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HomeMy WebLinkAboutBLD96-1101 Cancelled Addition - BLD Application - 8/30/1996 F L' �J ,, Permit No. AUG2 MASON COUNTY qb� BUILDING PERMIT APPLICATION t 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 Own rim �, �� Phone# 0—Site- Address "0, 2/0 AAc� Fire District# City ,� 5<,4 St &J4 Zip Directions to Job Site Owner Mailing Address City 4o' 7.'�� ic,rE /�/EuJ Sa ����/� ���5 ` iv�s St�_Zip 9F/9cSr Lien/Title Holder Address Clty St Zip #2 Contractor Name Contractor Reg # Address Expiration Date City St Zip Phone# #3 If septic is located on project site, include records. ti�A Connect to Septic? Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) # arcel No -� -�,3cnF� egal Description �� a� mo'6,yz�E�J . ,��� �,c ti/o� C 3 �i�� c,-- #5, 0� Building Square Footage: (existing/proposed) 1st FI /�2nd FI / 3rd FI / Loft / Basement Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq. ft. / #6 Use of building �� �,e � Describe workk!>,��T�-o #7 Type of Job: New Add_ Alt Repair Other �� #8 OBILE/MANUFACTURED HOME INFORMATION odel Year Iq4 3 Make AjrE,2 Model r Lengthy Width iy Serial No. -FC;I Fc) 7( # Bedrooms # Bathrooms Type of Heat f we &-bee' STeciw Purchase Price$ 0., 000 #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 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 :7T A&re-; ,45 i4,v.� ff•t s� �cv� APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW 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 Washer _ Vent Systems _Sinks Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins 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 WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. OWNER X BY DATE 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: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit 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 Building Permit # MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location �00 , ,�c.. L v_ pr• This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: *-'�-- /i© -� Le o Items listed below must be corrected to gaincode compliance !. 0LI 1 cs older ���� /7/6 if,,- � r�ili"r C-C'� -/a r c De vq � d c>-e- J: I,-,�t,' 1r-/' e -� - r c ,fi �, 4,, ,0j,' J, `�! JL �'-►y L e aC c s e G. A r e fy l" You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ' all for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to Department INCA L��� Date 3- 29-�� Inspector / �--Z-t 4 f 29 moo * NnT MOV T/Hlv-- T A 8•s•4G ,�• 80-A(-?40 K. SENDER: I also wish to receive the o ■Complete items 1 and/or 2 for additional services. also services(for an N ■Complete items 3,4a,and 4b. extra fee): y N ■Print your name and address on the reverse of this form so that we can return this u card to you. 5 j ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address d CD permit. ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery Na L ■The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. c delivered. y 4a.Article Numbercc 3.Article Addressed to: Li CQ.Y1 n U ' J 4b. ervice Type a d E Certified _ � f l r/1p_� F_�1OI El Registered CID S N �r, Y V �y�(,/ l of ❑ Express Mail ❑ Insured y W u-� q� X ❑ p ��pn nn ���Q/j Return Receipt for Merchandise ❑ COD o o l �`� �"'r 7.Date of pp�live a Z Y 5. Re ed : (Print Na e) 8.Addressee's Address(Only if requested and fee is paid) L . � r W 6.S' na (A ssee r Age ) X Tr // 2 N Domestic Return Receipt PS Fo 8811, December 994 • s - br �. Fly JAM db ♦ �. 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 NOTICE OF VIOLATION AND FAILURE TO COMPLY DATE: August 14, 1996 LEGAL OWNER: Robert D. and Joann Yager OCCUPANT: unknown PARCEL AND LEGAL : 22330-50-00308 Haven Lake Lot 308 SITE ADDRESS : approx. 300 Haven Lk Dr. , Belfair Pursuant to Mason County Ordinance 37-96, Uniform Building Code and Abatement of Dangerous Buildings Code, this illegal structure, which was posted on March 29, 1996 and again on April 29, 1996, has been deemed a "Dangerous Structure" . Any occupancy or use of this structure is hereby deemed to be a violation of the above referenced codes and will be referred for prosecution of such violation. Furthermore, failure to contact the Mason County Building Department within 10 days from the date P y of this notice will result in a Notice and Order for Abatement pursuant to p the Uniform Code for the Abatement of Dangerous Buildings, Section 302 . Dated this 14th day of August, 1996 l uil K Mi e Byrn , ing fficial Dept_of Labor&Industries AGENCY REQUESTED INSPECTION Electrical Section PO Box 44460 .......................... . Olympia WA 98504-"W n C C C �,:; LJJ v ::.. Agent-Send completed request to area electrical inspection office ': .... �^' Agency making request ;Telephone number. :Date g Department 427-9670 ext 256? Aug. 14, 1996 Mason COuntX_...Buildin De artment Agency address City W ffA 4 426 W Cedar Shelton .. ...............I........................ ......---...........--------................................................................................................................. Nature of problem Illeg.al....ee.c. x. cal....diversion...... -Electrical supplied by wiring from one structltlre to a non-permitted mobile home Wiring is partially exposed at sup 1y szsurce an.d....b.uxied....2..-3.....1q.Ghe.s_...ac-ros-s anN.4HIXK easement road to illegal mobile home ......... .... .............. ......... ......... .................................................--- Location of investigation (address) City ZIP County ..3.00.....IiaYen....La.k. ....1?.x. .Ve....... ..........................................Belfair WA 98528.................................. Owner's name €Telephone number(day) ..RQher..t....D.......and.....J.o.ann....Yag e r Owners address Coun 22975 Marine View Dr So. Des Moines CtryWA 98198 ry ...................................................................................................................................................... ...................................................... .................................................................... y 1' 4...11�-e�......'............................................ ........................ Mike Byrne, Building Official REPORT OF INSPECTION [For DEPARTMENT of LABOR and INDUSTRIES use only] I Information only Date........................................................ Corrections needed ' :....................:............................................ The electrical safety corrections listed below are hereby ordered and must be completed Permit Ref.# within 15 days. Refer to National Electrical Code and State Rules for Standards. -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ................................................................................._............:_.................................................................................................................................................................................... ...................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................... -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- i I ....................................................................................................................................................................................................................................................................................... I ...................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................... ............................................................................................................................................................................................................2.......................................................................i Inspectors stamp ..............................................................................................................................................................................................................� Do NOT conceal electrical work prior to written approval. 3 I .....................................................................................................................................................................................................: i 1 Furnish electrical work permit for inspection of corrections. ; ............................................................................................................................................................................................................ I NOTIFY INSPECTION OFFICE WHEN READY FOR REINSPECTION White-permit Canary-mon rept Pink-job site Goldenrod-dept rtn +-•••-•••••-•••-•••••••--••--•-•••••-••••••......-•--------••-••------• P500-025-000 agency inquest for inspection 11-92