HomeMy WebLinkAboutBLD2014-00241 Addition - BLD Permit / Conditions - 4/14/2014 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. III 426 W. Cedar P.O. Box 279
Ir Shelton, WA 98584
flo
RESIDENTIAL BUILDING PERMIT BLD2014-00241
OWNER: SUSAN KOHARIAN RECEIVED: 3/14/2014
CONTRACTOR: A& L BUILDING CONTRACTORS LLC LICENSE: ALBUIBC931 K1 EXP: 5/21/2015 ISSUED: 4/14/2014
SITE ADDRESS: 181 E SKYLARK CT ALLYN EXPIRES: 10/14/2014
PARCEL NUMBER:
LEGAL DESCRIPTION: LAKEWOOD PLAT I BLK: 8 LOTS 20-22, 43-45 (LOT 12 BELWOOD ESTATES)
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
ADD 1OX31 TO END OF HOUSE
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.: VB
Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: R-3 Lot Size: Deck:
Type of Work: ADD Fire Dist.: 5 No. of Stories: 1 Occ. Load: Building:310
Valuation: $ 34,189.90 Building Height: 16 Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline& Planning Information
_ Make: Length: Ft. Front: S 30.0 Ft. Shoreline: Ft. Water Body:
Rear: N 110.0 Ft. Slope: Ft. SEPA?:
Model: Width: Ft. Shoreline Desig.:
Side 1: E 7.5 Ft.
Year: Serial No.: Side 2: W 7.5 Ft. I omp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee TW 3/14/2014 $319.96 S2201400000001
Planning Review Fee TW 3/14/2014 $205.00 S2201400000001
EH Minor Plan Review SMK 3/14/2014 $ 100.00 S7201400000001
Building State Fee MAU 4/2/2014 $4.50 S2201400000001
Building Permit Fee MAU 4/2/2014 $492.25 S2201400000001
Total $ 1,121.71
BLD2014-0024,1 Please refer to the following pages for conditions of this permit. Page 1 of 5
CASE NOTES FOR
BLD2014-00241
CONDITIONS FOR
BLD2014-00241
1) 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
1-800-647-0982person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X
2) 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.
x A
3) 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 addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building
Department price any further inspections being performed or approvals granted.
X
4) All slabs within the heated space shall be insulate to a minimum R-10 for at least 24". Monolithic slabs shall be insulated around the perimeter from the
top of the slab to the bottom of the footing X C
5) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL.
x 41 -C
6) 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 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 DepartmepVprior to any further inspections being performed or approvals granted.
X
7) 2012 IECC/Washington State Energy Code Compliance has been approved as follows:
Heat Type: Electric or other than electric, Compliance Method: Prescriptive option Marine-4C, Window (Max U-Factor):0.30, Skylight (Max
U-Factor):0.50, Doors (Type/Max U-Factor):0.30 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation min. R-49, Vault Insulation R-38,
and Slab Insulation R-10.
In addition the following credits from R406.2 shall be completed as follows: OPTION #2A=AIR LEAKAGE TEST, MAX 4.0 AIR CHANGES PER HOUR
X l C
BLD2014-00241 Please refer to the following pages for conditions of this permit. Page 2 of 5
8) A permanent certificate, completed by the owner, builder or registered design professional, shall be posted within three feet of the electrical distribution
panel. The certificate shall list the predominant R-values of insulation installed in or on ceiling/roof, walls, foundation (slab, basement wall, crawlspace wall
and/or floor), and ducts outside the conditioned spaces; U-factors for fenestration; and the solar heat gain coefficient(SHGC) of fenestration. Where there
is more than one value for each component, the certificate shall list the value covering the largest area. The certificate shall list the type and efficiency of
heating, cooling, and service water heating equipment, duct leakage rates including test conditions as specified in WSEC Section 105.4, and air leakage
results if a blower door test was conducted.
Building envelope air leakage control shall be considered acceptable when tested to have an air leakage less than 5 air changes per hour when tested
with a blower door in accordanve with IECC/.WSEC Section R402.4.
The blower door test results shall be recorded on the permanent certificate required located near the electrical distribution panel. Air leakage testing is
not required for additions less than 750 square feet. Reference IECCM/SEC R401.3 & R101.4.3
Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2012 Certificate" and are available in %or%sheets. The
Mason County Permit Center will also have some available.
X / ' L
9) A minimum of 75 percent of all permanently installed lamps in lighting fixtures shall be high efficacy lamps in accordance with IECCM/SEC Section
R404.1.
X IL
10) 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).
X
11) Carbon monoxide alarms, listed as complying with UL 2075 shall be installed in accordance with manufacturer specifications and in accordance with IRC
Section R315.
Alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms and on each level of the dwelling.
EXISTING DWELLINGS shall be equipped with carbon monoxide alarms when alterations (including addition or alteration of fuel burning appliances),
repairs, or additions requiring a permit occur, or when one or more sleeping rooms are added or created.
X AL
12) All construction must meet or exceed all local ordinances and 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
X A L.
13) 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.
X /`J
BLD2014-00241 Please refer to the following pages for conditions of this permit. Page 3 of 5
14) 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 mad �rior to requesting additional inspections.
X
15) All property lines shall be clearly identified at the time of foundation inspection. X A(
16) 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 ordinanC and building regulations.
X
17) All permits expire 180 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 not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder have prevented action from being taken. No more than one extension may be granted.
X Z2 ,
18) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors, and fl shing. Install metal connectors approved for contact with the new types of pressure treated material.
X -C
19) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
;Approved Site Plan"sCensure these structures are shown and meet the setback conditions listed.
20) Approved per di ions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X W
21) All construction and demolition debris must be removed from the site after project completion. Proper disposal of construction debris must be on land in
such a manner that debris cannot enter or cause water quality degradation of State waters. X Af-e
22) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or nearby properties to the east. Silt
fencing, straw, or urface matting must be installed and maintained until upland vegetation has become established.
X
23) Application acknowl ges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is Rural Residential 5 zone.
X
BLD2014-00241, Please refer to the following pages for conditions of this permit. Page 4 of 5
24) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered.
A. Drainfield/ Reserve requires a 10ft setback from all footing/foundations.
B. Septic tank(s) requires 5ft setback from all footing/foundations.
C. No foundation drclins within 30ft, down gradient of drainfield/reserve area.
X C_-
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 APPLI ATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
Signature Date �7
ce, P/,r f P in OWNER - REPRESENTATIVE CONTRACTO
Print Name (Circle one to indicat -
BLD2014-00241 Please refer to the following pages for conditions of this permit. Page 5 of 5
4
o CONCRETE MECHANICAL MANUFACTURED HOME
o Date B .. m_.
Footings/Setbacks y Ribbons D
Gas Piping
o Interior Date By interior-Date By Date By
Exterior Date By Exterior-Date B s .
Set-up Z
Point goad!isolated Footings INSULATION Date By Cl)
Date By
Data SLA,�11 INSULATION By l4L-- FIRE DEPARTMENT � � D
Foundation Walla Floors Date By Z
Date tj S 1.1 By Data By DECKS
FRAMIN43 watts Date By
Date By Data By J PROPANE TANKS
PLUMBING Vault Date By
Date -Z - By L� OTHER
Groundwork Attic
Type:
Data By Date By Date By
D.W.v DRYWALL Type-
Date 8y
Int.Braco Wall Date ByCD (A
C
Date By FINAL INSPECTION p
m Water Line Fire Seperation C
CD
Date By Date By Date 7 �� By
m �
o Pass or Request Inspect. c
Type of Insp. Fail Date Date Done By Comments
0 A-
60
v
s V-29 2�1-/
CA
0
0
CL
N I II ff
CD
N
J
z
cw.c� Sy 7 (7 1"'l -7 731k LA
v
0
0
Permit# MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location 15""', �Ak /G/L
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
G/\ ✓V— r 6tG �tC-tw
—0 1♦
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 corlections.,itemsy,,will be checked on next inspection regarding possible structural
1� > "`�i� �'� damage incurred by recent
"natural/man made"
❑ This is not a complete inspection disasters. This is NOT a
Date Department
CORRECTION NOTICE.
Department
Inspector
• O ,$ N0 ,0T , FMCOV ' THImeb, T.'m—rqff
Permit# MASON COUNTY
BUILDING Ill 426 W, CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location t
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
foun : Items listed below mjAst be corrected to gain compliance
-2tZ, �A I c
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
I�Pake corrections, items will be checked on next inspection regarding possible structural
abK to �L�S'� � damage incurred by recent
"natural/man made"
❑This isf not a complete inspection ,2 disasters.This is NOT a
Date / Department '✓ CORRECTION NOTICE.
Inspector 1,:�X/
• s t 4 NtoT , MtoV THiqqb, T" r
j MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
WSEC/Ventilation Code Compliance Application
Submit with heating/cooling system size worksheet (see instructions #4)
Owner: Parcel#: Type of e t:
Total Sq. Ft. 1S Floor: 2"d floor. Heated Basement:
of heated area::
Pleating System Type: 0 Electric wall heater O Electric Central Furnace O LPG Furnace
O Heat Pump with electric furnace O Heat pump with gas furnace O Ductless Heat Pump
O Boiler, specify fuel type: O Other: Specify:
(% Prescriptive Option Table R402.1.1
Compliance Method O Component Performance, R402.1.3 — Calculation worksheets required
Check one::
O Other (Specify):
Check one 4b Whole House Ventilation system o Whole House Ventilation o Other,
Ventilation using exhaust fans&window or Integrated with a Forced Air describe:
System wall fresh air vents(M1507.3.4) System (M1507.3.5)
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/index.php.
