98588 Dear Thomas: RE: Continuing Violation of Uniform Building Code Site Address: NE 181 Ranch Drive, Tahuya Parcel No.: 22329-73-06020 � 3 =-I - c v1 G 2 As you are aware, our office investigated a complaint of an illegal fill without the proper permits on property which is owned by you and as a result, an after the fact permit was applied for in an effort to bring the site into compliance. The permit has been ready since May 9. 1995. The violation file,has been referred back to me for further action since it was never issued and therefore the violation has not been resolved. Mason County Ordinance 138-92 states that for each separate day or any portion thereof during which any violation of the code occurs or continues shall be deeded to constitute a separate offense. Certainly, it would not benefit Mason County to pursue this matter at this point in time since the violation is so close to being resolved without giving you a reasonable amount of time to comply. Compliance has been attempted by applying for the after the fact permit however, until the permit is actually issued, the violation status remains. Please make the necessary arrangements to secure this permit prior to June 2, 1995. If you should have any questions regarding the permit process or our authority in respect to permit requirements and violation actions please feel free to contact Tami Griffey (360) 427-9670 Ext. 356. Sincerely, 1m�'j E' l Christine Herth Building cc: Property File Mike Clift, Deputy Prosecuting Attorney Mike Byrne, Building Official MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton,Washington 98584 (360)427-9670 BUILDING PARKS & RECREATION FAIR/CONVENTION CENTER ADMINISTRATION March 9, 1995 Thomas J. and Penny B. Crosswhite PO Box 482 Belfair, WA 98528 RE: Continuing Violation of Uniform Building Code Site Address: NE 181 Ranch Drive, Tahuya Dear Mr. Crosswhite, As you are aware, our office investigated a complaint of an illegally constructed garage on property which is owned by you and as a result, an after the fact permit was applied for in an effort to bring the site into compliance. The permit has been ready since April 4, 1994. The violation file has been referred back to me for further action since it was never issued and therefore, the violation has not been resolved. Mason County Ordinance 138-92 states that for each separate day or any portion thereof during which any violation of the code occurs or continues shall be deeded to constitute a separate offense. Certainly, it would not benefit Mason County to pursue this matter at this point in time since the violation is so close to being resolved without giving you a reasonable amount of time to comply. Compliance has been attempted by applying for the after the fact permit however, until the permit is actually issued, the violation status remains. Please make the necessary arrangements to secure this permit prior to March 31, 1995. If you should have any questions regarding the permit process or our authority in respect to permit requirements and violation actions, please feel free to contact me at (360)427-9670 ext 356. Sinc ' ely, T i fe uilding Inspec / r cc: Property File Mike Clift, Deputy Prosecuting Attorney Mike Byrne, Building Official MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton,Washington 98584 (206)427-9670 BUILDING PARKS & RECREATION FAIR/CONVENTION CENTER ADMINISTRATION November 15, 1994 Thomas Crosswhite PO Box 482 Belfair, WA 98528 RE: Violation of Chapter 70, Uniform Building Code Site Address: NE 181 Ranch Dr., Belf air, WA Parcel No.: 22329-76 E)0020- 3q Enforcement File: ENF94-0132 C0021 Dear Mr. Crosswhite, On August 30, 1994 our office investigated a complaint regarding the movement of fill located on your property. At the time of the investigation it was determined by the inspector that fill had been placed on the site within the last two years and at the present time, you were grading a small portion of that fill. The inspector indicated that possible drainage problems could occur in the future however, at the time of the inspection, the fill did not seem to be creating a negative impact on the properties and the complaint was marked as pending as the enforcement of the provisions in Chapter 70 was not immediately necessary and further inspection of the site during the fall/winter season may need to facilitate further conditions in the event that an after the fact permit is required or our office requests that further work is performed to alleviate any situation which may be considered a hazard due to the non- permitted fill. Most recently, additional complaints were received that the burm which had been created by the