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HomeMy WebLinkAboutBLD2001-00930 FINALLED - BLD Permit / Conditions - 12/24/20011 -1262 y�ne <36� 2e 3S2 pho t�36o1 421 .96 Moan CO'rty Shelton , W P OWNER., GO SO1, CoN pR pies' 413 3210'` so.RG PLUMBER' TR ©ESGR tEGP 5CR{p-N1,O1\1°. OP, vFP DUREO NOME PN CQM�ONr �a6 ar P .0.go k Please Oar \-0 ot)11® Home �Wng Sta Motae Ho, he {o\1o\Og pages {or oondtttons °{ this A 93O 911101 \SSUEp' 10112101 4 \2l02 EXPIRES 9I13j01 g1131p1 9124101 Amours %V P 512$2 $115,00 57620 $4.5 57620 115,00 51620 50,00 $44 Bv.D2001M00g30 last ty is rmed, The9) All permits expire 180 days after permit issuance, or 180 days after atweitten extension request indicating that circumstances ulOfficial nd theecont olthe of the timefo; action for a period not exceeding 180 days, upon the receipt { permit holder have prevented action from being taken. No more than one extension may be granted. X 10) This application is s bject to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03,036,X 11) The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X Rd tilsmT 12) Provisions for surface/subsurface drainage control mu t be iCounm Stormwented ath new ter Ordinance, tion or either private ditchent es and and drains and eeNOT t requirementsadversely of impact adjacent parcels. Under the requirements of Mason Yse. the stormwater ordinance or prior approval will be granted existing utility AGCESS PERMIT forthe ndedicated lon/construspecific af ardrivewayocr r further information regarding this ordinance and the REQUIREMENT toobtain an County ic Works rtment prior o nstruction at access connecting from a Mason County Road,Cenlright of wDepaay, it s suggestedttocoontact that offlE et to5rev ew future , For any construction which is proposed to be located within 25of aMason County road planned work which may affect your project. X� 13) Proposed structure or any portion thereof greater than 30" in height from grad/9 line, must maintain a minimum of 5' setback from all property lines, easements and 10' from all County and State Road right of ways. X 4/X, 14) OWNER MUST SHOW PROOF OF SATISFACTORY WATER SAMPLE AND WELL LOG PRIOR TO TEMPORARY/PERMANENT OCCUPANCY OF THE RESIDENCE. X 15) Applicant acknowledges that second manufactured home on site is for a family member. (therefore exempt from application of the provisions of the Mobile Home/RV park Ordinance). x This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a inspection or a period of 180 days at any time after work is commenced, Evidence of continuation of work is a progress inspection within the 180 day period. must be approved before building can be occupied, OWNER OR AGENT: �4_ BLD2001-00930 (:c ))1 ;A-• DATE: / G -/ Please refer to the following pages for conditions of this permit. 3 of 3 FRAMING date PLUMBING date D.W.V. date Water Line date by by by by by 1 date WALLBOARD NAILING FINAL INSPECTION date ! /,�C, . d by by by by by by MOBILE HOME Ribbons date Set Up date Final date FIRE DEPT. date OTHER date by by O P.T Wart ) 1A Utji `• LA 1h, Lake Pointe 460-3G VVS with Opt. Pod NI dimensions arc oppro+:molc. Production Pcr sonncl should refer l0 1'loll ,k Cobincl Scl Plcn', 3- 17-00 MASON COUNTY DEPARTMENT OF HEALTH SERVICES September 11, 2001 JAMES BABCOCK 471 E. HYLAND DRIVE UNION WA 98592 Case No.:BLD2001-00930 Dear Applicant: PO BOX 1666 SHELTON, WA 98584 SHELTON (360) 427-9670 FAX (360) 427-7798 ELMA (360) 482-5269 BELFAIR (360) 275-4467 SEATTLE (206) 464-6968 Parcel No.:321057590070 Your building permit cannot be approved by Mason County Environmental Health until the following are completed and turned in: lj Application for Water Adequacy JApproved septic records or approved septic design for4 bedrooms [j Water bacteriological analysis. Well Log Please call me at (360)427-9670, ext. 353 if you have any questions. Sincerely, Cindy Waite Environmental Health Mason County Health Services Comments: 09/11/2001 1 of 1 BLD2001-00930 BUILDING PERMIT # DATE Planner Area Parcel # CHECKLIST FOR PROPOSED CONSTRUCTION Comp Plan