HomeMy WebLinkAboutBLD2001-00104 Cancelled Addition - BLD Permit / Conditions - 5/14/2002 Inspection Line (360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2001-00104
OWNER: RICK LUKKASSON 275-0930
CONTRACTOR: RECEIVED: 02/05/2001
SITE ADDRESS: 215 NE GARRICK LN BELFAIR ISSUED: 03/09/2001
PARCEL NUMBER: 123212490050 pERMIT EXPIR S: 09/09/2001
LEGAL DESCRIPTION: TR 5 OF SE NW TR B OF SP #625 NULL & VOID BY EXPIRATION
PROJECT DESCRIPTION: DIRECTIONS TO S � ���BY -�
ADDITION KECKEMAK LN OV A ROAD CROSSING RT TO GARRICK LN
BOTTOM OF HILL.
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.: 5n
Type of Use: SF Insp. Area: No. of Bathrooms: Occ. Group: r3 Lot Size: Deck:
Type of Work: ADD Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:864
Valuation: $45,084 Building Height: 8 Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make Length: Ft. Front: S 75.0 Ft. Shoreline: Ft. Water Body:
Rear: N 219.0 Ft. Slope: 30.0 Ft. SEPA?:
Model: Width: Ft. Side 1: E 116.0 Ft. Shoreline Desig.:
Year: Serial No.: Side 2: W 130.0 Ft. Comp. Plan Desi .: Urban Growth Area
Plumbing Fixtures Mechanical Fixtures FEES
Type ON, Type Oty. Type By Date Amount Receipt
Plan Check Fee KLW 02/05/200 $392.18 2112
Building State Fee DLC 02/23/200 $4.50 56028
Building Permit Fee DLC 02/23/200 $603.35 56028
Planning Review Fee SAL 02/27/200 $38.00 56028
EH Plan Review CEW 03/09/200 $50.00 56028
Total $1,088.03
BLD2001-00104 Please refer to the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2001-00104
CONDITIONS FOR
BLD2001-00104
1) This application is
1.03.036.X to Buffer and Landscaping requirements as established under Mason County Ordinance
2) The use, handling and storage of hazardo ials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval
of the Mason County Fire Marshal. X
3) 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 affect your project.
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4) Proposed structure or any portion thereof greater than 30" in height from r e, must maintain a minimum of 5' setback from all property lines,
easements and 10'from all County and State Road right of ways. X
5) 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 in the amount of$47.00 per hour(minimum 1 hour) will be charged and must be collected by the
Building ent prior to any further inspections being performed or approvals granted.
X
6) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located in such a position as to be plainly visible and
legible from the street or road fronting the property. Mason County Building Department requires that this be completed prior to calling for any site
inspections. A re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or
contra ctorJaiLto post the address on site prior to requesting inspections.
X
7) The plan review check list and corrections, along with the Energy Compliance Worksheet (when applicable) 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
insp
X
BLD2001-00104 Please refer to the following pages for conditions of this permit. 2 of 4
8) The "approved" plot plan is required to be on-site for inspection purposes. If an inspection is requested and the "approved" plot plan is not on site, then
approval will not be granted. In addition, a re-inspection fee in the amount of$47.00 per hour(minimum 1 hour) will be charged and shall be collected
by the Department prior to any further inspections being
performed or approvals granted.
X
9) Placement of cture must comply with standards setforth per 1997 UBC Chapter 18 regarding descending and/or ascending slopes.
X
10) Proposed structure or portions thereof with tion over 30" in height from grade line, must maintain a 5'se aration distance between ad
jacent
djacent
structures and that furthest projection. X
11) All changes to "approved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County
ordinna egulation, must be reviewed and approved by Mason County prior to construction.
X
12) The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the Uniform Codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Ins a made prior to requesting additional inspections.
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13) All property lines shall be clearly identified at the time of foundation inspection. X
14) 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-co ith Mason County ordinances and building regulations.
X
15) 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
per md have prevented action from being taken. No more than one extension may be granted.
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16) All upland areas disturbed or ated by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). �,
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17) The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire.
BLD2001-00104 Please refer to the following pages for conditions of this permit. 3 of 4
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 occ p d.
