HomeMy WebLinkAboutCOM2014-00046 Pole Barn to Ag Processing Bldg - COM Permit / Conditions - 7/24/2014 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line (360)427-7262
Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670, ext. 352
Shelton, WA 98584
i�
COMMERCIAL BUILDING PERMIT COM2014-00046
OWNER: HAZY DAZE RECEIVED: 5/1/2014
CONTRACTOR: LICENSE: EXP: ISSUED: 7/24/2014
SITE ADDRESS: 1982 NE OLD BELFAIR HWY BELFAIR EXPIRES: 1/24/2015
PARCEL NUMBER: 123174100050
LEGAL DESCRIPTION: TR 5 OF NE SE
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
CHANGE A POLE BARN (PREVIOUSLY TRUSS COMPANY) BELFAIR NORTH ON OLD BELFAIR HWY ADDRESS ON RIGHT AT 2 MILE
INTO A(502) AGRIGULTURE AND PROCESSING BUILDING MARKER
General Information Construction &Occupancy Information
No. of Units: 1 Type of Constr.: VB
Type of Use: Insp. Area: No. of Bathrooms: 2 Occ. Group: U/F1
Type of Work: TRA Fire Dist.: 2
Valuation: $ 242,827.20 No. of Stories: 1 Exit Design. Load: 24
Building Height: 24
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building: 4,950
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline&Planning Information
Front: NW 100.00 Ft. Shoreline: Ft.
Rear: E 200.00 Ft. Slope: Ft. Water Body:Union River Shoreline Desig.: Rural
Side 1: S 20.00 Ft. SEPA?:No Comp. Plan Desig.: Rural
Side 2: N 40.00 Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2014-00046 Please refer to the following pages for conditions of this permit. Page 1 of 5
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Kitchen Sink 1 Ventilation Fan 2 Plan Check Fee TW Fi1i9n1a ,tRF4 za g99niAnn
Lavatories 2 Planning Review Fee TW F/1/9niA auRn nn s99niAnn
Water Closets (Toilets) 2 IFC Plan Check Fee TW F/1/9n1a 1.td97 17 g99niAnn
Water Heaters 1 EH Minor Plan Review Al P Filnnla -t1nn nn R79niAnn
Building State Fee I AUI RIF/9n1A -a Fn C99n1ann
Building Permit Fee I Aw R/F/9n1d Q1 7Qa FF R99niAnn
Plumbing Permit Fee I AW aiFi9niA ctF9 9n g99niAnn
Plumbing Base Fee I AUK/ FiFi7nld �9d 7n g99n1Ann
Additional Plan Check Fe I AW a1a19n1A �t91Q nn C99nlAnn
Total $3,806.46
CASE NOTES FOR
COM2014-00046
CONDITIONS FOR
COM2014-00046
1) PER TITLE 14 MASON COUNTY BUILDING CODE - CHAPTER 14.17, STANDARDS FOR FIRE APPARATUS ACCESS ROADS - 14.17.110:
A fi apparatus access road in excess of 14% grade and more than 150' to new residential or commercial structures will require an automatic fire
s nstalled. Contact the Mason County Fire Marshal at(360)427-9670, extension 352, for further information.
2) ftindfloor
atic i alarm system is required to be installed, the system is required to be fully monitored by a UL certifed monitoring company.
application is required to be submitted and approved prior to the installation of the system.
uls ers are required to be installed with a maximum travel distance of 75 feet in any direction and mounted no more than 60
to the top of the unit.
A knox equ�rp- �hstalled per section 506 of the 2012 International Fire code. Please contact the local fire district for more information
and inspection.
X
All int for fini to be a minimum of a class C with a smoke developement index of 0-450 and a flame spread index of 76-200.
X
COM2014-00046 Page 2 of 5
3) 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 1-800-6 rson signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
4) All approved plans a ui o eon-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will b led by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X
5) Owner/ g t is res onsible to post the assigned address and/or purchase and post private road signs in rdance with Mason County Title
14.28.
X
6) The approve ' plan is re uir qed to be on-site for inspection purposes. If inspection is called for and the site plan is not on site, Approval WILL
NOT be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collected by the Mason
County SVC9!
nt prior to any further inspections being performed or approvals granted.
X
7) Any change o r shall be reviewed by engineer of record and submitted in writing to the Mason County Building Department prior to
construction. All engineering documents are a part of the approved set of plans and must remain attached thereto. If engineering documents are
removed, approval will not be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and
collect son Coun Building Department prior to any further inspections being performed or approvals granted.
X
8) ALL CON N MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTE NATIONAL CODE REQUIREMENTS AND OCCUPANCY
IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANG OF OCCUPANCY WOULD RESULT IN PERMIT
REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
9) Changes to approved building plans that affect compliance to the current Washington Stat Co (WSEC), ventilation requirements),
Build' / / e anic odes and/or Mason County Regulations shall be approved prior to construction.
X
O TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE
10) CONST�
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
Maso uildin In shall be made prior to requesting additional inspections.
X
11) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The
failu e o st a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being
non-c on Count ordinances regulations.
X
12) All permits 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the
time f a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control
of the r have prevented a ornn-5eing taken. No more than one extension may be granted.
X
13) Pres ure tr wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal
fas ent
rs, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
X
COM2014-00046 Page 3 of 5
14) A er dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
15) All c lon and demolition debris must be removed from the shore area after project completion. Proper dis tion debris must
be on land in such a manner that debris cannot enter or cause water quality degradation of State waters. X
16) Temporary erosion control measures must be implemented to prevent water quality degradation of adja o Si cing, straw,
or surface matting must be installed and maintained until upland vegetation has become established.
17) pli a wledges that the structure is only permitted for a use consistent with the current zoning of the parce. oning is Rural Industrial
z
X
18) Parking ent for 5 standard parking stalls (9 feet by 20 feet) and 1 handicap parking stalls (12.5 e b feet)with sufficient
maneuvering aisles. Handicap stalls shall be of a smooth surface at level or ramped to entry, located closes g entry, and shall be _
signed with the International Symbol of Access. Screening from adjacent residential properties is required. X
19) Onsite septic system limited to 6 employees. As per letter received from licensed designer.
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 ction. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if
construction s suspended for a perio 0 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
P RMIT PLIC L INVA ATE THE APPLICATION.
S na Date
OWNER - REPRESENTATIVE - CONTRACTOR
Prin (Circle one to indicate)
COM2014-00046 Page 4 of 5
f
'. Washington State
� �i Licensing and Regulation
PO Box 43098, 3000 Pacific Ave SE
Liquor Control Board
Olympia WA 98504-3098
Phone— (360) 664-1600
Fax—(360) 753-2710
December 23, 2014
000SO
LONNIE FOSS
19689 7TH AVE NE#268
POULSBO WA 98370-8091
Re: HAZY DAZE
1982 NE OLD BELFAIR HWY
BELFAIR WA 98528-9657
LICENSE No.: 412452-7C
UBI: 600-412-541-001-0002
Your license has been approved for the following:
MARIJUANA PRODUCER TIER 2
MARIJUANA PROCESSOR
This license is valid through December 31, 2015.
You must post this letter in a public service area as your temporary operating permit. If you do
not receive your Business License with marijuana endorsement(s)within 15 days,please contact
Department of Revenue's Business Licensing Service/Specialty Licenses at(360) 705-6744.
The license allows you to produce a maximum of 7000 square feet of marijuana for sale at wholesale
to marijuana processor licensees and to other marijuana producer licensees. This license also allows
you to process, package, and label usable marijuana and marijuana-infused products for sale at
wholesale to marijuana retailers.
You have fifteen days from the date of the traceability system access e-mail to have all seeds, clones,
nonflowering marijuana plants and plant tissue physically on the licensed premises. Within 24 hours
you must record all seeds, clones,nonflowering marijuana plants, and plant tissue that enters the
facility during this fifteen day time frame into the traceability system. The traceability system access
begins the morning following the date of this letter.
No flowering marijuana plants may be brought into the facility during this fifteen day time frame.
After this fifteen day time frame expires, you may only start plants from seed,plant tissue or create
clones from a marijuana plant located physically on your licensed premise, or purchase marijuana
seeds,plant tissue, clones or plants from another licensed producer.
Marijuana 9/4/14 DECISIONS
Page 2
Persons under 21 years of age are not permitted on the premises. A sign reading"Persons under
twenty-one years of age not permitted on these premises"must be posted in a conspicuous location at
each entry to the premises (WAC 314-55-086).