Designation Yes No UGA RAC RCC -For [ ] [1''] Within 200 FT of SMP designated shoreline, wetlands, etc. Where? [ ] [°] Located near possible Critical Area, What Kind? (Wetlands, Streams, Lakes, Slopes) [; ] [.] RLC already done? Proposed construction within floodplain Eagle nest Six year moratorium Multi -Setbacks State road access needed Commercial Development (parking standards, sign ordinance, public works review, other applicable agencies) [ ] [;] Mobile Home or RV Park PERMIT NO.: BLD Z MASON COUNTY BUILDING PER IT APPLICATION 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 I CONTRACTOR INFORMATION Owner . !Contractor Name Mailing Address 1Mailing Address City State Zip Code I City State Zip Code Phone( ) Other Ph.) ) I Ph.( ) Other Ph.( ) Lien/Title Holder ;Contractor Reg. # Address I Expiration / / 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. Legal Description Site Address(Please include street name, street number and city) Directions to site Fire District Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE ❑ SEASONAL RESIDENCE ❑ TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work No. of AGE -1st Floor 2nd Floor 3rd Floor drooms No. of Bathrooms Basement o SQUARE DeckOOT' Other Garage r. Attached Detached Carport Attached p Detached MOBILE HbME INFORMATION -Make ModelYear Length ',Width Serial No. ' �` No. i?f.Bedrooms NCO. of Ba Type of Heat -. Purchase Price $ Replace Installer Name Certification No. sq. ft. 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 protect. Acknowledgment of such is by signature below: OWNER AFFIDAVIT -I certify that I am exempt from the requirements of the Contractor Registration Law ROW 18.27 and am aware of the ordinance requirements for which this permit is issued and that all work will be done in conformance therewith. No changes shall be made without first obtaining approval. x CONTRACTOR'S AFFIDAVIT -I certify that I am currently registered as a contractor in the State of Washington and that I am aware of the ordinance requirements regulating the work for which this permit is issued and all work shall be done in conformance therewith. No changes shall be made without first obtaining approval. Date X FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due DEPARTMENTAL. REVIEW : APPROVEQ DENIED Building Department / Occ Group Type Constr. (--t / Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ Building Permit Fee Plan Review Fee Plumbing & Base Fee Mechanical & Base Fee Wood/Gas/Pellet Stove Fee Violation Fee FEES Site Inspection EH Review Fee Planning Review Fee Other State Fee Pre -Paid at Submittal TOTAL FEES Date Receipt No. CONDITION CODES PERMIT Ito. BLD MASON COUNTY BUILD! G PER IT APPLICATIO 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 Shelton (3601427-9670 Belfair (360)275-4467 Elma (360)482-5269 Seattle (206)464-6968 APPLICANT INFORMATION Owner Mailing Address City Phone( ) Other Ph.( ) LLien/Title Holder Address State Zip Code CONTRACTOR INFORMATION Contractor Name Mailing Address City Ph ( Contractor Reg. # Expiration SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septic System Name of Sewer System Water System RCEL INFORMATION-12ilictit Tax Parcel No. egal Description__ Site Address(Please include strut name, street number and city) 7, Directions to site State Zip Code Other Ph.i Existing Septic Connect to Sewer Well Water System Name of Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water (Name) Lake River/Creek Pond Wetland Seasonal Runoff Stream Bluffs PERMANENT RESIDENCE Li SEASONAL RESIDENCE ❑ Fire Distric Saltwater _ Slopes or TYPE OF JOB New Add Alt Repair, Other Use of Building Describe Work No. of Bedrooms No. of Bathrooms ' SQUARE FOOTAGE -1st Floor 2nd Floor .3rd Floor Loft Basement Deck Other Garage Attached Detached Carport Attached Detached MOBILE HOME INFOR"".=i7a'a` Model ° 4" Length Width Serial No. Brooms o. of rooms Type of Heat Purchase Price $ Replacement Unit ?(Ye Installer Name Certification No. sq. ft. 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: I OWNER AFFIDAVIT -I certify that I am exempt from the requirements of the Contractor Registration Law RCW 18.27 and am aware of the ordinance requirements for which this permit is issued and that all work will be done in - conformance therewith No changes shall be made without first obtaining approval. x Accepted by DEPARTMENTAL REVIEW Building Department Occ Group___, Type Constr. Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ Building Permit Fee Plan Review Fee Plumbing & Base Fee Mechanical & Base Fee Wood/Gas/Pellet Stove Fee Violation Fee CONTRACTOR'S AFFIDAVIT -I certify that I am currently registered as a contractor in the State of Washington and that I am aware of the ordinance requirements regulating the work for which this permit is issued and all work shall be done in conformance therewith No changes shall be made without first obtaining approval. Date X Date FOR OFFICIAL USE BEYOND THIS POINT Date Submittal Amount Due Receipt No. I APPROVED DENIED CONDITION CODES FEES Site Inspection EH Review Fee Planning Review Fee Other State Fee Pre -Paid at Submittal TOTAL FEES t'LLASI fr OS HHhdl > ~) 'VI/1JUN t.vuly I r BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 Milt Asp sfwer (3i6(fj427- 70 Belfair (360)275-4467 Elma (3601482-5269 Seattle (2061464-6968 APPLICANT INFOR1 a4 [ CONTRACTOR INFORMATION Ownera—E. x ,L,5 :3(5,-ht-c.ic.-k 7,({rn:c.e. 13 DA -c:Contractor Name 5 LL F Mailing Address Y i/ e //i lz—,,co CAr/ u c ‘Mailing Address City .J/1 .//o c) State (J'A Zip Code 9Fh q .City State Zip Code Phone( 460 ) 997—g5'%70ther Ph.( 360 ) 0-g6GV Ph.( ) Other Ph.( 1 Lien/Title Holder_cTn-rtt.c.s, 13ca:hr.i7Glr_- Contractor Reg. # Address _/`7/ f-' / 'a/o-nrL c.4 j rl r, Expiration / _ SEPTIC/WATER SYSTEM INFORMATION -Connect to New SepticExisting Septic - connect to Sewer System rci Name of Sewer System _ Wel!Water System -E Name of Water System —Nt it, TT 6,...:,--,..41-c?r 2 digit Tax Parcelc-, No. `oL� PARCEL INFORMATION -1(t r Legal Description Site Address(Please include street name, street number and city) Directions to site G L6C.eJ 1-I 0.4, (11,,,,, , aim/Lie/in {r t fsz d2�c �Z rttrt�J Li- aeass edi, _,{,�(i¢ 2,- Ai -L•& 4!'C'.icj fib/ l' Will timber be cut an old i arcel re oration? (Yes/No) �lll Fire District P preparation? Is Bluffs - -(Name) Y P Y � Wetland O Runoff —0—Stream �? Slopes or Lakeur pfo eRiver/Creeko $h Pond winBody of Water Seasonal R —�Q PERMANENT RESIDENCE D SEASONAL RESIDENCE ❑ OF JOB New x Add Alt Reoair O_har I Ica rif P Describe Wo No. of Bedro 3rd Fl of Batnrouiii .G UARE FOOT IGE-1st Floor /.)35p 2nd Floor oft (tR Basement t1} Deck Saltwater -(}- AA Attachedn A. Detachedyrp-Carport -tsYr7l1-Attached Detached 1#r F Length Heat F, Width L Serial No. Purchase Price ���� Memel No y Model ;M Type Mgth HOME INFO CN:'Make„ fie$_6. � ��� eb rlaceme'n 1a o Bathrooms __6 p ?(Yes/a) LUG) Installer Name 4/rrfhrA1-I-C.N I4otvs-t . (.centre r Certification No..c) GSM" nl S 1O3'9 NOTICE: THIS PERMIT BECOMES NULL 8 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 Registration Law RCW 18.27 and am aware of the ordinance requirements for which this permit is issued and that all work will be done in conformance therewith. No changes shall be made without first obtaining approval. Accepted by CONTRACTOR'S AFFIDAVIT -I certify that I am currently registered as a contractor in the State of Washington and that I am aware of the ordinance requirements regulating the work for which this permit is issued and all work shall be done in conformance therewith. No changes shall be made without first obtaining approval. Date J- /O/ X Date FOR O6 ICIAL USE BEYOND THIS F1INT j��J�p Date kubmittal Amount Due / �' ' Receipt No:6 / GXZ DEPARTMENTAL REVIP-W Building Department Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ 15 Building Permit Fee Plan Review Fee Plumbing & Base Fee Mechanical & Base Fee :Wood/Gas/Pellet Stove Fee I Violation Fee AFPRQVEp DENIED FEES Site Inspection EH Review Fee Planning Review Fee Other State Fee Pre -Paid at Submittal TOTAL FEES CONDITION .CODES..