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HomeMy WebLinkAboutBLD2016-01113 Cancelled Detached Heated Storage - BLD Permit / Conditions - 4/1/2020 insNecuuii uiie toov/4�i-i��,�,,■er SON COD MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County 615 W Alder St Shelton, WA 98584 1-4 RESIDENTIAL BUILDING PERMIT BLD2016-01113 OWNER: SCOTT SCHJOLIN CONTRACTOR: LICENSE: EXP: RECEIVED: 11/14/2016 SITE ADDRESS: 110 NE SANCTUARY LN TAHUYA ISSUED: 1/20/2017 PARCEL NUMBER: 322127600010 EXPIRES: 7/20/2017 LEGAL DESCRIPTION: TR 1 OF SURVEY 2/134 NW1/4 PROJECT DESCRIPTION: (O(� ECTIONS TO SITE: DETACHED HEATED STORAGE BLDG, WITH BAT ROOM ��'FOLLOW ST RT 3 TO BELFAIR, L ON ST RT 300/NORTH SHORE RD, R ON 1 �' BELFAIR TAHUYA RD, FOLLOW PAST DEWATTO RD, L ON TAHUYA RIVER RD TO SACTUARY LN TO SITE ADDRESS General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 0 Type of Constr.: II Type of Use: SF Insp.Area: No. of Bathrooms: 1 Occ. Group: S/U Lot Size: Deck: Type of Work: ACC Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:640 Valuation: $ 34,677.20 Building Height: Occ. Status: Basement: Cvrd deck 300 Manufactured Home Information Setback Information Shoreline& Planning Information Make: Length: Ft. Front: S 250.0 Ft. Shoreline: Ft. Water Body: Rear: N 110.0 Ft. Slope: Ft. SEPA?: No Model: Width: Ft. Side 1: E 100.0 Ft. Shoreline Desig.: Not Applicable Year: Serial No.: Side 2: W Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Water Closets (Toilets) 1 Heat Pump 1 Plan Check Fee GMM 11/14/201i $319.96 S1201600000001 Lavatories 1 Dryer Vent 1 EH Minor Plan Review GMM 11/14/201i $ 100.00 S1201600000001 Water Heaters 1 Ventilation Fan 1 Planning Review Fee GMM 11/14/2011 $205.00 S1201600000001 Clothes Washer 1 Building State Fee TW 1/18/2017 $4.50 S3201700000001 Hosebibs 1 Building Permit Fee TW 1/18/2017 $492.25 S3201700000001 Mechanical Permit Fee TW 1/18/2017 $36.20 S3201700000001 Mechanical Base Fee TW 1/18/2017 $28.50 S3201700000001 Plumbing Permit Fee TW 1/18/2017 $41.00 S3201700000001 Plumbing Base Fee TW 1/18/2017 $24.70 S3201700000001 Total $ 1,252.11 BLD2016-01113 Please refer to the following pages for conditions of this permit. Page 1 of 6 O rn o X W Q°- - CM o XW� IIl X\=TI X (DO0 XQ X (DD X0co o Q OD (D v N m n :3 CD (D - n (D (D< N 0 0- O-o (L� 10 N 0 :3 c0 O (D O v < v (D O O C7 O< z ? 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Alder Street L ,. tASUREU AIL SETBACIKS A71E FROM 1,HE Fv', ' HEST PROJECTION OF THE BUILDING . -'--_ 6 "O as04- \'D Exisri.� Sr2uc:uia I i `JIASON COUNTY DCD PLANNING f SITE PLAN REQUIRED TO BE.ON SITE { HANGES SUBJET TO O APPROVAL . 3y Dade 2 20(IP &X r 2011 mason county map sifter Eile Edit yew Hijitory $ookmarks Tools Help l'3 KINGS TerraScan Tw6ifter-Mason Co... a Taldifter-Permits and Ma.., x Viewer Frame + F .. ,.=:.masomwa.us ". - i:u:c- search legend lavers A J Boundaries 6 Places ParcelaEP �� hss ii A —I_ Site Addresses Lv e` .'+F`f r s� Place Nam�e��s�Yl - •1 i Sa a ""e I sections EP e F nN F J�JCommissionerDist ctsLYMENA rJ O CountFuture Land Use r—ti County—,O Zoning J C'Allyn UGA Zoning J C)Balf it UGA Zoning NE BE��ROSE O Shelton UGA Zoning J O Congressional Districts& J O Election Precincts E' '—❑OTomtships Cf' _ O City of Shelton CY O Federal Lands CY r—❑O WRIA 14b [, — O WRIA Boundaries& L-----Fe O County Boundary(DNR) �--�O RoadsCY '—Rd O Highways C!✓ - *�r' r —I-1 physical Features---0 O Unnamed Sueams � —0—O Rivers and Sueams& �I O Lakes L3 O Major Lakes C➢' Z C'Puget Sound Ll' �4gJP 7, J O Basins CY ❑O National Wetlands Inventory �lpy J O 20 ft Contours(Brown)& A O 20 R Contours(White)' JD Astial Photos J 2005 DN0.Aerial Photos O 2006 NAIP Aerial Photos J 2009 NAIP Aerial Photos r 2009 Aerial Photo Ik(North) _ J 2009 Aerial Photo lh(Middle) ---._. ___.... 2009 Aerial Photo 1@(South) Zoom to.... ZOOM Factor'UM Zoom to Point b2011 NAIP Aerial Photo(Im) MASON COUNTY RESIDENTIAL PLANS SUBMITT-AL =CKLIST IW shtohnOwner's Name. —Date: I b Project description: 6-65Ay wp 4dffi Documents: U ' �v D e ¢ ,4� Building Permit Application Completed. NOV 14 2016 ✓Mechanical/Plumbing Application Completed. ✓ Planning Intake Checklist Completed. 