Loading...
HomeMy WebLinkAboutBLD93-0328 Addition - BLD Permit / Conditions - 5/28/1993 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 ' 10' l Lit 1.t.4 t`,I#1ia Hh111 o-i,`wirr C"t . 7.'t� C 1 ,' .r t,,di 0,,, i )ttt3 AI3pRt :r`i : ME 1685 OLD BEI- FAIR HWY - HELFAIR 0fJNER TOM NEWMAN 2757.6018 CON I Vt ACT OP 1 1 0141. to [-•4 ft 5#1Y 1 j52 It f Of SP 1.tN1110 IS 6*41 41:N .. _—.. �t[�zm':a:.,:.-�-�aRrrasroc.sxsrt�r.:en+=.-�san�.c,n+s•-�-••.-nxrnra.a—._cwr-n.esxxr.*xm� -xr•,.^:,-�..n:xr�z�r�^z:_ .-:san.-si-^:may • . des-.,u••m-_:. , i I t4`;`: i1i` WOOK , , : NC?W HI:DP 0 t1AIIt 0 �1'IPt AAnllif BY b A I I R[�IIpI Ililt � Ah"i1tNT hY "Alf itft;ripq� I tI'I (II 115E, , .F _ :: .. )s1 ( 1J1' 01 0011 .. • ,E. 111 1)0 Hl- It. liT a E1 .. 1 � �t 1MN 1 8k�t : ♦f'S �/�# T':#iAb .: �ckr . �� .lad �4 IN=* ,'4t�y$ .t°A t; F'ii-t r)I 1 t11}`, t., .fR1 1,1,A+'E_5 . �VIN-: Ik .f1 1 ��i i .Fh�93 d�a •; y s # ,:E = t1( t lit' ( r}!'111 itT W0111);, I OV) S 4' ,A i3t l 1 N 1•1 t 1 11 011 ytsiii A !� ItkRI I )NI'ft. i " N 114 ff f N�4µk`r , 6 N1t IaTh1. t vAI_If1-AIfANc nm�x:. "",.� r:-::,,r...r;.c.. n-:�•,_..,_,..M+Gas:eurs,:a�ca�.�n,, �r..�r ';f. IHA1;K w—— t `T.t i'`; II:ti1?T1' igr Ili l I t Itr)tif` .t F RON ( N 1 1: PA 1 I1 IiA N`.;,I t I. t., r` 4 kittill ti S, 0 t 1: 1 A 114 •) l,iti'i °. I l t 1 ill UWE`FtS . 1 F"I1RP1 I o0K t4I i",1 IA 40 {ill %) NA f .. .. . _ 1.1 F ( . j 1J Ft . 0 1't. 14 A l i I+ N t:A I F td 0 F'IIRN 1, t`i 1 N � *a*' ? �+r v vh 1M��� r?: � �Fl� �•J ' ¢ � *4,• IIR 1. INF ,_ 0 0 - t C1, 111 tit 'i WA`ltll li ' 0 FIJI'hl i;iVdA {� f Eft i �+co K 4i r111f< T` w.. KI If,lit,N sINF fitt; 1 f0. MSC :i.fl f ( %t r F. 00k likA I N 0 VI N i ,'`� 1,t !� � F ulit' t. n+ 41 t i Nit J 1t ° &a GN 1 1}I^i'tNR. I N6 f-OUN I vi N t I #itI'. c) ? hlom) i 11) 1 It tIHCiI.h1I'N I 41t• I 1 A1AN{1HY 1 PAY'; I) I►(i III I r t1+ 1 N -Fa t tr I AI # E)FCV.`i-. . > . « . 49. 't 11I`.1414AI,Ill- �I I.�4 i,! i4l IH -0 0A1i /CAPP 6ARh It P-4't} Jit H I th JViN 'x' I rit lh )il 1 01 i+l I'm 11? +:t A ;01 it i NA 1 `, : Ii i alf4 0,0. 1111 1) r) 1 111:.is IJK { t1 f+t i 'st; F i Nf I f :; i LItiF GA', (till 11 1 0 i Ppi;i#;fi D€Si RIPl1)JN;A(J1sITIuN ' � ' , hR8tF 1 tNtiAIlAN:t'a AltES GAUN dth AEIFAIR RUY, ii1N NEiNAN CONSFRWAft1N -thN oN rfflNA ii i1Ut , im A ti,MNM, tHI , F}A "oull lu :NP Nltivll#A` ON k'lhoI . Tn{{nit DNT4 wvi or, Tt "oust I1110 holm Ill14 6R41NN 111Nj [NI5 P'FRNIT .614014ES 111111 vAiN If UKRf OR cAN51for11)IN AH`{Nl1itfirFl IS Ohl r110011t.EN 011111111 iN4 NAvh,. 0 all f llsiplif It'll t+R uoot I� 001`1111D top A RfRIAll of IN$ ow Al ANY 'Itlt ATtf WORT is fANNfNfto FVFNEN(f iff -01111ti0A11AN of' 48111 bt A 1100FI;S 'f4F Pfr1100 wjHH# lilt lot I+A'+ pr@loo FliiAl 10'.PEII1nN Nils of AfP11000 liffdkt {1Ntt1tN6 CAN At 0f PIl6, 611N 411'eA fitNlc 4 '4 t. C.. II iI } t 1�j?ij"91 f.0.4PI I AMC L I #j AI I#1f:ITt 11 C 0 HO 11 1y)N;, I`.; Rf [y111`?V0 CONCRETE MECHANICAL MOBILE HOME Footings-Setback date Lsu I Z-/- e 3 by L Ribbons date J (,-g-j by t-- Gas Piping date b Foundation Walls date by Set Up date —S -q3 by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING FIRE DEPT. date j 2_ j-53 by J Walls L date by PLUMBING dated by OTHER Groundwork Attic date by date D44 1 Z- 7- ' 3 by L . D.W.V. WALLBOARD NAILING C era Jo " ►vcs.tS< �c4p �.f c�,•„< date /1-, 2-- Y L date _ - by Water Line FINAL INSPECTION lr✓- A S f-,- /4 s� date ���`-�:s f"5.""bY date j ,z _ by z. `� _ 2 . L date by 1 1'rn u i t e u d-Ll Ts n y L L 2 �rt��� �'C� C-ova ��`n�Oc.