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Home My WebLink AboutBLD97-0319 Final Mobile Home - BLD Permit / Conditions - 12/28/2007 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 E3 LJ I L. C) 1 NO P 1F Ft I,/1 I F FOR I NSPF CT 1 ONS CAt L 427-9670 BETWEEN 5pm AND 8am 427--7262 BLD97-0319 PARCEL a322357590143 PLAT : DI V :7 BL..K :`r t OT !? JOB ADDRESS : F 1230 T I!ABf FIT IDES DR UNIONtON OWNFR r RODNEY CROW 206--557-4221 = CONTRACTOR! L&S CONS rNIlC i ION 535-2597 LEGAL. r TO 14 Of SURVEY 11211-213 CLASS OF WORK . cNEW 9FDR r 3 .PATH : AMOUNT BY OAT[ RECEIPT TYPE Akouoi BY DATE RECEIPT! TYPE OF USF :MH 'STORIFS . . . . . . . : 1 OCCUP . GROUP . . c R3 EMI nG . HEIGHT . . r 0 .Oft 49OR 1 5.06 NJP #6124111 14111 TYPE OF CONST . . :5N r t RFPL A('ES . . . . r 0 IetC 1 44.60 NJP 0612419T 44777 OCCUP , LOAD . . . , r 0 WOODSTOVE F= . . . . c 0 IMHOF t 155.111 NJP 06124197 44177 DWF'L.L .UN 1 TS . . . . c 0 PARKING SPACF'S c 0 STFE 1 4.50 NJP 46124/97 44771 INSPECTION AREA c t SHORELINE:? . . . . :N EfII 1 5,.00 NJP 06114197 44777 10TAlr 260.56 VAItltATIONc 46671. Si 1BACK8- _. __...___... ____. TOILETS . . . . . . . . . . e 0 FUEL TYPFS- _ ------- BOILERS/COMP- --- MOBILE: HOl4F- - FRONT . . N 200 .Rf t BATH ETAS I NS . . . . . . : 0 c c 0 3 HP, : 0 REAR . . . .S 5 .0f t: BATH TUBS . . . . . . . . : 0 :3 15 HP . .. 0 MODE:L r PALM HARBR S I DE ( 1 ) .F 40 .Oft SHOWFRS . . . . . . . . . . : 0 FURN -, 100K BTU : 0 1`,--30 tip . r 0 --MAKE :31 t)E (2 ) .W 15 .Of t WATER HEATERS . . . . c 0 FURN >-1 00K BTU : 0 30-50 HP . : 0 1044 SHRI 1 NE . 0 oft CL OTHFF, WASHF'RS . . r 0 FURN - rLOOR . . . ? 0 50-1• lip . r 0 --YEAR---AREA - - - __ ..._...-._. ---_-_- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 96 LOT S17E . . . FLOOR DPAINS . . . . . . 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 t.ENGTH :44 BUILDING . . . r 12OOsT DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . .. 0 WIDTH . :27 BASEMENT . . . ; 0 s f I AONDRY TRAYS . . . . : 0 DOMFS . I NC I N :0 SE IA I- D ECKS . . . . r es f DISHWASHERS . . . . . . c 0 AIR HANDLING UNITS'— COMML . I NC 1 N i O G.AR/CARP :? Osf GARR DI::.POSAI. S . . . , 0 10000 cfm . : 0 RELOC/REPAIP. : 0 AT/DT . :? ORINAL.S . . . . . . . . . . c 0 =• 10000 11fm . r 0 OTHER UNITS . : 0 MIS(: FILM F1X'TIIRFS : 0 GAS OUTLETS . • 0 '-:�w'3�.�.nx.�L.�.eFxxo..uS-.-xa.:.st+xu:+�_�:�xs-�•".�am-.aee Ae�sEeu..s: -.�C-xaR�acsaIDtW�.oFb�'?+a�ss a-smCF:=rs�mix.-.••�.�_..�a;-rs:r_,Vs.<rr.:x,r.C�J..aG.:.^cxSue.:zTCx�-_.;-e.z...nc_-m:ar-:--a•.t¢iar cMay.•.�=�..�1: 90.IFC1 CESCA IF,►oltMOB lif HOK£ ROJECT LOCA11011rFROMUNION NA 10110 1 112 MILE TO 11011 1DIS OR ON 106, 10 TOP -0f. Hill , THEN LEFT ON E 1119FA(IOFS OAIVi APPROX. l60 FT. ►ABPERTY IS All Of $OAT PLAT 759 ON SOUTH SIOF OF F 11111EATIOFS OAIVF. HIS PERMIT BECOMES Nutt AND VOID If 10RK OA CONSTPO(1104 AUTHO?Iit0 IS NOT C0111E0CfO 11111111 110 DAYS, OR IF CONSTRUCTION OR WORK IS SOSPEMfttO FOR A- PtR100 F ISO DAYS AT ANY lilt Af,TEA lORt IS 011IENCEO. P ICF.NCF OF rdkfll#ATION Of WORK IS A PID6AESS INSPECTION 111NIN THE ISO DAY PEA100, FINAL INSPECTION MdSi L't P"AOVED BEFORE BUILDI06 CA I OCrUPIED. CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date �4 .