615 W. Alder Street ✓Site plan includes:Allowable building area, roof overhangs, decks, etc. 1-1M Fire Apparatus &Access Road into required? Yes/No ✓ Stormwater 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 furnace O Boiler(heat type ) • Ductless Heat Pump O Other. Specify: Construction Plans: ''3 Sets (2 full size sets w/engineered calculations & 1 reduced sized set 11X17 min.(no calculation needed ) ✓Plans Legible _✓Recognized Scale Elevation Views ,/Cross Section ✓Foundation PlanCall oof Framing Plan ✓Floor Plan-Use of rooms labeled(all floors) Floor Framing Planor levels including loft crawlspace, etc. ✓Deck Framing Plan ing covered porch, carports Plan Details: EE C rV66 Szc+ o n ✓Roof framing details, truss lay-out may be needed (Hip and girder location shown) p S 'T Wall Framing - Does bearing-wall height exceed 10'? (Engineering may be required) Floor framing: Floor joists (size & spaicinq): Floor beams: Window headers. Typical header., _Garage header. Foundation: footing size, reinforcement y 1C Q Concrete Walls- Does Concrete Wall Height Exce 8'? (Engineering may be required, see details) _Le'C.andings at all exits? Less than 30" abPYe gra�d�e N (must be shown on site plan) _Water Heater. Location: 151 T rW WIType: -&Z Heated By Furnace- Location of Furnace IU Fuel type:.-;Q,,t'.e..c+n C-) _ formation Shown -Fuel Type? Location;s)' Window Sizes Marked on Plans- Ww"4 n lapsU'I• >4dd I n Ltlind0UJ5 - =-paced wall p Is (shear walls) MUST be markedfindicated o . Engineered Ye ! No Snow Ica ro Seismic: D2 Design Code:2015 Are plans stamped Manufactured Homes: _4 Floor Plans (rooms &areas must be labeled) Foundation Type: ANSI/Manufacture method Enginee oting/foundation Basement Decks`: 4x4 min. land' quired at each entrance (must be shown on site/piot plan) *Cove ecks and/or any decks greater than a 4'x4' that exceed 30'fromgrade) requires a permit and struction plans. COMMENTS: on LJ Intake review (initials): (,(J Date: le H-\permit tech building checl list2015.doc ip-e-%ised 8.52016 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 vvall 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 BUI LDINGS 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.fL beyond the braced wall line. 4) End of BWP extends more than 1 fL 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: i:lpermit tech building checklist2015.doc Revised 9.52016 BUILDING NamDOr W IJ t► 161!n Parcel# i ,A I A-J 10• QC6 10 BLD# 2-PAL-40-UL-11- KtutivLU Mason County NOV 1 Z�iB Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 1 of 2) -- Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development,or redevelopment',with more than 2,000 square feet of impervious surface 2. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 2Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To Calculate impervious Surfaces Please Complete This Table Surface Type Length X Width = Area 'All dimensions in feet Buildings X /e; _ X = Measurements for buildings are taken at the X - perimeter of the farthest projections(example: eaves/gutters) X = Driveways X X = Length of drive begins at the right of way X - Parking Areas X = X _ Any paved,gravel or packed area per definition above table X = Patios/Walks 34> X l = 3 X = Any paved,gravel or packed area per definition above table X = Others X X - If the total impervious area of the proposed site X = development is greater than 2000 square feet a Small Parcel Stormwater Site Plan is Required Total Impervious Surface Area (sum of all areas) y If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read,acknowledge and sign below. Based Upon the information you have provided a Stornnwater Site Plan IS NOT required for this development activity. Owner/Builder/Agent 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,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: (p t .Jo,1 z eii� If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 Name�.av�� Parcel 3Z2t Z-7/—mmaPi,�p BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity. Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason County website: htta//www.co.mason.wa—us/code/commissioners/index.htm Please follow the links to"Title 14,Chapter 14.48 Stormwater Management". Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan (Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public Works document entitled"Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan".This document will assist you in preparing the necessary information and plans for Public Works to review and approve. Per Department of Public Works this document will constitute an approved plan if all of the relevant details*are to be installed in their entirety AND no part of the stormwater system adversely affects any septic system(see Environmental Health information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval. A design by a registered professional may be required for more complex sites. "These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A)4—The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. *%eXIocated rna've pla n or professi al ign will b subm ed to th e ent s proval AND the s to ad rely ect any stems on this, r any other,parcel If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works Department can provide additional instructions,guidance and examples.(Section 14.48.130)contact Public works at: Phone: (360)-427-9670 EXT.450 Mail: P 0 Box 1850,Shelton WA 98584 Physical:415 N 6th St,Shelton WA 98584 If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or any other,parcel.You may also wish to consult with the septic design professional involved with the project.Mason County Division of Environmental Health can be reached at: Phone:(360)427-9670 EXT.352 Mail:P 0 Box 1666,Shelton WA 98584 Physical:426 W Cedar St, Shelton WA 98584 A condition will be added to the building permit that states,in part,that all conditions the stormwater site plan will be met prior to a request for final inspection of the building permit. Owner/Builder/Agent 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,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X — wne Agent/Contractor(circle one)Date: c>/.Joy 7 Page 2 of 2 EUILDF WSEC/Ventilation Code Compliance Application'` 1��� Submit with heating/cooling system size worksheet (see instructions d 1 4 2016 Owner: Parcel#: Type of project: —�G ,��� , t Soh rJ a -tte�.� fo r� Total Sq. Ft. 1 Floor: 2'd floor: Heated Ellasement: of heated area:: (p L4 v Heating System Type: O Electric wall heater O Electric Central Furnace O LPG Furnace O Heat Pump with electric furnace O Heat pump with gas furnace m Ductless Heat Pump O Boiler, specify fuel type: O Other: Specify: ® Prescriptive Option Table R402.1.1 (see table on previous page) Compliance Method ❑ Component Performance, R402.1.3 — Calculation worksheets required Must Check one:: ❑ Other (specify): Check one 6 Whole House Ventilation system ❑ Whole House Ventilation Ventilation using exhaust fans&window or wall Integrated with a Forced Air ❑ Other, describe: fresh air vents(M1507.3.4). If using System (M1507.3.5) System window vents be sure to order windows with vents. Referencing Table R406.2, "Additional Residential Energy Efficiency Requirements," all residential units must develop credits as specified in Table 406.2. Identify and describe which option(s)will be used to comply. If the table is not attached to this form you can access the table on our website at: http://www.co.mason.wa.us/forms/Community Dev/iecc wsec.pdf a) Description: Small dwelling units: less than 1,500 sq. feet of heated or cooled floor Additional area and less than 300 sq. ft fenestration area (skylights, doors, windows, etc). Energy *Including additions to existing building that are greater than 500 sq. ft. of heated floor Efficiency but less than 1,500 sq ft of floor area. Requires 1.5 credits Requirements b) Medium dwelling units that are not included in (a) above {small dwelling}, OR (c) below Energy credits {large dwelling} Requires 3.5 credits required: EXCEPTION: Dwelling units serving R-2 occupancies shall require. Requires 2.5 5 credits. See page two for description. c) Large dwelling unit is a dwelling unit that exceeds 5,000 sq. ft. of heated or cooled floor area. Requires 4.5 credits d) Additions less than 500 sq feet. Requires .5 credits (Fenestration is defined in the IECC as skylights, roof windows, vertical windows, opaque doors, glazed-doors that include products with glass and non-glass glazing materials.) Describe Energy Credit Option(s): (WpUsing Option number(s): ✓L&co, t L) 3 FENESTRATION