non-permitted fill had adversely affected the natural drainage channel which existed prior to the placement of the fill. The code specifically states in Section 7004-Hazards: Whenever the building official determines that any existing excavation or embankment or fill on private property has become a hazard to life and limb, or endangers property, or adversely affects the safety, use or stability of a public way or drainage channel, the owner of the property upon which the excavation or fill is located, or other person or agent in control of said property, upon receipt of notice in writing from the building official, shall within the period specified therein repair or eliminate such excavation or embankment so as to eliminate the hazard and be in conformance with the requirements of this code. Page 1 of 3 Mason County Ordinance No. 138-92 adopted on December 23, 1992 Chapter 70 of the Uniform Building Code which pertains to this violation. Any fill, grading or excavation of materials in excess of 50 cubic yards is required to be permitted prior to the commencement of such activity. The amount of cubic yards placed on your site far exceeds this limitation. Furthermore, information provided to us by the complainant indicates that the material was placed on your site after the adoption of this ordinance. All after the fact permit fees are as established by the Uniform Building Code. Whenever any work for which a permit is required by this code has been commenced without first obtaining said permit, a special investigation shall be made before a permit may be issued for such work. An investigation fee, in addition to the permit fee, shall be collected whether or not a permit is then or subsequently issued. The investigation fee shall be equal to the amount of the permit fee required by this code. The Department of Community Development has established fees which when assessed towards a violation, are three times the original permitting fee in addition to the Building Department fees. At this time, our office will exercise our authority to require that the drainage problem be corrected and that a drainage channel be provided by you prior to December 15, 1994 in lieu of requiring the after the fact Land Modification permit. However, exemption from the requirements of Chapter 70 shall not be deemed to grant authorization for any work to be done in any manner in violation of the provisions of the chapter or any other laws or ordinances of this jurisdiction. If further problems persist with the site and the fill which was located in violation of the ordinance and codes adopted by this county, this department may require submittal of an after the fact Land Modification permit. I have included a copy of Chapter 70 so that you are aware of the permitting requirements in the event that we can not resolve the present drainage situation without further enforcement activities. Page 2 of 3 I strongly encourage you to contact Larry Waters, Building Inspector, to meet you on site and discuss options available to correct the drainage problem as soon as possible so that you will be able to meet the compliance date of December 15, 1994. Failure to meet the established compliance date will result in the requirement for immediate submittal of the after the fact Land Modification Permit and referral to the Mason County Prosecutors office for further action. If you have any questions regarding our authority to require an after the fact permit or that the situation be resolved in lieu of the permit, please contact me at (206)427-9670 ext 356 between the hours of 9:OOam-5:OOpm, Monday through Friday. Arrangements to meet Larry Waters on site need to be made directly with him at (206)427-9670 ext 285, Monday-Friday between 8:OOam- 9:00am. The normal inspection days in your area are Tuesday and Thursday, please contact Mr. Waters 2-3 working days in advance of the day that you would prefer to meet. Sinc rely, A 6� ami Griffey Building Inspector cc: Property File Mike Byrne, Building Official Mike Clift, Deputy Prosecuting Attorney Larry Waters, Building Inspector Page 3 of 3 • > l�D �7-5- ok ' 144- -7Z� /2�zu A,,- � t-, Cnol �oossr� iUl�l�. (1 a��-333 9 Lak ��►� �' Ch r f Jr TAT �r 34 F-OREST E30A9.r) I STATE X FOREST _ g STATE 9 _ J 3 6.8o - _ L ( ST TE �E w o I.IS Le FOR ST O A R c) R A 12 F` w"e� :w I r D .CAN rj TAT E FO RE�T S BOARD > 0 H ITE - a�cF �8M 274 �I ST TE FO ST 8 �o 4 3 M/L L ER'S , �`'`-�,Q ,y,,v�rr�► in TAotiv n i MASON COUNTY • DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton,Washington 98584 (206)427-9670 BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION FEE ASSESSMENT A complaint was received regarding