Additional
Energy a) Description: Small dwelling units with less than 1500 sq. feet of heated or cooled
Efficiency space and less than 300 sq. ft fenestration (see definition below) or additions to an
Requirements existing building that is less than 750 sq. ft. of heated area. To use this option
Energy credits complete a window schedule in order to verify that the fenestration area does not
exceed 300 sq. ft. Fenestration is defined in the IECC as skylights, roof windows,
required: vertical windows, opaque doors, glazed-doors that include products with glass and
0
5 non-glass glazing materials. — 0.5 points
b) Medium dwelling units not includes in a) above, or b) below— 1.5 points
c) Large dwelling unit is a dwelling unit that exceeds 5000 sq. ft. of heated or cooled floor
area. —2.5 points.
Describe Energy Credit Option(s):
Using Option number(s): �/
NameK 6 Parcel# BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page I of 2)
Per Mason County Code, Tide 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 surface2.
'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.
'Common 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.
T - atct late/mpervibus�Sui'ces:Please Goirip efe This Teb1,e_
Surface Type Length X Width = Area All dimensions in feet
Buildings X
X = Measurements for buildings are taken at the
perimeter of the farthest projections(example:
X = 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 X
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.-jreater thin.2000,square feet a
Smail Parcel Stormwater Srte.Ptan is Require_d
Total Imperiitous Surface f+;raa(sum of all areas)` l
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 Stormwater Site Plan LS 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 prope review and inspection as may be required.
Owner/Agent/Contractor(circle one)Date: ^�
If the Total Impervious Surface Area is GREATER THAN 2000 Square Feed please read,acknowledge and sign
the information provided on page 2 of 2.
Page 1 of 2
Name Parcel# BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management ApplicationlWorksheet (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:
http ,-ww.co.mason.wa—us/code/commissioners/index him
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 EgTL4-L BELOW TO INDICATE THE STORNIWATER MANAGEMENT PLAN FOR THIS SITE
A) The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed
in their ntirety AND the system will be located as not to adversely affect any septic systems on this, or any other,parcel.
B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the
system will be located as not to adversely affect any septic systems on this,or 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 Owner/Agent/Contractor(circle one)Date:
Page 2 of 2
90R Co I
MASON COUNTY PERMIT NO,
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING a PLANNING a FIRE MARSHAL V V�I-
_- WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
txsa Mason County Bldg. 111,426 West Cedar Street (360)275-4467 Belfair ext.352
PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352
BUILDING PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Sc1sc tl hc&/"/Gl1 NAME: M'� 6ec J;iic �f��ly�nric<�S
MAILING ADDRESS: / / C l /_ MAILING ADDRESS: ��Ci
CITY: ` F%��t^ STATE: ��/`1' ZIP:
CITY: //I STATE: L, H ZIP: �52
PHONE: 401- CELL
PHONE: ,3&G-Z %S Z CELL G -&c/-A//C
EMAIL: EMAIL :
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) FIRE DISTRICT
LEGAL DESCRIPTION(ABREVIATED): Ec•;l�cl, rr� P/C'—' / '6L.k'St-v7J Z(i" L '13-Y5C./a%/7-
SITE ADDRESS /& S!_�4 // C-1- C CITY�,AT2
DIRECTIONS TO SITE ADD SS
IS PROPERTY WITHIN 200 FT:
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑NO❑
TYPE OF JOB: NEW❑ ADDITION>( ALTERATION❑ REPAIR❑ OTHER❑
USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) SC-LV'tr O&tt IS USE: PRIMARY❑ SEASONAL❑
NUMBER OF BEDROOMS NUMBER OF BA OOMS
DESCRIBE WORK 0c G X V ' TC CIO OE hoil-e
SQUARE FOOTAGE: -
I ST FLOOR 3 00 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
IS THIS A REPLACEMENT UNIT? YES ❑ NO❑ MAKE MODEL
YEAR LENGTH WIDTH SERIAL NUMBER
NUMBER OF BEDROOMS NUMBER OF BATHS
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.
X ra la4w.-,
Signature of Applicant Date
X A L C�,t s J r'z� Sf-t'� OWNER/REPRESENTIVE/CONTRACTOR
Print Name (CIRCLE TO INDICATE WHICH ONE YOU ARE)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT (A ^?,-) [CVY11S
PLANNING DEPARTMENT l{
FIRE MARSHAL
SPOT:
RE
MAR142414
426 VJ e CEDAR ST
—o
3
4
O SEPTIC, TANKS o
5U5AN KOHARIAN
151 SKYLARK OT E
ALLYN, WA a5524
EXTISTINCG HOUSE ACCT #I2205-51-05020
I
NEW ADDITION ;GJf A APPROVED
f,l MASON COUNTY DCD PLANNING
SITE PLAN REQUIRED TO Br ON SITE
CHANG BJECT TO APPROVAL.
By Date4WL�-
b
O
m
I I
SKYLARK GT. E
51 TE FLAN
TH15 51TE PLAN 15 DRAWN BASED ON
DATA SUPPLIED BY CLIENT AND WITHOUT
BENEFIT OF SURVEY OR TOPOGRAPHY