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HomeMy WebLinkAboutBLD2011-00510 Replace MFG Home Final - BLD Permit / Conditions - 11/20/2011 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 RESIDENTIAL BUILDING PERMIT BLD2011-00510 OWNER: JACK MILLER RECEIVED: 6/22/2011 CONTRACTOR: AMERICAN HOME CENTER 800-459-9017 -- 253-279-7280 LICENSE: AMERIHC9780C EX ISSUED: 7/21/2011 SITE ADDRESS: 251 NE REDFISH LN BELFAIR EXPIRES: 1/21/2012 PARCEL NUMBER: 123174201020 LEGAL DESCRIPTION: TR 2 N 112 NW SE PROJECT DESCRIPTION: DIRECTIONS TO SITE: MFG HOME REPLACEMENT ST RT 3 TO BELFAIR, L ON ST RT ST RT 300/ NORTH SHORE RD @ STOP SIGN GO STRAIGHT ONTO OLD BELFAIR HWY, FOLLOW TO REDFISH LN, THEN TO SITE ADDRESS ON THE LEFT General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: VB Type of Use: MH Insp.Area: No. of Bathrooms: 2 Occ. Group: R-3 Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building: Valuation: Building Height: 16 Occ. Status: Primary Basement: Manufactured Home Information Setback Information Shoreline& Planning Information Make:MARLETTE Length: 52 Ft. Front: E 162.0 Ft. Shoreline: Ft. Water Body: Rear: W 100.0 Ft. Slope: Ft. SEPA?: No Model:LAKECRES Width: 27 Ft. Side 1: N 153.0 Ft. Shoreline Desig.: Not Applicable Year:2009 Serial No.: Side 2: S 100.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Oty. Type Qty. Type By Date Amount Receipt Mobile Home Submittal Fee GMM 6/22/2011 $264.25 S1 201 1 0001 Planning Review Fee GMM 6/22/2011 $205.00 S12011000, EH Plan Review GMM 6/22/2011 $103.00 S120110001 Mobile Home Issuance Fee LDK 7/12/2011 $264.25 S12011000, Total $836.50 BLD2011-00510 Please refer to the following pages for conditions of this permit. Page 1 of 5 CASE NOTES FOR BLD2011-00510 CONDITIONS FOR BLD2011-00510 1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-9982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) 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. jy addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building Departurer�r' to any further inspections being performed or approvals granted. X YU 3) Owner/Agent i responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. x r 4� 4) 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 permit 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 of approved documents will result in failure of required building inspections. X n�,, 5) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 6) The"approved" site plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" site plan is not on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Department prior to�any further inspections being performed or approvals granted. X •,r _L 7) Any retailer, manufacturer or contractor who installs a manufactured home warrants that the manufactured home is installed in accordance with the State Installation code, chapter 296-150M WAC. All installers hired to do installation work shall be certified manufactured home installers and shall be present to supervise the installation of all on-site work. An Installer Tag shall be posted on site giving the certification number and signature of the certified installer responsible for each major part of the installation. RCW43-63B.090 An approved Installer cerification tag shall be placed on the end of the manufactured home directly above or below the HUD certification tag or temporarily located in plain site within three of the home's front entry. There shall be one certification tag for each certified installer accounting for the work that each installer performed or installed. certification number and signature of the certified installer responsible for each major part of the installation. WAC365-210 X t n.11 n BLD2011-00510 Please refer to the following pages for conditions of this permit. Page 2 of 5 8) If you are installing a manufacturing home and no longer have the installation manual for the home, you must use the instructions of the American National Standards Institute (ANSI). To order the ANSI instructions you may either get an order form from the Mason County Building Department or you can contact the Ojof Manufacturing Housing (360) 725-2800. X 9) A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit application. Design, sizing, placement, inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It is the owner/agent/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel prior to the commencement of any development activities. `NOTE if Stormwater Management option "A" was selected on the Small Parcel Stormwater Management Application/Worksheet the document entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan" constitutes an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are responsible