HomeMy WebLinkAboutBLD2001-00769 Final Remodel - BLD Permit / Conditions - 9/6/2002 CD OL
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t CONCRETE MECHANICAL MOBILE HOME
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Foodngs•Setback date bV Fftcm
date Gas Pkft ta✓ 0-- -/ 34 date by
Foundation Waft date 3--L a- a z'J UP
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FRAMING Z. Ia, .w... v r W FIRE .
dateF% )R N �' by date )- 7i"'�' ' by � ! , date by
PLUMBING 31X/v- Attic OTHER
Groiu)dwork date by 5-s r,`1,
9 WALLBOARD NAILING fC� �L -
D.W.V. ,46 6
2 D 2 �� date by ��s�_ 40 <�'/.'�,.«
Water Line D FINAL INSPECTION
date by date date by
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�� SAW f--A/1-d Ad A dl,,LBW" -s/o% d A.,C
r If�INI{ PERMIT NO.: BLD IP If"0" 707
MASON COUNTY
t+c ,EN �PUILDING PERMIT APPLICATION
,� ASS�$TAN',T 426 W.Cedar/P.O.Box 186,Shelton,WA 98584
A J� Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968
A PLICAN INFO MATION CONTRACTOR INFORMATION �� �r
Owner E5 � ti J I�0rJS ✓ n Contractor Name D2a 16 l�ii
Mailin Ad rggss op Mile Mailin Address 2 Q
City �� I� State VVPr Zip Code d City n1 A State yam_ Zip Code 5 z
Phone 'L( 0 2711 Other Ph.( ) Ph. kO 77 97, th r Ph.(_�
Lien/Title Holder Contractor Reg. # I, �G G
Address 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
3aa33—sp-�2
PARCEL INFORMATION-12 d,'y�it T x Parcg�jI No. / / 2000 Z Fire District
Legal Description S�z o�fftic l� aOGVn�P,n S 5Dr111 �C��� i Fx I"l �ar�5 (PL�1`
Site Address(Please include street narq e�, street num er and city) C)
Directions to si� ( �S r b I N Or
t- Vito h WOS 2.
Will timber be cut and Id in plarcel preparation? (Yes/No) NO
Is your property within 200' of the following: Body of Water (Name) /7d6d CljHa/ 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 WorkLlgd
No. of Bedrooms No. of Bathrooms_ 3 SQUARE FOOTAGE-1st Floor 2nd Floor t�/}
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
Type of Heat Purchase Price $ Replacement Unit ?(Yes/No)
Installer Name Certification No.
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 n conformance therewith. No than es shall be made without
approval. first obtaini approval.
a 7
X Date X Date --6' O X
FOR OFFICIAL USE BEYOND THIS P T
Accepted by Date'�ubmittal Amount Due Receipt No. &C
DEPARTMENTVIrW> .
APPROVED DENIED CONDITI+7N CQpS
.. .......__ ..
Building Department
Occ Group Type Constr.
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $
FEES.
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing&Base Fee Planning Review Fee
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal ( )
TOTAL FEES
PERMIT NO.: BLD K+V 0061
MASON COUNTY I
BUILDING PERMIT APPLI
CATION �l3
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 CONTRACTOR INFORMATION
Owner ' ' Contractor Name '
Mailing Address Mailing Address
State Zi
City p Code Zip
.� _ a .,' City ' State Y,',�t'"
' r 'r'• Code • -�•�'
Phone ' . L. I; Other Ph.( ) Ph.( r ) +`pther Ph.(_�
Lien/Title Holder Contractor Reg. # `x-f-•r '': --
Address Expiration ^ / i / �= •-
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. -F / �/ t Fire District f
Legal Description
Site Address(Please Include street name, street number and city)
Directions to site.
Will timber be cut and sold in rcel 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 J�
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe Work
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE
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
Type of Heat Purchase Price $ Replacement Unit ?(Yes/No)
Installer Name Certification No.
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 Xt^ s, Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL:REV11N APPROVED DENIED' CDNDITIN COOES '
Building Department
Occ Group Type Constr.