�,) 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 f.tl YNitl. rer: d,xl,sl;�� t.'OMPLIANUL Its +11 (A)NUI 1 WNS t :i MUM MA) MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F a t- ►l FA 1 'C C: t ti N fC:� I T' 1 Cy N `=} Case Nis . : RI_.D97--0319 For : RODNE Y CROW Page : 1 1 ) The under.s i lined prope�r t v own is aware ur th aa e unoerta i myy regarri i nq Maa=4on Cout►t y 'r, development re ulatio s cr ted by the Growth Mnragment Hearings Board ' s Order of Octc,ber 2 , 1996, rind " n u!onsiderat ion of Mason County. wi I 1 ingrieees to proceed with processing of a plicat s which might be affected by the Order , the undersigned property ownei, hereby r saes 'to waive any lawsuit , action, or c: I a I m f_►r damages agaa i nst Mason county which nlr y rise out: of Mason County ' s sot i<�ns I r► acceptanceprocessing and/or issuance of 90' p r-m i t s or approvals f here' i nafter "permitting ae{ i ones " '1 , wh i oh da*vaage33 are attrihutable o tho County 's derlision to take permitting actions despite; the risk that ohangr.t: to th41 County ' s development regulations might later, make the County 's permitting acts Qq ,J/iVvdlid , 2 ) Th t s app i i cat son i s grub sect to Buffer and l_arid:-;aap i nq requirements as established under Mason County Ordinance 1 .03 .03R . x 0 They use, handI i nq and storaa a of hazardous mater� I a I s or flammable and combustible I i Flu i cis I n oxcaiss of 10 qa I Ms. 19 not al lowed without the approval of -the Mason County Fire Marshal . X 1 4 ) Proposed 91-ructure or any portion thereof qre*ater- than 30" in height from graede, line , must maintain a minimum of S ' setuack from all property I i nes , easements and 10 ' from all County and State Road right of ways . AppiIcant acknowledges that thito development 1r subject to policies and regulations of zas�an` Cbunty Compreahens i vo Plan and Deve l,opment Regulations .. 6 ) PURS(1ANT TO 1994 UNIFORM BO I t I)i'NG CODE , SFGT I ON 305(C ) AND SECTION 513 , ALL S I T 17 S MUST HAVE APPROVFn NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE 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 I � J MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 AND LE G I Bt E FROM THE STREET OR ROAD F 11ONT I NG THE PROPEnT Y . MA,�;ON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY S1TF INSPECTIONS . A REINSPIC1I !)N FEE , BASED ON RATES 1N TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL RE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUFSfING NGPECT ONS . T ) ALL. C POSTPUCT 104 MUST MFFJ OR EXCEED ALL LOCAL COI"iES AND UBC REQUIREMENTS . m ) RFOU1RED INSPECTIONS ( Footing Inspection--prior to pour , Set-up lnspertion-prior to skirting, Final Inspection-prior to occupancy) . 1 have received a copy of thA General Infor•rr►at ion and GuIdeI Ine►S--Mobi Ie/Maneifactured Housing InstaI iatIon� Handout for detailed descriptions of all required Inspections on my mobile/manufactured home Installation . I hr:reby rrr some a i l responsibility for the scheduling of these required Inspections . if th*eae required ir►spee;tions are not requested, Inspected and signed off ( approved ) by the inspector in the prescribed order , i uraderstsnd that reinspeotlan fees and an hourly Investigation fete pursuant to the 1991 USC , Table 3A will be assessed In addition to mV car i g i na I permit fees to resolve any quest i --vnab 1 e pr-act i cr's or pp�roblems that have been discovered . I further understand that this Investigation will he- Scheduled as time allows . Unt i I resolution of ,yry4/a i 1 prab 1 ems no occupancy ( F i rya I Inspection ) wili be granted for the residence . OWNFP, /CONTRACTOR ( I nd i r_.at a which ) S i gnat ur e X 9) all mobile/manutartured home landings or decks must be freestanding ( self supporting ) . The largest landing or deck permitted without drawings or a brsllding permit Is 36" x 36" Any larding or deck that Is 30" or more in height from walking ,iurf aoe to finish grade requires a cluardrail . Any landing or deck that has 4 or more risers requires a handrail . Any landing or deck larger than 36" x 36" must he permitted which requires struotural drawings and a building permit application . This Installation Permit does NOT include any landing or deck larger than the 36" x 36" size . 10) CONSTAUCTION PROGFS-� TO OF. FIELD CORRECTED AS REQUIRFL) PE.R MASON COUNTY BUILDING DE PART"E N T AND UNIFORM BUILDING COUE: x 1 1 ) All water adi_',4p4acy roqu i remeAnts must be met pr i ou 2 v final inspection and oocupanov .. ( Subr„ it weIL% ot ,�/Oapacitoy test and satisfactory toteI bacterologica1 analysis ) l 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 I i o CONCRETE MECHANICAL MANUFACTURED HOME c0 Date By o Footings t Setbacks Gas Piping Ribbons Interior Date By Interior-Date By Bate By (0 7 Exterior Date By Exterior-Date B C; Set-up INSULATION Point Load!Isolated Footings Date By BG 1 SLAB INSULATION M Date By Date By FIRE DEPARTMENT _< Foundation Walls Floors Date By Date By Data By DECKS FRAMING Walls Date By Date By Dat'= By PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork. Attic Data By Date By Type: Data B y D.W.v DRYWALL Type: Int Brace Wall Date By _U ate Y oats By FINAL INSPEC ON GO m Water Line Fire Seperation r m m L �e B,; Data By Date i Z 2 g O By W Pass or Request Inspect. o 0 Type of Insp- Fail Date Date Gone By Comments s 0 v m 0 8 a 0 S Cn 0 U m 0 97/ -7I1-7 OZ Building Permit # 60319 MASON COUNTY P . O. BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location i-73c) E 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 � Dnt)��' QoSS .O•dc.7`;:1q �M�N;.Muv✓1 'c/" >4Bti�F Z Q^-r CQAw- gtAcE 4v / So FT hFoC !So -So PT, or F40 Q rTNEF-bEp "Ti k 614XJ6 1 LJJFWEJ UNDER H10MIE �r K)F£D o7 o .Sc_vPE Away Foo,v, A14 600,WD ?b 5 , ou-r- 5• '�` EIQ O- NEED) LAv i AY, 8" e6cow 000,R -rffR S t401-0 iys`K. 5I,A1 -�o 6E , S37DE Dove N t^FQ5 PRr AN Fnr STEPS A-Tf NICHCQ 10,4A u%e,Io" ,Q,S F�' 2u N &ceAF 4WF i5 r F£ Ex i-i L S J4A6E. P. ?. VA4-vel AaQW Q° [-'LBOw J'O wAad-5 9✓Ovr N-► N �D A&VE g1rA0£, /bt#X. Z</h You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ C allr re-inspection when corrections are made before continuing corrections, items will be checked on next inspection a-,"'"to I$U �a..n�1 , oCc. ❑ This is not a complete inspection Department 9L)14 Date ��/7�0�? Inspector �� NUT Fiem Mo vV T I = T %A Building Permit # � � ��'�� MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location /23"-':' This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been fund: Items Listed below must be corrected to gain code compliance 2� / rSTi9LC �2� � 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 54�. -10 Date %—�!-`��7 Inspector T_ /r ■ vo s NuT Pk ■- MOV T For& T A AA 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 irflo jl RESIDENTIAL BUILDING PERMIT BLD97-00319 OWNER: RODNEY CROW RECEIVED: 4/2/1997 CONTRACTOR: L+S CONSTRUCTION LICENSE: EXP: ISSUED: 6/24/1997 SITE ADDRESS: 1230 E TIMBERTIDES DR UNION EXPIRES: 1/17/2003 PARCEL NUMBER: 322357590143 LEGAL DESCRIPTION: TR 14-C OF S 1/210 LOT: 3 OF SP#759#374923 PROJECT DESCRIPTION: DIRECTIONS TO SITE: MOBILE HOME FROMUNION WA NORTH 3 1/2 MILE TO TIMBERTIDES DR ON 106, TO TOP OF HILL, THEN LEFT ON E TIMBERTIDES DRIVE APPROX 700 FT. PROPERTY IS ALL OF SHORT PLAT 759 ON SOUTH SIDE OF E TIMRFRTnFS nRIVF General Information Construction &Occupancy Information Square Footage Information No.of Bedrooms: 3 Type of Constr.: 5N Type of Use: MH Insp.Area: 3 No.of Bathrooms: 2 Occ. Group: R3 Lot Size:O Deck: 0 Type of Work: NEW Fire Dist.: 6 No.of Stories: 1 Occ. Load: 0 Building:1,200 0 Valuation: Building Height: 0 Occ. Status: Basement:0 Manufactured Home Information Setback Information Shoreline&Planning Information Make:PALM HARE Length: 44 Ft. Front: N 200.0 Ft. Shoreline: 0.0 Ft. Water Body: Rear: S 5.0 Ft. Slope: Ft. SEPA?: No Model:1044 Width: 27 Ft. Side 1: E 40.0 Ft. Shoreline Desig.: Year:96 Serial No.: Side 2: W 75.0 Ft. Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Final Expired Permit CMH 9/11/2007 $64.00 S22007000 Address Fee NJP $5.00 44777 RLC Checklist Fee NJP $44.00 44777 Mobile home fee....' NJP $155.00 44777 Building State Fee NJP $4.50 44777 EH Incomplete Charge NJP $52.00 44777 Total $324.50 BLD97-00319 Please referto the following pages for conditions of this permit. 1 of 3 I • �"�` .;:` CASE i0ffES FOR BLD97-00319 CONDITIONS FOR BLD97-00319 1) The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created by the Growth Managment Hearings Board's Order of October 2, 1996, and in consideration of Mason County's willingness to proceed with processing of applications which might be affected by the Order, the undersigned property owner hereby agrees to waive any lawsuit, action, or claim for damages against Mason County which may arise out of Mason County's actions in acceptance, processing and/or issuance of such permits or approvals (hereinafter"permitting actions"), which damages are attributable to the County's decision to take permitting actions despite the risk that changes to the County's development regulations might later make the County's permitting actions invalid. X 2) This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036. X 3) The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X 4) Proposed structure or any portion thereof greater than 30" in height from grade line, must maintain a minimum of 5'setback from all property lines, easements and 10'from all County and State Road right of ways. X 5) Applicant acknowledges that this development is subject to policies and regulations of Mason County Comprehensive Plan and Development Regulations. X 6) PURSUANT TO 1994 UNIFORM BUILDING CODE, SECTION 305(C)AND SECTION 513, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X 7) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS. X 8) REQUIRED INSPECTIONS (Footing Inspection-prior to pour, Set-up Inspection-prior to skirting, Final Inspection-prior to occupancy). I have received a copy of the General Information and Guidelines-Mobile/Manufactured Housing Installations Handout for detailed descriptions of all required inspections on my mobile/manufactured home installation. I hereby assume all responsibility for the scheduling of these required inspections. If these required inspections are not requested, inspected and signed off(approved) by the inspector in the prescribed order, I understand that reinspection fees and an hourly investigation fee pursuant to the 1991 UBC, Table 3A will be assessed in addition to my original permit fees to resolve any questionable practices or problems that have been discovered. I further understand that this investigation will be scheduled as time allows. Until resolution of any/all problems no occupancy(Final Inspection)will be granted for the residence. OWN ER/CONTRACTOR(indicate which) Signature X BLD97-00319 Please referto the following pages for conditions of this permit. 