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HomeMy WebLinkAboutBLD98-0457 SFR - BLD Permit / Conditions - 5/29/1998 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 fE'3 l.J 1 I,. U) 1 N C:A P F F4 IVI i '1 tOP I NSPt-C I'IONS CALL. 4?.1-..9670 /.a;) 'g-oil - (.eG BETWEEN "rpm AND Sam 427-7262 RL.D98-0457 PARCEL. PLAT : DIVI BLK a` LOT: SOB ADDRESS , 360 E I) D Bri I A I R OWNER : GARL.AND 7 Y CONTRACTOR : �►+,.: LEGAL : TR 56 Of SNRVEY 5194-96 �:,r:r—:.,�a::srammna»su c�xrenamcea'�.u.:e.+xxacear:-.:asr: mac,�rmrssca:..+�.;vxs+•zesxaxcss�:a..:xx-.ma::r..-ra r..m��F� GLASS OF WORK . . :NEW B DR : 3 BATH : 2 1YPF A10111 BY DATE � RECEIPT TYPE ANOUNI BY DATE 11101PT TYPE OF USE: . . . . :SF STORA ES . . . : 1 OCCUP . GROUP . . . :R3 BL DG HE I GH1 . . : O ,Of.t PIi K;v''4 9.21 KW 85i95198 48959 $IFE 1 4.5N KS 05128198 47217 rYPF or C:ONST . t5N F IREPLACES . . . . : 0 PIN � " .NN 5 @51�A198 4121T PART t 737,25 KS 951?8t98 4T211 OC;CUP , LOAD > . . . : 0 V OO1.)STOVES . . . . : in Plitt ' '/11 00005128198 47211 EHCP 11 50.80 KS 0512.8198 41217 ��. UWI�'l..L .1INITC . , . 8. r. : O PARKING SPACES : O NCO 1 22.5i�ICS 95128f98 4I21T AtC .i � 44.N/ KS 211148 47217 I'NSPECT i ON AREA : 1 SHORFL I NE? . . . .. :Y NCHI I 22.8t KS 05129198 47211 11OIAlt 1442.46 VAIUI A110N: 75139 SETBACKS____ .__.,_..._ .__.__ . TOIL.ET.S . . . , . , . . . . : I FUEL. BOIL.ERS/COMP- _-- MOBILE HOME FRONT . . .W 50 .0f1t BATH BASINS - - - : 1 : /FI.E! 1 0-3 HP ,. : 0 - REAR . . . .E 500 .oft BATH TUBS . . . . . . . . : 1 3-- 15 HP . : 0 MODEL; SIDE ( 1 ) .N 180 .0ft S140WERS'. . . ... . . . . . : 1 FUHN -r1 OK BTO : 0 15 - 30 tip . : 0 - MAKE_.....__._. SIDE (2 ) .S 40 .Oft WATER HE A1`ERS . . ,.: 1 FURN �=�1 OK f i'11 : 0 34! 0 NP , V) 4 SHRL I NE .N O .Oft CLOTHES WASHERS . t 1 FtIWN ._. FLOOR . . . : 0 F+O-►- hi i' .• b YEAA AREA _._ _______.______.__-- ,KITCHEN SINKS . : 2 HEAT PUMP. . . .. . . : 0 LOT S 17F . . : FLOOR DRAINS . . : 0 VENT SYSTEMS — % 0 F.VAP COOLERS : 0 LGNGTIi : 0 BUILDING -, : ` 1 4 40sf DRINKING F`06 ij� . : 0 VENT FANS _ . . . . : <' HOODS . . . — . : 1 WIDTH, : 0 EASEMENT . . . : Oaf LAUND4Y TRAM' Fv _ : 0 DOME:S INCI N :0 SEP I t 4«DECKS . . . . . . : 0er DISHWASHERS . 1 AIR HANDLING UNITS - COMML . I NC I N :O GARlCARP :? Oaf GARB DISF'OSAL�. . : ir7 •':� 10000 (Ifif: , : 0 RFI.00:/REPAIR : 0 AT/DT . :? URINAL:.: . . . . ,��-. : 0 > 10000 cfin , 0 OTHER UN i TS . : 0 "Ise PLM FIA iZO; ., 0 GAS OUTI ETS , : P �:'tfNlttQ�+A'YSC`sets.n�.zza»�.'F'sez6:mv3kr�'%Fr:AR:a:erxncxD.uwat:x'u;':..�..:W. S1*Lsma:i.;ir79ms_t. .. 'Z:2C':-a.C:t:..:.»:A....lar.:L.,";...a..-..rt+.-»,;.•..m:m:,._-�_c�:::-�'1.^�n::.�yfrz:r.2xsT.».uxc�3.�x.^.-m:fa„ awAoki^.x:Y'A3A-- +1'.ze....am;,:x...'.•s^a'.:t",�cL^rya•;.-.�saas�:rrr... PIOJECI DE3+;IIPTlON:RESIDENCE �., . ��' •PROJECT IWAl toot 1IIPN Iftl 01 AIDtOW01 NANOR NB, Folm 91 j�{D�.At!Nf not �,t1lST sill ON I,Efl 'PAST POWER tiffs. 184 ERNit=8ECOIIk& NUii. ANTI VOID IF WORI f)R CONSIAUCTI+INuCUINO$i?fU is NOT CONNFNCEU WI[RIN 188 DAYS 00 If CONSTRIICIION ON volt is StsmllfD Fail A- PEA106 Of 1; DAYS,AT ANY 1111E AfTfR WORK IS CONNENCE,D. EVIAENCE Of CONIINUAIION Of v0AK.4s A, PROGRESS INSPEI.1109 WITHIN 111E 1811 OAY PERIOD. (INAI INSPECTION IIIIST AE APPA BEFOAE1.8Ut1DING CAN 8F OC UPLEO. OWNER op Am!6 :4-PRNT, r ev t 13131191 COMPI i►'ANC I $.x e) -A T I ACHED C0 D I T I ONS IS REDU I H FI) CONCRETE MECHANICAL y, MOBILE HOME Footings-Setback date 9-1 c.