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HomeMy WebLinkAboutBLD2015-00415 Final Garage - BLD Permit / Conditions - 12/30/2015 MASON COUNTY Department of Community Development RESIDENTIAL INSPECTION CARD and CERTIFICATE OF OCCUPANCY* PO BOX 186, 426 W Cedar ST, Shelton WA 98584 1pio General Questions: (360) 427-9670 ext 352 Inspection Requests: (360) 4-27-7262 Permit Number BLD2011-00471 Date 06/10/2011 Issued By Project PROPANE TANK, OUTLETS & GAS FIREPLACE / Site Address 3004 NE OLD BELFAIR HWY BELFAIR Applicant MERLIN KNITTEL Contractor FERRELL GAS License Number FERRELP055LH Con. Phone 816-792-1600 Expiration Date 09/06/2012 Primary Code Occupancy Division Use Single Family Type of Construction Occ. Load Public Works Access/Driveway Other Health Dept Septic Well Planning Dept Site Inspection Fire Marshal Fire Apparatus Access Fire Sprinkler Auto Fire Alarm Hood and Duct Other Final Building Dept Building Official: Community Development Designee Concrete Setbacks Slab Footing Perimeter Ret. Wall/ Bulkhead Footing Interior Footing Decks/ Porches Foundation Stem Walls Other Rough-In Groundwork Plumbing Plumbing Groundwork Mechanical Other Groundwork Gas Pipe Gas Piping IL Te-' A/�/T1'yG' Framing Mechanical Insulation Slab Ceiling Floor Vaulted Ceiling Walls Vapor Barrier Other Wallboard Interior Wall Brace Panels Fire walls Nailing Other Vey — Final Building Manuf. Home Setbacks S Setup 1 Concrete Foot/ Runners Final Other < APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS `THIS STRUCTURE MAY NOT BE USED FOR OCCUPANCY UNITL ALL APPLICABLE FINAL INSPECTIONS ARE OMPLETED DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVALS ARE GIVEN. POST THIS CARD IN A CONSPICUOUS PLACE ON THE FRONT OF THE PREMISES CONVENIENT FOR MAKING REQUIRED ENTRIES. ALL PERMITS EXPIRE 180 DAYS AFTER PERMIT ISSUANCE OR 180 DAYS AFTER LAS'i INSPECTION ACTIVITY IS PERFORMED. DWNER/AGENT IS RESPONSIBLE FOR CALLING FOR ALL INSPECTIONS DQJ^A Tn ^A 1 1 I-- --- Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. III 426 W. Cedar Shelton, WA 98584 1854 RESIDENTIAL BUILDING PERMIT BLD2015-00415 OWNER: MERLIN KNITTEL RECEIVED: 5/29/2015 CONTRACTOR: LICENSE: EXP: ISSUED: 7/14/2015 SITE ADDRESS: 3004 NE OLD BELFAIR HWY BELFAIR EXPIRES: 1/14/2016 PARCEL NUMBER: 123093490092 LEGAL DESCRIPTION: TR 9-A OF SE SW& SW SE LOT: B OF SP#1895 PROJECT DESCRIPTION: DIRECTIONS TO SITE: NEW GARAGE 24X36 WA ST RT 3 N TO BELFAIR, LEFT ONTO WA-300 W, NE OLD BELFAIR HWY, SITE ON RIGHT JUST PAST MILE POST 3 General Information Construction&Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: U-1 Lot Size: Deck: Type of Work: ACC Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building: Garage-Detached 864 Valuation: $ 37,065.60 Building Height: 13 Occ. Status: Primary Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body: Rear: Ft. Slope: Ft. SEPA?: Model: Width: Ft. Side 1: Ft. Shoreline Desig.: Year: Serial No.: Side 2: Ft. Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee JBN 5/29/2015 $339.66 S2201500000001 Planning Review Fee JBN 5/29/2015 $205.00 S2201500000001 Building State Fee MAU 7/13/2015 $4.50 S220150000000i Building Permit Fee MAU 7/13/2015 $522.55 S220150000000i Total $ 1,071.71 BLD2015-00415 Please refer to the following pages for conditions of this permit. Page 1 of 5 CASE NOTES FOR BLD2015-00415 CONDITIONS FOR BLD2015-00415 1) ApproAc nsions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 2) Temporary erosion control measures must be implemented to prevent water quality ation of adjacent waters or properties. Silt fencing must be installed and maintained until upland vegetation has become established. XW� 3) All construction and demolition debris must be removed from the site after project completion. Prop b I of construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of State waters. X 4) ConcretWr__ Fite and wash water must be contained during construction pouring, such that water quality degradation of adjacent waters does not occur. X 5) All property lines shall be clearly identified at the time of foundation inspection. X 6) 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, 1 "to ensure these structures are shown and meet the setback conditions listed. 7) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan" to ensure these struct re eet the setback conditions listed. X 8) 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 ris s and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-098 p son signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 9) 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. la ad,dition, a re-inspection fee (refer to current fee schedule, minimum 1 hour) will be charged and must be collected by the Building Departmen okyDagy-further inspections being performed or approvals granted. X 10) Owner/Age rftk le to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X BLD2015-00415 Please refer to the following pages for conditions of this permit. Page 2 of 5 11) This structure is approved as unheated space. To be considered unheated space the area may be provided with a heating system that does not exceed energy usage of 1 watt per sq. ft., or 3.4 Btu/h per sq. ft. A permit and approval shall be required prior to installation of any heating system. When a heating system exceeds 1 watt per sq. ft(or 3.4 btu/h per sq. ft)the heated space shall be insulated in accordance with the energy code in effect at the time of permit application. X M k k:�_ 12) THE FOUffiMS TEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL. X 13) 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 Den nt prior to any further inspections being performed or approvals granted. X VIA 14) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the manufacturer's installation instructions. A drip mc e0geovided at eaves and gables of shingle roofs. (IRC 2012 R905.2.8.5) X 15) A concrete encased grounding electrode must be installed and used at each new building or structure that is built upon a permanent concrete foundation. In Mason County the electrical code is regulated by Washington State Department of Labor& Industries (L&I). For more information contact L&I for additional information. In Olympia call (360)902-6350 and in Bremerton call (360)415-4000. X tj k,L 111� 16) 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). X r.,-- 17) This structure is limited to U-occupancy use only(private garages, carports, sheds, and agricultural buildings.) Any other use will be in violation of the international o Q Mason County Regulations unless a "Change of Use" permit is applied for, reviewed and approved. X BLD2015-00415 Please refer to the following pages for conditions of this permit. Page 3 of 5 18) 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 rev mzp , 19) All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance 9077= ' n, must be reviewed and approved by Mason County prior to construction. X 20) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENTAND 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 sVOLdt prior to requesting additional inspections. X 21) All property lines shall be clearly identified at the time of foundation inspection. X 22) 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 rdinances and building regulations. X 23) 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 ented action from being taken. No more than one extension may be granted. X 24) Pressure trea wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connector hing. Install metal connectors approved for contact with the new types of pressure treated material. X 25) Landings an sta ust meet the same setback conditions as any permitted structure, and, must be shown on your site plan. Please check your "Approved t re these structures are shown and meet the setback conditions listed. X BLD2015-00415 Please refer to the following pages for conditions of this permit. Page 4 of 5 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 contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s) 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 suspende Va period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APP C WILL INVALIDATE THE APPLICATION. Signature Date OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) BLD2015-00415 Please refer to the following pages for conditions of this permit. Page 5 of 5 ' W o CONCRETE MECHANICAL MANUFACTURED HOME Z o _ j Footings JSetbacks GatePiping By Ribbons C) Intenor Date By Interior-Date By Date By M - Exterior Date By Exterior-Date By Set-up 3 Point Load I Isolated Footings INSULATION Date By M BG I SLAB INSULATION — -- r Date By Data By FIRE DEPARTMENT Z Foundation Walls Floors Date By Date BY Data By DECKS FRAMING Walls Date By Date By Data By PROPANE TANKS PLUMBING vauft Data By'___ Date By OTHER Groundwork Attic -- Type. Date By pate By Date By D.W.v DRYWALL Type. Int Brace Wall pate By W CD Date By Date By r v FINAL INSPECTION v y Water Line Fin Separation