The URL can be used to link to this page

Home My WebLink AboutBLD2011-00249 Addition - BLD Permit / Conditions - 5/4/2011 Inspection Line (360)427-7262 ` IPMASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, WA 98584 4 RESIDENTIAL BUILDING PERMIT BLD2011-00249 OWNER: TEDD LOWCOCK RECEIVED: 4/6/2011 CONTRACTOR: TN MILLER REMODELING (360)426-2058 LICENSE: TNMILMR915KD EXP: 5/4/2011 ISSUED: 5/4/2011 SITE ADDRESS: 125 E BARNACLE BLVD SHELTON EXPIRES: 11/4/2011 PARCEL NUMBER: 121195000017 LEGAL DESCRIPTION: HARTSTENE POINTE LOT: 17 PROJECT DESCRIPTION: DIRECTIONS TO SITE: ADDITION TO SFR ST RT 3, R ON PICKERING RD, CROSS BRIDGE TO THE ISLAND, L ON NORTH ISLAND DR, FOLLOW TO THE POINTE, THROUGH GATE TO BARNACLE BLVD General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: 2 Occ. Group: R-3/U Lot Size: Deck: 396 Type of Work: ADD Fire Dist.: 5 No. of Stories: 2 Occ. Load: Building:742 Garage-Attached 320 Valuation: Building Height: 28 Occ. Status: Seasonal Basement: COV PORCH 204 Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: N 5.0 Ft. Shoreline: Ft. Water Body: na Rear: S 5.0 Ft. Slope: Ft. SEPA?: No Model: Width: Ft. Shoreline Desig.: Not Applicable Side 1: E 5.0 Ft. Year: Serial No.: Side 2: W 5.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Water Closets (Toilets) 1 Propane Tank 1 Plan Check Fee GMM 4/6/2011 $636.84 S120110001 Lavatories 2 Gas Outlets 4 Planning Review Fee GMM 4/6/2011 $205.00 S1 201 1 0001 Showers 1 Propane Stove 1 EH Plan Review GMM 4/6/2011 $103.00 S120110001 Water Heaters 1 Dryer Vent 1 Building State Fee LDK 4/19/2011 $4.50 S120110001 Clothes Washer 1 Exhaust Hood 1 Building Permit Fee LDK 4/19/2011 $979.75 S12011000i Kitchen Sink 1 Ventilation Fan 2 Mechanical Permit Fee LDK 4/19/2011 $192.40 S120110001 Dishwasher 1 Mechanical Base Fee LDK 4/19/2011 $28.50 S12011000i Hosebibs 2 Plumbing Permit Fee LDK 4/19/2011 $75.80 S12011000i Plumbing Base Fee LDK 4/19/2011 $24.70 S120110001 Total $2,250.49 BLD2011-00249 Please refer to the following pages for conditions of this permit. Page 1 of 6 CASE NOTES FOR BLD2011-00249 CONDITIONS FOR BLD2011-00249 1) Prior to final approval, all upland areas disturbed or newly a ted by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 2) Approved p ensions and setbacks on submitted �/ite plan. Setbacks are measured from the furthest projection of the structure. X 3) Landing and Vairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "Approved S n"to ensure these structures are shown and meet the setback conditions listed. X 4) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure these structur meet the setback conditions listed. X OV 5) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT PROPERTIES N INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM OR ROAD W Y/ 6) Contractor 4eistration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential ri s and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0982. T p son signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 7) All 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 additio 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 er inspections being performed or approvals granted. X 8) Owner/Agent is re4p6le to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X BLD2011-00249 Please refer to the following pages for conditions of this permit. Page 2 of 6 9) The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the corrections indi ed on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building Official. The mit 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 f d documents will result in failure of required building inspections. X 10) All wallJvyifiieserving as exterior walls, exposed during construction or remodeling work shall be insulated to the full depth of the wall cavity and inspected vering. Insulation R-values shall be as follows: 2x4 wall cavities min. R-15 and 2x6 wall cavities min. R-21. X 11) THE FO NDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 12) The"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, then approval will not be gr ed. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Departmen for to any further inspections being performed or approvals granted. Wt X 13) Washington Sta a Energy Code Compliance has been approved as follows: Heat Type: Electric or other than electric, Compliance Method: Prescriptive option III, Window(Max U-Factor):0.30, Skylight(Max U-Factor):0.50, Doors (Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38 advanced or R-49 standard, Vault Insulation R-38, and Slab Insulation R-10. In addition the following dit from Table 9-1 shall be completed: X 14) A minimum of 500epercent of all luminaires shall be high efficacy luminaries unless lighting compliance was approved using the options available in WSEC Section 1520 or 1530. Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy luminaries nless permanently installed outdoor luminaires are controlled by a motion sensor(s)with integral photocontrol photosensor or installed in or around s ming pools or water features. All fluorescent fixtures must be fitted with T-8 or smaller lamps (but not T-10 or T-12 lamps). Reference WSE X 15) REQUIREMtYNTS FOR ROOF C VERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the manufacturer's installation in ctions. X BLD2011-00249 Please refer to the following pages for conditions of this permit. Page 3 of 6 16) 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 cons with the septic design professional involved with the project. By calling for a final inspection of the building permit the owner/agent/contractor is k edging that all components of the stormwater management system have been installed as approved on the stormwater site plan. X 17) Owner/builder assumes all responsibility if drainfield/res a area is encumbered. A. Drainfield/Resery requires a 10ft setback from all footing/foundations. B. Septic tank(s) r uires,5ft setback from all footing/foundations. C. No foundatio i within 30ft, down gradient of drainfield/reserve area. X 18) Any change/inproposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached thereto. If docum is ar emoved, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and sh a lected by the Building Department prior to any further inspections being performed or approvals granted. X 19) All constructfon must meet or exe6eid all local ordinances and the international codes requirements as adopted and amended by Mason County and the State of Washington. Occ ncy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation X 20) Provisions fo 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 a the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason CoY47ty R5ad, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which is proposed to be located w' 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. X 21) Placement of str must comply with standards set forth per the international codes regarding descending and/or ascending slopes. X 22) All changes t "approved" buil ' plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or re gul n, t be reviewed and approved by Mason County prior to construction. X BLD2011-00249 Please refer to the following pages for conditions of this permit. Page 4 of 6 23) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. The constructionVleermitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the interna � es as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector sha prior to requesting additional inspections. X 24) All propan tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks filled on site must be located a minimum of 10'from any possible source of ignition (electrical outlets, electrical fixtures, compressors, etc), mechanical system air intake (direct vent appliance, ventilation air intake, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. Propane tanks less than 125 gallons must also be located a minimum of 5' from any building opening (foundation vents, windows, doors etc). Setback to the public way, or access easements shall be the greater of 25-ft or as specified in the Mason County Development Regulations. Setback to property lines shall be the greater of 5- r as specified in the Mason County Development Regulations. If a propane tank is exposed to probable vehicular damage, protective bollards must b ed. X 25) All propane anks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All Propane tanks between 125 and 500 gallons must be located a minimum of 10' from any building, possible source of ignition (electrical outlets, electrical fixtures, compressors, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. Setback to the public way, or access easements shall be the greater of 4Lft or as specified in the Mason County Development Regulations. Setback to property lines shall be the greater of 10-ft or as specified in the Maso ounty Development Regulations. If