HomeMy WebLinkAboutBLD2006-01882 SFR - BLD Permit / Conditions - 2/7/2007 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 186
Shelton,WA 98584
too
RESIDENTIAL BUILDING PERMIT BLD2006-01882
OWNER: RICK BUECHEL RECEIVED: 10/20/2006
CONTRACTOR: LICENSE: EXP: ISSUED: 2/7/2007
SITE ADDRESS: 51 E SPRUCE ST UNION EXPIRES: 8/7/2007
PARCEL NUMBER: 322325214005
LEGAL DESCRIPTION: UNION-GRAYS HARBOR& UCRR ADD BLK: 14 LOTS: 5,6,11,12 &VAC ALLEY
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW SFR MCREAVY RD TO UNION TURN LEFT ON 5TH ST TURN LLEFT ON CON
PARK RD GO PAST PARK AND NEW MOBILE TURN NEXT LEFT DIRT RD
GO TO RIBBONS TRAC RD UP HILL
General Information Construction&Occupancy Information Square Footage Information
No.of Bedrooms: 3 Type of Constr.: V-B
Type of Use: SF Insp.Area: No.of Bathrooms: 2 Occ. Group: R-3, U Lot Size: Deck: 210
Type of Work: NEW Fire Dist.: 6 No. of Stories: 2 Occ. Load: Building:1,473 Garage-Attached 466
Valuation: Building Height: Occ. Status: Primary Basement:896 Cov. Porch 98
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: S 10.0 Ft. Shoreline: Ft. Water Body: NONE
1 Shoreline Desi SEPA?: No
Model: Width: Ft. Rear: N 10.0 Ft. Slope: Ft.
Side 1: E 0.0 Ft. 9.: Not Applicable
Year: Serial No.: Side 2: W 24.0 Ft. Comp. Plan Desig.: Rural Activity Ctr.
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 Plan Check Fee KS 10/20/200 $780.62 S12006000
Hosebibs 2 Furnace<100K 1 Planning Review Fee KS 10/20/200 $155.00 S12006000
Kitchen Sink 1 Unit Heater 3 Building Permit Fee KS 10/20/200 $10.92 512006000
Lavatories 3 Heat Pump 1 Building State Fee JRN 10/23/200 $4.50 522007000
Showers 1 Dryer Vent 1 Mechanical Base Fee JRN 10/23/200 $23.50 S22007000
Water Closets (Toilets) 2 Mechanical Fee JRN 10/23/200 $87.75 S22007000
Water Heaters 1 Plumbing Fee JRN 10/23/200 $89.00 S22007000
Bath Tubs 2 Plumbing Base Fee JRN 10/23/200 $20.00 S22007000
Clothes Washer 1 Address Fee BLJ 10/23/200 $140.00 S22006-35
EH Plan Review TW 11/3/2006 $75.00 S22007000
Public Works Review JES 1/29/2007 $54.83 S22007000
ADJUST--Building Permit Fee CMH 2/5/2007 $1,223.63 S22007000
Total $2,664.75
BLD2006-01882 Please referto the following pages for conditions of this permit. 1 of 5
CASE NOTES FOR
'+ BLD2006-01882
CONDITIONS FOR
BLD2006-01882
1) PER TITLE 14 MASON COUNTY BUILDING CODE - CHAPTER 14.17, STANDARDS FOR FIRE APPARATUS ACCESS ROADS - 14.17.110:
A fire apparatus access road in excess of 14% grade and more than 150'to new residential or commercial structures will require an automatic fire
sprinkler system installed. Contact the Mason County Fire Marshal at (360)427-9670, extension 273, for further information.
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2) In accordance with international codes and Title 14, Mason County Building Code, "Standards for Fire Apparatus Access Roads,"all new structures that
require an address shall have approved numbers or addresses located at the beginning of long driveways when the address is not clearly visible from the
access road. The numbers shall also be plainly visible and legible from the street or road fronting the property and shall contrast with their background.
Mason County Building Department requires that this be completed prior to calling for any site inspections. A re-inspection fee based on rates as adopted
by the jurisdiction and the international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting
inspections.
