Loading...
HomeMy WebLinkAboutBLD2018-00161 Final Garage with Storage - BLD Permit / Conditions - 11/14/2018 o a co .. ..o .. 3 v �� nm ".... ao 0 CD -o o CD = 0 r o � c o m � , - 0 vD 0) n oC r D xa �b�or ) aDn0C a : a � � cmnmmz CO' m = 00 -n G) =! � Z o ;u Z— n cn o m Z � cNi� � � m cnN D o CC y T C = C. .. O < : N � 3 � � NW < = DC7O oD O ( — may a0 Z p „ 3 � fD On°'im —IZ � � � N m G) C°oy —> 00 jz O O � C) � a Z Z m p Cp0 � Z -� v - cn cn m °° o a m z CD m m m o Q o m o D (D N fl1 .�+ a) n 0) .. .. <p 00 M Q 3 m N C CD cnzm � = cn y 3 CD o 0 ° C m Z m O 0 0 m S � N sm' 3 3 a � O N TI m ao o cn y y ch = D Z v 7 p p CD O fu � � a°1 w � � z O CD Z! - - „ -n 0 � o 0 o ,� 0 CL CL D 3 r (Ao oCD � W C CO *' o0 �� � cnv 0 C Z uo, p o fD v o l m wmo o p Z �C Cl) a w�* 0)v -' ry Z a CW0 OON n 0 C -i D o w o m y aD oo -a v -1 -1 > fA O -4 ; Q O =_. S. w m pzT -n CD `� � 0 U) n m co �' z m 3 T W O � N � CD CD „ y CO r z w m m m m ° —I *k 0 3 a cn = 2 O) 3 o CA ? co CD r co c n CACn T � ccnn cn 0 o CD m ' 00 CD CD M M rn rn v01 T JM (n N" � O mOm c , cov C Nn � o co 0 0 0 0 0 " O O _ �-' CO CO a oo N m O ai to <n En cfl to D fl1 <C N0 D co A N (n� 3 3 0 z .Zl fD n o v 0 o � 7 0 X n 0) U cn 0 (D 3 cn c(D c1 O � (n m r cQ a � 0 0 0 �I mmm v NC. � � � N 3 O (D 0 cw CD OL a) 0) O N N N N — 0) N v O 0 0 0 0 N - O O� 00 00 co wN ap- A CD o 0 0 0. � � N � N � O M J 0 0 0 0 N O N O 0 0 0 0 CO CD w N 0 00 C. 0 co m N m N O 90 XCD Ob XO Xo D X o = Do ? o _ = o � O) < a) o a q N m 1-4y O m 3 O � 3N m 7 CD ^jam 60 O 0- 0 0 ; -0 -0 Q CD .. Q"a o 00 (D c N cn - (D n' � p' N = C. -- NQ N 3 CD Q O O a 0 � O Q 3 Q m (D O O O N 0 O 1 o n a77 n � = � .< 4 O O m cn '' O c m 3 � C O S 3 N N � : cQ -� D N y -a 7 (D SN �' Qom ` 7 QN �- 3CDwCL o � � a �D � T. jo N . — a O .Q -0No � Imo oa � � o �' v 5' m 0 3 m� � �� m � � 4 cmo D � o � o - - m (Q c(D n cn cr (D C m 6 m c: — N o (D S O Q" m N N N ' 7 CA 4 Q a m,. :3 (D fn cn 3 O .Zl N N (D C O0 CD O OL CD fl/ N CD (D G cr m 3 3 m cn 3 C j O1 Q CQL CDD 0 0o v (D CD C a (D O � a N Q � a a 0 ,0(D Y (3D v N � m m m o 7 O CD Q O 0 O N N o am Q= < a v 6O c � � OL � � D Qa � Q � OCD n � 3 -ti � � � Z � m O � ln � � CD6 o 0 cQ (Q. m0 � s wm �, � � � co w � o � � p n m C oOL m v fD �' 4 (Q � Xm CD � CO w �, o m y o 0 cnu o Qj. � � � ? � � � � � � � a � Ncm cn � � am ° (aD 3 o' o v 3 � 3 y < A � - - �� N cn33' v � v omm o N 0 v o a o - CLmv, � 0 -0 � ° a v To 0 CD ,' � �� � C: CD o ' m 0 Q- v ao m =' Q- -n N o Q- m O , -o o �, m � � 02. CL m CD Q o _ � 7 � O O �, c 3 En 0 C) m c < � � v3cn m 0 c -� � moo' 0 =- o -« O s N a (OD DJ Q n c o m 3 � n ° T E 0 3 a)5m v oo m .Q o °' � �' y . CDl N On SD Q7 co ap n Q0 (D O o O — nO N 0CD (A O a)Q = 0 O (Q Q ODm o vO my � — cn v N 3 ,_; W v 3 n .