� � h ec r r'n4 GAT �l� L e✓�i�5 ©L � c' ��� 3� Pr- .Q� � - !• 5 ` .ar •mil J��;r �� •� O C�k x rLfInj ©�. o V� MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 e No F3 1. D9 3-0 1?8 Vo r 'FOM N1,14MAN P a n d l f ' za -dof mareri '11 '7, or 'md olubw, fib) n q ',f 1. 1 olv i i" , f1i'l lim)od wi i hotst i ho approval ot iihv plAim I.ocw J V I r f MA hit P 1-'()p 0 t 1,INc t:U r co 4)t 1.)0 r t') 0 r) I-I I k I E�0, 1 1 e.4 t 4,Ito I 1 3 0 i h i o I 1 1: f 1 '0#1) (Irmciq Iil nt? . fn)1&4. MA., I m i 0 1 IT)t I Irl cl t b at-,k I r c,m pf ope'l v I if X 3 ) r o d s t t-tic,til t%a or tt,)r i, If-t 4 It .111 11 0 4p Tort line , 011,16 t maintaln a hi A ()It I j*f- I fit hm 1, I furthmf;t projection . X CONCRETE MECHANICAL' MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 BFTWEFN 5pm AND Ham 427-7262 BLD93-0328 PARCEL. : 1231776900:;3 PI..A'T' : DIV- L,i E: z Ln I ,10H AOORESS : NE 1685 OLD BELFAIR HWY BELFAIR OWNER : TOM NEWMAN 275-6078 CONTRACTOR : LE G A L : TR C-1 OF SURV 1152 TR 1 Of SP 11811 FS 15131:0 CLASS OF WORK . . : NEW HF-10k 0 1H : 0 TYPE AMOUIIT BY DATE RECEIPT TYPE AMOUNT BY GATE RECEIPT TYPE OF USE . . . . : SF STORIES . . . . . . . : 0 OCCUP . GROUP . . . : ? BLDG . HEIGHT . . : 0 . 0ft R A 0 N j 8.00 TW 05128(93 32806 PLCCK j 186.00 TW 05/28193 32806 TYPE OF CONST . . : ? FIREPLACE'S . . . . : 0 PLM j 33.00 TW 05128(93 32806 OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 NCH j 27.00 TW 05128J93 32806 DWELL . UNITS . . . . : 0 PARKING SPACES : 1 S T f E j 4.50 TW 05128J93 32806 INSPECTION AREA : 1 S110RE1. 1,NF'?. . . . . N PRMT j 372.00 TW 05128193 32806 TOTAL: 630.50 VAIULATION: 72762 SETBACKS------------- - TOII ETS . . . . . . . ? F U F I I YPFS-___.__._....__-- 80I. LERS/COMP - MOB 1: 1 1 H01'iF--- FRONT . . . N 5 . 0ft BATH BASINS . , . . . . : 0 : /tl.C / / % : 0-3 HP . : 0 REAR . . . . S 5 . 0ft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : SIDE ( I ) . E 5 . 0ft SHOWERS . . . . . . . . . . : 1. FURN < 1.00K BTU : 0 15-30 HP . : 0 -MAKE------ STDF_ ( ' ) . W 5 . 0ft WATFR HFATV) , . . . . 0 FURN ?=100K BIU : 0 30-50 HP - : 0 ? SHRLINE . 0 . 0ft CLOTHES WASHER: . . : 0 FURN - [ LOOK . . . : 0 50+ HP . : 0 -YEAR------ AREA ----_________..____ KITCHEN SINKS . . . . : HEAT PUMP . . . . . . . 0 7 LOT SIZE . . : ? FLOOR DRAINS . . . .. ,. . 0 VENT SYSTEMS . . . : 0 EVAP CO0LERS - 0 LENGTH : 0 BUILDING . . . : 2535sf DRINKT:NG FOUNT . , .. : 0 VFN'r f-'AN'S 0 HOODS . . . . . . . : 0 WII),] H . : 0 BASEMENT . . . : Osf LAUNDRY TRAYS — . - 0 DOMES . INCIN : O -SERIAL#---- DECKS . . . . . . . 0sf DISHWASHERS . . . . . . : 0 AIR HANDILNG UNITS--- COMML . INCIN : 0 ? GAR/CARP : ? 0sf GARB DISPOSALS . . . : 0 <= 10000 cfm. : 0 RELOC /REPAIR : 0 AT/DT` , : ? URINALS . . . . . . . . . . : 0 ) 1.0000 cfin. : 0 OTHER UNITS . : 0 MISC PLM FIX"rURE ':', : 0 GAS OUTLETS . : 0 PROJECT OESCRIPTION:ADDITION PROJECT LOCATION:1.5 MILES DOWN OLD BELFAIR HWY, TOM NEWNAN CONSTRUCTION SIGN ON LEFTHAND SIDE, TURN AT SIGNM, LEFT, 60 DOWN TO ?NO DRIVEWAY ON RIGHT, FOLLOW DRIVEWAY UP TO HOUSE (RED HOUSE WITH 6 R 0 W N TRIM) THIS PERMIT BECOMES NUL 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 TI A F T F WORK I COMMENCED. FVTDENCE OF CONTINUATION Of W 0 R K IS A PROGRESS INSPECTION W 7 T H T N THE 180 DAY PFR10D, FINAL INSPECTION MUST 8E APPROVED BEFORE BUII IN6/ CAN BE 0- PIED. C Q OWNER OR A G E N I : ( r DATE: ✓ Z.g 3 -- BLD_PRMT, rev: 03(31(91 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 11 il:i of N'1 A. 6 k...,. il.i M U....0 _L h ..u.. il,..,p U'4 Case No . : BLD93-0328 For : TOM NEWMAN Page : 1 1 ) The uC . ., handling and storage of hazardous materials or flammable and combust:ib.le liq n e of 10 gallons is not allowed without: the approval of the Meson County Fir M, hal . e ss '. ) Prop t ur e or portion thereof greater than :30" in height: from 1 - minimum of 5 ' setback from all property lines . 3 ) Proposed structure or port on thereof with an projection over 30" in height from nradc line , must maintain a 5 ' se a atio d ' >etween adjacent structures and that: furthest projection . X __,_ __, Date Checklist Prepared Ll— 14 MASON COUNTY BUILDING DEPARTMENT PLAN REVIEWER AND INSPECTOR CHECKLIST 1991 WSEC AND V&IAQ CODE COMPLIANCE Add�j Permit Number n 3—v Address AIE Name on Permit Contractor/Phone # 60 7 Compliance Method: ') Prescriptive _-_L7 (Option) ( ) Component ( ) Systems Analysis Date FOUNDATION Insp. Rev. ( ) ( ) Slab: R- (Ext.foundation down to frostline/slab bottom;or interior 24"top of slab&horizontal. Radiant under entire.) ( ) ( ) Below grade exterior wall insulation: R- ( ) � ) Crawlspace ventilation: ). rY (1 sq.ft. 11`FA/150 sq.ft.floor area-cross vented) FRAMING Standard ( ) Intermediate ( ) Advanced Woodstoves and/or fireplaces: (6 sq.inches combustion air supply duct with damper direct to firebox.) Standard air seal: (Bottom plate/subfloor,rim joist/mudsill,window/door frames,penetrations condition to non-condition.) ( ) �►) Attic ventilation (1 sq.ft. 1FA/150 sq.ft.ceiling area) -1 ,�(p.�j`7 KP.7 4 ( ) ) Spot exhaust fans: (4"exhaust-bath/laundry 50 cfm @.25 WG;kitchen 100 cfm @.25 WG. Vented out with dampers.) Fresh air ventilation: Available to all habitable rooms. Installed and operational. (Integrated forced air,windows,wall ports.) Whole house exhaust fan: �cfm (Intermittent system manual&auto controls/sone less than or=to 1.5 at.1 WG) INSULATION ( ) '(`►) Attic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,extend 12"above loose fill or 6" above batt insulation) ( ) (�► ) Mechanical ventilation ducts R-4(Exhaust in unconditioned space&supply in conditioned space.) Wall insulation(above grade) R- (Batts face stapled) ( ) ( ) Wall insulation(below grade-interior) R- (Batts face stapled) Vapor retarders on walls (Faced batt,or 4 mil poly or perm.paint.-circle one) Rim joist(Insulated with vapor retarder-rigid foam and caulked or 4 mil poly.) ( ) ( ) Vaulted ceiling insulation R- _ (vapor retarder&I"airspace) FINAL Floor insulation R- (Substantial contact w/surface,supports less than or=to 24"OC,not blocking vents.) ( ) ( ) Ventilation system is operational(spot,whole house,fresh air to all habitable rooms. If integrated system,certification by installer is required.) ( ) ) HVAC ducts in unconditioned areas R-8 (Joints sealed;mechanically fastened with a minimum of 3 fasteners.) Pipe insulation R-3 (Hot and cold lines in unconditioned areas-service or recirc.see Table 5-12). ( ) ) SHW heaters: (NAECA label,separate power or gas shut-off,on R-10 pad if electric in unconditioned or on concrete.) Heating system type: Qe&Y'i'C, lw CC,45 D &e Radon monitor on site with instructions.No. - Supplied by MCBD Thermostat: (Heat range 55-75;AC 70-85;both 55-85. Backup heat controls(lockout)prevent simultaneous operation of primary system.) ( ) ( ) Solid fuel appls.: (Glass/metal tight-fitting doors;dir.comb.air source,or 4"dia.dampered,indir.source for existing const.) ( ) __�A) Ground cover: (6 mil black polyethylene or approved equal lapped 12"at joints,extending to foundation wall.) ( ) ) Penetrations(All exterior wall and ceiling penetrations sealed to drywall-plumbing,exposed beams,wall receptacles,fans,recessed lights.) Ceiling Insulation R-� (Insulate&weatherstrip access,baffle to prevent spillover-no cardboard) ( ) ) Vapor retarder paint if a vapor retarder was not installed when insulation was installed. 1 's GLAZING Plan Reviewer-Fill out this glazing section or attach a window schedule to this checklist. Inspggtor- Verify window information during field inspections. Include skylights, glass doors and all other glazing on this form. Use rough opening area for calculations. Date Size Quantity Area S . Ft. U-Value Manufacturer Rev. Ins . a 01/0 v 00 6040 ° l / it i(l 6 3 SCIO f3 Total glazing area: Total conditioned area: Percentage glazing: Verified: DOORS Plan Reviewer-List opaque doors by type (solid core, insulated,etc.)quantity,U-value,and manufacturer. 1nsp ce tor-- Verify door information during field inspection. Date Type/Quantity U-Value Manufacturer Rev. Insp. Signature of Building Inspector: Date of Final Inspection: SATEWGTON nt ENERGY Building Record WSEOContract# 91-19Attac- hme B CODE PROGRAM For Site-Built Residential Buildings Heated by Electric Resistance or Heat Pumps ..... ............... ............................. .. .... ............. ........................... ... ...... ................... . ..... ................................. . ........... .......... p ase check on e, (please check one) JUr �dition�over�50O sq.�ft . �Single Family E] Duplex I diction Multifamily DZero Lot Line Home El Planned Unit Development + please check one: ❑ city Xcounty Permit# Fi lie I D# (if different from Permit#) + ..........% ......... A. Site Information B. Owner Information Address A16 Owner own rat time of con trucdon receives utility payment) City i5k /,/-- / zip Company ��e ZZ Asses Tax# or attach legal description) Addresa A//_/A0 Assessor's Pr De tv De/A Citv lle/)b 1',r— State Jt)&Zip)A /9 ;2 rlo!� C01-:5 Servicing Electric Utility / PULZ3 Phone C. If Single Family,Zero Lot Line or D. Duplex E.If Multifamily(R-1) Planned Unit Development First Duplex Unit sq.ft. ITotal #/Bldqs. Total Conditioned Floor Area s g. ft. Second Duplex Unit sq.ft. JTotal#/Units A. Primary Space Heat Type B. Secondary Space Heat Type C. Water Heat Type (check one) (check all that apply) (check one) El Electric Baseboard [:1 None 0 Electric ❑ Electric Wall Heater 1:1 Wood EJ Gas Electric Furnace 0 Electric Baseboard ❑ Other (specify below) ❑ Electric Heat Pump El Other (specify below) El Other .. .... ........ .................. . .... ....... WSEC Compliance Method For Heat Pump Only: Date of Permit Application L1 Prescriptive Path Built to the Electric Date Building Permit Issued �15 1:1 Component Performance Requirements of WSEC? Date of Insulation Inspection El System Analysis 1:1 Yes 0 No (If yes, Date of Final Inspection utility may offer incentive.) I hereby certify that this building or addition has been inspected for the measures required by the 1991 Washington State Energy Code(WSEC), that it is in substantial compliance with the WSEC, and that the WSEC checklist for this building is on file. _T Signature of Building Official or Authorized Representative Date • Building Department:Return white copy to Gail Burris,Washington State Energy Office,P.O.Box 43165,Olympia,WA 98504-3165. • Owner or Building Deparment: Forward canary copy to the servicing electric utility to trigger WSEC compliance payment. • Building Department: Retain pink copy for jurisdiction's building file. WSEO#94-015 DWI_ Aft Permit No. ' l �{ MASON COUNTY * r BUILDING PERMIT APPLICATION PLEASE PRINT #1 Owner w, Phone# Z z(oo Grp Site Address_/01k f/o3.5` FfrC� 'D1-3 Iz City l?FLF,a,/R St G✓,e_ Zip 22=.2.� Directions,, //to Job Site !'. �-j t R )':�ri/Z l-4 �t�'/'J �f SJar�� L.�fT - t� %rz�/� fn ✓.c�r�r� /,�.�'iii.: Q9' �� 1c'I.,-s-/i Owner Mailing Address City /gF_ LI=A1r2 St 4414 Lien/Title Holder Address Sri �1wH Cit St 1,,a, Zip 1 -29 #2 Contractor Name_`el,' ��J N42✓A- 411 C'�,; Contractor Reg#:r,12M L�/DdR-6 - Address /-4�- IZ-ot cv c0 �clt�4�n //,K.a Expiration date 4-9 City St6k-4Zip *0 "2�C Phone 43 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well (If residential, proof of potable water may be required) #4 Parcel No. Legal Description_ /S6,7> #5 Building'Square Fpotage: ( ing/proposed) Ist FI I Ob`I /Llc I l� nd Fl A3I 3rd Fl / Loft / ul Basement / Deck /� #bedrooms #bathrooms_ q � Garage / Carport / (Circle: Attached or Detached?) Other sq ft /O&q / a S. s-_ . 21 #6 Use of building r,\eS•�Ln�.e �7 Describe work ,44&r,y/ � Mei,,' #7 Type of Job: New Add _ Alt Repair mo Delition Woodstove Re-Roof Bulkhead Other #8 MOBILE HOME INFORMATION A11,4 Model Year Make Model Length Width_ Serial No. #Bedrooms #Bathrooms Type of Heat 9 Any water on or adjacent to property:N�saltwater lake river pond wetland seasonal runoff other Show following on the site plan Lot Dimensions,/ Flood Zones Existing Structures,/ Fences Structure Setbacks,," Driveways Water Lines- Shorelines Drainage Plan/ , Topography Septic Systems ` Wells Proposed Improvements /Easements Name of Flanking Street Scale: [_ Name of Fronting Street Date: APPLICANT TO DRAW SITE PLAN BELO Oq DIC" � a s � . APPLICANT TO DRAW TOPOGRAPHY PROFILE BELO ra E��tr Plumbing Fixtures ($2 each) F� c, a7 No. R-Toilets event Systems X 3 . Qp _ Bath Basins Vent Fans X 3 . 00 Bath Tubs No. Boilers/Compressors Showers F� 0-3 HP 6 . 00 Hot Water Htr - 3 -15 HP 6 . 00 Laundry Washer 15-30 HP 6 . 00 Sinks + < � 30-50 HP 6 . 00 Floor Drains 50 + HP 6 . 00 Laundry Basins No. Air Handling 'Unit Dishwasher <= 10000 cfm. 7 . 50 Disposal > 10000 cfm. 7 . 50 Urinals Other Other Evap Coolers Hoods Permit Basic Fee Fire Suppression TOTAL PLUMBING $ Domes . Incin. 1"60 (� Comml . Incin. Reloc/Repair 6 . 00 Mechanical Fixtures Gas Outlets X 2 . 00 No. Fuel Types Woodstove separate Furn < 100K BTU 6 . 00 Other Furn >- 100K BTU 6 . 00 Furn - Floor 6 . 00 Permit Basic Fee 10 .00 Heat Pumps 6 . 00 TOTAL MECHANICAL $ yam C� o NOTICE: THIS PERMIT BECOMES NULL ANr �� CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 : d / rION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD C IS COMMEN E AFTER WORK CED ( 7'i �is:J .•1� . I . OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR CONTRACTORS REGISTRATION LAW RCW 18.27 , AND AM AWARE IN THE STATE OF WASHINGTON AND I AM AWARE OF THE OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST � NING AP OVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING TM DEPARENT. / DEPARTMENT. X OWNER '� �� X BY DATE_ / " = DATE Return permit to: Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, PIA 98584 427-9670/1-800-562-5628 FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARIW,NTAL REVIEW - FOR OFFICE USE CMY Approved Cond Hold !, Approval Planning: , z vironmental Health: 11► � �� �. i�� t ��s ��< � �5 � o �s.�+c ter«, �a5 �1� MT Building Plan Review: Occupancy Group: Fire Marshall: Other: FEES IlSpecial Conditions: _�IQI40ite Inspection I II 11 IlBuilding Permit II I gel II II i I II II JIViolation Investigation Fee I II II �5� II I 11 pPlan Check I) II II Plumbing Fee II II H II II IlMechanical Fee I I o© II II I � � II 11 Ilwoodstove Fee I II II II I _ I II 11 IlBuilding State Fee I y y Il I' 'I H 'I IlBuilding Valuation: /'7X II II TOTALI� -1 2 !Imes the heist of Structure Top °t = IS' Max. Siape ca of a Foota�q Face of y Tae of _ Not to exceed 40'*- Structure Slope 3+N �E SUILDING OFFICIAL MAY APPROv TYPICAL STRUCTURAL SETHACX ALTERNATE SEi3ACXS a CLEARANCcS Sccie 1" : 20' 'i SamPie Site Plnn 2 41' . 1 440 32' 2a' o PROPOSED n RESIOENCE L fnttD EDGE OF SANK SeOtit TomJ 24. s C c 4Q O o S�oQE on — vs �� 36• Qrirtr.vr O Min S's•reau Weil(see 122 238' I u TYPICAL SITE PLAN 1" = 20' J. DOE 1406 Mason U. Or. N