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3) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors, and fleshing. Install metal connectors approved for contact with the new types of pressure treated material.
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4) The approval of this project is subject to the recommendations and specifications outlined in the attached geotechnical report or assessment. Structures
and/or land modifications (grading, cuts, fills, etc.) required in the geotechnical report/assessment, may require a seperate permit. The geotechincal
report/assessment shall remain attached to the approved building plans. X =?
5) 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.
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6) 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 o ina ces and building regulations.
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7) All property lines shall be clearly identified at the time of foundation inspection. X
BLD2006-01882 Please referto the following pages for conditions of this permit. 2 of 5
8) 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 made prior to requesting additional inspections.
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9) 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.
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10) Provisions for 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 and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access
connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which
is proposed to be located within 25'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
11) 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. 2 �f
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12) 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).
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13) The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150'from an approved
access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where
such roads connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
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14) Per 2003 IRC -SECTION R905- REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in
accordance with the applicable provisions of this section and the manufacturer's installation instructions.
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15) Per 2003 IRC -SECTION 1609-WIND LOADS - 1609.1 Applications. Buildings, structures and parts thereof shall be designed to withstand the
minimum wind loads prescribed herein. Decreases in wind load shall not be made for the effect of shielding by other structures. Per FIGURE 1609
BASIC WIND SPEED (3-SECOND GUST)the wind speed for Mason County is 85 MPH.
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BLD2006-01882 Please referto the following pages for conditions of this permit. 3 of 5
16) Washington State Energy Code Compliance has been approved using the following:
Heat Type: Electric or other fuels, Compliance Method: IV, Window(Max U-Factor):0.40, Skylight(Max U-Factor):0.58,
Doors (Type/Max U-Factor):0.40 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38, Vault Insulation R-30, Slab Insulation R-10.
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17) 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 Department prior to any further inspections being performed or approvals granted.
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18) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X !-
19) All slabs within the heated space shall be insulated 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 2Z
20) 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 indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building
Official. The permit 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 approve.0 documents will result in failure of required building inspections.
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21) In accordance with international codes and Title 14, Mason County Building Code, "Standards for Fire Apparatus Access Roads,"all new structures that
require an address shall have approved numbers or addresses located at the beginning of long driveways when the address is not clearly visible from the
access road. The numbers shall also be plainly visible and legible from the street or road fronting the property and shall contrast with their background.
Mason County Building Department requires that this be completed prior to calling for any site inspections. A re-inspection fee based on rates as adopted
by the jurisdiction and the international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting
inspections.
X
22) 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 prior to any further inspections being performed or approvals granted.
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23) This parcel i§ located in a smoke management zone. Please contact a fire warden at(360)427-9670 ext. 459 for further information.
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24) The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150'from an approved
access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where
such roads connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
X
BLD2006-01882 Please referto the following pages for conditions of this permit. 4 of 5
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25) 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
1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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26) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X
27) Approved per dimensions,and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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28) Provisions for 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 and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access
connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which
is proposed to be located within 25'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
29) The approval of this project is subject to the recommendations and specifications outlined in the attached geotechnical report or assessment. Structures
and /or land modifications (grading, cuts, fills, etc.) required in the geotechnical report/assessment, may require a seperate permit. The geotechincal
report/assessment shall remain attached to the approved building plans. X -2
30) 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 Pl�to n ure these structures are shown and meet the setback conditions listed.
T
31) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure
these structures meet the setback conditions listed.
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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. Evidence 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
work is by means of a progress inspection.The owneror the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to
the above described property and structure for review and inspection.