a non-permitted structure being constructed on 1 -28-94. A site investigation was done and a note left for the owner to call on same date. Owner called Larry on 1 -31 -94 and said that he would apply for permit by the end of the week. Permit was applied for on 3-7-94, over one month from the date he said he would submit. The plans for this structure were drawn and designed on 7-1 -93, 6 months prior to the complaint being received. The double permit fee was charged pursuant to UBC, Section 304(e) 1 & 2 after the owner failed to meet the submittal date as agreed upon with Larry. �t c 0 � 0 r , Permit No. MASON COUNTY BUILDING PERMIT APPLICATION ,A 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 �,v '��b� PLEASE PRINT 1 O #1 Owner .S Cngz r�1,� -e Phone#40(o a?S-3 33`) Site Address N 6- /f! jCA,,ch ear. Fire District# .Z City d St 1Ai A Zip 9d'S 90 Directions to Jo Site W on .,,f', _ II C! df i CQ� 6.1 r1`Q k+ /� � Part c(� d e/L+ . Owner Mailing Address PC) 6j'x City L.vA St WA Zip C1S-5'2-XF Lien/Title Holder Ke se C1)-12 Address 1-1 13 Clty 69- l fa r StW_Zip 9d�S ZF- #2 Contractor Name � Contractor Reg# Address Expiration Date City St Zip Phone# #3 If septic is located on project site, include records. Connect to Septic?&H Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 Parcel No.a a 3 - -?S _000 a 0 Legal Description T2i ct Z g+ 5UryP-4 g//SD #5 Building Square Footage: (existing/proposed) 1 st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage I I,-LO/ Carport / (Circle:Attach ortached?) Other sq. ft. / #6 Use of building Describe work #7 Type of Job: New ✓ Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length Width S rial No. ,,, u IV;r # Bedrooms # Bat Type of Heat Purchase Price $ GENERAL #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: 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 Indicate Directional by (N, S, E, W) Name of Flanking Street in relation to plot plan Name of Fronting Street APPLICANT TO DRAW SITE PLAN BELOW I IC4 6 a g e 36 I i APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW _ I I Plumbing Fixtures ($3$3 eachl 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 Washer Vent Systems Sinks Spot Vent Fans Floor ins No. Boilers/Compressors ry � HP Dishwashers \ No. Air H in ni _Disposal cfm# Urinals No. Fire ProtecliZn 5ystems 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 OFTHE 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 WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. X O ERA << X BY DATE 3 ' 2- 7K DATE FOR OFFICIAL USE ONLY: Accepted by �` Date. --- DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: )"/ Building Plan Review Occupancy Group: rn-. Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit a_ Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee 3.4 1 LD wf p pw"v Site Inspection zn,ves-r s tri-rrtor-e Z�- odD Building State Fee y s Other Other Co Building Valuation: 3 `t q 0 TOTAL FEE A UNITED STATES POSTAL SERVICE I Official Business PENALTY FOR PRIVATE r USE TO AVOID PAYMENT OF POSTAGE, $300 199,1 iE1PriFKiSJ'F"rij_d¢ress and ZIP Code here i MASON COUNTY GENERAL SERVICES P. 0. Box 186 Shelton, WA 98584 I I � I I T00 6 . SENDER: yComplete items 1 and/or 2 for additional services. I also wish to receive the D.• Complete items 3,and 4a&b. following Services (for an extra ` • Print your name and address on the reverse of this form so that we can return this card to you. feel: m • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address N does not permit. t r • Write"Return Receipt Requested"on the mailpiece below the article number. 2 ❑ Restricted Delivery �' "' The Retum Receipt will show to whom the article was delivered and the date V e L.Tered. Consult postmaster for fee. m �3. Article Addressed to: 4a. Article Number ja 5 CEO (UI'll-�. 4b. Service Type 0 0 11n ✓1 _ _, �p�1 ❑ Registered ❑ Insured �I l y �/V �j[%J� D d Certified El COD y�„ f •, r 4 ) , �1 Clg� l Return Receipt for 23 fJe 1 l��r Sy ❑ Express Mail ❑ Merchandise G 7. Date of DeZzy w Q d l of �I 5, i nature (Addressee 8. Addressee's Address(Only if requested Y and fee is paid) m UJI 6. Signature (Agent) ~ 0 HPS Form 3811, December 1991 *U.S.GPO:1993-352-714 DOMESTIC RETURN RECEIPT I — I i UNITED STATES POSTAL SERVICE I I I I Official Business I PENALTY FOR PRIVATE USE TO AVOID PAYMENT OF POSTAGE,$300 I I I I1+ I I I I I I Print your name, address and ZIP Code here I I I I I MASON COUNTY GENERAL SERVICES P. 0. Box 186 I Shelton, WA 98584 " SENDER: y • Complete items 1 and/or 2 for additional services. I also wish to receive the y • Complete items 3,and 4a&b. following services (for an extra to • Print your name and address on the reverse of this form so that we can feel: 7 1 G7 return this card to you. > • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address d in I 2 does not permit. ..., t • Write"Return Receipt Requested"on the mailpiece below the article number. 