� N Q � O 3N (D C -0 C O v — 0 c 7 m CD Q O m m a m �. (A N. (fl � 07 -� CD 00 �I 0 o .� .� N C? CD �' O c� —i Cn v D X m 3 D X D 3 x Xoo0) X -I X v m o � C m = 3 3 3 O C a _ CD v m m o 0- m � o Q O Q-0 m m � m � � N' m 3 � cnm :3 _ o o 0 '� m v c < 0 �\ � m � O Q (D — 3 vCD - N m J C) m CD (D :. O z 4 .)m CD Dto c p - Q = � :' o O m �, -- m a m 0 = Q m CD � � ° S. - o� 3 zv w `�, � � O 0 CD D (0 m m 0 3 Cn p CD w � � o M N � o 0 3: Q m v cn m ? CD z N x � � m Dv = Q CD (a -0 - 0 � -a � v m � � Q :� �. � �' a m o o °' v v -< -a 3 QCD o nm Qm3 (a m 0 3 0 C < o X 0' - 3 (n - CD v Q 3 .. .. � p: _ m �, x � ) 70'< N Q Q 0 �. Q Q OO O Q CD m v CD a (n ccn N sv 0 w O m p -0 �` Om � p nm T c (n � u<iEn n � co (D U) 3 0 Q (D 0) = 0 c Q m N m CD o pO N O p m < O P- fl Q r N = v °- =3 m v ° � �' 3 v u,' o (mn (3n m 3 0 $ r m = m m O D � 3 •< O m Q � Q v m 3 cr c crm Q �, o Q m (n ca Q z =' m m m CD _0 CD cow • n . � o a 0 n 0 3 � N C C m `<N CrO o v p. m ' .a m - (n - 3 = m n • y N CD 3 Q m CD m o m m m cr m m �. .� � cr (n O -a �, Q- m m CD 3 O CACD (n 0 �< y o y 0 o ° ma Q -0 (D m c m 3 Y to 0 6 =. 0 O• m m o 3 �' � v v v_ 3. O CD O N z o 0 3 maw' o CA (D (a -p� C o � O N m 7 • C- (Q 3 m m Z c m < < = Q cc cc m 0 � C CD ' cn N O - �• 0 3 C op (n 0 � 3 -� o n3i � �' �W � m � � n v 3 c C v 3 CD (n m C m W 3 v Q = Q p -a '� cn O � >• 3 C m Q �• (p sT p o0 3 m CD y - m �' � � 0 � 0 ni " C m 0 o � m r: O m N m N N "o N to .' v 3 cc CD d m 3 0 Cl) -n n = n C) "o a 3 CD T m l cn S O O ( 0 rn N N Q o< j ((D N Can ° mmcmi, � � CD CD C) m � slim Z v v � m m a-) C) C " Ca C) 0 c (n 0 ca O cn D 0- :3 (a Q 3 m 3 cn cn N O C N n CD N cn u) ? N O C) S r O 3 Q 0 G 0 << m N N 0 � 6(fl Cvl W :3Q m C 0 m 0 p+ Q y Q m 3 C m m 0 3 :3 cQ O" O 3 0 (n 3m o m ED � v W rn• � 90N CD 3 can = 0 m 7 N 3 S Q C m Q Q Q ' D = O !n (p n (D = Q C � CD 0 3 0 CD CD 3 C '" , C CD m X 3 Cl) 3 � Q CO C � 3 �' 7 0 3 — N Q -h CD �' m M• C m � Q C m .� � : D Q o CD CD to 0 o Q v N (Am o j S?° to 0 Q m CD Qm � Q n v � c ? (� 3. 3 (n 0 v 0) �. = co v < 0 C 3 3 = CD (Q CD =r CD W "a p m m O N CD 3 cn .n-F, 3 -0 O N O p O < Q to O CD (3n � O -' 7 Cl) Q) O m (D 3 Q -- �, � sli p' (3 CD O ,n. " �-* = m m ? cn - 3 m Cz m O ;-_ C)_ Cn (D m N Q CD cn� g CD3 O � m ) a CD s p�j � N N-0 CD 7 (mj ? W N m Cn = CD W .