The licensee must ensure required information is entered into the traceability system and kept
completely up-to-date as stated in WAC 314-55-083(4).
Changes in ownership, alterations to your operating and/or floor plan, and business relocation require
prior Board approval. If you wish to make such changes,please contact our office for assistance.
In accordance with WAC 314-55-020(11)the issuance of the license by the WSLCB shall not be
construed as a license for, or an approval of, any violations of local rules or ordinances including, but
not limited to: Building and fire codes, zoning ordinances, and business licensing requirements.
Your marijuana license can be renewed through the Department of Revenue Business Licensing
Service. Information on how to do this will be included on your renewal notice.
NICOLA REID/sis
Marijuana License Investigator
(360) 725-0111
cc: Tacoma Enforcement Office
Mason County Commissioners
File
Marijuana 9/4/14
4pI� COL.
MASON COUNTY (360) 427-9670 Shelton ext.352
`'� DEPARTMENT OF COMMUNITY DEVELOPMENT (360)275-4467 Belfair ext. 352
BUILDING.PLANNING•FIRE MARSHAL (360)482-5269 Elma ext. 352
--_ Mason County Bldg. III, 426 West Cedar Street
PO Box 279, Shelton, WA 98584 www.co.mason.wa.us
COM coN.2olY—DQO�(o
CHANGE IN TENANT APPLICATION
PROPERTY INFORMATION
Date: ;j -p 1- Assessor's Parcel Number: /2 )- — 1— 06 D Z)
Legal Des ription:
Building Site Address: /q ?per v P <</
APPLICANT INFORMATION
Name of Applicant: �p n f ,e v-&S
Mailing address: -ft' s PV;
City: p o(s bo State: (,voj Zip: ? -7 0
Day phone:V 26S Contact Person: "P l 16__ Message phone: 3&o Zp Z
PROJECT INFORMATION
Proposed business name: f{-qZ -p,4 Z E
Proposed use: Chh {J; S dd y c4lacn Number of employees: 3
Previous business name: Describe previous use:
STRUCTURE DETAILS
Check one: O Detached single level/ single tenant O Single level/ multi tenant
Multi level/single tenant O Multi level/multi tenant
Age of structure: Is structure cur t y If not occupied, how long has it been vacant?
occupied? Yr. Mo.
Square Basement: First: Mezzanine: Second: Third:
foota e: 55f-f If /I U
Is the structurr��� Type of Heat: Circle one: Furnace Heat Pump lectric Radiant
heated? TP 0 N OK 5-7fo 50.Pr
Circle one: a No Fuel type: Circle one: lec r Liquid Propane Natural Gas Oil
Will there be any changes to the following? Circle yes or no, if applicable:
Floor lay-out: 6> No Lighting: s No Heating: es No
Exterior Finishes: e No Interior Finishes:60i No Parkin No
Number of restroo provided: Number of fixtures in each:
2 Water Closets Lavatories Bath/Shower
Is structure handicap accessible? Entry: Yes No Restroom(s): e No
Is the structure equipped with afire sprinkler system? YesCI`Tb)j Fire alarm system? Yes A o
Monitoring Station Name: Phone number:
APPLICATION WILL NOT BE ACCEPTED WITHOUT:
Floor Plan (5 sets):
• Draw the floor plan to scale • Use of rooms
• Room Dimensions • Location of all exits and windows (include dimensions,
• Location of plumbing and mechanical fixtures counters, tables, shelving, benches, fire exits
• Interior doors with swing radius and exit signs).
Site Plan (1): Note scale used
Property lines; easements,-& right of ways - . Location of all existing structures & dimensions
• Distance, in feet, from property line & structures • Location of all existing structures & dimkAlo0s1 2014
• On-site sewage tanks and drain fields, & reserve • Landscape buffer yards
• Location of fire hydrants & vehicle access roads • Well location 426 W. CEDgR S7
• Parking areas (number & arrangement)
Continued on back
40N COL.