OWN ER OR AGENT: _ ;71�-,�ATE: 17 �
BLD2006-01882 Please referto the following pages for conditions of this permit. 5 of 5
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Att
MASON COUNTY PERMIT NO.c::�J61--
BUILDING 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
APPLICANT INFORMATION CONTRACTOR INFORMATIO
Owner Company Name
Mailing Address P D� x f -_ Mailing Address
City Lj'- L2,A/ _State WA Zip Code �S9'2 City Zip Code
Phone',L FL-2"Y'l Other Phi I'll f`94 -7,2w Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address jr' X'�r."�//fG /i� '� ln04 E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System L-- Name of Water System— �d xf
Y
Well Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. d Fire District j
Legal Description 4 ') yAffaV
Site Address(Please include street name, street number and city)
Directions to site y 'I//ZAI ky2l ' F/r0)" Af e elo _ L.�E7 G!1/ F/� �/� .: !% `�•`��� ��
/J f -r n, ` ii F F �.t/ / t/ s
Will timber be cut and sold in parcel preparation?Yes/�_
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluff—T/o
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/N
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Buildings Describe Work
No. of Bedrooms % No. of Bathrooms Z- Square Footage- 1st Floor 1400 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ Replacement Unit? Yes/ No
Installer Name 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 any easement holder or any other party in interest regarding this application or the work
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or
agent on owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above
described property and structure 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 OFAPROGRESSWN PECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THEAPPLICATION.
X " mac Date
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department �� �31ocj
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Planning Department
Environmental Health Department -da
Fire Marshal
FEES
Building Permit Fee Qz 5� Site Inspection
Plan Review Fee U�0 EH Review Fee
Plumbing & Base Fees Planning Review Fee
Mechanical & Base fee Other
Wood /Gas/ Pellet Stove Fee State Fee ` 6-9
Violation Fee 6A Pre-Paid at Submittal
Valuation $\L\ '�5 TOTAL FEES
� �I � 3
PERMIT NO. Zoo&'a f �•
MASON COUNTY
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
APPLICANT,INFORMATION CONTRACTOR INFORMATION
Owner i ,° ° Company Name
I
Mailing Address Mailing Address `
City State Zip Code City fate Zip Code
Phone ' ' ' F Other Ph. Phone Other Ph.
Lien/Title Holder Contractor .# Exp.
E mail address ' ' E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic Existing SepticLy/ Connect to Sewer System i
Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. _' `I Fire District
Legal Description l ` ' 4 ' '' ' i
Site Address (Please include street name, street number and city)
Directions to site
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% �' %r or,"
TYPE OF JOB - New Add Alt Repair Other Use of Building f
Location of Fixtures/Units - 1 st Floor d Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
ype of Fixture No. of Fixtures Fees Fuel Type:Electrir A LPQ Natural Gas_ Heat Pump_
Toilets 2 Type of Unit No. of Units Fees
Bathroom Sink Furnace � —
Bath Tubs Heatpumps /
Showers Spot Vent Fan
Water Heater / Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/PelletStove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee 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 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 easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X 1 . � . � Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bid Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group-Tyge Constr.-
Planning 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
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WASHINGTON STATE ENERGY CODE
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WSEC Compliance Method: Prescriptive Path Option 4 1n/_J_�..
Type of heat: ►'N4Gr-
Glazing(windows, including glass doors)maximum U-Fac :U-.35
Doors:U-.20 or less
Wall Insulation:R-21 Floor Insulation:R-30
Ceiling Insulation R-38 Slab Insulation:R-10
Vault Insulation:R-30(max.500 so Skylight max.U-Factor: U-.58
omments:
6WD-Cc� - CD&17 SITE
em btxAL) 6eor 3 COPY
Ads &-f4rvdVV-1 , aj ,��
APO 1.7
3 Z232/sZ/ ly MASON BUILDING INSPECTOR
CHANGES SUBJECT TO APPROVAL
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Doc►mer;s attached to approved pla ts:
Site plan: _
Flan review checklis :tS Pages
Engineering: Y Lateral Vertical
alum ter of pages
THESE PLANS MUST RE
ON THE JOS ;=
FOR INSPECTIVON
`VJ CHANGES FOR,'„
TO FERFORf NNI.
MUST MEETALL CURRENT
WASHINGTON STATE CODES
MAIN FLOOR FRAMING REVISIONS:BY:
1 1 _115"BGI/6500® 1 6"O.G.