2 of 3 9) All mobile/manufactured home landings or decks must be freestanding (self supporting). The largest landing or deck permitted without drawings or a building permit is 36"x 36". Any landing or deck that is 30"or more in height from walking surface to finish grade requires a guardrail. Any landing or deck that has 4 or more risers requires a handrail. Any landing or deck larger than 36"x 36" must be permitted which requires structural drawings and a building permit application. This Installation Permit does NOT include any landing or deck larger than the 36"x 36"size. X 10) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE.x 11) All water adequacy requirements must be met prior to final inspection and occupancy. (Submit well lot, capacity test, and satisfactory total bacterological analysis) Signature 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 owner or 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. OWNER OR AGENT: DATE: BLD97-00319 Please refer to the following pages for conditions of this permit. 3 of 3 C Jl Permit No. MASON COUNTY BUILDING PERMIT APPLICATION �/Y 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 O er I�CSk� Phone ite Address _ I LL b Tm buL�l f iL Fire District# City 111UY1 St Wes-- Zip 859a Dire .ions to Job Site �!`C2� - - 35 7,5 iY0 /ohs 3 awcQ Z{-- CON Ck nt h w R, �ivtZt N 3 i- wk , 1 i`rK6U`f i � t r o vt lO O (1 V Leif o Z=7. T r Mamie-n bLtS Pk. 9(0 4 '700 f 4. lnorf a-t -7 Sit 0v1 lzo- LLf St 45. 71-4fW Owner Mailing ddress s,1 XQ S,,.W, AVcu)"P&Q- WY 910-? City -- . -Ssc-tyLcCcGi ,WA, St WA- Zip` roe Lien/Title Holder Address Clty St Zip #2 ✓ Contractor Name k t V Contractor Reg#LVA11J 50W-7 Address _ Expiration Date City St. Zip Phone ,2() 1 2-557 #3 If septic is located on project site, include records. Connect to Septic? )�- Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 Parcel No. �egal Description T-e 5' 2.IU -.21 3 #5 Building Square Footage-) (existing/proposed) 1st FI l_)gC 2nd FI _/ 3rd FI / Loft / Basement _/ Deck_ / #bedrooms athroom; Garage / Carport /(Circle:Attached or Detached?) Other sq. ft. / #6 Use of building e5. Describe work #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED I�IFCO�iVTI�N + Model Year Make `" Model 1 Q `mil Length Width 9-- ! Serial No. # Bedrooms #Bathrooms 2- Type of Heat A U�Q CS Purchase Price #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other Show following on the site plan - Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Name of Flanking Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW -75 _ so po <- 6 76 , E I APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW I � III } II i I Plumbing Fixtures ($3.35 eachl Fee Mechanical Fixtures ($6.75 each) N •ZToilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other a alh Tubs No. Units Fees Show s _ Furn BTU Hot Water tr. _ Heatpumps Laundry Wash _ Vent Systems Sinks _ Spot Vent Fans 0 Floor Drains No. Boilers/Compressors OLaundry Ba i s _ HP Dishwas r No. Air Hiandling Units Dispo I _ cfm# 0 Urin Is No. Fire Protection Systems O er _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 16.75 _ 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 16.75 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 is PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT 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 DEPARTMENT. DEPARTMENT. X OWNER X BY DATE DATE FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: �fl '� C♦j�17 �p�.(D(T1eS J'►�r Environmental Health: n �� Building Plan Review �J Occupancy Group:_FL 3 Type of Const: �J-A Fire Marshal: Other: Special Conditions: FEES Building Permits a--d Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor .Vie1atien fee— Site Inspection Building State Fee `f Other Hddre,�A 5 cap, Other I Building Valuation: TOTAL FEE_ 4Q