N rD Date By Date By Date/2 LJO 1 Zp is By pm O' m � s Pass or Request inspect. c Type of Insp. Fall Date Date Dane By Comments CD ass :3 w cn CD Vl O n O 7 Q O 1 N O Err fD 3 D N (0 CD 0 Mason County Map Output Page Page 1 of 1 Mason County Map 127094300111 127094790110 123093400010 12301113400020 1I3094380101 123093490039 � J' 123094390102 sJ l//l� / 123094390103 123020060M Sl 123893 M21 123093490092 123023490093 �P 0� 123094300220 123093490M 1 I 123084300210 123093490082 123094300200 123093490081 123093490102 Al2 3185000002 123190000M 0 237ft DISCLAIMER AND LIMITATION OF LIABILITY: the data used to make this map have been tested for accuracy,and every effort has been made to ensure that these data are timely,accurate and reliable.However,Mason County LEGEND makes no guarantee or warranty to its accuracy as to labeling,dimensions,or placement or location of any map features contained herein.The boundaries depicted by these data are P0635 Federal Lands approximate,and are not necessarily accurate to surveying or engineering standards,and are intended for informational purposes only.Mason County does not assume any legal liability H1911nay5 City of Shelton or responsibility arising from the use of this map in a manner not intended by Mason County. Rrvars$Stasns [ Cuvrlty Brrurery{ONE) In no event shall Mason County be liable for direct,indirect,incidental,consequential, special,or tort damages of any kind,including,but not limited to,loss of anticipated profits Parcels � Commisslo(*r Dstncts or benefits arising from use of or reliance on the information contained herein 5a<hons Lakes ;10 -Mason County L� Townships PUM Sound&Manx takes W.W.Public Works Drr 116— 100 Shelton,WA 98584 " .CET1VET% JUN 02 211t5 2a15 426 W. C E G n,� S T, ^i. http://mapmason.co.mason.wa.us/se4 vlet/com.esri.esrimap.Esrimap?ServiceNwne=amason... 5/29/2015 NameKf�i7�tParcel# l 2_3 ��Vdq-,2 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 Su Complete This Table Surface Type Length X Width = Area *All dimensions in feet Buildings X = X = easurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways 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 Patios/Walks X = JWN O 2 201 = Any paved, gravel or packed area per definition above table X = Others X If the total impervious area of the proposed site X = development is greater than 2000 square feet a Small Parcel Stormwater Site Plan is Required Total Impervious Surface Area(sum of all areas) 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. OHmer/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 inform ion ided is accurate and employees of Mason County are granted access to the above- described property for revieA ection as may be required. X Owner gent/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 I of 2 3NName Parcel# ` 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: htti)//www.co.mason.wa—us/code/commissioners/'Mdex.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 Lou, 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 their 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/d rain field 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 Owner/Agent'Contractor(circle one)Date: Page 2 of 2 MASON COUNTY RESIDENTIA=211 MITT LST Owner's Nmne._T� 'e 1 Date. Reviewed Documents: ` VBuilding Permit Application Completed vlllStormwater Cher 2-P�Ianning Intake Chwklis`Comp B LDING Site plan includes:Allowable building area,roof overhangs,decks,etc. ✓dire Apparatus Access Road info required? Yes/?Sn <f:ye 2i 9-e-- E-a�Code Application Form-O Electric wall heater O Electric central furnace O LPG Furnace O Heat pump with electric furnace O Heat pump with LPG furnace O Boiler(heat type O Dncdess Heat Pump O Other. Specify: ,.,,_: =���caUPlumbir .pplication-WATER HEATER FUEL TYPJ"JLOCATION _Engineering? Y o Snow load: Seismic: D2_ Stock Plan-approved snow load: Seismic: D2_ Man ufactured Homes-4 FLOOR PLANS Foundatjype: SI/Manurfacture Engineered footng/foundafion Basement Covered? erect 7over 4 x 6 anal ver 30"? nstrudion plans Construction Nmis: '-P'3 COMPLETE SETS / RECEIVED _Plans Legible 1✓Recognized Scale t/ Elevation views. - Cross Section 2Foumdation Plan ✓Roof Framing Plan _✓Floor Plan-Use of rooms noted(all floors) J U N 0 2 2015 ✓ Floor Framing Plan-all floor levels including loft,crawlspace,etc. (Q00 S.F.??-stairs?) =7-1 selfFraming Plan,inc-1 cov.porch framing 426 W. CEDAR S T, ?Zan Deta' Roof framing details,truss lay-out may be needed (I�p and girder location shown) SS-eS Wall Framing-Does bearing-wall height exceed 10'?