OWNE R AGENT: DATE:
BLD2001-00104 Please refer to the following pages for conditions of this permit. 4 of 4
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date -- / . c:' /f Gas ping date by
Foundation Walls date by Set UP
date -/ ' c? / by date by
INSULATION
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING l Walls FIRE DEPT.
date by �� ( date by date by
PLUMBING Attic OTHER
Groundwork date by
date b
D.W.V. WALLBOARD NAILING n
date by date _ by /!
Water Line FINAL INSPECTION
date by date by date by
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TZ:�) l� /�KTTi9 CC.
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l3uilding Permit # 2601 MASON COUNTY
Do goy
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTI E
Job Location 215, C ARRI(-<-
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items Listed below must be corrected to gain code compliance (�
POST AD QUYI A - ROAD � C-011\dj l� UN y,A, 1�C+''l►i 7'
E O
Ac " v,QcC P�i��CS. /Q ZALAV cc)A60
(ram 6jT i S ky -e6 E S'Pc. 6
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing
�e /lake corrections, items will be checked on next inspection
�y6K to 1 ti� c,A (,f LO � F-vo P-
❑ This is not a complete inspection Department
Date Inspector
■ �� � NUT i Mo sV T 1 Tmu
OCT-12-01 FRI 12;25 TACOMA TRUSS SYSTEMS INC FAX. NO. 253 847 2207 Pi01
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PI:A FDAMIN6 THESE FUNCTIONS. UNLESS OTHERWISE INDICATED, TOP CHORD SHALL HAVE PROPERLY ATTACHED �'
( STRUCTURAL PANELS, BOTTOM CHORD SHALL HAVE A PRDPERLT ATTACHED RIGID CEILING.
;•IMPORTANT" FURNISH A COPY OF THIS DESIGN-O THE INSTALLATION CONTRACTOR. ALPINE ENGINEERED
OC\j 1 PRODUCTS. INC. SHAIt NOT BE RESPONSIBLE FOR AN1 DEVIATION FROM TxIS IIESIGII; ANY FAILURE TO
4 BC DL 10.0 PSF DRW CAUSR7170 01144010
BUILD THC TRUSSES IN CONFORMANCE WITH iP q OR FABRICATING, HANDIING. SIISFPING, INSTALLING ANO
C A P I N E i URACINB OF TRUSSES. TIIIS DESIGN CONFORMS WITH APPLICABLE PROVISIONS OI N05 (NAT70MAL DESIGN A 3a�s3 BC L L 0.0 P S F CA E N G R W L/G W H
SPECIFICATION PUBLISHED BY TUC AMERICAN FOREST AND PAPER ASSOCIATION) AND roI. ALPINE
Q COINEC70RSOf E MADE
USS. Or ZUNLESSTOTHERWIGR4000CATE0 STEEL.ON EDESIGNASPNOTED. C,ONNECTOR$APPLY NEECTTORS IO fox, GISTER� �� TOT.LD. 42.0 PSF SEON - 42546
FACEDRAWIN65 160 A-I. THE SEAL ON THIS DRAWING INDICATES ACCEPTANCE OF PAOICSSIONAt INGIbEERIN6 `SSIONAL�N DUR.FAC. 1 .15 FROM RED
Alpine EagiaccM+d products,IpO, RESPONSIBILITY SOLELY FOR THE TRUSS COMPONENT OF SIGN SHGWN. IHE SUITA8I:ITY ANO USE OF THIS
SNcTa ft.CA 95828 CONPOxEll FOR AMY PARTICULAR BUI101N6 11 IHL RESPONSIBILITY OF THE BUILDING BE516NLR, PLR SPACING 24.0
ANSI;TPI 1-L995 SECTION i. EXPIRES 02.28-P002
MASON COUNTY PERMIT ASSISTANCE CENTER PLANS SUBMITTAL CHECKLIST
Owners name: [,Zik6soii Date G
Project: `sa P�'-1 Reviewed by:
D9cuments:
A A " Accurate site plan attached to each set of plans (road setback /sideyards < 10? )
Y Topography attached to each set of plans /SS �,_r• ti,.eK
Energy Code application (heat fuel type 7K.J:• i 1 FLP.4u/4ck a=6 Addnd� 1
Mechanical/Plumbing application complete (water heater fuel type &location: )
Cx� , r; Contractor registration # OR provide written notice "Hiring a Contractor or Remodeler
Engineering/design criteria: snow load, 80 mph wind/exp, seismic zone 3 (Scope? )
Construction Plans: (3 sets)
Plans legible ✓� Recognized scale Cross Section
Elevation Roof framing Deck framing
�L Foundation plan Floor framing,all levels Floor plan (use of rooms)
DETAIL: (Include wood species and grade, i.e. DF#2, HF#2, PT, etc.)
