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BLD2010-00370 MFG Home Final - BLD Permit / Conditions - 10/12/2010
Inspection Line(360)127-7262 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 P14 RESIDENTIAL BUILDING PERMIT BLD2010-00370 OWNER: DONALD LILLIE RECEIVED: 5/11/2010 CONTRACTOR: SOUTH SHORE CONSTRUCTION INC 1-360-275-0818 360-509-1342 LICENSE: ISSUED: 6/15/2010 SITE ADDRESS: 650 E VICTOR RD BELFAIR EXPIRES: 12/15/2010 PARCEL NUMBER: 122214190030 LEGAL DESCRIPTION: TR 3 OF NE SE TR 3 OF SP#1212 PROJECT DESCRIPTION: DIRECTIONS TO SITE: New MFG Home HWY 302 TURN LEFT ON VICTOR ROAD HOUSE IS ON RIGHT General Information Construction&Occupancy Information Square Footage Information No. of Bedrooms: 4 Type of Constr.: VB Type of Use: MH Insp.Area: No. of Bathrooms: 2 Occ. Group: R-3 Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building: Valuation: Building Height: 16 Occ. Status: Primary Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make:LIBERTY Length: 70 Ft. Front: N 190.0 Ft. Shoreline: Ft. Water Body: g SEPA?: No Model:QG287403 Width: 28 Ft. Rear: S 412.0 Ft. Slope: Ft. Shoreline Desig.. PP Not Applicable Side 1: E 38.0 Ft. Year:2010 Serial No.: Side 2: W 70.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Mobile Home Submittal Fee TW 5/11/2010 $264.25 S12010000 Planning Review Fee TW 5/11/2010 $205.00 S12010000 Fire Warden Review TW 5/11/2010 $73.00 S12010000 EH Plan Review KKK 5/11/2010 $103.00 S62010000 Water Adequacy Plan Review KKK 5/11/2010 $103.00 S62010000 Water Adequacy Plan Review KKK 5/11/2010 $103.00 S72010000 Mobile Home Issuance Fee LDK 5/14/2010 $264.25 S12010000 Total $1,115.50 BLD2010-00370 Please refer to the following pages for conditions of this permit. 1 of 5 CASE NOTES FOR BLD2010-00370 CONDITIONS FOR BLD2010-00370 1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X- 2J - 2) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 3) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building Department prior to any further inspections being performed or approvals granted. X 4) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 5) 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. X 6) Any Qreailer, manufacturer or contractor who installs a manufactured home warrants that the manufactured home is installed in accordance with the State Installation code, chapter 296-150M WAC. All installers hired to do installation work shall be certified manufactured home installers and shall be present to supervise the installation of all on-site work. An Installer Tag shall be posted on site giving the certification number and signature of the certified installer responsible for each major part of the installation. RCW43-63B.090 An approved Installer cerification tag shall be placed on the end of the manufactured home directly above or below the HUD certification tag or temporarily located in plain site within three of the home's front entry. There shall be one certification tag for each certified installer accounting for the work that each installer performed opunstalleNd. certification number and signature of the certified installer responsible for each major part of the installation. WAC365-210 X 7) If you are installing a anufacturing home and no longer have the installation manual for the home, you must use the instructions of the American National Standards Institute (ANSI). To order the ANSI instructions you may either get an order form from the Mason County Building Department or you can contact the Offfice of Manufacturing Housing (360) 725-2800. X BLD2010-00370 Please referto the following pages for conditions of this permit. 2 of 5 8) A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit application. Design, sizing, placement, inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It is the owner/agent/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel prior to the commencement of any development activities. "NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater Management Application/Worksheet the document entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan" constitutes an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are responsible for contacting Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this, or any other, parcel. You may also wish to consult with the septic design professional involved with the project. By calling for a final inspection of the building permit the owner/agent/contractor is acknowledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. X 9) Owner/builder assumes all responsibility if rainfield/reserve area is encumbered. A. Drainfield/ Reserve requires a 10ft setback from all footing/foundations. B. Septic tank(s) requires 5ft setback from all footing/foundations. C. No foundation drains within 30ft, down gradient of drainfield/reserve area. X 10) Concreused for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2). X ' 11) The�inernational 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 NJ 12) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. X 13) REQUIRED INSPECTIONS (Footing Inspection-prior to pour, Set-up Inspection-prior to skirting, Final Inspection-prior to occupancy). I hereby assume all responsibility for the scheduling of my required inspections. If the 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 current fees adopted by the Mason County Building Dept., and 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. OWNER/CONTRACTOR(indicate which) Signature X 14) This permit is for the placement and installation of the manufactured home only and does not imply approval or review for any other items indidcated on the plot plan. X BLD2010-00370 Please referto the following pages for conditions of this permit. 3 of 5 15) 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 proect.� X 16) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction. X 17) CON RUCTION 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 Inspec!W shall be made prior to requesting additional inspections. X 18) The installation permit shall be displayed in clear view of the site access road. The approved site plan and other applicable instructions, including installation instructions, shall be available in this location OR placed in the location specified by WAC 296-150M-655. Support configuration shall be clearl marked in the installation instructions. X 19) Owner/applicant must obtain a seperate permit for a placement of any size propane tank serving a fixed appliance within a dwelling structure or unit prior to the placement of the tank. X 20) All property lines shall be clearly identified a e time of foundation inspection. X 21) 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 Maaaq Cou ty ordinances and building regulations. X AVA 22) 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 p evented action from being taken. No more than one extension may be granted. X 23) Press treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, a d flashing. Install metal connectors approved for contact with the new types of pressure treated material. X BLD2010-00370 Please referto the following pages for conditions of this permit. 4 of 5 24) Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X 25) 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. X :2^^ , , 26) 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 Si a Plan"to ensure these structures are shown and meet the setback conditions listed. X 27) A Road Access Permit or Approval must be granted by the Washington State Department of Transportation. For more information contact Paula Hammond, Transportation Planning Engineer, at(206)357-2620, ext. 630. X 28) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 29) Application cknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is Rural Residential 5 zone. X 30) Exis Z two-story structure needs to be de-commissioned to be storage building; second story shall have no water; 110 power allowed; 220 power removed. That storage structure has NOT been reviewed or approved as an Accessory Dwelling Unit(ADU): A second dwelling unit detached from an existing single-family dwelling for use as a completely independent or semi-independent unit with provisions for cooking, eating, sanitation and sleeping. ADUs are required to meet the requirements under Mason County Development Regulations 17.03.029 and reviewed by application and public hearing. X 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. by SSG -�)c-DATE: NO BLD2010-00370 Please referto the following pages for conditions of this permit. 5 of 5 o CONCRETE I -,MECHANICAL MANUFACTURED HOME - o r Date By o footings !Setbacks Gas Piping Ribbons iTt o Intenor Date By Interior-Date By pate .Of By oExterior Date By Exterior-Date BS*t_up O Point Load I Isolated Footings INSULATION Date c::/:' -Z<—/- -lc By?7� D BG!SLAB INSULATION r' Date By Data By FIRE DEPARTMENT Foundation Wails Floors Date By Date By Data By DECKS F RAM I NG wails Date By Date By Date By PROPANE TANKS PLUMBING vault Date By Date BY OTHER Groundwork Attic Date By Date By Type Date By MW.V DRYWALL Type- Date Brace Wall Date By Date BY Date By FINAL INSPECTION 0 CCD Water Line Fire Seperatioo C Date By Date By Date /lj— '�(� ByT� --f m O `° Pass or Request Inspect. c Type of Insp. Fail Date Date Done By Comments w Ep s /S S -�j �-3-/G, N 1� . o _ a . 0 Ul CD (D J 0 M J MASON COUNTY PERMIT NO. 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 I OR ATION CONTRACTOR INFOR ATj9N Owner Company Name a i Mailin A res§ MailingA dregs c f City W 151(K—State-LL1&Zip Code City State IAJA Zip Code Phone adX_Other Ph. Phone '_i&t)- -j Other Ph. Lien/Title Holder Contractor Reg. # 5 tG3jbN4Exp. 05— 3'Z6 E mail address E Mail Address Drivers Lic. # DOB Drivers Lic.# DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic . , Existing Septic Connect to Water System Name of Water System Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No.I QMMUMU11030Fire District Legal Description Site Address (Please include street name, street number and city) Directions to site '" Dad• '� Will timber be cut and sold in parcel preparation?Yes/<O Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building Describe Work No. of Bedroom No. of Bathrooms Square Footage- 1 st Floor 2nd Floor 3rd Floor Basement Deck— Covered Deck Other Sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURE INFORMATION - Make Model L 2�'` D Year Length Widt Serial No. lo. of Bedrooms No. of Bathrooms Type of Heat P rchase Price $ Replacement Unit? Yes/ NQ y Installer Name Certification No. 41� 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 OFA PROGRESS INSPECTION.INACTIVITYOF THIS PERMIT APPLICATION OF 180 DAYSS WILL�IINVALIDATE THEAPPLICATION. X ' Date: Owner/Owners Representative/Contractor (indicate which one) FORi OFFICIAL USE BEYOND THIS POINT Accepted by:::Z Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department S of f0 Lac Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbinq & Base Fee Planning Review Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES 19 � N � w 171Z ` 7QF Ar ( F� NMI REQI,1 o JE CN `� S�St181 �fT` �`�t �L I L C,et1� e By —va e y 4� �s 3' 3 L F fiats gam. moots 0, c� I '4 y," -- — -_l o' Z.S7' '�--�5` ��� � �ec.J�� PLANNING `�a ku�..l - 4fl -Cloolo (LSD E- 20- Name ��( I 1 Q/ Parcel# I a'as i - L/ / 9CO3 D BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 1 of 2) Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development,or redevelopment',with more than 2,000 square feet of impervious surface'. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction, installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. .', To Calculate Impervious Surfaces Please CompleteThis Table Surface Type Length X Width = Area ' All dimensions in feet Buildings X Z$ _ (p X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways L X X = Length of drive begins at the right of way X = Parking Areas X = X = Any paved, gravel or packed area per definition above table X = Patios/Walks X = X = Any paved, gravel or packed area per definition above table X = Others X = X If the total impervious area of the proposed site X = development is greater than 2000 square feet a Smail Parcel Stormwater Site Plan is Required 3 I C If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read,acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity. OwnerBuilder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 Name Lj 11�- Parcel# la,,a l - I Ada 3D BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity. Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason County website: http//www.co.mason.wa-us/code/commissioners/index.htm Please follow the links to "Title 14,Chapter 14.48 Stormwater Management". Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan (Mason County Code Title 14 Chapter 14.48 section 14.48.70). You will receive a copy of the Public Works document entitled "Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan".This document will assist you in preparing the necessary information and plans for Public Works to review and approve. Per Department of Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in their entirety AND no part of the stormwater system adversely affects any septic system (see Environmental Health information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval. A design by a registered professional may be required for more complex sites. *These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A) The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in t ei entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works Department can provide additional instructions,guidance and examples.