« sy 3 n v cn C _ CD cn _ � m -CY n o - � cc CD 0 O COn m ( CD CD 0 (OD D cn CD 0 p j CA N `< rt m 0 0 O o `< Xa 0 m m 3 O o w 3 0 - � �, m 0 (n Q w CD CD C (D 3 � v 3 3 0- Q O. p m m Co Q Q ss 3 ou CD v :3 =3= cam ' : `< CD E 3 CO O m N O m S 3 m S Q : PI) � m 0 � N O (O 000 v v ? Co N O X � o D D X � �. -� oo0 X0 D Xa unD X ° 3 � D >C �► � <n �+ cD 5 X = v � CD a) _ — cn C O a = v = ni mom .: 4 y 0 a c� coi ID co m a a ' n n a 3• m cn a Oz � � oCD �m Q o cn cD -m c v Na 33 n nn �� O N no ^. CD n a `C M 0 ,g =^ CD �' °� - p -i o moo' cn a 0 m 0 0 ° m0o mZ � ° oc �cr m -�� � � 0 mom non :3 cn (n v 3 a) v o ? ( (DD C) � � o � � � � o 1 to (D i? cmi °� 07 oo ° O - m 03 o v 3 m Oa � � Q 0 m C) 0 0 m cn0 ::r m CD (D 3 � ° o CD (D (A O � � a) � � 3 a) 0 M. (n m c � c ^' o c 0 a m �. n m e m < cD O 3 cn cn c a 0 — m n O (D a (6 0 0 n Q =s Qom v - � cn v Q3 — 0 (n �, � 0 c CD � 0 �< ° v Q -� m Q 0 X ° o � y am c 3 O � � �< (D l< m c 0 - N N (D o a m ncry m CD co CD v,' m �C- D � to j a 'o' ° � 3 0 C: Q�. m � � — °- (D dc� Z0c a) �' N cmn� m 3 v ooa 3 Cn � �► = o (D - ma ova (o CL0 m _ ca (m3• ao -N4 vma a n a) 3 r r 3• iz CD 0 qOG N 0 a ? u►CL � (D t v a) Q In 3 v p a) a) CDD O (D 3• Q- N < j =r Q v 6 C7 Q- m — 0 �• (D 3 y 0 a 3cn N j --0 CD _" o m O a 0 CD Q m =cQ cD a s (D y n �' a) cn cn m ° a 0 a °-. �' a 3 a) < eD �. 0 ? y --- -- o = o m m no m o o --0 3 P- ° a. * ° � � � 0 _ CD ° cD cn CD CD (D 0 3 o a Q3 OP3cn cn `< cn m � 3 a - (n = D � 0 v a 3• � 3 cu 3CL a) 000 cn � m = — 0 (D-CD c0 o ((DQ ° 30 0 3aCD a) O cn v, 70 ° -O m o • 0 3 � n (A y = 3 0 (D O CD a 3 00 a m 3 S (D =3 N 7 0 Q, b (D (<D a. O 5' O `< D C7 .r a) a) �' (D G C m 0 3 3 m _ m Q CD m m 5. N a) C CL o a`� O a v l=D n m O- = = 0 ° O Q� tan m — — N CD `< O 7 m a (CD 0 0 3 0 3 1 ? _ ,y m cn (D 3 3 < O _ 3 3 N a) m (D (D V ? -0 a)- O m X O 3 m n 3 ` � 0 O cn en aaQ T� �_ oCcuao F. 0 7 m mO 03 0cn 0 Q a WCD cp v m m , o 0� D ,CL � — CAa )CD c n 0 a) 00 Co (D 0 ` Q = lDO 0 3 O (D 9) a n r O y N Z a y 3 0 = 0vM (DQ D D � mc n m0 �0 N CA cn v 3 m (a m ^' v a O n N 0O cn OL W CD cn 0 Z N ( CD �D N O- a/ � 0 ; T O 3 fl O a 3 p a) �` -w a to 0 Coif LT a n 3' �. a) W (�D -0 y 00 N -0 laD C •� "► n m Cr mc° c 0_ O v 3 - 0 3 '4 0) m �, 3D — p � 3 � v < o CD0 < 4) N 0 -0 m CD m 3 m Q n m a 4OL-0 CL CD a O O 3 - 0 m -0 cfl Q �• ° � y � �,4111 n ( y v 3 CD 0 Q m O< N a a' a' : 0 0 N. n-0 ccn D o3 a) cn3c0 cDM � � � vCD 03 0 o m e o c m �' =rcn � o n �� 0 Cn 0 a ° u, 3 cQ m a) a ? a1 ° (D �-0 .