for contacting Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this, or any other, parcel. You may also wish to consult with the septic design professional involved with the project. By calling for a final inspection of the building permit the owner/agent/contractor is acknowledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. X MLI, 10) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. A. Drainfield/ Reserve requires a 10ft setback from all footing/foundations. B. Septic tank(s) requires 5ft setback from all footing/foundations. C. No foundation drains within 30ft, down gradient of drainfield/reserve area. X 11) 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 �I\ 12) 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 roads corKle"'with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X - UV '\1 13) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. VVA X 14) REQUIRED INSPECTIONS (Footing Inspection-prior to pour, Set-up Inspection-prior to skirting, Final Inspection-prior to occupancy). I hereby assume all responsibility for the scheduling of my required inspections. If the required inspections are not requested, inspected and signed off(approved) by the inspector in the prescribed order, I understand that reinspection fees and an hourly investigation fee pursuant to the current fees adopted by the Mason County Building Dept., and will be assessed in addition to my original permit fees to resolve any questionable practices or problems that have been discovered. I further understand that this investigation will be scheduled as time allows. Until resolution of any/all problems no occupancy (Final Inspection) will be granted for the residence. OWNER/CONTRACTOR(indicate which) Signature X Ii V BLD2011-00510 Please refer to the following pages for conditions of this permit. Page 3 of 5 15) Applicant has indicated this is a replacement unit. Prior to Mason County allowin y occupnacy of the new proposed unit, the existing unit which is on-site and is being replaced MUST be removed from the parcel. X �� 16) This permit is for the pla ent and installation of the manufactured home only and does not imply approval or review for any other items indidcated on the plot plan. X L' 17) 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 18) Placement of structure must comply with standards set forth per the international codes regarding descending and/or ascending slopes. X QL 19) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or regutr , 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 DEPARTMENT AND THE ADOPTED BUILDING CODE. The construction of the permitted project is subject to inspections by the Mason County Building Department. Ail 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 shall be made prior to requesting additional inspections. X 21) The installation permit shall be displayed in clear view of the site access road. The approved site plan and other applicable instructions, including installation instructions, shall be available in this location OR placed in the location specified by WAC 296-150M-655. Support configuration shall be clearly marked in the installation instructions. X � A,I*�, 22) Owner/applicant must obtain a seperate permit for the placement of any size propane tank serving a fixed appliance within a dwelling structure or unit prior to the placement of the tank. X 23) All property lines shall be clearly identified at the time of foundation inspection. X n �� 24) 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 ordinances and building regulations. X BLD2011-00510 Please refer to the following pages for conditions of this permit. Page 4 of 5 25) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have prevented action from being taken. No more than one extension may be granted. X 26) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material. X 27) Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X �i,� 28) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan" to ensure these structures meet the setback conditions listed. X 29) 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 Site Plan" to ensure these structures are shown and meet the setback conditions listed. X 30) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 31) All construction and demolition debris must be removed from the site during and after project completion. Proper disposal of construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of nearby State waters. X A 32) Prior to final approval, all upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 33) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. Silt fencing, straw, or jute matting must be installed and maintained until upland vegetation has become established. X M-A 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 e e of I n County cces the above described property and structure for review and inspection. OWNER AGENT: v DATE: I L I BLD2011-00510 Please refer to the following pages for conditions of this permit. Page 5 of 5 .s oDate CONCRETE MECHANICAL MANUFACTURED HOME Footings f Setbacks Gas Piping By Ribbons rn CDInterior Date CD 9 6y Interior-Date By Data ,Z�^ /� gy �'r Extenor Date 4 G/ By Exterior-Date B c,�-up D Point Load I Isolated Footings INSULATION Date By 0 Bc r SLAB INSULATION Date By Data By FIRE DEPARTMENT Foundation Wails Floors Date By Date By Data By DECKS FRAMING Wails Oats By [fate By Data By PROPANE TANKS PLUMBING Vault Dates By, Date By OTHER Groundwork Attic Date By Data By Type- Date By D.W.V DRYWALL Type- Date By Int.Brace Wall pate By W � N Data By FINAL INSPECTION 0 CD Fire Line Fire Separation tV Date By Date By / Date �/-Zo— // By o !D j s Pass or Request 1 nspect. c Type of Insp. Fail Date Date Done By Comments v CD v to :44 a 0 o" 0 CA 3 T�L.� �/ ©✓ y c — .. — 44/ / 1IVAL r,91 J I - S - l ► ( I-�`�` 11 ►r V epc-,-er /v1 - (� 100 yof L tZ Si 6:-1v m-rF T�)EVELDPMENT -PLLC P.O.Box 446 Tacoma,WA 98401 Ph(253)228-0513 www.de-civii.com September 25,2011 Mr.Jack Miller Footing Assessment C/o American Home Centers Proposed Residence 16311 Meridian East 251 NE Redfish Lane Puyallup,WA 98375 Mason County,Washington PN:123174201020 Attn: Mr.Tom Fulkerson Job: 11-000 AMHC.EL We are pleased to present this letter related to our footing inspection of September 23, 2011 for the residence located at 251 NE Redfish Lane in Mason County,Washington. It is our understanding that the Mason County building inspector has visited the site and observed the exposed footing areas and has concerns about the footing preparation. As mentioned we visited the site on September 23, 2011 and probed the exposed footing areas with a %2 inch t-probe. We found that the prepared footing areas were generally consistent throughout the area with 2 to 3 inches of penetration with the t- probe. We also noted that the footings consisted of widths of at least 5 feet for the proposed manufactured home. Longitudinal bars were on-site for the footings but had not been placed at the time of our inspection. Given the proposed width of the footings we recommend that additional perpendicular bars(#4 at 24 inches on center) be placed at the same elevation as the longitudinal bars. After our review of the site condition regarding the footing subgrade, it is our professional opinion that the footing subgrade is suitable for the proposed footing and that no further adjustments,other than stated above, need to be made at this time. We trust this is sufficient for your current needs. Should you have any questions,or require additional information, please contact us at your earliest convenience. Respectfully submitted, Development Engineering, P og ��c�►9 3 x S IONAL - Glen Coad, PEA - Owner — WGC:wgc Doc ID:11-000 AMHC.EL 1� FILE copy PERMIT NUMBER: REVIEWED r31�2L�! ► -CEO s'�( C� CODE COMPLIANCE MASON COUNTY BUILDING DEPARTMENT 14DZ Date 7 2- NAME ON PERMIT: ADDRESS: t N r 9eJ -c:s� PARCEL NUMBER: 12, 31 9 61 OZo See Mason County Manufactured Home Checklist (attached) Review pages 9-12 for general requirements and a manufactured home inspection checklist. All decks, stairs and guards must meet minimum code requirements. Useful details and information are attached to the checklist. See also item numbers 1 , 30, 31,32,33,34, 35, 36, 44, 49, 53, 55, 56, 69, 96, and 110. For information about skirting vents and crawl space access requirements see item #51 and #60. Site address must be posted see item #78. LARGEST 9541 46 x 52 26' 8" X 57' 4" • APPROX. 1528 SO. FT. 48 x 52 f a , W.1.c. , , �'N F URM. ¢ BDRM. 3 Y 13UIL 10'-4" �W.I.C. I 9'-11" RECEIVED jut, 2 2 2011 S � � OPT SUNBURST ORICAYI IINDOIS 26 W. CEDAR ST. 30 x 59 46 x 80 30 x 5 OPT. 1/4-ROUND OMANI IINDOAS --- 72 x 80 SLIDING 46 x 72-83 46 x 83-72 GLASS DOOR OPT.CLERESTORY FIND09 36 x 20 36 x 20 36 x 20 46 x 52 30 x 40 46 x 52 46 x 52 46 x 52 OPT.FRZ_R. W/H ® R — COFFERED CEILING 11/OPT CLERL�STORY UTILITY KIT N' LDI . M. I - 1 9IN'-6" --- , -1-J, BDRM. 3 x DRYER WASHER FAMILY ROOM FURN. , - SHELF D --------- 1 1 W.I.C. P y REFER SHELVES -------------- 0 r--------------------i I ®MSTB BATH MST. BDRM. 13'-1" i LIVING ROOM j BDRM. 2 1H I 18-4 ' S -0 COFFERED CEILING F/OPT. CLERESTORTT 62 x 52 46 x 52 46 x 52 3 0 46 x 52 46 x 40 9PT.SUNBURST ORICANI/INDo1_s 30 x 59 46 x 80 30 x 59 -�z,�s Lam •' 9P�T. 1/4-ROUNDCANI UNDOWS 46 x 72-83 46 x 83-72 CLERES OPT RECESSED ENTRY � � '3yj O PT. TORY IINDO�S :'c't"`' �• 36 x 20 36 x 20 36 x 20 4 36 x 59 36 x 59 36 x 59 �< )AASONMCOUNTY RESIDENTIALr -PLANS SUBMITTAL CHECKLIST Owner's Name: Jam. r y 1 L Date:�¢ Reviewed By: Documents n Muilding Permit Application Completedrm�wateer�Checkli anning Intake Checklist Completed, Q'� _ _V. to plan includes:Allowable building area,roof o hangs,decks,etc. Fire Apparatus Access Road info required? Yes/ _Energy 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 Other. Specify: _Mechanical/Plumbin A lication-WATER HEATER FUEL TYPE/LOCATION eerie Y o S oad: Seismic: g -- Stock Plan— pproved snow 1 Seib _ ---- anu actured Homes—4 FLOOR PLANS Foundation Type: ANSI/Manufacture method Engineered footing/foundation Basement Decks: Covered? Uncovered over 4 x 6 and over 30"? Construction plans required. un['bv Constructio fans: OMPLE _Plans egible Recognized Scale _Elevation Views _Cross Section _Foundation Plan _Roof Framing Plan _Floor Plan-Use of rooms noted(all floors) _Floor Framing Plan-all floor levels including loft,crawlspace,etc. (Q00 S.F. ??—stairs?) Deck Framing Plan,incl cov.porch framing Plan Details: _Roof framing details,truss`lay-out may be needed (Hip and girder location shown) _Wall Framing-Does bearing-wall height exceed 10'?(Engineering may be required) _Floor framing: Floor joists(size,&spacing): ,Floor beams: _Window headers. Typical header. Garage header: _Foundation: footing size,reinforcement _Concrete Walls-Does Concrete Wall Height Exceed 8'?(Engineering may be required see details) Landings at all exits?Less than 30"above grade?Y/N _Heated By Furnace-Location of Furnace Fuel type: _Fireplace/Stove Information Shown-Fuel Type? Location(s): _Window Sizes Marked on Plans _ Braced wall panels(s4ear walls)marked on plans or lateral engineering? 2-story garage? �Efigineering may be required) 1'`story of two story D1—45%,D2—55% COMMENT," ENGINEERING REQUIRED Braced wall panels/brace wall lines are not 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 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 BWP 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 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 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 checklist.doc Revised 11-29-2007 ��/�,�f{kI rQa�,',�'�Fl=r1AT1��4 Pu �irrf rli tr •, l �rt' 1r�q,r;;t y , .11 MAN 1A Mlap LA''�Wuv9o3c�;Y:;Pug 'q� i;013 to WkLT a6 FIEIN .�R..�y �r 4�a•.k�y� VL fl 9W .fir: :' .' •,.� i. ;. ,�. Y. � Li���. r.... 1 ...���JJJ��t •'t�•.��r•r,�+. 'tii MASON COUNTY PERMIT NO. 1LI 2641 " � 03o -L �jBUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269� j �5 On the web www.co.mason.wa.us APPLICAIJT INFORMATIONY CONTRACTOR IN ORMATION Owner ,JA L L G;L I �c{_ Company Name Mailin Address Maili_ Address 8 %��-E LL City `� State W ' Zip Code City 0 y ' State 4104 Zip Code `? Other Ph.Phone��'�`� "��� � Phone 2 1 7- - 3& 00 Other Ph. Lien/Title Holder Contractor Reg. # r10_QyL`t7 , -Exp. E mail address E Mail Address T i=�f LKCF'5cm i�tld S'L Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to_Water System Name of Water System Well Water System Name of Water System PARCEL INFORM4TI N- 12 i it Parcel No - - F 7 Fire District Legal Description I K L N t °Ld ,.t Site Address(Please include street name,stre t n ber and city) � G 1 i 7 Directions to sjte ti' 7 �C C T r' Will timber be cut and sold in parcel preparation?Yes/UO Is property within 200' of Saltwater Lake River/Creek Pond X Wetland Seasonal Runoff Stream Slopes or Bluffs J 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE SEASONAL ❑ Use of Building Describe Work No. of Bedrooms^ No. of Bathrooms Square Footage- 1st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq. ft. Garage Attached Detached Carport Attached Detached MAN UF CTI��RED O E INFORMATION -Make (Cf�/� Model Z Years 11� Length _ Width Serial No. No. of Bedrooms No. of Bathrooms_ Type of Heat P chase Price$ Replacement Unit? s N,Q Installer Name Certification No. U;5 u OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PR F OF .NTINUATFON OF WORK*�IBY MEANS OF A P�rR`OGRES INSPECTION. X r � -t t� .G Date: L, Owner/ wners a resentative ractor (indicate w dch one FOR OFFICIAL EY F 1S POINT Accepted by. Date W•�a ��1 DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department 7LgAl II unj Planning Department La—,] h ' T III I(,L:L�- L,41 L) Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation$ TOTAL FEES RECEIVED JUN 2 2 2011 426 W. CEDAR ST. z z PLANNING z F LANNIN •G.BACKS ARE MEASURED M THE FURTHESTTION OF THE BUILDING i - ' < hJ Mg L D /��l rq /C ul t� i�EL r�pit «l A. - o�d WA5 n� 1. ,�n E /1.3/7--1 2-- J/o Z o -- - C - --. APPROVED MASON COUNTY DCD PLANNING SITE PLAN REQUIRED TO BE ON SITE CHANGES UBJECT TO APPROVAL L j By Date dcl��, `fix Cv �Ahd c� 5 l ����IJ\