Planning Department
Environmental Health De'I-artment
1
Public Works Department`,
I
Fire Mafshal ¢
Valuation $
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing&Base Fee Planning Review Fee
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal ( )
TOTAL FEES
PERMIT NO.:
MASON COUNTY
PLUMBING/MECHANICAL PERMIT 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 CONTRACTOR INFORMATION
Owner1;;;:,,S-7ytr1_- Contractor Name Rica �:to, -t
Mailing Address Mailing Address 7 7'? J,4-,,"-,V.4,Ot' e-) J
Cit State_LLcj,Zip Code City-", State c<)!-, Zip Code rN <_
Phone(.;2,,,, 1/—Other Ph.( Ph.. Zother Y W I Lien/Title Holder Contractor Reg. # 01 if te <ti_
Address Expiration
SEPTIC INFORMATION-Connect to New Septic Existing Septic 4-f— Connect to Sewer System Name of
Sewer System
77
PARCEL INFORMATION-12 digit Tax Parcel No. / Fire District
Legal Description 14 -,i,4cA* b
Site Address(Please include street name, street number and city)
L) ca
Directions to site L ,Q r.. AJ
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek— Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New—Add—Alt I--- Repair—Other Use of Building
Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No. of Fixtures Fees LPG Natural Gas_Heatpump
Toilets Type of Unit No. of Units Fees
Bath Basins Furnace
Bath Tubs 1 Heatpumps
Showers Vent Fans W $7
Water Heater Propane Tank
Laundry Wsher r Gas Outlets
Sinks Wood/Gas/Pellet Stove
Dishwasher Direct Vent?
Other)163&!N�) 21, Other
Other— Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
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 bihalf,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 changessh shall be done in conformance therewith. No changes shall be made without
___!Iade without first obtaining
approval. first obtaining-approval.
2
Bate X -16e__:1i Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
............................. .....................-.......
..........
.......... .......
V.EP-j%W--.MEN AL ROVE, CODES.:
TR EW:
Building Department
Occ Group Type Constr.
Planning Department
Other
Other
............. ......
... ................................................
...................................... .......... .............................................W." ............................... .......................
.. .... ......................... ..........
............................. ........
.................................................................................... ....... ............... ... ........
........ ........ ......................... . ........
Permit Fee Site Inspection
Plan Review Fee LIFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal
Violation Fee TOTAL FEES
MASON COUNTY PROJECT SITE INFORMATION ;
Case No.
Name "" C A 0+ I`
j f es J ra t CEL NUMBERjGi�IOd�G'G�Z� Date6 G
E
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 o
Names of Fronting Streets Septic System LNif
DRAW SITE PLAN BELOW Include adjacent properties if on shorgggqLpi' in 100 feet of adjacent property line.
i adjacent property line-> I _ _,_.._ '��� "°Z' _ I <-adjacent property line
INfle .r
MEW clve,4-a
I
; • 9� �
i I
lwnp
I
*1*0�1 �32 =l C/
adjacent property line-� Fadjacent property line
i
SAMPLE SITE PLAN
' adja t property line4 22-0 _ _ _ Fadjacent property line
I D 30- rR�SCRvE gel
I P _t TSL__,� �-
SGwIAL 1 H HOMt
I > Prio Pas an se-pt.c �I
I I rf.-- 60' Pr /30 �I
I R I
VACAKiT I CrARAGB
I 30 � I /
'j i(� PM1oPosCD \ A&R=L<WlAL SO
I I
1 � I
B O"
/00'
I \ I L—e-LL
x /00 —� 1
I IA,
adjacent propert lined ; t Ate. \; E-adjacent ro ert' 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
1 i� 2 r dts+ar.ca to
3.p J � � skructt,�►N�
OO diSta"C.G to
r i " Y� stops fic¢
Q. ...
dis�an�a
• _ to �
Date
Signature
PERMIT NO.: BLD r
MASON COUNTYU/ 7(oy
BUILDING PERMIT 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 CONTRACTOR INFORMATION
`Owner ,�t �'r" " Contractor Name '' ' .v1 -i�-I t C
' Et 4 �� I�t`:l,� ti , ; ,rrrs
r �, �f
Mailing Add,rgss _ � t1c Mailing Address
City "''i State 0,A- Zip Code I 747 City ''�1i��� State t/A Zip Code 4.;f i-
Phone( -i'6 ) ` ,,Oi I Other Ph.( ) Ph. - the Ph.(_�
Lien/Title Holder Contractor Reg. # t C3L 4- G
Address Expiration_ /
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic—X Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System
n ARCEL INFORMATION-12 digit Tex ParcelNo. '~ l lLrhG~ `. t Fire District
al Description �'" G t� r'�< ' ��;� r � tr,t't 'ITy
S to Address(Please include street name, street num�er and city) r'
irections to site- I j►^, Imo" to �{fb''''1 'C? t1�
",'�Il,: �' Y1! 'f1,1(4's`/ f;'" IC" i/rJl t•
Will timber be cut and sbld in piarcel preparation? (Yes/No) ,O
Is your property within 200' of the following: Body of Water (Name) 4 i�' < `•'<` tr 7 / Saltwater
/
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
—777
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE
TYPE OF JOB New Add Alt, ,_Repair_
Other Use of Building
Describe Work - r'/` C
r ai f 7 t
��� r
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
Type of Heat Purchase Price $ Replacement Unit ?(Yes/No)
Installer Name Certification No.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
i 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-1 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. f�
X Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date t 'Submittal Amount Due Receipt No.,
DEPARTIVfENTAL..RE1/1'�W APPRQV€D DENIED COIVDIT1t�N COPES
Building Department
Occ Group Type Constr.