TART FRAMING HERE ABC MAIN
56'O' Framing Schedule-NOminallzed
Tag G7ty Description 1
19 Length
..-. ._. _.. ..... ...... 1 11 11-7/8'BGle 6500-1.8 DP .0•gb
10 11-7/D•BGN16500-1.8 DF 340•
i1-7/8'BGle bS00-1.D DP Cl
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4 1 11-7/D•BGle 6500-1.8 DP 2 110.
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11-7/6'5G1e 6500-1.8 OF 18'0• '09
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Tag Type Llve Dead Snow Wind Roof Live Description SCALE:N.T.S.
110 0% 90% 115% 155% 125% DATE: J/16120
LH Unf.Area 40 psf I 10 psf BY:PAS
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amcK SUMCHEij a0s SALES REP: BRAD WO#: 6Q1120
DUE DATE: 09/29/2006 SCALE: Not selected
TECTONIX OPLEC3 T�INDEP, DSGNR/CHKR: BEN / MIKE Date: 10/2/2006 16:44
TRUSSES " WALLS " FLOORS S H E L T ON TC Live 25.00 psf DurFac-Lbr 1.15
TC Dead 7.00 psf DurFac-Plt 1.15
1850 93rd Ave SW, Olympin, WA 98512 BC Live 0.00 psf O.C. Spacing: 24.4)
3601943.5433 8001562.6066 BC Dead 10.00 psf Design Spec: IRC-200.3
Total 42.00
#Tr/#Cfg: 84,-P 54
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Permit Number: BLD2004 6 Name
Parcel Number 3
`q - 5a - H � Phone Number daytime
Project Address 121ti 1 �-*/ Mailing Address 41-1«,*V o�
Please provide a complete,detailed description of the proposed revisions to the approved plans: .
two sets OCh e revls _ ii
plans or addendum�idicating the changes included? ❑ Yes ❑ No
Are the approved site plans included? 0 Yes 11 No
Are the revisions clearly and accurately identified on the plans or addendum? ❑ Yes ❑ No
Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes ❑ No
If Yes,Has the engineer or architect approved this revision? ❑ Yes ❑ No
Is a stamped and signed approval included with this request? 0 Yes ❑ No
INote:No structural chances to a"designed„plan will be apmved without the written consent of the 09ineer and/or architect of record.)
Does the proposed revision modify the footprint or location of the structure? ❑ Yes t3'No
If Yes, Is a revised site plan,with all new setback dimensions included with this request?
Additional Information: ❑ Yes ❑ No
:Applicant's signature
Date:
Office use only
Received by-/4,.L__
Date Sent Assigned To Approved By Date
Original Valuation: $
�[� / Additional Valuation:
P $
. - T�J �I Sq.Ft x S $
Sq.Ft. x S S
E.H. "'�" Total New Valuation $
P.W. Additional Fees:
Additional Planning Dept. $
New Setbacks: Front Additional Plan Review S
—/-'"' —Reap / Additional Building Permit S
Side1_ 1 Side2 / Additional Plumbing $
Additional Conditions/Comments: Additional Mechanical S
Additional E.H.Dept. $
Other $
Total Amount Due: $
Amount To Be Paid Up-Front$
Tali Li�il
Revised SAG&72r 00y
ill
ACCESS & GRADE WORKSHEET D TE:
ADDRESS P.A vI , L)
INSPECTOR I'!' RD
DRIVEWAY ACCESS
Length: Width: Surface:
Size of turn-around:
Condition of shoulders:
Vertical clearance:
need post at end of driveway Wi reflective addrm umbers
GRADErOF DRIVEWAY ILI % OF ROAD %
ROAD ACCESS
Lenoth: Width• Surface:
Condition:
Vertical clearance:
( ) BURN PERMIT REQUIRED FOR LAND CLEARING FIRE.
( ) LOT INSIDE SMZ, 4X4 FIRES ONLY.
( ) LOT INSIDE UGA, NO OUTDOOR BURNING PERMITTED.
LOT TOO SMALL FOR: BURN PERMITS 4X4 FIRES.
REMARKS
(continue remarks on back)
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