Roof framing detail (species, size, &spacing)5 C� Z`°rG
Wall framing detail (size, s e� Lies, &s Lin ) Z'X(,"
Bearing wall ht exceeding 10 ft requires engineering
Floor beams(size, species, & spacing)
Floor joists (size, pacin�pecies)Z' -V°"
Header and beam s_i-ze_7& specie for openings over 4 ft►6
Foundation (size, steel, anchoring) 5�R� ✓Ly
- Concrete walls (Reinforcement detail, >8 ft requires engineering)
Non-conventional framing (steel structures, foam core, log, etc. requires full engineering)
Fire separation walls shown on plans
Point loads identified, calculations provided if needed.
- _ Slab insulation shown
Stairs/Handrails on stairs with more than 3 risers
Guardrails on landings greater than 30" above grade
rK.�+ Location of furnace identified on plan, where? E-xij ng iw 4wK.a—
Propane appliances in basement (3" screened floor drain combustion vents)
_ Fireplace/Stove information shown 1
Window sizes marked �Ilan,�S A 6Q.vA�Zf-a dZ
Covered porch detail (Use ICBO Chapter detail? )
v�d Braced wall lines clearly marked on plans (Within 8 ft of corner, n.t.e. 25 ft o.c., table 23-IV-C-1)
wed Interior braced wall lines required for boxes greater than 34 ft
Do PEars meet Lis prescriptive
UNUSUAL SHAPES:
Roof or floor extend more than 6 feet beyond brace wall line or ICBO detail. (2320.5.4.2)
Openings greater than 12 feet or 50% of the least floor area. (2320.5.4.4)
Braced wall lines do not meet in a perpendicular direction. (2320.5.4.6)
Braced wall lines offset the vertical plane from the foundation
(2xl 2 NTE 48", 2xl0 NTE 40", no offset in 2x8 or smaller) (2320.5.4.1)
Floor and roof is laterally supported by braced wall lines on all edges (2326.5.4.4)
The end of a braced wall panel extends more than 1 ft over an opening in the floor below
(BWP may extend over an opening 8 ft or less in width when the header is 402 or more,
U.B.C. section 2320.5.4.3)
Engineered documents (Engineering required/included? 1
Design criteria-snow load , wind 80 mph, exposure C, seismic zone 3
Engineered data transferred onto the plans
Structural general notes& calculations, 2 sets
(Specify scope of work, project location, design criteria, etc)
Washington State licensed engineers or architect signature and eng. expiration date
COMMENTS: Ki PIA,,, -J► e-,e- oksld i f4,1J �S
f )n k!2 4 t4j0*%%_ O nECF4 Ae,,Cif Ci,! /Y Erb
PERMIT NO.- BLD Z6D vV OL/
MASON COUNTY
BUILDING PERMIT APPLICATION �125
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner Contractor Name
Mailing Address Mailing Address � '
City Sta fe Zip Code�� _ City State Zip Code
Phoneether Ph.(_j Ph.( Other Ph.(
Lien/Title Holder �'6�'�q�t?Ti ,l aE Contractor Reg. #
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. I z {� / / �' r— L/ Fire District ,
Legal Description i../3(- J!, i �ierT ri��,�: �n G,74"
Site Address(Please include street name, street number and city) 41IE 2 11.5��'Tr A-1 .
Directions to site I c+t L ��. nt)rQ '12a,1, ,�.�) ( �s�t 'r 'r,. C 4tt,cL I pw� Ampzif 04 r'
Will timber be cut and sold in parcel preparation? (Yes/No) �
Is your property within 200' of the following: Body of Water (Name) K)C7 Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE SEASONAL RESIDENCE❑
TYPE OF JOB New Add_ ,_Alt Repair Other Use of Building
Describe Work
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 8(y •2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make Model 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.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above descrioed property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
X -
s - Date l X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by ; Date Submittal Amount Due ` 1��,.) �.. Receipt No.
DEPARTMENTALREVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Group Type Constr. s'S o?- 3 —O
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation q$-08o,,:;;,3
FEES
Building Permit Fee 60 3, 3,- 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 ( t 1 )
TOTAL FEES
FORM MUST BE COMPLETED IN INK PERMIT NO.:
PLEASE PRESS HARD MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275-4467 Elma(360)482-5269 Seattle(206)464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner ' ,, ��.�c,f��-s ,cn/ Contractor Name
Mailing Address Mailing Address
city 't LF!},,? State k,° Zip Code City tale Zip Code
Phone(_RLC) ) :-zS>fia.�Other Ph.( Ph.( Other Ph.(�
Lien/Title Holder Contractor Reg. #
Address Expiration
SEPTIC INFORMATION-Connect to New Septic Existing Septic__2�__Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION-12 digit Tax Parcel No. 1Z3 2_1 G Fire District
Legal Description 7J2A-u_"C 1'�j r,' Sbuz i '1 13:z &r�, ,--,2S
Site Address(Please include street name, street number and city) Ognd< L.J
Directions to site k=it h ir-�"
Is your property within 200' of the following: Body of Water (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building
Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump
Toilets Type of Unit No. of Units Fees
Bath Basins Furnace
Bath Tubs Heatpumps
Showers Vent Fans
Water Heater Propane Tank
Laundry Wsher Gas Outlets
Sinks Wood/Gas/Pellet Stove
Dishwasher Direct Vent?
Other OtherA-&&.,4 QucrtbW�c
Other Other _
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
1 X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
Ilk"I?Att'1':MEiH't` .#ZI�EVIi::;:•'.;?:<r' ?::>::::RP�'I�L7V�Q:.. [3EM1EIEt3 ...: >�iQttiDt'#'IQN.L:t�DES
3uilding Department
)cc Group Type Constr.
'fanning Department
>ther
ther
+rmit Fee — — Site Inspection
3n Review Fee UFC Plan Review Fee
imbing&Base Fee Other
chanical&Base Fee Other
od/Gas/Pellet Stove Fee Pre-Paid at Submittal ( )
ation Fee
TOTAL FEES
- ---•. .. -vLLUVVINU UN S►VE PLAN Show Direction by indicationg N, S, E, W in relation to the
site plan
Lot Dimensions Fences g
Existing Structures Driveways
structure Setbacks Shorelines
Topography
Vvalec Lees
Well Location (Inuwm,9 adjacent) Drainage Plan
Names of StreetS Easements
Names of Fronting Streets Septic System N
DRAW SITE PLAN BELOW Include ad'acen ro erties if on shoreline or within 100 feet of adjacent ro ert line.
adjacent property line- I
adjacent property line
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adjacent property line4 '�— 330 �' E-adjacent property line
SAMPLE SITE PLAN
adjar�nt property line-> D 3io- 30. r _ Fadjacent property line
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SEASr,N AL I fi ��tPrSL —I
CReJ<K n I Mons r — 1.
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adjacent propertv line--..* Fadjacent oro ert line
TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the
degree of slopes. See sample topography profile.)
SAMPLE TOPOGRAPHY PROFILE
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Signatdre Da Date 'fit e
r
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name PARCEL NUMBER lZ 3 Z/ -Z4+- 50 0 Date /;��a
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E. W in relation to the
site plan
Lot Dimensions Fences S
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography E ANt
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System
DRAW SITE PLAN BELOW Include ad'acen ro erties if on shoreline or within 100 feet of adjacent property tine.
adjacent property line4 I --7J�1'
adjacent property line
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SAMPLE SITE PLAN
adjacent property line4 3Lo' _ Fadjacent property line
30' rRL—,.7 r< get
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CREEK I' c I HOM tr j
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adjacent property lined ; ; Fadjacent pro pert' line
TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the
degree of slopes. See sample topography profile.)
SAMPLE TOPOGRAPHY PROFILE
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diS't'a►- LG t0
�— Stops tc¢
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Signs re Date