a propane tank is exposed to probable vehicular damage, protective bollards must be installed. X 26) All propane nks must nst Jed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must meet the i tallation r it ents and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks. X 27) Fuel piping shall a inspected after the installation of fuel piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the time of inspect n the test p ssure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system shall not be used until the fin p . n has been performed and approved by a Mason County building inspector. X 28) The placement of s all propane tanks are not normally subject to a permit review by the Planning Department; however, propane tanks are subject to Planning Department regulations. Such regulations pri consist of setbacks from shorelines and features considered to be critical areas (streams, wetlands, slopes, etc.) If you think such features ex' on or nearby your property, please contact the Planning Department so that exact setback requirements can be determined. X 29) All property lines shall be clearly identified at a time of foundation inspection. X 30) All building permits shall have a final inspection performed and approved by the 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 ordinance n Iding regulations. X BLD2011-00249 Please refer to the following pages for conditions of this permit. Page 5 of 6 31) All permits expire 18 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period t exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have prev d action from being taken. No more than one extension may be granted. X 32) Pressure tre/ted4anufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, an 6�shing. Install metal connectors approved for contact with the new types of pressure treated material. X 33) Retaining/alls needed to support a surcharge su h structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. 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 period of 180 days at any time after work is commenced. Eviden of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of wo is by means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason Co ty access to th bov escribed property and structure for revie nd i pection. OWNER OR AGENT: DATE: BLD2011-00249 Please refer to the following pages for conditions of this permit. Page 6 of 6 1 : , � e 3 i 7 S 1 1 5 7 ! 9 t f r R i 1 i t E i t ! { i t FF 4 C�— a 1 I .E,. .._ q•,.... i 3 �� } ..:. [ .. .1.....:.:e � i .:..L�.r s _. E t � ..I ..�.... I I .. � .. 1 .e.: ( {J�� ,�• i [ 1.. ! :.-4 s:: ...,....�..:e. a ,{ i • a " t I � t ,P►!ASDN i C U Q I F .�- . +. _ I G.. ' _.� .._ I t_ _. ._�I_. � .. _.. � PI, S'Tf \ ,l in 0 � E QN SIT .._ t " r € C�IAT�uE `; r '"0 APP 0Vj4 E_ L .,y (s 1 ■ TOPOGRAPHY PROFILE: ALL SETBACKS ARE MEASURED PFRO!`. THE FURTHEST LANNING R.0)EC TION OF THE BUILDING I �. Direction: Scale: Approval: forotfice use Building Permit number. Building: Owner/Applicant:, Date of Planning: application: Env. Health: Parcel Number. �n� / SCALE- D ,c m 40 BASIS OF BEARING ASIYED NORM 24DOW EAST♦!TIED/FAUN/PUT MONIY9Hi$N DE CDnaaDff OF BAMNOE BORDARD ca REFD"CE SURVEYS 17 / 1) HARTSW PONIE KUW B OF PLAM PACE W 2) KUM 24 OF SORIE7$PACE 195 HY SOWY H BECHMT R am IFGAL DESWRON LOT 17 OF IHE R.AT 1F NMISIEW PO%W AS RECOW N ^� / KLLW B OF FUSS PAGE M.RECOW IF MASON CQMiY, maw ■AFwG1w. �x u / CURY£TABLE CLRIf DF7TA RAONS 1E7/CM CHOW / Cl Ilww SOD Bw am C2 34Y5'4B' 45.W 27.30 26.98 CJ 4312'57- 45OO 3194 U14 C4. 477040' 45. RM 36.26 OS 5959'S9' 4100 47.12 4&00 a. 36784.1' a 4 Q 4270 C7 42V50' 45.00 U42 J265 CB OIVOO' 45. &26 CPB o C9 32M'Or' 45OO 2519 24.W CIO 247512' 45.00 1905 1QD1 / LEGEND / 0 9Er%'rzDAn Aw Hwsuc cAR Y ipM YPA.4 PUi YOA1G'T ® LALNAIED M91Nil ALDTOR'S aR'FrATE AGATE LAND SURVEYING, PLLC F9ED FOR RECOW MS_AAr Of xnr SiARYEr0It3 CER7F7CA TE 4�yBuyti7o SURVEY FOR PROff551O1EAL LAW SLW%£1M AT_M N wue¢ 6 9N1EfS PAO:_ EO.XPMENT&PROCEDIAPE m DAP OO wmy PdRF4 z A 59RIEY MADE BY WE w my YY Oar/�.�+.i't TEDD L04I�COCK 26M E.ACAT RD.-P.O BOX 246 D4 9FYr YlT—..A— OMSCDN N CMf W,AV2 NM M REpYff9OlS 0'M 9M1EY SlI�Y•Y.�y=-1'1+�YA' 1R rl'1G SHs TfAV WA 98584- 360 426-4172 AT M WM417 OF mIEY C BECMT A YIDn Pores SIADO,'AIY I91D 9%WAY AECOAWF ACT AT K RfArti!OF AmAuv,arrS atAmas eqY �' sum By DATE:Ol/31/2O11 A79 IAO 3417 R®d SINAINWS SAI®Y k XOD Log= N .wn,Am.m„ ��,o e> SW 114 SW 114 sEce =NTY AW1OP - SaNL..194OH- 20' . 1 dF 1 AM1� a*�$ �" "9 SEC 19, T21N� R1W, W.M. °E°®er RE N&3aT71owcoa.DWG MASON COUNTY PERMIT NO._bId ae)i I -X-21 I9 BUILDING PERMIT APPLICATION /�,r 426 W. Cedar- P.O. Box 186, Shelton, WA 98584 ill Shelton (360) 427-9670 - Belfair (360) 275-4467 - Elma (360) 482-5269 ��JC On the web www.co.mason.wa.us APPLIC9[dT IOR ATION CONTRACTOR INFORMATI N Owner f� Company Name-r Maili dd ness � Mailirfg Address ' ? n > City L State 6 4 Zip Code City r State �'- Zip Code Phone _ 0 Other Ph. Phone - - C Other Ph. Lien/Title Holder tV Contractor Reg. #'r i xi) " E mail address CA V �i E Mail Address + a f�` � Drivers Lic. G DOB - - y Drivers Lic.# a►'�Q DOB - SEPTIC/WATER SYSTEM NFORMATION-Connect t N w epti Existi Septic Connect to Water System X Name of Water System ✓ L� ✓�' '( try 't Well Water System Name of Water System PARCEL INFORMATI N- 2 Din Parcel Np 1=1 _7 1) Fire District Legal Description Site Address(Pleas i clu a tieet. ame, 'tr et umbe nd city 2 �✓he C Dir ions to site r/r 1 L- 4:> ` Mi�fimber be cut and sold in parcel preparation? / Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - e Add _Alt Repair Qther PRIMARY RESID NCE ❑ SEASONAL .VL71 Use of Building Describe Work ArA13, 71A:.. 07 4n No. of Bedrooms No. of Bathrooms square Footage- 1 s Floor_ -T4Z.2nd loor— 3rd Floor��t 1� Basement Deck Covered Deck ,—Other Sq. ft. Garage 1�QL— Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year L th W th Serial No. edr s of Bat oms Pstalle pe f Heat P cha rice$ eplacemen s/No Certification No. 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 the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is required from anykasement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained permission frogem to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is acq§fate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF OF;;INTINUATIOV,WORK IS BY MEANS OF A PROGRESS INSPECTION..- X Date -i A` / &41E 6wriers-Re i sentative/Contractor indicate which one FO F CIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department !jj%j It TOW Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbinq& Base Fee Planning Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation$ TOTAL FEES MASON COUNTY PERMIT NO. IC 2L j -60Zocj 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 On the web www.co.mason.wa.us APPLIC T I F ,RMATION CONTRACTOR IN RMATIO Owner G' Company Name ✓ "� iti, - • Mailin. A dr Maili Address } City tate Zip Code City .` State _ Zip Code �l� Phone AA 1 Other Ph. Phone Other Ph. _ Lien/Title Hold r Contractor Reg. `�1 i Ex `p. E mail address / :>', �.- Y7 E Mail Address Drivers Lic. C y DOB Drivers Lic.# DOB SEPTIC INFORMATION - Connect to Ne Se tic Exi ting Septi Connect to Sewer System Name of Sewer System r �✓� 14 PARCEL INFORM TI N -,12 Digit Parcel o. - - Lc Fire District Legal Description G Site Address (Plea e i cl e s re_et name str et um an city i / q Lq� 4's" perty ons o site :� , Z Cr within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% TYPE OF JOB - New Add Alt Repair Other Use of Building Location of Fixtures/Units- 1 st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:ElectricX— LPQ_ Natural Gas— Heat Pump_ Toilets � Type of Unit No. of Units Fees Bathroom Sink —;2� Furnace Bath Tubs Heatpumps Showers _�_ Spot Vent Fan Water Heater i Propane Tank _I Clothes Washer ___L_ Gas Outlets Kithen Sinks Wood/Gas/PelletStove I Dishwasher I Kitchen Exhaust Hood Hosebibs Dryer Vent j Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL C4MVER/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 the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is required from any easemen holder or any other party in interest regarding this application or the work proposed in the application,I have obtained permission from them to ly for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and is employees of Mason County access to the above described property and structure for review and inspection. PROOF OF CONTINU ON OF WO S BY MEANS OF A PROGRESS INSPECTION. X Date: � Y ) c Owner/O e presentative/Contractor (indicate which one) FOR OFFICIAL USE BEYO IS POINT Accepted b . nning Pd Ck# Date Bld Pd Receipt No. DEPARTME TAL REVIEW APPROVED DENIED NOTES Building Department Occ Grou T e Constr. Planning Department Environmental Health Department FEES Plumbing & Base Fee Site Inspection Mechanical &Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES