HomeMy WebLinkAboutBLD2008-00687 Pole Bldg Final - BLD Permit / Conditions - 10/28/2008 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
P10
RESIDENTIAL BUILDING PERMIT BLD2008-00687
OWNER: DEBBIE ROSE RECEIVED: 6/5/2008
CONTRACTOR: LICENSE: EXP: ISSUED: 7/17/2008
SITE ADDRESS: 230 NE PEDERSON DR BELFAIR EXPIRES: 1/17/2009
PARCEL NUMBER: 123094300142
LEGAL DESCRIPTION: PCL 3 OF BLA#97-67 PTN TR 14-B SW SE
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
POLE GARAGE Rt. on Pederson Rd. off of Old Belfair Hwy. End of Pederson Rd.
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 Lot Size: Deck:
Type of Work: ACC Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building: Garage-Detached 1,512
Valuation: Building Height: Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: N 85.0 Ft. Shoreline: Ft. Water Body: SEASONAL CREEK
Rear: S 185.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: E 200.0 Ft. Shoreline Desig.: Unknown
Year: Serial No.: Side 2: W 127.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee KS 6/5/2008 $132.00 S12008000
Planning Review Fee KS 6/5/2008 $190.o0 S12008000
Building State Fee MAL 6/13/2008 $4.50 612008000
Building Permit Fee MAL 6/13/2008 $562.95 612008000
EH Plan Review TW 6/17/2008 $40.00 612008000
Total $929.45
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LD2008-00687 Please referto the following pages for conditions of this permit. 1 of 5
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CASE NOTES FOR
BLD2008-00687
CONDITIONS FOR
BLD2008-00687
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-F 7, 982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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2) The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150' from an approved
access road Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where
such iw
onnect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
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3) Plan is clearly marked that any addition of"future loft", as indicated on floor plan, will require additional permit/approval. X VG%l�
4) 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
Depart to any further inspections being performed or approvals granted.
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5) Owner/A1±7
sponsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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6) The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the
corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building
Official. The per it holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or
removal ofy�f ed documents will result in failure of required building inspections.
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7) This structure is a proved as un-heated space. If at any time this building is to be used for anything other than what it is approved for, a change of use
permit shall lied for, reviewed and approved prior to the change.
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8) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X W
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2008-00687 Please refer to the following pages for conditions of this permit. 2 of 5
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9) 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
Buildingp�rtment prior to any further inspections being performed or approvals granted.
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10) Per 2003 IRC - SECTION 1609 -WIND LOADS - 1609.1 Applications. Buildings, structures and parts thereof shall be designed to withstand the
minimum wind loads prescribed herein. Decreases in wind load shall not be made for the effect of shielding by other structures. Per FIGURE 1609
BASIC W EED (3-SECOND GUST) the wind speed for Mason County is 85 MPH.
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11) Per IRC - SECTION R905 - REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in
accordance applicable provisions of this section and the manufacturer's installation instructions.
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12) 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 acknoyvleP
ing that all components of the stormwater management system have been installed as
approved on the stormwater site plan. X 0—
13) This structure is limite to U-occupancy use only(private garages, carports, sheds, and agricultural buildings.) Any other use will be in violation of the
international cod d Mason County Regulations unless a "Change of Use" permit is applied for, reviewed and approved.
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14) Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building
Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached
thereto. If documents are removed, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be
charged and h )a ollected by the Building Department prior to any further inspections being performed or approvals granted.
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15) 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 Washingto . Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit revoca
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08-00687 Please refer to the following pages for conditions of this permit. 3 of 5
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16) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact
adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the
stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further
information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access
connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which
is proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that office to review future planned work which may
affect your project.X �jy(//`i/�/
17) Placement of stru must comply with standards set forth per the international codes regarding descending and/or ascending slopes.
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18) All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinance or re n, must be reviewed and approved by Mason County prior to construction.
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19) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED
BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the internationa codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector shall a prior to requesting additional inspections.
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20) All property lines shall be clearly identified at the time of foundation inspection. X CAP
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
Mason County o ces and building regulations.
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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 notexceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder have preve tion from being taken. No more than one extension may be granted.
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23) Pressure treated wood anufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors, and fl Install metal connectors approved for contact with the new types of pressure treated material.
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24 Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X
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25) Water qualit is be degraded to the detriment of the aquatic environment as a result of this project.
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D2008-00687 Please referto the following pages for conditions of this permit. 4 of 5
26) Prior to final approval, all upland areas disturbed or �reated by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X
27) Temporary erosion control measures must be implemented to prevent water quality dP�dation of adjacent waters or wetlands. Silt fencing must be
installed and maintained until upland vegetation has become established. X I
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28) Approve dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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29) All other necessary permits from Mason County, Washington State and/or Federal Agencies that are requir is proposed development and
construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. X
30) All Best Management Practices must be strictly adhered tothroughout the proposed development. X T411z
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 a d s ture Nv and inspection. —
OWNER O A N DATE: a8
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08-00687 Please refer to the following pages for conditions of this permit. 5 of 5
o CONCRETE MECHANICAL MANUFACTURED HOME X
oDate By ---_ _..__-.__�E.._._�---_.___
C) Footings /Setbacks Gas piping Ribbons M
o tnt�eriorDate By Interior-Date By Date By
w Extenor Date `O _G Q� By2� Exterior-Date B Set-u m
A W
Point toad Isolated Footings INSULATION _ Date By W
BG I SLAB INSULATION Fn
Date By Data By FIRE DEPARTMENT
Foundation Walls Floors Date By
Date By Data By DECKS
FRAMING walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault Date i3y
Date By OTHER
Groundwork Attic
Type
Gate By Dale By Data 13y
D.W.v DRYWALL Type
Int.Brace Wail Date Ry W
Date i3y
Date By FINAL INSPECTION p
m Water Line Fire Seperation tuC
Date By Date By Date ���L8'C� (� By' O
m Co
`D Pass or Request Inspect. c
s Type of Insp. Fail Date Date Done By Comments a)
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POST FRAME BUILDINGS Suite C•16521 Highway 99•Lynnwood,WA 98037-3161 • -
DIVISMOF Everett:(425)2584171 Puyallup:(253)840-9552
__ Administrative 2-4378Headquarters:l[Fe425)800-825a-----—..--- --Buil
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r PERMABILT _.FAX: (425)742-a378 ToIlFree: 1-800-824-9552 .
Quality:Our Future Depends On kn' CUnt aCtorS LicA TOWNCPF099LT
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EASE CHECK FLOOR PLAN
Roll up doors fit in Bays Wind MPH DrautN Arrow in Circle
doll up doors will not hit Truss Wind Exposure xi
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SI i2 Roof Pitch Eave Height '1
Snow Load AS Minimum Clear \ L
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BUILDING ELEVATION -
Customer has verified and approved the orientation of the building to the North and verifies that all items speciSted in Paragraph B of the contract are
shown on this drawing and vice versa. Customer Name: T:Q oA Lead# 6T8 3.
Customer Signature
IIlilll IIIII IIII INmite_cnsloin« r ` ' Canary-OfRa x' Perrna Bill Indtisfirtes F_R-85
Name Rost= d 5ToI<F-k _ Parcel# a-5 O9� 3 OO 1H�. E�%
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:
httpHwww.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) V 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 an ins a tion as may be required.
X Owne A ent/Contracto (circle one)Date:
Page 2 of 2
Name Parcel# 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 surface2.
'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"F s omp.e This Table
Surface Type Length X Width = Area "All dimensions in feet
Buildings X
= (S I Measurements for buildings are taken at the
X
perimeter of the farthest projections(example:
X = eaves/gutters)
X Driveways X =
X = -7 p Length of drive begins at the right of way
X =
Parkinq 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 =
4 -
X I111fetotal impervious area of the proposed site
X = development:is:greater-than:2000 square feet a
y,mall:ParcelStormwater Sife Plan.is Required...
fiatat m(yer�ious3rFU 5 Z r
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.
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 fo revi w in ction as may be required.
g ��y �o �
}� Owner ent/Contracto circle one Date: D
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
MASON COUNTY RESIDENTIAL PLANS SUBMITTAL CHECKLIST
Owner's Name: Date: VI�m p) Reviewed By:'"�
Documents.
uilding Permit Applic n Complete ?
P STORM WATER WORIGSHEET COMPLETE.
_P i g Intake Checklist Complete
—P.e plan includes: Allowable building area,roof o gs,decks,etc.
ire Apparatus Access Road info required? Yes No
ergy Code Application Form-O Electric wall er O Electric central furnace O LPG Furnace
O Heat pump with electric furnace O Heat pump with LPG furnace O Boiler(heat type
O Other:Specify:
Leecanico Flaal/Plum ' plication-WATER HEATER FUEL TYPCATIONl� eering? Ye o Snow load:� Seismic:jf.) ./
— s d: Sei
Manufactured omes— OOR PLANS
Fo da ' Type: ANS acture ethod Eng' eered footin rda n Basem t�r
Dec Covered? ncovered over x 6 and over 30"? onstruction p regrrit
Construction Plans: 3 COMPLETE SETS
Plans Legi _Recognized Scale _Elevation Views _Cross Section
_Foundation P _Roof Framing Plan _Floor Plan-Use of rooms noted(all floors)
Floor Framing P floor levels including loft,crawlspace,etc. (<200 S.F. ??—stairs?)
Deck Framing Plan,me v.porch framing
Plan Details:
_Roof framing details,truss lay-ou ay be needed (Hip and girder n shown)
_Wall Framing-Does bearing-wall her exceed 10'?(En ' ng may be required)
Floor framing: Floor joists: Floor beams:
_Window headers. Typical header: '
_Foundation:footing size,reinfor nt
—Concrete Walls-Does to Wall Height Exceed (Engineering may be required,see details)
_Landings at all.. . Less than 30"above grade?Y/N
_Heated) Fu'rnace-Location of Furnace
_Fireplace/Stove Information Shown-Fuel Type? Location(s):
Window Si on Plans
panels(shear walls)marked on p
2-story garage? (Engineering maybe required) 1'`stp wo 1—45%,D2—55%
ENGINEERING -
Braced wall panels/brace wa�finesa�rm—e t marked on plans(R602.10)
Amount and location of bracing does not meet minimum,required in Table R602.10.1
DESIGN CRITERIA: All notes and details 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_psf.
IRREGULAR BUILDINGS R301.2.2.2.2
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:
1)Exterior braced wall line or BWP 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 ft.over an opening more than 8 ft in width below.
4)Opening in a floor or roof exceed the lesser of 12 K or 50"/o of the least floor or roof dimension.
5)Portions of floor level are offset vertically
6) Shear wall lines do not occur in two perpendicular directions.
7) When a story above grade is includes masonry or concrete construction(exc:fireplaces,chimneys,and veneer).
When this applies the entire story shall be designed In accordance with accepted engineering practice.
H:\permit tech building cheeklist.doc Revised 11-30-2007
� MASON COUNTY
PERMIT
BUILDING PERMIT APPLICATION
�CL 426 W. Cedar - P.O. Box 186, Shelton, WA 98584
h V
h o6 ) 427-9670 - Belfair (360) 275-4467 - Elma (360) 482-5269
Ve • �� On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner DES A ROSE 4 ERIC STyicELV Company Name TOWN I e_o_y� B V ILD l 1�1S G
Mailing Address 230 VE'D S ER o H 'D gu E Mailing Address
City 5 C- -E/R I R State WA Zip Code R8S?.-r8 City LY1 ►�.4 41op1> State J2— Zip Code q8O 37
Phone 3(a 0-Z7S- 1 I(o I Other Ph. A on1E Phone SW 6.2y- 956'2 Other Ph. -
Lien/Title Holder 174/A Contractor Reg.#1QujhC3!FQL1Q L-T Exp. u09
E mail address N 1A E Mail Address pErtM 15ILT. C OA^
Drivers Lic.# N IA DOB N !A Drivers Li .# t4 /A DOB I.I In
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic M Existing Septic N 0
Connect to Water System N Q Name of Water System
Well !` Water System_Name of Water System if jN
PARCEL INFORMATION - 12 Digit Parcel No. Fire District
Legal Description
Site Address (Please incfua�,street name, street number and city)
Directions to site"U L Tv o Eml
S
Will timber be cut and sold in parcel preparation?Yes
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye
TYPE OF JOB - New V Add Alt Repair Other PRIMARY RESIDENCE SEASONAL ❑
Use of Building CAaAGt Describe Work 'DETA IME-1 FOLK GAQA(oF u,n-gouT P&.uM BIP46
No.of Bedrooms No. of Bathrooms Square Footage - 1st Floor 2nd Floor
3rd Floor Basement Deckvered Deck Other Sq.ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Nl In Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ Replacement Unit? Yes/ No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further
declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permis-
sion from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this applica-
tion or the wor ro sed i h plication, I have obtained permission from them to apply for this permit and conduct the work proposed.
X Date: (,114108
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted b anning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPRO E DENIED NOTES on
Building Department qC4 - 5n� (o
Planning Department
Environmental Health Department LIU1
Public Works Department
Fire Marshal '
FEES
Building Permit Fee Z_ Site Inspection
Plan Review Fee Z EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood/Gas/Pellet Stove Fee State Fee �-o
Violation Fee Pre-Paid at Submittal
Valuation $ Z( TOTAL FEES
lOWn lX Cotmtly Suite C•16521 Highway 99•Lynnwood,WA 98037-3161 P se Check After Doing Site Plan: L10 Septic and drainfield of size Draw North A rcw in Circlj
POST FRAME BUILDINGS Everett:(425)258.4171 Puyallup:(253)840-9552 roperty dimensions ewer lines �levation of property
- DIVISION OF Administrative Headquarters: (425)743-1555 Existing buildings Setbacks of proposed&existing buildings [[[ Bodies of water
PE R MA B I LT FAX: (425)742.4378 Toll Free: 1.800-824.9552
�� >< Proposed building Main road with name ❑Floorplan
r _ Contractors Lc.1f:TowNCPFo99LT ❑Easements Access to proposed building Slopes&Contours(5'increments)
Quality:Our Future Depends On It."'
Job Name: ERI QT DF-ZLy J 12EM ROE Job Site Address: 30 5'
Tax Account#.•
123o01 3 OO 14 2 Legal Description: lilt FikI U16 ai&5;2-13
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APPROVED `
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;IASON COUNTY DCD PLANNING U�x PLANNING:
SITE PLAN EQU1.?E.� TO BE ON SITE ALL SETBACKS ARE MEASURED
81ECT TO APPROVAL FROM THE FURTHEST
3Y __ D,Ac- 2 PROJECTION OF THE BUILDING
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DO NOT SIGN INCOMPLETE SITE PLANT
Customer has verified and approved the local ip+ the building,orientation of the building to the North,and verifies that all White-Customer Copy White-Office Copy
utilities are shown on this drawin n t orred I on.CUSTOMER SIGNATURE —_— LEAD# C9783L:1—
C1995 Perma-Bilt Industries FR-34 6/07 I I�'o I II'll'III I"I