� 3 z `� oQ 3 >= om 3, � ate = Zvv CA (D v3 A ° o � Q� =r mco 34cp 3 3 c 3 � c D m 0 3 T 'D Q a0 '' � ° a) in 3 y - Z � � �' 0 ism vQ � 5,aCD (a m O 07 a) C m 0. �a 11 m (D v 0 3 -0 3 m a) 3 0 c 3 o n y CD O O o n5' 2 0 � 3 3v_ � 33 3 ? CL CD n o � o D c� o o � m � � as -0 - 3 0 3h -0 0 O Q c n c -�, -1 � n �a rn a) CD a3) -�i CD 3 QQ- d a - s o o 0 p 0 _ �' �, ZZ Q. m m `zE cQm � 3 a' (QO 4 mQ- � � �' m m 0 O Co OD v v v N N 0 9 o tao >< mcQ maXD XD m° XO Dr > X Xo Do -0 0) � O m a a�_ °� :' � m n°i � v ° !D o 0 0 )omc � }0 C: r. .n N cQ m E-o ° Q a N a -" �7 �D cn O m W o � n a CD o � `� p T a v yr CD N to 0 - (D cu v v m am � — � mn cn :3 v w as x m a c?CD (D CD o. ° -0 < Z N QCL < o o p � m a �i O m C N 3 N xm D� : CA O� Q OD:3 -0 n °N' o 3 O CD o m � mOL a) cn o � y a) vm 3 m m 3 X Cn v ca c c � o =3 3v -00 :3 — — a) n — CM ° c � ( mfl.a DO @ m a)< 0) c a) < CD 0 cn cD aam OL ° a cno a m0 — oco � Q cn m — 0) cn N 3 o -0 Co m c v Q m cD 2 m cn N CD fD 07 00 CD y Q � = m n < N v v m z CD v a m o 3 � mv, c� 0 cn m3 � N < -� c3 w :' a - CD cc cc Cr �; o d m CD W = j CCD W co c N Nr r r n In 3 CD v N N n N O �` -' CD m N v � p c m 7 c_ ; C ID 3 3 cn C ° (D a 0 C CD v m a 0 N `n = 3cn0 0 c � _ �° ° z cn a) - C tom y o 0. m 33 w Xo O v oEn CD -n CD � ,� 0 - o Q, �a � m m °- cr3 m CD Om cn0 -ate 3CD 1 - CD m ° cr , cn CD CD � a a m a � m a 3 -: n 7 ° o 0 o cfDi o ovvv CD oCD � � o < o CD (Da m � � m° cnn -0 o Q a m a ' Zco v U) cl CD CD mcaCDCni m ° w -1m � v � 3 3ocn G cn av ° a mCD � av, o < o a� 0 3 m3 -- 5 vm a - p 30 ° ° 3 m o + cn m ° a Cr < cr ZZ m < ° o m cn CD co m m m ° =r o r' m ° v r. m m > j a0 ° X Qg 0 Op � �' 3 CD -- o cn m 3 m w 3 m w c'n v X C D r- N = �cfl o � CD m c Wm � m = m o � � � 3o o c0 v � mo 3N �. 00 3 v, 3 m 1Z � 0 v o'CD 0 3o (n �< v z nn m `< � fl �' r' a G) — 0c 3 CCDDcDO a cQ CD CD CD m _ . v n� y cn cDCD ? Q m v m OD ov mo cmn m cD in n ° a cn > Z � � (n . � <' o N 3 v Q z0 m a o o QQ� '. y 3. m 3 � 0 w cn � 3 a -., 0 c mcnyv �, o � D n. 0 ai0 �m CD CD 0 = v m � r c c � cQ � 3 � 0 0 � a m mr" m � m Y ° 71 3 Q. � m v m Z cn m r. v 3 �,� fl c� CD ° o ? Q � � ami cn 0) 0 m m m v O < 0 °- 0 c -I m3 o a 0 m m z m g co ,< 3c 3 CD cn 0 CD 0 o m =rCD Q � 0 0— - mN o ° z �0m m X co vo < T m a p � � n lm c 0 0o N � O nw a) o a a : c m v_) ' � Z m m 3 CD w cn o cn m 0 ccn m ° << � CD �• -1D n om v � v 3 v 00 0 CD Qom �' = D m v o3 cn j30 " 3 � m oa — � rno cn 0L D a (n Z ° � CD 0_ �; -ti .� m -� 0 m , 0 3 m 3 m o m 9 2 � -mu 2 k k � % %? t / 3, / --1 \ /o \ : � Da. - a) E 2 _ � c o m I / & « C 7 o Q g o � � (OD « r 0 � ED R C - / _ U CD a) x 2pEq % m $ m � ` Q \� =O)La) , vmCL m _ m co \ 3 § CD /� � \ ƒ2 » � \ CO)2 g m \ < 0 $ k ƒ 2 ] /� \ / 7 \ $ / . / R < /2r ° : ° r E 3 CD vkk & & � o CD ;—j—10 = 2 § m �a= \ a CD 0o< 0 (D f m06 & $ 3 » E ko CD= / 0 ( j 7 � � 0 =3 \ / 2220a)= � 2 $ 0 $/E ] E • w a) m cc $ z / �\' 0 k , �_ < kc k § 0 �5 $ � - 2ameae 0 2 / . - 'n \ \ _ / m � f § we/ \ 0 0 � $ / k / elf\ \ t � 2 $ \ CDQ a m � FT0"" CD $ ; ■ E ƒ $ \ R ) ƒ CA > 0 0 0 m o m Bch 3 / � -n CD CD o � o kK � FR : ¢ \ B g a a a. 7 . 