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HomeMy WebLinkAboutBLD2003-00569 Pre-Inspection - BLD Permit / Conditions - 5/7/2003 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2003-00569 OWNER: JERRY CROSBY RECEIVED: 5/7/2003 CONTRACTOR: LICENSE: EXP: ISSUED: SITE ADDRESS: 241 NE COLLINS LAKE DR TAHUYA EXPIRES: PARCEL NUMBER: 223315200054 LEGAL DESCRIPTION: COLLINS LAKE #3 LOT: 54 241 NE COLLINS LAKE DR TAHUYA PROJECT DESCRIPTION: DIRECTIONS TO SITE: PRE INSPECTION BELFAIR TAHUYA RD TO COLLINS LK TURN RIGHT INTO COMMUNITY 2 BLOCKS HOUSE ON LEFT AT END OF 100 FOOT DRIVEWAY HAS GREEN ROOF General Information Construction & Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: Type of Use: SF Insp. Area: OT No.of Bathrooms: Occ. Group: Lot Size: Deck: Type of Work: PLM Fire Dist.: 2 No.of Stories: Occ. Load: Building: Valuation: Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline& Planning Information Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body: SEPA?: Model: Width: Ft. Rear: Ft. Slope: Ft. Shoreline Desi Side 1: Ft. g' Year: Sepal No.: Side 2: Ft. Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Building Pre-Site Inspection NJP 5/7/2003 $56.80 S22003 Total $56.80 BLD2003-00569 Please refer to the following pages for conditions of this permit. 1 of 2 CASE NOTES FOR BLD2003-00569 CONDITIONS FOR BLD2003-00569 1) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located 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 re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or contra f A to post the address on site prior to requesting inspections. X This permit becomes null and void if work or construction authorized is not oommenced within 180 days,or if construction or work is suspended fora period of 180 days at anytime after work is commenced. Evidence of conbpugtion7o 7apgr i pecti ithin the 180 day period. Final inspection must be approved before building can be occupied. OWNER AGENT: DATE: �-� BLD2003-00569 Please refer to the following pages for conditions of this permit. 2 of 2 MASON COUNTY PRE-INSPECTION APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 360-427-9670 $56.80 Fee Required prior to Inspection PLEASE PRINT #1. Owner Daytime Phone # Site Address Y.r Z 1- t Ais t x>N'( City Mail Address L2Z City R St Zip Vs Applicant /71 9- Applicant Address /Yl s_� - City St Zip #2. Parcel No. 0 a 3 3' - cJ a - O Legal Description Cn 1 ��Y1S Imo. V_Q 3 L-10 k Sg- v #3. Purpose of Pre-Inspection d l �� 9- #4. Use of Building d #5. Indicate by checking the applicable source if any water is on or adjacent to subject property: ❑ Saltwater ❑ Lake ❑ Stream ❑ Marsh ❑ River ❑ Pond ❑ nWetland ❑ Seasonal Runoff ❑ Other Directions to Site -I �( V Ali O 7,© L L IV Z7 of u7/0 I r G s o Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems, Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Frontage Streets. Indicate directional by N, S, E W, etc. Applicant Signiture Date J " 7-'O S FOR OFFICIAL USE ONLY: Accepted by: Date: Receipt No. Referred To: DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Proposal Proposal Approved Denied Planning: Building: Fire Marshal: Special Conditions _ _-