MASON COUNTY (360)427-9670 Shelton ext.352
DEPARTMENT OF COMMUNITY DEVELOPMENT (360)275-4467 Belfair ext. 352
BUILDING•PLANNING•FIRE MARSHAL (360)482-5269 Elma ext. 352
Mason County Bldg. III, 426 West Cedar Street
�8u PO Box 279, Shelton, WA 98584 www.co.mason.wa.us
COM
CHANGE IN TENANT APPLICATION
PROPERTY INFORMATION
Date: iA -p (` Assessor's Parcel Number. 2 )-7 — 411, D6 p a
Legal Des ription:
Building Site Address: 2,p; v P V
APPLICANT INFORMATION
Name of Applicant: �.p nit ,� r-:&S
Mailing address: 7:2-t l ` �J
City: pet)Is bo State: (,vim Zip: :3 -7 0
Day phone:;fpo 265 3131 Contact Person: 1_p P y tk I Message phone: 3 2 (, Z
PROJECT INFORMATION
Proposed business name: p z 6
Proposed use: C_'Pih (J; S dd Number of employees: 3
Previous business name: Describe previous use: �'►^U S H
STRUCTURE DETAILS
Check one: O Detached single level/single tenant O Single level/ multi tenant
Multi level/single tenant O Multi level/multi tenant
Age of structure: Is structure cur t y If not occupied, how long has it been vacant?
occupied? Yr. Mo.
Square __]_Basement: First: Mezzanine: Second: Third:
footage: 5 5 Lf If lI U
Is the structur Type of Heat: Circle one: Furnace Heat Pump lectric Radiant
heated? ° )uy"° O N i-?e 5-7(, 50.fir
Circle one: ne No Fuel type: Circle one: lec Tr-
Liquid Propane Natural Gas Oil
Will there be any changes to the following? Circle yes or no, if applicable:
Floor lay-out: No Lighting: s No Heating: es No
Exterior Finishes: e No Interior Finishes: No Parkin No
Number of restroo provided: Number of fixtures in each:
2 Water Closets Lavatories L Bath/Shower
Is structure handicap accessible? Entry: Yes No Restroom(s): e No
Is the structure equipped with a fire sprinkler system? Yes No Fire alarm system? Yes o
Monitoring Station Name: Phone number:
APPLICATION WILL NOT BE ACCEPTED WITHOUT:
Floor Plan (5 sets):
• Draw the floor plan to scale • Use of rooms
• Room Dimensions • Location of all exits and windows (include dimensions,
• Location of plumbing and mechanical fixtures counters, tables, shelving, benches, fire exits
• Interior doors with swing radius and exit signs).
Site Plan (9): Note scale used
Property lines, easements;-& right of ways - • Location of all existing structures& dimensions- V E
• Distance, in feet, from property line & structures • Location of all existing structures & dimggfoos1 2014
• On-site sewage tanks and drain fields, & reserve • Landscape buffer yards
• Location of fire hydrants & vehicle access roads • Well location 426 W, CEpgR ST
• Parking areas (number & arrangement)
Continued on back
e5014 °pU a /�
MASON COUNTY PERMIT N0A)r-n 2ji q—
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING-PLANNING• FIRE MARSHAL
_ WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352
�Ksa PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352
BUILDING PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: +6;*q At\2_q � NAME: P C C I
MAILING ADDRESS: MAILINGADDRESS: PD $Ok.
CITY: STATE: ZIP: CITY:-13.,eA-"4 STATE: U/,%( ZIP:
PHONE: CELL: PHONE: CELL: 3(eo 3110 2oZ5-
EMAIL: EMAIL :Tcc(UG e PQCXVTfAAL .c0rw
L&I REG N I N CC 602 CB EXP. 2- / 2
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) 1 2 3 { 7 — I — 0 DOS O FIRE DISTRICT
LEGAL DESCRIPTION(ABBREVIATED) :
SITE ADDRESS 1-1$ZL &, 20 Z.d 0 L_D `r Ativl CITY
DIRECTIONS TO SITE ADD SS FRow- 6V LFA (,2 ►10 d-41, 0 P a G b ,43 c N'?
'W geSS 6yt �b Y (a2 evt c l.� lu A t�l E'
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'152,'
TYPE OF JOB: NEW ❑ ADDITION ❑ ALTERATION 1REPAIR ❑ OTHER E] �^,�
USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) b
R T 1('0 d 04c 0 r-. 4 - 7 y�0 Lg5yPAS Y CILI _
IS USE: PRIMARY'l SEASONAL ❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS��
DESCRIBE WORK �� Ufa on 2" [dJ e hrxi,�Y
SQUARE FOOTAGE:
I ST FLOOR 5594 sq. ft. 2ND FLOOR (7(P G sq. ft. 3RD FLOOR sq. ft. BASEMENT sq. ft.
DECK sq. ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq. ft. ATTACHED ❑ DETACHED ❑ CARPORT sq. ft. ATTACHED ❑ DETACHED ❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work orde it revocation.
Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representatigfr tr I further
declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all
parties, including any easement holder or parties of interest regarding this project.The owner or authorized*pt r presen*sA%e
information provided is accurate and grants employees of Mason County access to the above described property Ads re(s)for
review and inspection.This permit/application becomes null&void if work or authorized construction W�c�m� menced n 180
days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORFCIS�1r S OF
INSPECTION. 1 CTIVITY OF HI RMIT APPLICATION OF 180 DAYS WILL VALI ATE THE APPLICATIO $j:
X :jO
u pplicant Date
X V4A42A, sa A-bs I C OWNER / REPRESENTATIVE(CfONTRAC
-70
Print Name (CIRCLE TO INDICAT
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT 40 b ()A
FIRE MARSHAL
MASON COUNTY PERMIT NO.
DEPARTMENT OF COMMUNITY DEVELOPMENT
i BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext352
' Mason County Bldg. III,426 West Cedar Street (360)275-4.467 Belfair ext 352
u' Po Box 279,Shelton,WA 98584 (360)482-5269 Elma ext 352
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: NAME:_PCC 1
MAILING ADDRESS: MAILING ADDRESS:_pD eo w
CITY: STATE: ZIP: CITY:_ gQ.p%0( TATE- U--1 ,• ZIp� !Z
PHONE: CELL: PHONE:_'360p 112- f Z l Z CELL:3(43,qo 20�
EMAIL: EMAIL: 'y CCI N C_B RoCflt i Cain
L&I REG#_P&N f cc a8-ZLRL EXP.
PARCEL INFORMATION•
PARCEL NUMBER(12 DIGIT NUMBER):_ 12 3 l -7 -9 ) -O D 6 5 d
LEGAL DESCRIPTION(4BREVL4YED):
&SIMADDRESS: 1q& 2-0 OLb b�4P1-11- h-w CITY: g e
TIONS TO SITE ADD SS: 1^R06v�. �,]p \(.>�,; „ bV d r . 0 ki R6-c
TYPE OF JOB
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS—1sT FLOOR_ 2NDFLO70R BASEMENT GARAGE_OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Tyne of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas_Heat Pump_
Toilets 2. Type of Unit No.of Units
Bathroom Sink Fees
Bath Tubs 2 Furnace
Showers Heatpump
Water Heater I Spot Vent Fan
Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks ( Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood _
Hosebibs 1 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 rev T Acknowledgement of such is by signature below. I declare that 1 am the owner,owners legal representative,or contractorlift'ter'
D
that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary pa cl d'
any easement holder or parties of interest regarding this project The owner or authorized agent represents that the infoimatio�iZd isgZ01
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 constru Q��r ((``
suspended for a period of ISO days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTI OFTHsISE DA S T.
PERMIT APPLICATION OF 180 AYS WILL INVALIDATE THE APPLICATION.
_ W - )0 l�f
7SignV_a ofApp XXL �SC� 5=!t C Owner/Owners Representative/Contractor
Print Name (indicate which one)
DEPARTMENTAL REVEEWW a� APPROVED i)ATE DENIED Di�TE TA GSJNGTES/CON�II'[Ola S
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
241'
E3UIL.�IN(�
FIRE ACCE55 GATE
WILL NOT BE LOGIGE]�
20' FIRE LANE EXISTING ASPHAI
l'x2 ' SP&ZEEN
O V
TURN-ABOUT AS PER
TITLE 14, MASON CNT1'
BLDG CODE
FIRE LANE LINE
i�ROJGT E3E DELINEATEI
RED FAINT
BUILDING APPROVED
MC PUBLIC HEALTH
{ ;o JUL 17 2014 �00
ALP �
MAIN AGGESS - C6RA�/EL
5a,
NOTE: KNOX-BOX ON FIRE ?ACCESS GATE
15 NOT REGU I RED IF GATE IS LEFT UNLOC<ED M