0 a $ ) \ 1n _ cnm » n 500 - 00 o ? ] /CC <CD G z % mm £ > 0o L < e n g CD BCD CD ƒ k d \ cn - c � � Q " / 0 CD -n222. \ Cn 2 7oaa _ c a � �-0on o �f8 ® O � CA (n 2OCD- f � /� 41 . . 11, o CONCRETE MECHANICAL MANUFACTURED HOME R Footings /Setbacks Date By Ribbons 90 Gas Piping Ch C) Interior Date By Interior-Date By, Date By C� 0 0) F-xterw Date By Exterior-Date By Set-up > Point Load I Isolated Footings INSULA11ON Date By z BAG SLAB INSULATION z Date By Data By FIRE DEPARTMENT 0 Foundation Mile Floors Date By z Date By Data By DECKS FUAWI_NG waft Date By Date By Date By PROPANE TANKS PLUMBING Vault Date By Date 'y OTHER Groundwork Attic Date By Date By Typa- — DRYWALL Date By D.W.V Type: -0 Date By Int Brace Wall Date By (D :Date By 0) FINAL INSPECTION CA Water Line Fire Sops ration CD CD CD Date By Date By Date By t m 00 E; Pass or Request Inspect. 6 EF Type of Insp. Fail Date a Date Done By Comments L CD (D CA 0 0 0 CD 3 ... ............................................... (D 0 MASON COUNTY RESIDENTIAL PLANTS SUBMITTAL CHECKLIST Owner's Name: C� Y 'Cm Yl UYL 1✓19 U I`J Date:' - I LP'1 PJProject description: Documents: 3U 1�' Do *A&�� �L� / c5 )rl�r `�QS v�8 p f 6c ✓ Building Permit Application Completed. ----Mschr3nical/Plumbing Application Completed. Rpite lanning Intake Checklist Completed. plan includes: Allowable building area, roof overhangs, decks, etc. pparatus &Access Road info required? Yes/No rmwater Checklist Completed. Energy Code Application Form - O Electric wall heater O Electric central furnace O LPG Furnace O Heat pump with electric furnace O Heat pump with LPG furn ce O Boiler(heat type__ ) O Ductless Heat Pump ® Other: Specify: Qn hec, ig-,cl- - Construction Plans: ✓3 Sets (2 full size set /engineered calculation& 1 reduced sized set yl X17 min.(no calculation needed ✓ ) Plans Legiblecognized Scale _ Elevation Views _✓Cross Section 15�t ±/-PR' A-Ofoundation Planoof Framing Plan _door Plan -Use of rooms labeled (all floors):54A, 3 ELax Framing Plan -all floor levels including loft, crawlspace, etc. —.p ,�raming Plan including covered porch, carports Plan Details: _� oof framing details, truss lay-out may be needed (Hip and girder location shown):Unu5 rL)99eS . Wall Framing- Does bearing-wall height exceed 1,Q'? (Engineering may be required) ✓ Floor framing: Floor joists (size & spacing): I , Floor beams: ✓Window headers. Typical header. Garage h ader: G2 X I , Foundation: footing size, reinforcement ;�r� lIXl10 �3 AS X t-9. 