- 9 r.- by — Ribbons date (U"10 by t ✓ Gas Piping date b Foundation Walls ,( date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date r 5 g by date by FRAMING a� 4s no FIRE DEPT. Walls G date !o'_cf fl by t / date by date by PLUMBING Attic OTHER Groundwork date by date by WALLBOARD NAILING D.W.V. date - g -�' by date -2 3—�j by (r2 . Water Line FINAL INSPECTION date by date 2- 9—5 by L date by f c� �( L �.v.��S �c� n . c c �oeu IV ke- �^Oc`s v,.. �-• S �_ 9 rocY+, r .� ✓ `-. c o cf--- U / o +- ss ,ip QY T 4 !� ,4 r0L CC✓ 47-� 7-2J ' afV V4&(- P ie:2 597- C. yLvPfro 4-AV-7 n MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P V: FA M I J_ C, C-) N 0 1 T I cl) N Case No , : RLD98-0457 For - GARI AND IIlJN1'FP Page - I Approved per dimpnslons and setbacks on submitted �= Ite plfkn . X­­'­6_1­ Temporary erosion cnntrol measures must be Implemented to prevent water quality degradation of ?djaoent watprf� or wet I A nds: X Proposed structure or, any portion ,thereof greater than 30" , in height from grader fine, must maintain a minwim of 5 ' setback front all property lines, easementsi and 10 ' from all Count V MC I State Road right of ways . X This application is subject to Stiffer and landscaping recl4irements at; establ Ished under Mason County Ordinanc 1 .03 .036 , X I.J The uise, handling and stors e of hazardous materials or flairkmable and combustible liquids in exoess of 10 galycans is not allc)wed without the approval of the MRson County Fire Marshal . X Provisions for surf ace/subsurtaoe drainage , control must he Lmplemented with now construction or love lopme.nt on site and MUST 140T adverigety Impact adjacent paroels . Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinkinve or prior approval will be granted to use an existing utility and drainage easement dedicated for that spec lflo purpose . For further Information regarding this ordinance and the REOUIRPMFNT to obtain an ACCESS PERMIT for the Installation/construction of a driveway or access connecting from a Ma!,,,on Count Road,'- Contact the Masan County Public,• Works Department prior to coiistructiop at Ext 4.30 . C3 ated within 25 ' of a Mason ,o tity road or any construction which Is propo, ed to be toc (' 0 right of way, It Is suggested to l ntaot that office to review future planned work which may affect your project . .. X CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons 'late by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date _ by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 .0,1 at lod tot, plans are not on q, tee Apprf-j,.,s 0 1 WILL N01* I Re- inspection fee in the amount of $42 .06 per ho (minimum I must be collected by this department prior to any further Inspection-7 being performed or approval granted . 81 PURSUANT TO 1994 ()NiroRm Buiqmq CODE ,LL 13ITFS MUST HAVE APPROVED NIIIABERS OR ADDRESSES PROVIDED IN SUCH A POSITION. AS BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE' PROPFRTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT • THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A RE: INSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE Wlt.t- [IF ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR To AEGUE'STING INSPECTIONS . X '9) The correction I 1% t , along with the Energy Compliance worksheet (when agplioablf-) Is part of the plans and must remain attached thereto . It is the responRl fifty of the tgplican't to make cortootions Indicated on the plans from the correction Its S . Once e plans are marked APPROVED, they may not be changed or altered without authorization from the Building Official . The permit holder, Is reponsible to retain thve-omple-te approved set of plans on site for the duration of the pro jeot . Failure to ('01wiply. will result In failure of required buildin Inspections e Evryj erm- t shall expire by limitation and become null and void ?f the buildin or wM authorized by such permits is not oommi4nced within 180 days ftlom 'the date of yssuance, or If the building or work authorized by such permits Is suspended or abandoned at 4ny time after the word Is commenced for a period of 1,40 days . X 140) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UB C REQUIREMENTS AND OCCUPANCY S IS I. IMITEV TO THE PERMITTED AND APPROVED CLASSIFICATION . ANY CHANGE OF USE OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION . CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE . x t, Changes to approved bu-I Idi nq plans that ef f ect compt I anoe to the 194DI W&r.hington State Energy code-; 1991 Ventilation and Indoor Air Quallt Code, the Uniform litillding Code and/or, Mason Count Kegulations must be approved by Mason County prior to oonstruotlM,_. , ok J,n CONSTRUCTION PROCESS TO BE FIF.LD ,CORRFC.TFD AS RECIVI-RED PER MASON COUNTY BU I I D I N6 DEPARTMENT AND UNI FORM. 91.11.1-DING . CODE .x CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by TRH � t i � � fi�`ZS��on j S CDmCJYQ'.�o1.E�tn �� �Ye�c..� ��Pr��l r�'1► Is L Yl GYVU _ — Building Permit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location o' d I,-.� I 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 code compliance 7, Gs � 41, s, c-�. - t c 4 r esS ,�y. _�i fCc�,•' C��� 1 �t12 /� "rblS �lr�ceJ-i _ /G rr �/ /1-.AIr S H(, : I I L�r -fc �n Lr_��� :+rl.: • C l S c Lam.. J., Ir-4 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 ❑ Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department Date I �' "" >� Inspector moos NOT Mo *V THIATLow 1 Building Permit # /?r MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 - (360) 427-9670 CORRECTION NOTICE Job Location jF? Z2 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 code compliance 00 xi DSr - �✓ �= ivy -✓Z� i�r~' � 2c�``' You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK �W Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ CovT ❑ This is not a complete inspection Department ite Inspector 'Za;4;, 140 NOOT IMO, *V TH11- --4 Ta ,rm Building Permit #� C7`��� MASON COUNTY- BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 , (360) 427-9670 CORRECTION NOTICE Job Location }fit 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 code compliance toli rn,�_ m �� T:2 o 6ALL Li&E r)f Z VZ)U9-'DV-,)k TA?:3g, OhE TIAW6 otd �2M 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 ❑ Make corrections, items will be checked on next inspection -�-QK to Department —D -t� Date _ ��-�� Inspector 14A 4-69K I, 0100 N* *T MOOV THI, TmLotm � / H 19t 555 � Permit No._i3LV�4�..Qt(5 t MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670 -- (Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269) ` PLEASE PRINT _ ``-` J #1 �wner G e-k Y I A vq A 4 N^L ,r Phone#- 67 - z «Site Address �� C-, UH�e.rf'► e /�� Fire District# City 13e I�a v St_tL�f Zip Z Di,ections to Job Site " oJ e -� L ec�)TS*f n 1':�'�'-' L. �►F_s Owner Mailing Address �-� 6 7 2 SE �_���y�$ City PO N.� o r r-'tx'a StLjJ_Zip 1`3'93 6 Lien/Title Holder Address City St Zip #2 Contractor Name t.v e-•ti e v- UBI # Address Contractor Reg # City St Zip_ Phone # Expiration Date #3 If septic is located on project site, include records. Connect to Septic? y Public Water Supply Well y Connect to Sewer System? Name of System (If residential, proof of potable water is required) (:;?a 17\ a 1 Parcel No.-t-e-t7e-7 Cj4 � 7 cc�� Legal Description ZV �'. %/ N i.cJ/.ci Ee C 1 CJ 7— Z Z 1n/ W M <e- av O f- SU v k-(-r 5/qf ^a #5 Building Square Footage: 1 st FI /'Y 410 2nd FI 3rd FI Loft Basement # Bedrooms # bathrooms /yz Deck /Y/fJ Other Garage Carport (Circle: Attached or Detached?) #6 Use of building RES /c���, l' Describe work A/V--Lc'J #7 Type of Job: New Add Alt Repair Other Model Year Make Model D #8 MOBILE/MANUFACTURED HOME INFORMATION D F � � Length Width Serial No. rMdY '4 # Bedrooms # Bathrooms Type of Heat PERMIT Purchase Price$ SSISTANCE CENTE4 #9 Indicate by circling the applicable source if any water is on or adjacent t ct roperty: Show following on the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Drainage Plan Wells Septic Systems Easements Proposed Improvements Name of Side Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan (APPLICANT TO DRAW SITE PLAN BELOW rQe APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW �Y� fe s too ' 16 i DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold p Approval Planning: Alto Environmental Health: Building Plan Review , Occupancy Group: Type of Const: Fire Marshal: Other: Li Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Violation Fee Site Inspection Building State Fee Other Other - Other Other Luildino Valuation. Tl1TA 1 rrr Plumbing Fixtures ($3.45 eachl Fee Mechanical Fixtures ($7.00 each) No. Toilets CIRCLE FUEL TYPE: Ga Elec D , / Bath Basins Heatpump, Other Bath Tubs No. Units Fees /Showers _ Furn BTU of Water Htr — Heatpumps ZAaundry Washer _ Vent Systems Sinks _4/ Spot Vent Fans Floor Drains No. Boilers/Compressors _Laundry Basins _ HP Dishwasher No. Air Handling Units _Disposal _ cfm# Urinals No. Fire Protection Systems Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 17.25 _ Auto Fire Sprink Sys 35.00 TOTAL PLUMBING $ No. Other Gas Outlets Wood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 17.25 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING D�EPAA�RTM NT. DEPARTMENT. X OWNER X BY DATE S"-�` 9 DATE FOR OFFICIAL USE ONLY: Accepted by: Date: l DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Violation Fee Site Inspection Building State Fee Other EliS-od", Other ----------------- Other Building Valuation: TOTai FFF Plumbing Fixtures ($3.45 eachl Fee Mechanical Fixtures ($7.00 each) No. Toilets CIRCLE FUEL TYPE: Ga Elec ' , / Bath Basins Heatpump, Other Bath Tubs No. Units Fees Showers Furn BTU of Water Htr — Heatpumps laundry Washer Vent Systems Sinks Spot Vent Fans Floor Drains No. Boilers/Compressors Laundry Basins _ HP Dishwasher No. Air Handling Units _Disposal cfm# Urinals No. Fire Protection Systems Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 17.25 Auto Fire Sprink Sys 35.00 TOTAL PLUMBING $ No. Other Gas Outlets _ Wood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF _ WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 17.25 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING D�EPA�RTM NT. DEPARTMENT. X OWNER 1 ✓�' f� X BY DATE DATE FOR OFFICIAL USE ONLY: Accepted by: Date: ��'' � Plumbing Fixtures $ .45 eachA Fee Mechanical Fixtures ($7 00 each) No. Toilets CIRCLE FUEL TYPE: Ga Elec D , Bath Basins Heatpump, Other Bath Tubs No. Units Fees Showers — Furn BTU Hot Water Htr — Heatpumps I-Laundry Washer l Verd Systems Ci'� Sinks 2, Spot Vent Fans ll _ Floor Drains No. Boilers/Compressors Laundry Basins _ HP Dishwasher No. Air Handling Units _Disposal — cfm# _Urinals No. Fire Protection Systems _Other _ Auto. Fire Alarm Sys 50.00 9 -7 = �3' — Fixed Fire Supp. Sys 50.00 Permit Basic Fee "�-26 Auto Fire Sprink Sys 35.00 — O� TOTAL PLUMBING s 3 No. Other Gas Outlets Wood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF — WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH.NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING D�EPAA�RTM NT. DEPARTMENT. X OWNER rG�✓�' X BY DATE DATE -I FOR OFFICIAL USE ONLY: Accepted by: Date: �'� DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review 0, W� s-'3 Occupancy Group: Type of Const: Fire Marshal: Other: r7MM FEES pIdne L.�" 13?- a el seetStove Violation Fee Site Inspection Building State Fee Other�� Other ,L� Other Building Valuation: S7 7� /3 �/ TT rc= * All sewage lines that cross driveways and roadways are to be sleeved, meeting all county codes . * Anywhere the sewage line comes with-in 50 ' of the new well, must be sleeved with a schedule 40 pipe sleeve. * Install the sewage line from the 3 bedroom mobile home so that gravity feed can be maintained. * When installing the primary drain field, avoid the area of test hole #3 . Keep the primary drain field in the area of Test holes #1 and #2. * If the reserve area is ever used, it may require an alternate type of system, * Infiltrator-: required. Follow the contours of the slopes . * Install the uiain field very shallow. Once the drain field has been installed and inspected for cover-up, place a minimum of 18" of on-site cover over the entire drain field area. The system owner is then to seed the cover with grass and maintain its growth. * Maintain a minimum of 36" vertical separation. W 3 Q J N This soptic system is > designed for a peak SEE ALL ATTACHED CONSTFMCTION HOTES. flOW Of 72o gals. per day. , ALL SAND' s r,1,114/10 IIAiiitG- MAINTAIN A MINIMLIM OF-36 ". � \j NO VEIIICtIL'.1'. TRAFFIC ON SEPTIC SYSZI:Vi. VEHTICAL SEFWIATI011 DISTANCE. cusiratrl is:tri3d .I.S N..Q? ili:(!t{iiiECA f+�' ti411S 1'I;�. (�Jffi AN IGfi'�r'iL:�;;WFi1.S&SUFSI-A(;E WATER, � LATIE,tALS YO Fi.1�lliiJ C0' N*f0IJR OF SLOPE. /� Q IfflaOVE PS0 1'UPSOIL D''URI SIG SIFE PR UP. / INSTALL TRENCHES NO DEEPER THAN I Z °. OLAJNER 70 i'I.AI11 CyPASS OVER SYSTEM q 0 1 INSTALL SYSTEM ONLY WHEN SOII_S :Flfy r,I''i fisl:'d GRGiiu711. � ARE PFiuPt=RL`( DRY. SEPTIC SYSTEM DESIGN ONLYI THIS B.S.A. SUBJECT TO OTHER DIMENSIONS ARE CRITICAL, AGENCY'S APF'ROVAI.I DO NOT DEVIATE FROM DESIGN. Tl-iIS IS NO1'A SItRVEY! USE E);T i BZ1,E CARE IN SITE:. PREP. 17 CV cb CV 'O W 4 "f 14) * --. '1.t7>rI6'oy �7'�vy�S wnvviirrry N. sJGto-?'J,-el 7a'-�yn7 Jrr17 74397S ' S�do7 7?e /wiclrvv J Xodddf/ ` A Q0 col) (?� .rt \ 'S.aYJrv.7y/no7a' .S.urrw� • o �'ad �n�J7s •ovoa �'r��aarrn � I O _- LL) x Q tj N W Lb -- U � - _, o N vq