Planning Department
Environmental Health De artment
Public Works Department
i
Fire Marshal
Valuation $
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing&Base Fee Planning Review Fee
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal ( )
TOTAL FEES
MASON COUNTY PROJECT SITE INFORMATION
Case No.
t ,. t l t Date
Name .. + �. �R` CEL NUMBER r
� r
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 f
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 lined I : ^c " I Fadjacent property line
a ;
k
a `.0 A,
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SAMPLE SITE PLAN
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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
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Signature r Date
PERMIT NO.: BLD
MASON COUNTY
BUILDING PER
MIT APPLICATION l3i
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 CONTRACTOR INFORMATION
L�tr`� '� Contractor Name
Owner =�"1 -
t--T—'' ' e t ;�t + N� i >a,+' I I 01+ �;--
Mailing Add,r ss `'� '-'�' �' �'� `' Mailing Address `•+ �i'"i.'� �?�4,
¢,ld{- � . State ✓ 'r Zip Code G "' '� City <--'I�` 1C1�� State Zip Code > �-
City ,/ C, r the{ Ph.(_�
Phone Z( G� � )+ "? °'i? Other Ph.( ) Ph. f
Contractor Reg.
Lien/Title Holder
Expiration.
n SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Se ter Systemiconnect to Se of ewer
Well
System Name of Sewer System
Water System
PARCEL INFORMATIO Tex Parcel No.
.. . / �, / , Fire District
�... r^ A�Legal Description �• t i i
Site Address(Please include street name, street num er and city)
Directions to site_ ° l� - Fit;5 t- e--' ZK �+ f .—G
Io
>11,( + AO ,i ^ . >L7 Phi Vti I ,
Will timber be cut and sbid in rcel preparation? (Yes/No) AfO j� � � a,/ Saltwater e'
Is your property within 200' of the following: Body of Water (Name) 4mj� /-�' ��'"
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE
TYPE OF JOB New Add I—Alt Repair Other Use of Building
Describe Work F ?,ol? r' .t ;a',, '�w r=l'r, r
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1 st Floor 2nd Floor Afi�t
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
Type of Heat Purchase Price $ Replacement Unit ?(Yes/No)
Installer Name Certification No.
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. ?
�( Date X r ih 14 �j Date `& 'r�
FOR OFFICIAL USE BEYOND THIS PO�NT
�)<", Receipt No t
Date / ubmittal Amount Due - P
Accepted by '
QiPARTM�NTA�. . APPROVED DENIED C4NpIT1aN GOpS'.
Building Dep rt ent f
Occ Group, T e onstr r 1
Planning Dep ment
Environmental Health Department
Public Works Department !
i
Fire Marshal
Valuation $
FEES
Building Permit Fee , 3�j Site Inspection
Plan Review Fee $(al
, 9$ EH Review Fee
Plumbing&Base Fee a3 00 Planning Review Fee
Mechanical&Base Fee 2.1 1 2 O Other
Wood/Gas/Pellet Stove Fee State Fee '
Violation Fee Pre-Paid at Submittal ( )
TOTAL FEES
BUILDING PERMIT
DATE
Planner Area —
Parcel # Q��� - S C CC,C;. y
CHECKLIST FOR PROPOSED CONSTRUCTION
Comp .Plan
Designation UGA RAC RCC _RA - For IH
Yes No
Within 200 FT of SMP designated shoreline, wetlands,
etc.
/7�0,(A
Where?
[� l [ ] Located near possible Critical Area,
What Kind? (Wetlands, Streams, Lakes, Slopes)
RLC already done?
[ ] [ ] Proposed construction within floodplain
[ ] [ Eagle nest 17j
[ ] ] Six year moratorium
[ ] [ Multi-Setbacks
State road access needed
[ l (y] Commercial Development (parking standards, sign
ordinance, public works review, other applicable
agencies)
Mobile Home or RV Park
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