(Engineering may be required) i oor framing. Floor joists(size&spacing):tYlLM hgfln ,Floor beams: Window headers. Typical header. Garage header li a X V Foundation footiag size,reinforcement �C M d ?�i� X 7�lZ A � n( ✓Concrete Walls-Does Concrete Wall Height Exceed 8'? (Engineering maybe rearm• q see aec'Z." ,, � JOJ44 Z Landings at all exits?Less than 30"above grade?Y/N 3,$ 5)4 C&eA. _R at='"Turnace-Location ofFronace (gyp} ye Fuel type: Stove Information Sho Fuel Type? _ Location(s): — Wmdow Sizes Marked on Plans Zu , WPIWWJ— V', ' Braced wall panels(shear walls)marked on plans or lateral engineering? COZ`�NT'S• � hh D. ENGIISEERING REQUIRED Braced wall paneLs/bmce wall lines are not marked on plans(R602.10) Amount and location of bracing does not meet rn:niTnum required in Table R 502.10.1 DESIGN CRITERIA: All notes and detail required as a result of the'engineered analysis shall be transferred onto proposed building plans. Wind 85 MPH, Exposure B(unless proven otherwise). Seismic Zone: Snow_�sf IRREGULAR BUILDINGS R301.2" 7 Irregular portions of structures shall be designed in accordance with accepted engineering practice. A portion of a building shall be considered to be irregular when one or more of the following conditions occur: - I)Exterior braced wall lime or B WP cantilevered or offset by more than 4' 2)Roof or floor is not laterally supported on all edges 2A)Portion of roof or floor extend more than 6 ft beyond the braced wall line. 3)End of B WP extends more than 1 I over an opening more than 8 ft in width Below. 4)Opening in a floor or roof exceed the lesser of 12 ft or 50%of the least floor or roof dimension. 5)Portions of floor level are offset vertically 6)Shear wall lines do not occur in two perpmdicu lar directions. ?)When a story above grade is includes masonry or concrete construction(exc: {replaces,chimneys,and veneer). When this applies the entire story shall be designed In accordance with accepted engineering practice. RApermit tech building chec-ldis-doe Revised 11-21-2007 i R CEIVED N 0 2 2015 � � �------ ---- 426 W. CEDAR DAR ST. JI APPROVED P.- MASON COUNTY DCD PLANNING SITE PLAN REQUIRED TO BE ON SITE CHANG S BJECT TO APPROVAL Date _ s tA D' 50*��ef PLAN N ALL SETBACKS ARE MEASUR FROM THE FURTHEST /V PROJECTION OF THE BUILDING 2bil eal ��S CO MASON COUNTY9 Permit N.-&0201 z, DEPARTMENT OF C1 MENT BUILDING• PLANNING•fTRENARSHAL (360) 427-9670 Shelton ext. 352r 5 - - _ http://www.co.mason.wa.us/community dev/ (360)275-4467 Belfair ext. 352 1854 426 W Cedar Street, Shelton WA 98584 (360)482-5269 Elma ext. 352 BUILDING PERMIT APPLICATION . c, . WA' PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: NAME: _ MAIL G D RFSS G9 MAILING ADDRE CITY: STAT�: II'. CITY: ATE: PHONE: ELL: 6 PHONE: CELL: EMAIL: ' EMAIL © L L G# EXPO ,T CONTACT : OWNE CONTRACTOR ❑ BELOW ❑ NAME:.' AME: rA k,,, 1�!/ MAILINGADDRESS: CITY: STATE: ZIP: PHONE: CELL: EMAIL: PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT AB NUMBER) �L FIRE IS CT LEGAL DESCRIPTI TE SITE ADDRESS DIRECTIONS TO SIT SS IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ N TYPE OF JOB: NEVDDITION ❑ ALTERATION❑ REP IR❑ OTHER ❑ USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) a,.o; IS USE: PRIMARY SEASON ❑' NUMBER OF BED OOMS NUMBER OF BATHROOMS DESCRIBE WORK one SQUARE FOOTAGE: 1ST FLO sq.ft. 2ND FLOOR*DACIB2DJAWCARPO q.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK .ft. STORAGE sq.ft. OTHER sq.ft. GA GE sq. ft. ATTACHED ❑� R sq.R. ATTACHED ❑ DETACHED ❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED MAKE M LENGTH WIDTH BED OOM BATHS SERIAL NUMBER OWNER 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 or owner's legal representative. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or legal representative, represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permittapplication 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 or INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 184DAY ILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) X 22: Signatur of OWNff Date DEPARTMENTAL REVIEW APPROVE DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT eX PLANNING DEPARTMENT FIRE MARSHAL itPy BUILDING PERMIT FEE FIRE ACCESS AND GRADE PLAN REVIEW GEO-TECH REVIEW PLUMBING&BASE FEE STORMWATER REVIEW MECHANICAL&BASE FEE TOTAL FEES WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE PLANNING REVIEW FEE VIOLATION FEE