SCHEDULE USE FOR ENERGY CREDIT, a) SMALL DWELLING OPTION & COMPONENT PERFORMANCE COMPLIANCE List all windows, doors, skylights. (If needed, attach an additional sheet) Fenestration is defined in IECC Chapter 2 as skylights, roof windows, vertical windows, opaque doors, glazed-doors that include products with glass and non-glass glazing materials. Manufacturer Location U-Factor Size Quantity Total (rough opening) Square Feet G W Total Fenestration: windows, skylights and door area 4 *1854 MASON COUNTY COMMUNITY SERVICESPERMIT ASSISTANCE CENTER: Permit No:BUILDING•PLANNING•FIRE MARSHAL — - L LJ - A �615 W.Alder St-Shelton,WA 98584r NOV 14 2016 Phone Shelton:(360)427-9670 exf.352• Fax:(360)427-7798 Phone Beltair.(360)2754467• Phone Elma:(360)482-5269 BUILDING PERMIT APPLICATION 615 W. Alder :Sit eet PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: -�>.1 v l'z) !N NAME: MAILING ADDRESS: 0- G L MAILING ADDRESS: CITY: 72WO YA STATE:_ZIP: CITY: STATE: ZIP: PHONE#1: 7- PHONE: CELL: PHONE#2: Z ' EMAIL: EMAIL: tri.J 5,.1,Cory L&I REG# EXP. CONTACT PERSON: OWNER R- CONTRACTOR❑ OTHER[] NAME: V "O i� MAILING ADDRESS: / �� rt>> CITY: u STA :fig_ZIP: _PHONF3d�i�27s= CELL EMAIL: t ^! PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 2 Z!'Z-% - ZONING LEGAL DESCRIPTION(Abbreviated) ,•.j G,J 2-6-1 TRICT SITE ADDRESS j[! .-✓e �if,�e;uA2y w CITY_ 77J da VA DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[( NO❑ IS PROPERTY WITHIN 200 FT: (check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW e ADDITION ❑ ALTERATION❑ REP ❑ OTHER ❑ USE OF STRUCTURE(Residence,(,Residence,Garage,commercial Bldg,Etc.) LJL�t L s � ST !� If IS USE: PRIMARY MO SEASONAL❑ NUMBER OF BEDROOMS_a NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES(Whole Bldg)9' YES(Part[s]of Bldg)❑ NO❑ DESCRIBE WORK (Valuation/Project Bid Amount:$ ) SOUARE FOOTAGE: 1 ST FLOOR -sq.& 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK _sq.& COVERED DECK. 300 sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE too o sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIALNUMBER 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 1 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 Q9/ .✓oV I� i na e O ER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED _DATE TAGS/NOTES/CONDITIONS. BU ILDING DEPARTMENT 6b PLANNING DEPARTMENT FIRE MARSHAL PERMIT SPECIALISTS take: lanner: pproved&Readv for Pick-Um Visituson-line: http://www.co.mason.wa.us/community_dev/ Re,112712016 by JBN r9ox Co°^r� MASON COUNTY COMMUNITY SERVICES Permit No: 71C)o�Ol to '6.� l PERMIT ASSISTANCE CENTER: l •BUILDING •PLANNING •FIRE MARSHAL 615 W.Alder St-Shelton,WA 98584 RECEIVED www.co.mason.wa.us r Phone Shelton:(360)427-9670 ext.352- Fax:(360)427-7798 NOV 14 2016 78s4 Phone Belfair. (360)275-4467- Phone Elma:(360)482-5269 615 W. Alder Street PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: AUQ rT�- e-1-4 NAME: I MAILING ADDRESS: / e,J MAILING ADDRESS: CITY: �AW0)'A STATE: IJA ZIP:9 s-S�J' CITY: STATE: ZIP: I'PHONE: ��G4> 2 y5—G.�y7 PHONE: CELL: 2°d PHONE: (&m8) 7-k,,' 2 t t 9 EMAIL: EMAIL: s -Y,z,,,r popes.-J,ez� L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 3 2--,1 Z eP�p-P JP Zoning: LEGAL DESCRIPTION(Abbreviated): c-i fvli I -2-Z~3 W SITE ADDRESS: //0 C.A-I CITY: 1 A DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: NEW_X_ADD ALT REPAIR OTHER USE OF BUILDING �ri►tl� raQ/J/ LOCATION OF FIXTURES/UNITS-I ST FLOOR 2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Tyne of Fixture No.of Fixtures Fees Fuel Type:Electric LPGNatural Gas Ductless_✓ Toilets 1 Tyne of Unit No.of Units Fees Bathroom Sink I Furnace Bath Tubs Heat Pump I Showers Spot Vent Fan -��M061n� Water Heater p Propane Tank Clothes Washer i' Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs Dryer Vent Other Solar Panel Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER acknowledge 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,owners legal representative,or contractor.1 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 authorized agent 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X 0/ ✓a;r / g t wn Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Visit us on-line: http://www.co.mason.wa.us/community_dev/ Rev:1/27/2016 JBN