61L ib fr oncrete Walls- Does Concrete Wall Height xceed 8'? (Engineering may be required, see details) _L aadiAgs at all exits? Less than 30" above grade? Y/N (must be shown on site plan) _-- WateF Heater. Location: Type: wed By Furnace- Location of Furnace Fuel type: zaplace/Stove Information Shown - Fuel Type? Location(s): i,,- Window Sizes Marked on Plans. ,Braced wall panels (shear walls) MUST be marked/indicated on plans. ,Engineered Yes/ No Snow load:2— Seismic: D2 Design Code: 7L)► Are plans stamped Manufactured Homes: _4 Floor Plam-(rooms &areas must be labeled) Founda tion Type: ANSI/Manufacture method Engineered footing/foundation Basement Decks`: 44 min. landings required at each entrance (must be shown on site/plot plan) *Covered decks and/or any decks greater than a 4'x4' that exceed 3D' grade) requires a permit and construction plans. COMMENTS: Intake review (initials): Dater 18 H:\permit tech building checl list2015.doc Revised 8.5.2016,[� If any of the items listed below are either indicated or missing within the construction documents; the plans must be engineered or returned to the applicant for resolution. ENGINEERING REQUIRED: Braced wall panels/brace wall lines are not marked on plans (R602.10) Amount and location of bracing does not meet minimum required in Table R602.10.1 DESIGN CRITERIA: All notes and details required as a result of the engineered analysis shall be transferred onto proposed building plans. Wind 85 MPH, Exposure B (unless proven otherwise). Seismic Zone: D2, Snow psf. IRREGULAR BUILDINGS R301.2.2.2.5 Irregular portions of structures shall be designed in accordance with accepted engineering practice. A portion of a building shall be considered to be irregular when one or more of the following conditions occur: 1) Exterior shear wall or braced wall line are not in one plane vertically from the foundation to the uppermost story in which they are required. See exceptions. 2) Roof or floor is not laterally supported by shear walls or brace walls lines on all edges. 3) Portion of roof or floor extend more than 6 ft. beyond the braced wall line. 4) End of BWP extends more than 1 ft. over an opening more than 8 ft in width below. 5) Opening in a floor or roof exceed the lesser of 12 ft. or 50% of the least floor or roof dimension. 6) Portions of floor level are offset vertically 7) Shear wall lines do not occur in two perpendicular directions. 8) If a story above grade includes masonry or concrete construction*When this applies the entire story shall be designed. In accordance with accepted engineering practice. *(exception: fireplaces, chimneys, and veneer as permitted by the code). ***Applicant must take plans to a design professional to address items indicated above*** Notes/Comments for design professional: H:\permit tech building check1ist2015.doc Revised 8.5.2016 OP oop MASON COUNT( COMMUNITY SERVICES PERMIT ASSISTA. .:E CENTER: Pei A No: -i.•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 I Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone 4 Belfair. (360)275-4467•Phone Elms:(360)462-5269 85 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:`-)h.ur�nr, n S� �y; NAME:`Og1 MAILING ADDRESS: Po Pt,X3k MAILING ADDRESS:�► 'L ,Ll esr ,tso�_ .� CITY: STATE: ZIP: 52, CITY:MF"-"}e--&rlo STATE: v-,tq ZIP: 965&Z PHONE#1: - PHONE( p) /.o3 7y CELLt, )A I (�97N PHONE#2: EMAII,:_��e.rva c��ey��yrt� ��t.Y�et L&I RF(j# - PRIMARY CONTACT: OWNER❑ CONTRACTOR ZJ OTHER❑ NAME --aAA P e rocs EMAIL RESS MAILIN ADD Sa,r�o 2octd _ ZIp mac, PHONE 581 -U31y CELL CITY t�av�-resc�v�a STATE PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) IZ,2kU Ly U ZONING Q1S Jn- j--�� LEGAL DESCRIPTION(Abbreviated)-rY 9 a �CiV-[ Lb'r i- FIRE DISTRICT SITE ADDRESS 23(o CITY_I?j�r ___ DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES® NO ❑ IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVEWCREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEWk ADDITION❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDR OMSU_ NUMBER OF BATHROOMS-"t-, HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[sl of Bldg) ❑ NOR] DESCRIBE WORK P�u� d NP�sJ �_ras r C SQUARE FOOTAGE: (propose+existing) 1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq..ft. BASEMENT sq.ft. DECK­ 2ta).sq.ft. COVERED DECK sq.ft. STORAGE J 8F sq.ft. OTHER sq.ft. GARAGE_ , sq. ft. Attached❑ Detached 10 CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW ❑ EXISTING ❑ PLUMBING IN STRUCTURE? YES ❑ NO 19 if yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES Vf NO❑ EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER acknowledges that submission of Inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal representative,represents that the Information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14,08.42) X .) - tom ,fin Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS _ . . . .. . . .. _ ,. .. BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH