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Home My WebLink AboutBLD98-0409 Mobile Home - BLD Permit / Conditions - 5/12/1998 MASON COUNTY Mason County Bldg. 111 426 W. Cedar 17-4 ,-4 P.O. Box 186 Shelton, Washington 98584 L7 F3 LJ I L.. 0 1 N (A 1�1 L-7 F-4 M I -T- F Uk j NbPLC I I ONS CALL 421--9b/0 BFTWEEN 5pm AND Barn 427-7262 BI-D99-0409 PARCEL - 123174291001 PLAT : DIV -? 8LK :7 LOT t? o0t; ADDRESS ; 1889 "IF OLD BEE AIR HWY BE LFA I F! OWNER EVERETTiimAgh":��',PtiO-792-2413 C()N) RAC OR LEGAL .- 1112 INV SE El 118 CLASS 01: WORK. , -NEVV -SEDR;k- 3 .8ATHt 2 TYPE AMOUNT BY DATE RECEIPT TYPE ANIVIII By DATE RECEIPT TYPE OF USE t MH STOP I ES t 1 , OCCUP , GAOUP — iR3 BLDG . HE I GHT . e r O .Oft 1001 t 16t.80 TV 15112/0 0054 TYPIE OF CONST t5N FIREPLACES . . . . 0 Siff $ . 4.50 TV #5112198 41054 6CCU LOAD . . . . c 0 WOODSTOVES - -- 0 f HCP 1 50.011 TV 0112196 414I54 DWELL .UNITS . . . . . a PARKING SPACES , 0 RIL $ 44.f0 TV 15112199 4704 INSPECTION AREA : I SHORELINE? . . . IOTAI t 258.51 VAIPIAIIONt 45#001 S ETB A C K S,-,- - - TOILETS . . . . . . . . . . . 0 FUEL. TYPES--------- .---- BOILERS/COMP- ---- MOBILE HOME--- FRONT —W 2100 .011`t BATH SAS tNS . . . . . , 0 0- 3 HP . -. 0 REAR . . . .E 75 .Oft: BATH` TUBS . . . . . . . . . 0 3-15 HP . : 0 MODEL rOAKWOOD SIDE ( l ) .S 815 loft SHOWFHS — I . ... . . . t 0 TURN -, 100K BTU % 0 15- 30 HP . : 0 SIDE (2) .N 150 .Of t WATER HEATERS . . . . .. 0 FORN >-100K 4TU ! 0 30-50 HP , : 0 OK48001 SHRL. I Nr .3 45 .01`t CLOTHES WASHERS . . c 0 FIJRN -- FLOOR . . . 0 50+ Hp . : 0 -YEAR-- AREA KITCHFN SINKS — — s 0 HEAT PUMP — 4 . — 0 98 LOT SIZE . . F1.0011 DRAINS . . . . e 0 VENT C-11 y ST IF MS 0 EVAP COOLERSt 0 LFNGTHt48 BUILDING . . . - 12.96sf DRINKING FOUNT . . . z 0 VENT FANS . '- - : 0 HOODS . . . . . . . .. 0 WIDTH , i28 BASEMENT . . . : 0-t LAUNDRY TPAYS . . . . 0 DOMES . INGIN :O SF Ft 1 AL 11 DECKS — — : Ost DISHWASHERS . . . . . . a 0 AIR HANDLING uNiTs--- COMML . INCIN -0 FACTO GAR/CAPP47 test GARB DISPOSALS . . . s 0 10000 otm , -, 0 RELOC/REPAIRs 0 AT/DT -7 URINALS . . . . . ;,. : 0 10000 ctm . : 0 OTHER UNITS . : 0 MISC PLAA FIXTURESt (I GAS OUTLFTS . , 0 p". MfAtll HWY TO 1881 of FOL19f TO tAfl- FASE011 011 11.1611T, SEE UNIE' I.Ofi ACRE 011tCTIONS 1113. PPA*11' AlIti, AND VOID If WOO 01 COISTIOCTION AUT90917FO 1.�, AQ1 CONNEACtO WITHIN 18# DAYS of If CONSTRUCTION OR #ORK Is 1111*1(Afto FOR 4 VC0110 ;f 109 DATIS"MAN1 TINE AFTER WORK is coxviodo,. imim or �QNTINVATION Of WORK. IS A PROGRESS .INSPECTION WITHIN THE 160 DAY PERIOD, filAt iNRPf0ION OUSI BE A F P 0,0 V F.-0 Vff 91,f 8011011IG CAN Of OCC11FIF.D. n. A N E,R 0-0 'A 0, DAlf '7— At.0-hul 03131191 COMPLIANCE 1'0 ATTACHED CONDITIONS IS REQUIRED CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date -r--Z/ `�' by Gas Piping date Ste_ Z/ g� by T Foundation Walls date by Set Up date by INSULATION date —(5:�— by BG/SLAB Insulation Floors Final date by date by date 7T7 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. 111 426 W. Cedar • P.O. Box 186 Shelton, Washington 98584 PE H M I -r C-. 4r-)NC) I T I C-1 N Ca�,,e' Igo . : BLD98-0409 For, - EVERETT ROUSH Page : I 1 ) Agproved per d imens I orin and setback on subm I tted s ite P I an ; roof I I no of hotise must he 4 feet or more from edge of stream and vegetation buffer between house and stream shall rem, fund I s t u r-bed 2 ) Proposed structure or any portion thereof greater than 30" In height from grade line, must maintain a minimum of 5 ' setback from all property lines , easements and 10 ' front kil C.Punt and State Road right of waVs . 3 ) Temporary erosion control measures must be Implemented to prevent water quality degrada or of adjacent waters or wetlands . 4 ) This application Is subject to Butter and Landscaping requirf-meni. r. as ei- tablishod under, Mason ,County Ordinance 1 .03 .036 . 5 ) The use, handling and storage of hazardous. materials or ilammable and combustible liquids In excess of 10 gallons . 19 not allowed without the approval of the Mason County Fire Marshal 6) Provisions for surface/subsurface drainage control must be implemented with new construction or, development on site and MUST NOT adv#?rse ,* V impact adjacent parcels . Under the requirements of Mason County Stormwator Ordinance , either private ditches and drains will meet requirements of thy, stormwater ordinance 0 r prior approval will be granted to uFe an existing utility And drainage easement dedicated for that specific purpose . for further Information regarding this ordinance and the REOUMMENT to obtain an ACCESS PERMIT for the Installation/construction of a driveway or access connecting from A Masson County Road, Contact the Mason County Public Works Department prior to construction at. Ext 450 . or any construction which is proposed to be located WI-thin 25 ' of as Mason County road right of way, It Is suggested to contact that ,office' to review future planned work which may affect your project .. 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 PLUMBING Attic by OTHER Groundwork date b 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. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 -1 ) PURSUANT TO 1994 UNIFORM BUILDING CODE SECTION 305(C ) AND SECTION 511, ALL, sri+s mysT . HAVE APPROVED NUMBERS OR ADDRESSES Ph6viDED IN SUCH A POSITION AS TO B"t PLAINLY VISIBLE AND LEGIBLE FROM 'THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRFS THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE BA'SED ON RATE!-', IN TABLE 3A OF THF D 1994 UNIFORM BUILING CODE WILL BE ASSESSED IF OWNS�J CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . X ( I 8 ) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURDED, NATIVE SOIL. . 9) The approved plot plan Is required to be on-site for Inspeotlo put, oses . ! f Inspection is called for and plot Van is not on site , Approv�l WILF NOT be granted . In addition , a Re-Anspection fet, in he amount of $34 .00 per hour (minimum 1 hour ) will be charged and must be collected by this department prior to any further inspections being performed or approval qrartted . 10) ALL CONSTRUCTION MUST. MEET OR EXCEED ALL LOCAL CODES AND IJBc R F:01)1 R E MF N T s, X 11 ) CONSTRUCTION PROCFSS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE . 14" ) REQUIRED INSPECTIONS ( Footing Inspection-prior to pour , Set-up Inspection-prior to skirting , Final Inspection-prior to occupancy) . I have received a copy of the General Information and Gtiide-lifies-Mobile/M4ntifactur,ed Housing Installations Handout for detailed d"crip-tions of all required inspections on my mob ilo/manutactured home Installation . I hereby assume all responsibilitV for the scheduling of these required Inspections . If these required inspections are not requested , Inspected and signed off (approved) by 'the inspector In the pres.cribed order I understand that rep inspectlon fees and an hourly Investi7ation, fee pursuant to the 1991 USC, Table 3A will be asse:3sed In addition to my original permit fees to resolve any questionable practicer; or problems that hav#.!� bean discovered . I further understand that this Investigation will 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 FRAMING by date by date by 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. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Inspectloo ) wi ; l be granted for the vessuence . OWNER/CONTRACTOP ( Indicaie whloh ) Signature 13 ) All mobile/manufantured home landin s or docks most be freestanding ( self supporting) . The largest landing or deck I ormitved without drawings or a building permit is 36" x 36" . Any j and ing or deck thaIs 30" or more In height from walking surface to finish q e qu or clack grade reuirs a ardrall , Any. ,j that has 4 o e r more risrs r e qu i res a handrell . Any landing or deck larger Phan- 36" x 36" muiht be permitted which requires structural drawings and a hi.illdlog permit application . This Installation Permit do(.'is NOT -include tiny landing or deck larger than the 36" x 36" size . CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION dale by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by PLUMBING date by 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 Budding permit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location /R-Bf/ h-4;v This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been fo nd: Items Listed below must be corrected to gain code compliance �C/r= ,-►�- r Cam% 3/=- �Y'�'r�� '� -, e —7—04 / S c-10,C c ,ram fe z 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 ❑ Make corrections, items will be checked on next inspection ❑ This is not a complete inspection Department /3L-� Date ` �S`' r� Inspector moos NOIT MOOV THF , T ' Low Building P6rmit # r3�- /fs -C,,)qC,-F=l MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location ffoas# This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been fo d: Items Listed below must be corrected to gain code compliance ,E - , 7- 3 Tl/t�- if L/z.E t/�S 4.f L O/iY &E62A Z /2 '' /ti /y //2 L •✓E u �ii� /S / 7- wi3O GL a //liE d C�iKT/div 7� n-div �/ T/cyti w/ %z �riiO.c ruoyE� fi/I9DD/�U lle> 7 n,�UG TE �vftT, A CJ L 0 -f-n 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 ❑ Make corrections, items will be checked on next inspection ❑ OK to A--, This is not a complete inspection Department 96-0 Date d r Z �-�"� Inspector TL�/j/ ■ ou NnT i Mo *V THINfth TLomi Building Permit,# -o yc�% MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location Iloc,ls�v igg �� r3E� �� 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 S L/ O 13,cf 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 ❑ Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department Date �-�'� 8' Inspector %Ei2/?Y moos VOT ► MUV TH10"k T A Lot APPLICANT NAME: �`z J�C�L-1 `7 �� DATE: BUILDING PERMIT CHECKLIST ET SITE ADDRESS If site address has not been issued refer the customer to Community Dev. ext 291. FIRE DISTRICTS Please make sure the fire district is included in the application information. Refer to map located at counter. DIRECTIONS TO JOB SITE Needs to be as complete as possible (i.e. major roads, is house on left or right side of road, etc.). Be sure to read fo, clarity (Landmarks, signage, owners name on mailbox, etc.?). LIEWTITLE HOLDER Who holds the mortgage (Bank or name of private owner holding contract)? CONTRACTOR REGISTRATION # AND EXPIRATION DATE This information needs to be provided. The Building Department may be able to research expiration information i customer does not know it. We must have a signature in 1 of the 2 boxes, either the applicant or the contractor SEPTIC RECORDS New systems must have test holes dug prior to submission and Application must be filed and paid in full. 4 A ��L WATER COMMUNITY PRIVATE SEPTIC EXISTING DESIGN APP. • DEV REMODEL NEW STATUS IS THIS A REPLACEMENT UNIT? YES NO IF SO: MASON COUNTY BUILDING PERMIT APPLICA ION SECTION #5, BUILDING SQUARE FOOTAGE, MUST BI FILLED OUT COMPLETELY. AND: SECTION 96 MUST CLEARLY STATE, "REPLACEMENT UNIT" [] PARCEL #/LEGAL DESCRIPTION Parcel # must be included. If number Is not available contact Addressing at Ext. 291 BUILDING SQUARE FOOTAGE Clearly show existing square footage and that of which is proposed. If there is a garage, verify whether it is attache( or detached. Include square footage information for mobile homes.(ie. 1 OX20—200 square feet.) USE OF BUILDING Residence, garage, greenhouse, designate if it is commercial. r G DESCRIBE WORK (i.e. mobile home addition, addition to a house, etc. . .1 D TYPE OF JOB 2 4 1778 Verify appropriate boxes are marked. [� MOBILE HOME INFORMATION Verify appropriate boxes are marked. If factory order, please put factory order #In mobile home serial #. If unit assembled prior to June 16, 1976, refer to procedures handout for "Obtaining Installation Permits for Mo Assembled Prior to June 16, 1976." SHORELINES/CREEK/WETLAND If property is within 200 feet (including adjacent properties) of Shorelines/Creek/Wetlands, #9 must be complet, none of the conditions are present please enter "na" or "none". El SITE PLAN DRAWING MUST SHOW THE FOLLOWING: • LOT DIMENSIONS • DRIVEWAYS • EXISTING STRUCTURES • SHORELINES • STRUCTURE SETBACKS • WELLS • WATER LINES • SEPTIC SYSTEMS • PROPOSED IMPROVEMENTS • EASEMENTS • NAME OF FLANKING STREET • NAME OF FRONTING STREET ALSO PLEASE MAKE SURE DIRECTIONAL IS FILLED IN ON APPLICATION [� TOPOGRAPHY DRAWING If property is flat write "flat" on the topography section. If house or structure is near a slope or hill, drawing i reflect this. This should show an accurate side view of tite property. [] PLUMBING/MECAL This form must be completed for any structure with plumbing and mechanical excluding mobiles/modulars. El OWNER OR CONTRACTOR AFFIDAVIT Owner or contractor must sign affidavit statement and date it. �] ACCEPTED BY Whoever is accepting permit information must sign your initials and date form on the bottom of page 3 or use stamp and initial on back of permit. PRINO Nee t sets of prints unless it is a stock plan. For stock plans, we only require one copy. 7Co merc(al prolects require four sets of plans. / / / WATER ADEQUACY Z =ORC For new residences and mobiles. PRIVXTE WELLSMUS HAVE WELL LOTY TEST AND BACTE TEST. If they are on a public water system, check for signature to verify that the system is not on the State's of compliance list" ❑ WSEC & V Q CODE Required for a sidential, additions and commercial buildings. Energy Code compliance form needs t COMPLETED. V eat source(no wood or pellet stoves are permitted as primary system). Window schedule be filled out and reflect what appears on submitted building plans. If applicant has decided to go with the PUI Long Term Super Good Cents program, we require a copy of the signed agreement with the utility. • ❑ ROAD AC SS P MIT If you will be ssing your driveway from a County road, contact tite Public Works Department in Mason Cc Building I, 427 670 extension 450. Access from State Highways requires Department of Transportation appr Contact offi (2 6)895 4763 (Port Orchard). ❑ "Notarized statement for GMA" Checklist.2 2-6-97 Trish . ermit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670 (Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269) PLEASE PRINT #1 Owner W - ✓, Phone# Site Address n t3 Fire District# city — .