(Section 14.48.130)contact Public works at: Phone: (360)-427-9670 EXT.450 Mail: P 0 Box 1850, Shelton WA 98584 Physical: 415 N 6th St, Shelton WA 98584 If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or any other, parcel. You may also wish to consult with the septic design professional involved with the project. Mason County Division of Environmental Health can be reached at: Phone: (360)-427-9670 EXT. 352 Mail: P 0 Box 1666, Shelton WA 98584 Physical:426 W Cedar St, Shelton WA 98584 A condition will be added to the building permit that states, in part,that all conditions the stormwater site plan will be met prior to a request for final inspection of the building permit. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X _ VVM Owner/Agen Contractor circle one)Date: Pag 2 of 2 Profile for parcel number: 122214190030 Page 1 of 2 Click Here to Print This Page Parcel number: 122214190030 Owner Information Taxpayer Information LILLIE, DONALD M & BECKYANN LILLIE, DONALD M & BECKYANN 650 E VICTOR RD 650 E VICTOR RD BELFAIR WA 98528-9378 BELFAIR WA 98528-9378 Legal Description TR 3 OF NE SE TR 3 OF SP #1212 Site Address 650 E VICTOR RD BELFAIR Reval Area 2 Field Sheet FS 03060:06 Land Size* 3.00 Land Use THREE BEDROOM Tax Code 245 Tax Code Description 1 403 A P3 F5 L C H1 Parcel Value Market Land Value Market Improvement Value Total Market Value $ 34,000.00 $ 44,275.00 $ 78,275.00 Taxable Land Value Taxable Improvement Total Taxable Value Value $ 34,000.00 $ 31,095.00 $ 65,095.00 Site Built Buildings uilding #: 1 Square Footage Construction Ir Year Built: 1920 First SF: 1080 Building Type : H Bedrooms: 3 Second SF: 1080 Building Style : 2 Bathrooms: 1 Third SF: 0 Exterior Type : P Total SF: 2160 Half SF: 0 Roof Type : C Split SF: 0 Heat Type : BB Garage Type : Foundation Type : PB Garage SF: 0 Basement SF: 0 Deck SF: 0 *May include septic and well values and values for other out buildings and other items not specifically itemized on this page Manufactured Homes 1 Personal Property No Manufactured homes or personal property on this site Tax Information For tax information, please click here Sales Info Recorded Document Auditor File # http://www.co.mason.wa.us/astr/profile.php?parcel__number=122214190030 5/13/2010 Top© IAap DOnala �i BeLi(u Paut41as 11-4I 616mD AUP C� L F ' L L ' L LLL �'�� LD LLLLL` ` `LML arx GMAT MASTER TMRDW t"LLLt RAM BEDROOM BEDROOM t Qr lr,x 12�-6�L t a�-�•x 16-66 x t 2%e• LLLLLLLLLL i i 11 1xw !L LLB LLLL FOURTH 1 L LLLLi BEDROOM °1� L PINING LF R AL L L vaax 12W Ir_ L Ptavi VQ04d l.A B-6Lq LI(;� Paluj 4 12�a1 -4 l-q&03D ACCESS & GRADE INSPECTION BLD ADDRESS: GS1 INSPECTOR: �T� DRIVEWAY ACCESS l^) need post at access of driveway with reflective address numbers Length: Width: Surface: Size of turn-around: Condition of shoulders: Vertical clearance: GRADE OF DRIVEWAY %, OF ROAD % ROAD ACCESS Length: Width: Surface: Condition of Shoulders: Vertical clearance: (_) BURN PERMIT REQUIRED FOR LAND CLEARING FIRE. LOT INSIDE UGA—NO OUTDOOR BURNING PERMITTED. LOT TOO SMALL FOR: BURN PERMITS 4 X 4 FIRES 2 X 3 FIRES PASSED ( ) FAILED ( ) ON HOLD ( ) REMARKS: MOO xv- 3� L • L !.. LLLLLC'�,t _L L L L ` L Orr SECOND w ,r c[� GREAT ' BEDROOM L -� MASTER THIRD LL ROOM BEDROOM ` BEDROOMLL L l 1 y 7'X 17-b't— I a,Cox 17'-31 1&-SO x 12�d' .� 9'-6•x 121-3' LLL L-l-L-L-L.LL 6... LLLLLLLLL FOURTH �L LLB LLLL t L LLLL � t 81DR04�M crr `LL !— s.DINING 122+.� �r_ �-`�`L prO°rr- J. L � _ 3ti 1=tDDY {'loll Ppual LA BLrKu Lill Et, "SSE PLANS MUST g PaVaA 4 I��a1 '41-gvoo ON T;` -I s StTE LSD C_ I/,'c.- ( Ri. M4e zir ...CTIOiJ FILE CA COPY w► 14 47o r- -,>-q--,' APPROV I ` L4 t Qrr� 3v MASON BUILDING !r, L W CHANGES SUBJECT TG 4Pi-F.. ��(L DATE Documents attached to approved pans: Site plan: Plan review check lis Page,, Engineering: Y Number of pages TIESE PLANS MUST 6:. ON THE JOB SITE FOR I1 jSPECTION SUSNIIT C"NANGES(;Or:.i; PRIOR To PERFO�" 11-' MUST MEET ALL CURREf,. WASHINGTON STATE COCA VENT AT 1 Sq Ft Per 150 Sq Fi SEE MASON COUNTY PLAN REVIEW CHECKLIST for important code information and details that pertain to this structure. The numbers marked on plans correspond to the same item number in the checklist.