2. ❑ Restricted Delivery a • The Return Receipt will show to whom the article was delivered and the date @D c delivered. Consult postmaster for fee. 3. Article Addressed to: 4a. Article Number a l 1 uaJ `�"�-S W I L4 4b. Service Type E ` ❑ Registered El Insured 11,- i$i Y�Uch ►�/l °' 1 � Certified ❑ COD 5 I w ❑ Express Mail ❑ Return Receipt for ' 1 � (� �{ Q u Merchandise G I �� / - to " 7. Date of Delivery w a TI cc 5. Signature (Addressee) 8. Addressee's Address (Only if requested Y D and fee is paid) C r LUI 6. Signature (Agent) ~ i- PS Form 3811, December 1991 *U.S.GPO:1993-352-714 DOMESTIC RETURN RECEIPT N n UNITED STATES POSTAL SERVICE gal Business PENALTY FOR PRIVATE © w ) USE TO AVOID PAYMENT Uj OF POSTAGE,$300 r vrr (\ Lij c'.l Print your name, address and ZIP Code here a = • 1� ~ MASON COUNTY HEALTH SERVICES P. O. Box 1666 (}� Shelton, WA 98584 SENDER: I also wish to receive the 1 Complete items 1 and/or 2 tur additional services. y • Complete items 3, and 4a&b. following services (for an extra m to • Print your name and address on the reverse of this form so that we can U feel: > at return this card to you. > • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address fn does scot permit. .. t • Wr:e"Return Receipt Requested"on the mailpiece below the article number. 2 ❑ Restricted Delivery C " •.The Rytlhn Receipt will show to whom the article was delivered and the date r�.o"'aeiivered. Consult postmaster for fee. cc -p 3. Article Addressed to: 4a. Article Number d4 4b. Service Type o /� El Registered El Insured Certified ❑ COD 5 CAIw '�i�e_1 r :Cud q$ ❑ Express Mail ❑ Return Receipt for on I Merchandise o /r 7. Date of Delivery *- L 5. Signature ( ddressee) 8. Addressee's Address (Only if requested Y and fee is paid) ti I I cc 6. Signature (Age 1 > PS Form 3811, December 1991 *U.S.GPO:1993-352-714 yDOMESTIC RETURN RECEIPT 1 i UNITED STATES POSTAL SERVICE Official Bus' ss PENALTY FOR PRIVATE USE TO AVOID PAYMENT C� OF POSTAGE, $300 I Print your name, address and ZIP Code here I MASON COUNTY GENERAL SERVICES P• 0. Box 186 I Shelton, WA 98584 I P, O l., r I i � SENDER: 'y Complete items 1 and/or 2 for additional services. I also wish to receive the Complete items 3, and 4a&b. following Services (for an extra 4; • Print your name and address on the reverse of this form so that we can fee): ia) return this card to you. N d Attach this form to the front of the mailpiece, or on the back if space 1. ❑ Addressee's Address y does not permit. L b Write"Return Receipt Requested"on the mailpiece below the article number. 2 ❑ Restricted Delivery a • The Return Receipt will show to whom the article was delivered and the date V I o delivered. Consult postmaster for fee. y 3. Article Addressed to: 4a. Article Number cc E �1 4b. Service Type 01 � � ❑ Registered ❑ Insured W _ �i Certified ❑ COD 5 w "IU�J�)(J ❑ Express Mail ❑ Return Receipt for cc �v -�i Merchandise o p JJJ 7. Date of Delivery w 3 T a Signature (A dressee) 8. Addressee's Address (Only if requested Y and fee is paid) C ccI 6. Signature (Agent) ~ %"7 2n� 0 PS Form 3811, December 1991 U.S.GPO:1993-352 714 DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SERVICE 11111 Official Bu PENALTY FOR PRIVATE USE TO AVOID PAYMENT OF POSTAGE. $300 ~ fit your name, address and ZIP Code here �! MASON COUNTY GENERAL SERVICES r�i P. 0. Box 186 Shelton, WA 98584 I f hf1"1 -Faffu 07 SENDER: I also wish to receive the y • Complete items 1 and/or 2 for additional services. a) • Complete items 3,and 4a&b. following services (for an extra ` • Print your name and address on the reverse of this form so that we can feel: 7 4) return this card to you. N y • Attach this form to the front of the mailpiece,or on the back if space 1. Ll Addressee's Address N does not permit. t Write"Return Receipt Requested"on the mailpiece below the article number.C 2 ❑ Restricted Delivery a The Return Receipt will show to whom the article was delivered and the date U delivered._ Consult postmaster for fee. Q .3. Article Addressed to: 4a. Article Number 10 ' ` 4b. Service Type /Y ❑ Registered El Insured U W ll�� v rn y 1 r 1 � �}Q ` Certified ❑ COD E Cn LU ,1. ) r LL-H _1 U � ❑ Express Mail ❑ Return Receipt for p� I Merchandise c23 0 7. Date of Deliver 0 cc 5. - i ature (Addresse 8. Addressee's Address (Only if requested Y L` ' and fee is paid) r -- cc 6. Signature (Agen ) ~ >� PS Form 3811, December 1991 *U.S.GPO:1993-352-714 DOMESTIC RETURN RECEIPT I m