� St Le,14 Zip 5a8 Directions-to Job Sit j l U tC rYt-1 kJ Owner Mailing Address -;2//S ,C City� � -e-/-,"J St GL1� Lien/Title Holder Address city St Zip #2 Contractor Names �_ L �'tj�� UBI # Address Contractor Reg# City St Zip Phone# Expiration Date #3 If septic is located on project site, include records. Connect to Septic? _Public Water Supply Well Connect to Sewer System? Name of System (If re idential, proof of potable water is required) #J Parcel No./2 3 / - _- L) C, 100 I Legal Description �Ut U S,0 5C-a #5 Building Square Footage: 1 st FI ! 2nd FI 3rd FI Loft Basement # Bedrooms # bathrooms Off` Deck Other Garage Carport (Circle:Attached or Detached?) #6 Use of building �� .'-11 (4zc- l ,Slye6zlr Describe work ri #7 Type of Job: New—"Add Alt Repair Ot"I #8 MOBILE/MANUFACTURED HOME INFORMATION APR 2 41998 Model Year y'�Make,)4 Model Length Width 2 Serial No. # Bedrooms _# Bathrooms y Type of eatL G f Purchase Price$�F,Q #9 Indicate by circlin the applicable source if any water is on or adjacent to sub'ect property: Rive Pond Cree Stream Wetland Lake Marsh Saltwate Seasonal Runoff ther �� Show following on the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Drainage Plan Wells Septic Systems Easements Proposed Improvements Name of Side Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW r 100 K ^Ra 33 i APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3.45 eachl Fee Mechanical Fixtures ($7.00 each) No._Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other _Bath Tubs No. Units Fees _Showers Furn BTU _Hot Water Htr Heatpumps Laundry Washer _ Vent Systems Sinks _ Spot Vent Fans Floor Drains No. Boilers/Compressors _Laundry Basins HP _Dishwasher No. Air Handling Units _Disposal cfm# Urinals No. Fire Protection Systems _Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 17.25 _ Auto Fire Sprink Sys 35.00 TOTAL PLUMBING $ No. Other Gas Outlets Wood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 17.25 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. X OWNER X BY DATE DATE FOR OFFICIAL USE ONLY: Accepted by: GC- Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: - r Environmental Health: i Building Plan Review Occupancy Group: Type of Const: Fire Marshal: - ----------------- Other: i Special Conditions: ------------- FEES - Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Violation Fee Site Inspection Building State Fee Other Other - - ------ -- Other Building Valuation: TOTAL FEE Plumbing Fixtures($3 45 eachl Fee Mechanical Fixtures ($7 00 each) No._Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other _Bath Tubs No. Units Fees _Showers _ Furn BTU _Hot Water Htr _ Heatpumps _Laundry Washer — Vent Systems _Sinks _ Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins HP _Dishwasher No. Air Handling Units _Disposal cfm# _Urinals No. Fire Protection Systems _Other _ _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 17.25 _ Auto Fire Sprink Sys 35.00 TOTAL PLUMBING $ No. Other Gas Outlets Wood, Gas, Pellet Stove IOTICE: THIS PERMIT BECOMES NULL AND VOID IF _ ✓ORK OR CONSTRUCTION AUTHORIZED IS NOT COM- IENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 17.25 ✓ORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ IF 180 DAYS AT ANY TIME AFTER WORK IS COM- IENCED. PROOF OF CONTINUATION OF WORK IS BY IEANS OF A PROGRESS INSPECTION. IWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED IENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I CW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU- RDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED IT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE ONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT ADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING -IE BUILDING DEPARTMENT. DEPARTMENT. OWNER X BY ATE DATE )R OFFICIAL USE ONLY: Accepted by: Date: I DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review ��- S"1 Occupancy Group: F--3 Type of Const: -'5 rV Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Violation Fee Site Inspection Building State Fee y s� Other Other Other Building Valuation: L1 S', 0°c�, TOTAL FEE DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Violation Fee Site Inspection Building State Fee Other (?, Other Other Building Valuation: TOTAL FEE Plumbing Fixtures ($3 45 each Fee Mechanical Fixtures ($7.00 each) No._Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other _Bath Tubs No. Units Fees _Showers Furn BTU _Hot Water Htr _ Heatpumps _Laundry Washer _ Vent Systems _Sinks _ Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins HP _Dishwasher No. Air Handling Units _Disposal cfm# _Urinals No. Fire Protection Systems _Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 17.25 _ Auto Fire Sprink Sys 35.00 TOTAL PLUMBING $ No. Other Gas Outlets Wood, Gas, Pellet Stove IOTICE: THIS PERMIT BECOMES NULL AND VOID IF _ VORK OR CONSTRUCTION AUTHORIZED IS NOT COM- IIENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 17.25 VORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ )F 180 DAYS AT ANY TIME AFTER WORK IS COM- IENCED. PROOF OF CONTINUATION OF WORK IS BY 1EANS OF A PROGRESS INSPECTION. )WNERS AFFIDAVIT CONTRACTORS AFFIDAVIT CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED 1ENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I ICW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU- )RDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED 11T IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE ;ONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT 1ADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING HE BUILDING DEPARTMENT. DEPARTMENT. OWNER X BY IATE DATE DR OFFICIAL USE ONLY: Accepted by: Date: Family Size Morning Room Credenza with Full Size Et(;hed Glass Washer, Dryer, Pantry Doors Over Range Sunrise 20 Side by Side g Windows Serving Formal Refrigerator, Microwave Bar Dining Room 48'-0" Self Cleaning Range _ �` & Dishwasher 10'-0" 12'-8" 10'-2" 5'-0" i Separate t - ° �Y¢aBIgJ �oKd Utility Room f Y¢ - -Q - Bedroom with Walk-In � 1t-' reaw� � � : � ___ with StorageNX Y rt U Wardrobe 0 Area REFRIG. - - FAU PANTR a Dream Master Bath '- -----------"- with Double Sinks, Linen, 10(3 ' 2Kd "Lath Separate Shower and " w R Ro E Corner Tub plus Windows,: o ` FREEZE Mirrors and Brass Lights I N SPACER Private i / 1 LINEN v Bath CO- Ch 1 r \Alt6Y �Y¢QW` G7�41.t¢ �IVIKC, �Y2Q Wes. r �reavws CC o G7weet �reaw4a OVAL Large Bedroom TUB and Wardrobe 8'-8" 12'-8" - \ 16'-8" 10'0" 1,296 Square Feet- Morning Room Double Door Over-sized Private Three Bedroom Ent to Spacious Walk-In Entryarro Model No. OK48001F 3523 Entry Extra .arge Wardrobe Ma:ter Great Room 1�Y��ter Bedr Qom / 96-OZ- / are o.° - --- os-n-..�.� ►6'dj Y/ Or JIV7UIIYD wlntry .Irru7 9YSlL n I t►.l U.c J��iy.As w,au atr77., ar /JN1dlid 'I 14W 411b-SLZ :Xd 8zsgs-m*Y J'/vzov? �J tLS96 d1 '�ifII1Yknd ° i' —�f 333 \ we'"v9/,Y a70 Egg/•-7'/V 3 '3AV 1416S 9058 Nl _-- —�___-- �Q/� SLLN's Y2�v9aYg7 3-7V`J :?f0� �3n1:7OAINIIYIxnNtfam➢I ----JO Ls3(103a LLL Iv G Q1 111 S.d)Ilaw n10(1 'n' --- �NIJ�11dI1S N�NId(I� IV 13"MD It All CM AWIM V MIA �N]InfXltldo" SIR b AVO — SINt ON033a Nos 0311! .CJ/Vno� 'w•m'.*�/ ,7 ' /r fZ1 '�/ /�eotrzas �, do ;/-t= �KL� ^YW -7H1 :NI )3nanS •11� 31b/oL1 Ao S.uoL=j1 Hns Divo nL m S,u01Joflt� Lf,BlYd�79'L7U .CLINY11U4tl7 �O LaL'7J'trlQ 1>ss/z �s 's'7 Ndunzzsdi,f r✓ s!�'OZ •� G�Sj � zss7r�'/'�v.� c(aty"s '2sd nor/ 03A0DS/v alva VV --Aws- c/Act re/ vve.?2/ o.# /V•/,(.Wl �7d /� a'ad/V/C91rL Sv crwy set X�� `7/' �st7a'. 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