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Z \ § Q �_- om � ( 0- / ). ; ocn / E \ J � ® � 6 � � \ \ \ < 2 � m & an _ m @ Fp• n _. m \ Q ga \ a. 7 . m o (n m o 2 n - in " , 2 ° ° ® mom n Qoo - § 7 \ /(a k R / M0 \0- E / ¥. � // 2 ƒ 0 � J (n e = q - / ° 0 / /� / ¢ E oea6c/ 0--0 0 0/ _$ 8 @ E _ cn (n -0CD- ).� � � ® MASON COUNTY �} PERMIT NO. Oom ,L{ r`{ DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING•PLANNING.FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext. 352 Issa Shelton, WA 98584 (360)482-5269 Elma ext. 352 BUILDING PERMIT APPLICATION OR INFORMATI,ON: CONTRACTOR INFORMATION: Nt�s'?G�'9fi NAME: n 01�' [M7,AJLfNhA�DDR.ESS-' , ft 'Y- I—aj MAILING ADDRESS: �rG Al 4�CITY-erri'- �1 %� 4.� STATE: WZIP: f���6 CITY: � STATE: ZIP: PHONE: CELL: . �7? O:;V7 7 PHONE: CELL: 2 �� EMAIL: t? f EMAIL : Q(p 'Q11 . Dl M iCo W ttq, ;, �-�'' 't�DG'�3,d��-'KJL&� s C�:� L&I REG�,CCM 1-0 6G ILQEXP. � /�6/ PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) ` / ' a 00yu FIRE ISTRICT LEGAL DESCRIPTION(ABBREVIATED) : `/ �� - SC;t :7r'. &( ( . SITE ADDRES S t clo tad fA t,i C I it S' �? >' r CITY_ 'sue DIRECTIONS TO SITE ADDRESS IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM❑ DOES PROPERTY HAVE SLOPE(S)WITHENT 300 FT OF THE PROJECT,GREATER THAN 14% YES[] NO TYPE OF JOB: NEW ❑ ADDITION ❑ ALTERATION X REPAIR❑ OTHER ❑ USE OF STRUCTURE(RESIDENCE,GARAGE ETC.)-t-,50rye 1' ' f fQ,1!q G-yc", 1-10r`"C1CUSS IS USE: PRIMARY SEASONAL❑ NUMBER OF BED OOMS NUMBER OF BA OOMS I DESC E WORK - FPS (' / S e -1 r�ru/ a7d�:�! Add, > 'N Y SQUARE F OTAGE: IST FLOOR '',a`-. f sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR ' sq.ft. BASEMENT "' sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE a-' sq.ft. OTHER sq.ft. GARAGE sq.ft. ATTACHED ❑ DETACHED ❑ CARPORT sq.ft. ATTACHED ❑ DETACHED ❑ MAI!'UF INFORMATION: N`k *4 COPIES OF THE T2 PL MO LENGTH TH BEDROOMS �SERI�A�LNUNMER 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 con ction w rk is s pended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTI . NAC THIS PERMIT APP ATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X - -r ignat of Ap lic t, _ Date X OWNER/ REPRESENTATIVE /CONTRACTOR Print Name (CIRCLE TO INDICATE) DEPARTMENTTAL REVIEW APPROVED DATE DE_?IIED DATE TAGSJNOTES/CONDITIONS BUILDING DEPARTMENT PLANX7NG DEPARTMENT FIRE MARSHAL d 2- -- 1 San Co�j. MASON COUNTY PERMIT NO. 6ATI 201 DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING•PLANNING•FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 _ Mason County Bldg. II I,426 West Cedar Street (360)2754467 Belfair ext.352 zas PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext.352 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: •R00T k1® Xo t4-C- CONTRACTOR INFORMATION: NAME: NAME: A MAILING ADDRESS:` , � �rs . o� MAILING ADDRESS: G N► CITY: lore 6 64,-d TATE: LVA _ZII� e,36( CITY: III STATE: ZIP: 1? PHONE:�L5 3 6)P7CELL: P-S3 _;7F 0,1-"77 PHONE —CELL: 9_Y3 366 X 7 EMAIL: EMAIL : MqJ0Aet✓P'IP 4� a` ®.CO M ROO7-W0. X /-4G. CB-M L&I REG# EXP. 6 /fF/16 PARCEL INFORMATION: CC__ PARCEL NUMBER(12 DIGIT NUMBER): 4J o ;r7,5 o ca J o LEGAL DESCRIPTION(ABB VL4 ED): W ` ..i.�19„ )/ Di oW-n ` , SITE ADDRESS: i7o l rI`�fP ,r )f TY: ,She qgs Y DIRECTIONS TO SITE ADDRESS: Al TYPE OF JOB NEW ADD }�_ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS—1 IT FLOOR 2'D FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless_ Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace Bath Tubs Heat Pump Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks —� 1 v Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs Dryer Vent Other Solar Panel Other jAlp 1p& — 3 [t C� Base Fee ?� of f4ty Base Fee TOTAL PLUMBING TOTAL MECHANICAL 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 APPL TION OF 180 AY WILL INVALIDATE THE APPLICATION. Vol X Signa e of Applicant Date X Owner/Owners Representative/Contractor rint Name (indicate which one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT 426 W. CEDAR 6k. FIRE MARSHAL g 10/3/2014 8:37:49 AM,\\NLOCPAA\TOSHIBA e-STUD1O3530CSeriesPCL6 S:\NLeven qod\Vaughn Rootworx\Drawin 2.dWg, m o I �z I QdNM S:IdSd dNId 1Sd/M 161 -- - 00 Ul D I> -P z Ul � I � c-i cn C � D D < F- m d 76 211' � I ri I r---e I I I I -Dm - I X D X oH � I I R) z fTl f I X c� Ulm I O Ii I I Z m b 1 I I � < M H L_J 'u z ~ O Cn i _ F M C I I � U1 I i < ]� D D 70 M D D M � I I 0 o I I W m � o Ul x I 2> - < 9 (A M z I m cc D X 0 0 3 c z m D m CD I D 70 C7 n F-9 f l m m F z I d r m CD CD D � n v U Z7 CD o M (� 0 � � I cn CD I d I - D CJ t; J M a) D < Z L C r U) z rm Z -� D m r O T rn rn C: z fi - ' z - - -- - - - - n D c r N , M C tTj U1 M o 0 X K 0 rQ CONCRETE MECHANICAL MANUFACTURED HOME 9 Footings I Setbacks Data Sy Ribbons 0 Gas Piping C) C) Intertor Date By Interior-Date By Date By 0 Exterw Date By Exterior-Date By ;U INSULATION Set-up X Point Load I Isolated Footings Date By BG I SLAB INSULATION Date By Date FIRE DEPARTMENT 0 Foundation Walls Floors Date By Date By Data By DECKS FRAMING Walls Date By Date BY Data By PR OPAN E TANKS PLUM131NG Vault Date By Date By OTHER Groundwork Attic ate Date By Type— baba Date By DWIV DRYWALL Type� 0 Date B Int Brace Wall Date E3 y 0 yDate 'Y . ...... .... ................ ..... 9 9FINAL INSPECTION Water Line Fire Seporation C)_L Date By Date 44h Date By By 6 Pass or Request Inspect. C1-A Type of Insp. Fail Date Date Done By Comments -Ph /I L a-V (D (.0 0 CD J Permit#C.'dvh ` 60),q4MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location lqo W P"e, A-cres This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain compliance 2 g� -&- -V TrJV• rkg..t �- v+ - ,C9.i, is "iyY ..t� !' LI•{f► h� You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ please contact our office Make corrections, items will be checked on next inspection regarding possible structural �] OK to `-fCOiq Ce damage incurred by recent "natural/man made" ❑This is not a complete inspection disasters.This is NOTa Date 1 ? Department CORRECTION NOTICE. Inspectors- - DO NOT REMOVE THIS TAG