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
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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
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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---
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QY T 4 !� ,4 r0L CC✓ 47-�
7-2J ' afV V4&(- P ie:2 597- C. yLvPfro 4-AV-7
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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
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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.
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