Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
BLD2021-00565 Final MFG Home - BLD Inspections - 7/10/2023
1 615 W.Alder St.Bldg 8,SHELTON,WA 98584 MASON COUNTY SHELTON:360-427-9670,EXT 352 COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 352 Building,Planning,Environmental Health Community Health ELMA:360-482-5269,EXT 352 www.co.mason.wa.us INSPECTION CARD AND CERTIFICATE OF OCCUPANCY" To schedule an inspection call or visit http://www.co.mason.wa.us/community-services/bid-inspection.php Permit Number BLD2021-00565 Date Issued 01/28/2022 Issued Project New MFH Site Address 110 NE Mountain View PI Applicant SIZEMORE ALEDA Contractor Contractor Phone Primary Code UPC IBC,IRC,IFC,IEC,IMC,8r Type Permit Type MANUFACTURED HOME Occupancy -APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS. -DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVAL IS GRANTED. -THIS CARD MUST BE POSTED IN A CONSPICUOUS LOCATION,FRONT OF THE PREMISES IS BEST FOR MAKING ENTRY. -ALL PERMITS EXPIRE 180 DAYS AFTER THE PERMIT IS ISSUED OR 180 DAYS AFTER DATE OF LAST INSPECTION. -OWNER/AGENT IS RESPONSIBLE FOR REQUESTING ALL INSPECTIONS THROUGH FINAL INSPECTION. **THIS STRUCTURE MAY NOT BE USED OR OCCUPIED UNTIL ALL APPROVALS ARE GRANTED.** PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET Public Works Access/Driveway Other Health Septic Well Deptartment Planning Site Inspection Department Fire Marshall Fire Apparatus Access Fire Sprinkler Auto Fire Alarm Hood and Duct Other Final Building Building Official: Community Services Designee Department Concrete Setbacks Slab Footing Perimeter Point load Footing Footing Interior Footing Decks/Porches Foundation Stem Walls Other Rough-In Groundwork Plumbing Framing Groundwork Mechanical Plumbing Groundwork Gas Pipe Mechanical Gas Piping Shear Wall Nailing Underfloor Other Insulation Slab Ceiling Floor Vaulted Ceiling Walls Vapor Barrier Other Wallboard Interior Wall Brace Panels Fire Walls Nailing Other Final Building Manufactured Setbacks Setup Home ��`2��ZZ ��,►J ck-IA-2r- Concrete Foot!Runners Final Other 7 7T7 1 1 MASON COUNTY 360-427-9670 Shelton ext.352 COMMUNITY SERVICES 3 0-275-360-82 52 9 Elma ext.35 2 Building, Planning, Environmental Health,Community Health NN 615 W.Alder St. Bldg. 8 - Shelton,WA 98584 www.co.mason.wa.us CORRECTION/INSPECTION REPORT PERMIT/CASE NUMBER: kl�-20-z— Icot) LOS ADDRESS/LOCATION: FINDINGS• ,r Y� e r Ir �r r� U,3CUY' ems listed above must be corrected to zain compliance- ge)t) ❑ THIS IS NOT A COMPLETE INSPECTION ❑ This structure has been inspected by Mason County Building Department and the items listed above are in VIOLATION of Mason County laws and/or ordinances. Call for re-inspection when corrections are made before proceeding with any further work. Make corrections, items will be checked on the next inspection. ❑ OK to Date: �-\:6 '2 ❑ Please contact our office regarding possible Department: structural damage incurred by recent Inspector: DYr�,s "natural/man made"disasters.This is NOT a CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 MASON COUNTY 360-427-9670 Shelton ext.352 360-2754467 Belfair ext.352 COMMUNITY SERVICES 360-482-5269 Elma ext.352 Building, Planning,Environmental Health,Community Health 615 W.Alder St. Bldg.8 - Shelton,WA 98584 www.co.mason.wa.us CORRECTION/INSPECTION REPORT pER1VIIT/CASE NUMBER*�)\CC ADDRESS/LOCATION: FINDINGS: - r � r \ I Ode �2U 9M D ' o � Items listed above must be corrected to gain compliance. ❑ THIS IS NOT A COMPLETE INSPECTION ❑ This structure has been inspected by Mason County Building Department and the items listed above are in VIOLATION of Mason County laws and/or ordinances. ❑ Call for re-inspection when corrections are made before proceeding with any further work. ❑ Make corrections, items will be checked on the next inspection. ❑ OK to Date: - L ❑ Please contact our office regarding possible DepartmeA- L- structural damage incurred by recent Inspector: r; "natural/man made"disasters.This is NOT a CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 MASON COUNTY 360-427-9670 Shelton ext.352 360-275-4467 Belfair ext.352 COMMUNITY SERVICES 360-482-5269 Elma ext.352 Building, Planning, Environmental Health,Community Health 615 W. Alder St.Bldg.8 - Shelton,WA 98584 www.co.mason.wa.us CORRECTION/INSPECTION REPORT PERMIT/CASE NUMBER 20MLoa ADDRESS/LOCATION: �\O E Ma)nAoi�n \1% e-L-,,J -j 1 FINDINGS• 1 `� Y1 load L Y Y y rVh 4 D b r� r Lolk drir ' Items listed above must be corrected to gain compliance. THIS IS NOT A COMPLETE INSPECTION This structure has been inspected by Mason County Building Department and the items listed above are in VIOLATION of Mason County laws and/or ordinances. Call for re-inspection when corrections are made before proceeding with any further work. Make corrections, items will be checked on the next inspectio . �6K to Date: cj -`�j 2Z ❑ Please contact our office regarding possible Department: structural damage incurred by recent Inspector: k _ "natural/man made"disasters.This is NOT a CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 t Mason County Mason County - Division of Community Development 615 W. Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us B DD2021-00565 MANUFACTURED HOME PROJECT DESCRIPTION: NEW MFH ISSUED: 01/28/2022 SITE ADDRESS: 110 NE MOUNTAIN VIEW PL TAHUYA EXPIRES: 07/27/2022 PARCEL: 223315200061 APPLICANT: SIZEMORE ALEDA OWNER: SIZEMORE ALEDA C/O DEAN WEBB C/O DEAN WEBB TROY, MT 59935 TROY, MT59935 253-298-1570 FEES: Paid Due State Fee-Residential $6.50 $0.00 Technology Surcharge $11.00 $0.00 Planning Review Fee $240.00 $0.00 Building Plan Review/Change of $120.00 $0.00 Use- Onsite Sewage Modular/Manufactured Home $275.00 $0.00 Fee- 1 st half collected at submittal Modular/Manufactured Home $275.00 $0.00 Fee -2nd half collected at ready to issue Totals : $927.50 $0.00 REQUIRED INSPECTIONS Setback Inspection BLD-Final Inspection Footing Inspection Progress Inspection Set-Up Inspection CONDITIONS Printed by:Amber Selby on:01/28/2022 11:13 AM Page 1 of 4 c Mason County Ir Mason County - Division of Community Development 615 W.Alder St. Bldg.8 t, Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us MANUFACTURED HOME BLD2021-00565 * Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. * The installation permit shall be displayed in clear view of the site access road. The approved site plan and other applicable instructions, including installation instructions, shall be available in this location OR placed in the location specified by WAC 296-150M-655. Support configuration shall be clearly marked in the installation instructions. * All property lines shall be clearly identified at the time of foundation inspection. * When parcel development requires direct access to county road(s), a Road Access Permit or Approval must be granted by the Mason County Department of Public Works. For more information contact Public Works, at (360)427-9670, ext. 450 or 100 W Public Works Dr. Shelton. The building permit will not be finaled until the permit holder can show proof that the access permit from Public Works has been finaled and approved. * All RED stamped approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building Department prior to any further inspections being performed or approvals granted. * A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit application. Design, sizing, placement, inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It is the owner/agent/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel prior to the commencement of any development activities. *NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater Management Application/Worksheet the document entitled"Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan" constitutes an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are responsible for contacting 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. By calling for a final inspection of the building permit the owner/agent/contractor is acknowledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which is proposed to be located within 25'of a Mason County road right of way, it is suggested to contact that office to review future planned work which may affect your project. * If you are installing a manufacturing home and no longer have the installation manual for the home, you must use the instructions of the American National Standards Institute (NCSBCS/ANSI A225.1). * Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. * By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your "Approved Site Plan"to ensure these structures meet the setback conditions listed. * All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration. Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No more than one extension may be granted. Printed by:Amber Selby on:01/28/2022 11:13 AM Page 2 of 4 i Mason County Mason County - Division of Community Development f 615 W.Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us MANUFACTURED HOME BLD2021-00565 OWNER/BUILDER acknowledges 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. 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 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 OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. The foundation/footing must be placed on undisturbed, firm-native soil. Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. * All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction. * This permit is for the placement and installation of the manufactured home only and does not imply approval or review for any other items indicated on the plot plan. * All construction must meet or exceed all local and state ordinances in addition to the International Codes requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. * All building permits shall have a final inspection performed and approved by Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason County ordinances and building regulations. * Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28 and 14.17. * CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shall be made prior to requesting additional inspections. * Any retailer, manufacturer or contractor who installs a manufactured home warrants that the manufactured home is installed in accordance with the State Installation code, chapter 296-150M WAC. All installers hired to do installation work shall be certified manufactured home installers and shall be present to supervise the installation of all on-site work. An Installer Tag shall be posted on site giving the certification number and signature of the certified installer responsible for each major part of the installation. RCW43-63B.090 An approved Installer cerification tag shall be placed on the end of the manufactured home directly above or below the HUD certification tag or temporarily located in plain site within three feet of the home's front entry. There shall be one certification tag for each certified installer accounting for the work that each installer performed or installed. Certification number and signature of the certified installer responsible for each major part of the installation. WAC365-210 * The plan review check list and corrections are part of the approved plans and must remain attached. It is the responsibility of the applicant, owner or contractor to make the required corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or removal of approved documents will result in failure of required building inspections. Printed by:Amber Selby on:01/28/2022 11:13 AM Page 3 of 4 • 4P Mason County Mason County - Division of Community Development 615 W. Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us MANUFACTURED HOME BLD2021-00565 * REQUIRED INSPECTIONS (Footing Inspection-prior to pour(set-up manual must be on-site), Set-up Inspection-prior to skirting, Final Inspection-prior to occupancy). I hereby assume all responsibility for the scheduling of my required inspections. If the required inspections are not requested, inspected and signed off(approved) by the inspector in the prescribed order, I understand that reinspection fees and an hourly investigation fee pursuant to the current fees adopted by the Mason County Building Dept., and will be assessed in addition to my original permit fees to resolve any questionable practices or problems that have been discovered. Until resolution of any/all problems no occupancy(Final Inspection)will be granted for the residence. OWN ER/CONTRACTOR(indicate which) * All surface water and potential runoff must be controlled on site and shall not adversely affect any adjacent properties nor increase the velocity flow entering or abutting to any state or county culverting/ditching system or road way. * Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2). * Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material. * The stamped approved site plan is required to be on-site for inspection purposes. If an inspection is requested and the approved site plan is not on site, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. * On-site Septic System final installation approval required prior to temporary/final occupancy of the residence. * Applicant/Owner assumes all responsibility if On-site Sewage Components are encumbered. A.) Drainfield/ Reserve requires a 1 Oft setback from all footing/foundations. B.) Septic tank(s) requires 5ft setback from all footing/foundations. C.) No foundation/Perimeter Drains within 30ft, down gradient of Drainfield/ Reserve area. D.) No Cut Bank(s) (greater than 5ft and over 45 degrees)within 50ft, down gradient of Drainfield/ Reserve area. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws and Ordinances governing this type of work will be complied with whether specified 4ereinot. T e granting o permit does not presume to give authority to violate or cancel the provisof er stat /lo a regulating construction or the performance of construction. Issued By Contractor or Authorized Agent: L1Is Date: - 9 MMI Printed by:Amber Selby on:01/28/2022 11:13 AM Page 4 of 4 1" = 30' SL#1 0-24" Sand Loam 24-36" Loamy Med sand 36" compact 110 Mountain View PI SL#2 Same as SL#1 22331-52-00061 SL#3 0-18" Sand Loam APi= 18-32" Loamy Med. Sand ' " ' ' EC 32"Compact SITE PLAN RLQLl E,5 Ifs ON SITE c�,A J1 To Af4PR©VAI. OR 1 202� B Data UG-0 d0 al 6'+ O'el -" P�LA N N I- 357.17 N ea al Pand ying t pslope from 10' - ' 15'el proposed' p 165' Exit) ALL SETBACKS ARE MEASURED co 5Q' t ©�� FROM THE FURTHEST Li �P4, _ r 50 _ PROJECTION OF THE BUILDING t 100%Reserve 1 0 i and 50'Attenuation iCSL#3 Zone I D/W i J = r\ m. o --`� D-Box r___----_ �" _- +2'el 0 Power&Phone D/W P9 361.96 0 15'el K :Z; TRENCHESNO DE EPER THAi�: 2 •; UPSLOPEOPE` ' " A ✓ •1 :. � DOWNSL SWL-�apLq-Uu �� I � t I I t i t , 1 1 I i I i I I_ I ...t I. 1 _ 1 ..;-.... .. �,... ,...- ' ' _t f. 1 UJ owl ty 4.1 en, Mason County APR 19 2021 Community Services-Building Division MANUFACTURED HOME PLAN REVIEW SPECIFICATIONS UNIT INFORMATION: Snow Load o�5 Make -t— 1p� WOUC1 Model 45103,1A Year lGIga Square feet Width _2— T' Length � Single Coubletriple-wide (indicate) NEW or Replacement (indicate) All footings must be min. 12" below grade within 24" of the skirting when perimeter blocking is required. When manufacture specification is not available use ANSI A225.1 or HUD 24 CFR 3285. Must provide pier plan with reference sections. Allowable Pressure(Pound Per Square Foot) No Allowances made for overburden pressure,embedment depth,water table height,or settlement problems Soil bearing is assumed at 1500 psi If set-up is using a greater soil bearing capacity a soil report from a design professional is required Fill(compact or uncompacted) Compaction Report required through Special analysis Peat or organic clays Compaction Report required through Special analysis SET UP SPECIFICATIONS: Manufacturer's Pier Plan ,-1,, ANSI A225.1/HUD24 CFR part 3285 FOUNDATION: Check the type of foundation and attach detail plans from manufacturer's or the ANSI A225.1/ HUD24 CFR part 3285 �< Pads o Continuous concrete footing(runners) o Slab ANCHORING: 14 Ground o Magnum o Concrete-2500 PSI J-bolt Expansion bolt For new units,this information can be obtained from the home retailer or contractor. Previously owned units, which manufacture's instruction are not available must utilize the ANSI A 225.1/ HUD24 CFR part 3285 code for installation. Washington State law requires that a certified installer install manufactured homes. The undersigned I hereby acknowledge he/she does understand that the Mason County submittal and review processes will be based on the information provided herein and will be verified at time of inspelCtion. /�� X I k Y" �plcanDealer/Installer(indicate) Date MASON COUNTY COMMUNITY SERVICES Permit No: a.6a(-MISt6S PERMIT ASSISTANCE CENTER: S'� NG 0..®' •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARS : 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone Belfair:(360)275-4467•Phone Elma:(360)482-5269 E I.J BUILDING PERMIT APPLICATION 'AP; -'21 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: A I " ?`P,e /2 e NAME: MAILING ADDRESS: 110 NE YV1Q,4,nfA-_,n I ," , y •l MAILING ADDRESS: CITY: STATE:=ZIP: £� " CITY: STATE: (LIP: PHONE#1: —2It 9- 16 70 PHONE: CELL: PHONE EMAIL EMAIL: h Ad, P_&RA1 &� A4,A 1 0 ono, L&I REG# EXP. PRIMARY CONTACT: OWNER[ CONTRACTOR❑ OTHER❑ , a NAME r >. Q.P., EMAIL bOCA4'e't& 'f 7 X, I1�f11 L� MAILING ADDRESS It &XlAfAin U;1' 1,11 J?l- CITY 74 A It to A STATE W.4 ZIP�� 'S PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) C'0 0 (T I ff ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT c SITE ADDRESS 110 ,0A''4. ;'f" �� 'f CITY "►V DIRECTIONS TO SITE ADDRESS 2 ier"� i � T �, } + I S Ft . Aip Lill,'A 1p Y IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOV, SNOW LOAD: psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER _C/Se-d USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) IS USE: PRIMARY, '' SEASONAL❑ NUMBER OF BEDROOMS - NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)g YES (Part[s]of Bldg) ❑ NO ❑ DESCRIBE WORK SOUARE FOOTAGE: (proposed) 1 ST FLOORJ%a sq. ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE T�,! _ t] MODEL 4S(< A YEAR `T 1 LENGTH __ WIDTH_ BEDROOMS_ BATHS SERIAL NUMBER 08FLN49PdL4,%4LP ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW EXISTING❑ PLUMBING IN STRUCTURE? YES NO ❑ If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PR POSED? YES ❑ NO EXISTING SQ.FT. MD' 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 P RMIT APPLIC ION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) X W!Vt Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT 115c PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH