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HomeMy WebLinkAboutBLD97-1165 Cancelled Mobile Home - BLD Permit / Conditions - 4/12/1998 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F:� 113 1 L_ t--j I NO f7' E F'4 4\A 1 1- FOR I N_`�PFC`("I0N`; CALL 427--96;0 BETWEEN Gpm AND Bann 427--72652 BLIX';7­11 165 PARCEL o 12329'2..290070 PLAT : D I V ,? BL(<-.? Pf R1S Qjptp'-r14t4 JOB ADDRE SS s '1030 NE T IfiAA PI) 1.3ELFA I It `0 0" t ic OWNEP : JASON TAYLOR 263—945—'202 7 L` $�V� rom-rRAGTOR : COUNTRY E&J'A TF DE VF I-OPMENT LEGAL a M2 3112 RE 14W NW TA 3 OF SP -12239 HE 100 T'INA RD GLASS' OF WORK . N EW, 13FDR : 3 MATH.: 2 �TYPF. Ak+ON;'! Fr DATE RN4..iPT ITYPE � A001111 BY UAT€ RECEIPT T Y P E 0 F U8 E . , . . :MH STOP ; I CJCGUP .. GROUP , . . e7 BL.17G . n (tSwr . . : 0 .1!�-f'$. EfItP t 26.00 K^ 151141?7 I;EIFAill TYPE O CONST . . :? F .I REPLACES . . . . . 10 1911OF I 155.00 KS 1O!(4197 EELFAIR d OCCUP . LOAD . , _ . . 0 WC1ODSTOVE:S . . . . . 0 �STFF: A 4.50 KS 10114/97 $ELFAIR DWELL .UN 1 7'S . . . . . 0 FIARK' I NG SPACES : 0 1 INSPECTION ARE Ai 1 SH0Ftf-'I_ I NF 1 : . . . aN � ITOTAi.: i95.50 VAI_UkATIO4, 51'90O( TO I LETS . . , . . . . . . . . 0 FUEL TYPES--._..--- -- BO I I_ER J CGPAla____.._ ;NOB I LF o-l0Iv,Ew_ FRONT . 100 ,.Of1: B AT 1-1 BAS4N`i . . . . . . .. E! : 0 3 I(P . 0 FIE-AR . . , . 190 .0'Ft BATH TUBS . . , . , . . . . 0 3- 15 NP . : 0 1,40DEL :GOLDENVVST SIDE ( 1 ) .E 230 .Oft SHOWFRS . . . . 0 FURN < 1.00K BTU , 0 15 -30 HP . : co - F1AKE i_ SIDE(2 ) .W 70 ,41Tt WATER HEATERS . . . . 0 FURN >-100K _ 13TU . 0 30-50 HP . - 0 OAKWOOD SHR(_ !I+4F ..N 0 .0'('i: C(-nT11.1 S WASHERS . . c 0 1=1TFTf( - 1 9_0C3P. , i'i d 0 ! 111' . : 0 -Y EAR- 4,REA _M. .__ ..____ ___.. KITCHEN SItNKG , . . . . 0 HEAT PU11P . . . . , . : 0 97 LOT S i ZE . s FLOOR DRAINS . . . . . 0 VENT SY8TE04S . EVAP GOOLFRS : 0 1.ENG11-1 : f)6 BU I LID i NG . . . . OEE f DR I INK I N(3 FOUNT . . . . 0 VFNT FANS . . . . . . . 0 HOODS . - „ . , . ,, 0 AN I DT1-1 . s 27 B A m F FJT . . . . 0s'P L.AUNF?RY FCtAYS . . . . . 0 DOMFS . i N C I N h Sr:VAIAL_# ....__ >DE�CKS . . . . . . c 0�T. D f S -11Y]ASHERS . . . . . . . 0 AIR HANDLING UNITS---- CCaltNAL . I NG 114 ,0 N 1 76) GAR/CARP :? 0 s T GARB 1:> I SPOSALS . s 0 <— 10000 o1m . : 0 RELOGMEPA I ll : 0 A'r/D- , :? URINALS . . . . . . . . . . : 0 > 10000 cf In . : 0 OTHER UNITS . : 0 H I SC PI_1'%4 FIXTURES - 0 CiA 0UTI.,I TG . : 0 [:-"•t2.-:_�15."�-.'..:�.._:..�t^' '�'t'�C vUi�w-=TY'.:_�wsGS���V.�.-_.^:.^.�"......�^_-.^""...•-.�3L^^FS_^.�.`^..:.:.^S.-.]:�.^tea':«".i�-.^.�:�:i3:2^.^..:»'�..�:V.::::_:=.�-G--.�'_'.�_:�-_"....:'3:?�:;:—.T2^�.^:-^�..^:�'_��::•'....5'.:�.'-:.�.:.;'�.'-':.�/�:^�...:..�__-."�T=�:'^T"'-'T.:^_'::::�i:.-:_._--- . i':i�)JEGT UESCRIPT1QH�l1A$ICE 1lQLTE PRQJECI i.00AT1O11;I(O11TR SNORE RD, TO SA110 P11! RD, TO FER111RIVE TO ((IF [110 OF 7IUP RP THIS PERMIT 8EC6 1'1 WILL AND VOID IF WORK QR CQNSTRUC7lON ,4UTIIQRfEEO IS HOT 00I49EACED WIT(I1H .110 OAYS, 'QR If C0II8TAUC1101i OR WORK IS 51NPFH9cD FOR A PE11161) Otr 1&0 DAYS Al' ANY TIME AFTER 17ORK IS C,OWVFIKED:, EVIDEIIPE OF. C1HTIH4IATIOII OF 011X 'Hi .A PROGRESS INSPF01101 WITHIN 'I%E 1IIO DAY PERIOD. FINAL INSPF.CIIOH 911ST OF APPROVED DE;ORE E'JUUIUG vA31 8E OCCUFIED, . OWNER O1 P,GEl1'(: �`]_s, � �� `_ t �„ RAT[, i R1.13, RNT, re t 01131 J? I COMM. 4 ANC1- TO ATTA C1- FA) COf D 1 ; IONS IS 11F('�i:f I A V D I 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 h SS I � l MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 fees and an hourly lavestigation fee pursuant to the 1991 U13G , Table 3A 011 be assesood in addition to my original permit fees to resolve any questionable praotf tine s or Grob ierns that have been discovered . I further understand that this investi oat ion will e scheduled as time allows . Until resolution of tray/all problems no ocoupAeV ( Fina ! Inspection ) will be granted for the residence . OWNFR/CONTRACTOR ( I "dicate whjoh ) Slqnature X_ 7 ) All mobile/manufactured home landings or docks must be freestanding (self supporting ) . Ths largest landing or deck permitted wiThout 'drawln& or o buildl6q permit Is 36" x 36 Any ! andinq or deck that Is 30" or more in ' Ise ight' from walking surface to finish grade requires a guardVail . Any landing or deck that has 4 or more risers requires a handrail , Any landing or dook largep -than 36" x 36" must be permitted whiah requires s,tructural drawings and a building permit appil oat ion . This Installation Permit dots NOT include aoy landing or deck larger than the 36" x 36" size . 8 ) Placement of st rust ura must comps iv with standards setfogjh per UBG sec . 2907 rooardlog de"oonding dnd/or ascending sloogs . 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 I „Page No. 1 CASE HISTORY FOR CASE NO.: BLD97-1165 , JASON TAYLOR NE100 TIMA RD BELFAIR 11/17/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------ ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA010 Application received 10/01/97 / / 10/02/97 DONE KW 10/02/97 KW BLDA100 Approved For Issuance / / / / 10/14/97 DONE KS 10/14/97 KS BLDA500 (F) Issue building permit / / / / 10/14/97 DONE KS 10/14/97 KS BLDB110 Structural Plan Review 10/08/97 / / 10/14/97 DONE TLG 10/14/97 TLG BLDB130 Planning Review 10/07/97 / / 10/08/97 DONE AHB 10/08/97 MMS BLDB134 RLC Review / / / / 10/08/97 SEE RLC93-0537 COMMENTS. NO CRITICAL DONE AHB 10/08/97 MMS AREAS. AHB BLDB135 Addressing 10/03/97 / / 10/07/97 DONE GMM 10/07/97 GNAT BLDB138 Planning Pre-Review 10/07/97 / / 10/07/97 DONE MMS 10/07/97 MMS BLDB200 Environmental Health Review 10/02/97 / / 10/03/97 per septic design DONE CAJ 10/03/97 CAJ BLDB210 Water Adequacy 10/03/97 / / 10/03/97 per well log, capacity test, and total DONE CAJ 10/03/97 CAJ coliform test BLDC200 MH Setup inspection 11/13/97 11/13/97 11/13/97 1. marriage line bolt needs tightening FAIL TR 11/14/97 KW 2 respread visqueen 3. ap y for build p it and submit plans f orche they both are larger than the 36” 3 v�llowable w/out additio permits. 4. ok to skrit 5. how do you plan on keeping water out of crawl space when t-1-11 groves go behind lx5 trim and vinyl starter strip is mounted on stop of lx4. (� w �0 0 CA T Page No. 1 CONDITIONS/CORRECTIONS FOR CASE NO.': BLD97-1165 JASON TAYLOR NE100 TIMA RD BELFAIR 11/17/97 1) Buffer & Landscaping Requirements -- This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036. X 2) Flammable & Combustible Liquids -- The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X 3) Sideyard Setback -- Proposed structure or any portion thereof greater than 301, in height from grade line, must maintain a minimum of 5' setback from all property lines, easements and 10' from all County and State Road right of ways. X 4) Site Plan -- Approved per dimensions and setbacks on submitted site plan. X 5) POST ADDRESS -- PURSUANT TO 1994 UNIFORM BUILDING CODE, SECTION 305(C) AND SECTION 513, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED 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 REINSPECTION FEE, BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X 6) MOBILE/MANUFACTURED SPECS. -- 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 Guidelines-Mobile/Manufactured Housing Installations Handout for detailed descriptions of all required inspections on my mobile/manufactured home installation. I hereby assume all responsibility for the scheduling of these required inspections. If these 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 1991 UBC, Table 3A 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 7) Mobile/Manufactured Landings/Deck -- All mobile/manufactured home landings or decks must be freestanding (self supporting). The largest landing or deck permitted without drawings or a building permit is 36" x 36". Any landing or deck that is 30" or more in height from walking . surface to finish grade requires a guardrail. Any landing or deck that has 4 or more risers requires a handrail. Any landing or deck larger than 36" x 3611 must be permitted which requires structural drawings and a building permit application. This Installation Permit does NOT include any landing or deck larger than the 3611 x 36" size. X 8) Slope Setback -- Placement of structure must comply with standards setforth per UBC sec. 2907 regarding descending and/or ascending slopes. X Page No. 1 CASE HISTORY FOR CASE NG.: BLD97-1165 JASON TAYLOR NE100 TIMA RD BELFAIR 11/12/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA010 Application received 10/01/97 . / / 10/02/97 DONE KW 10/02/97 KW BLDA100 Approved For Issuance / / / / 10/14/97 DONE KS 10/14/97 KS BLDA500 (F) Issue building permit / / / / 10/14/97 DONE KS 10/14/97 KS BLDB110 Structural Plan Review 10/08/97 / / 10/14/97 DONE TLG 10/14/97 TLG BLDB130 Planning Review 10/07/97 / / 10/08/97 DONE AHB 10/08/97 MMS BLDB134 RLC Review / / / / 10/08/97 SEE RLC93-0537 COMMENTS. NO CRITICAL DONE AHB 10/08/97 MMS AREAS. AHB BLDB135 Addressing 10/03/97 / / 10/07/97 DONE GMM 10/07/97 GMM BLDB138 Planning Pre-Review 10/07/97 / / 10/07/97 DONE MMS 10/07/97 MMS BLDB200 Environmental Health Review 10/02/97 / / 10/03/97 per septic design DONE CAJ 10/03/97 CAJ BLDB210 Water Adequacy 10/03/97 / / 10/03/97 per well log, capacity test, and total DONE CAJ 10/03/97 CAJ coliform test s Building Permit # ��� MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 • (360) 427-9670 CORRECTION NOTICE Job Location /a 4::> 7'-//74/9-/fo, 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 l J / /''IA-�?��G-F L/.✓F �©GT .��_Od `7`—/�E1TF�/yG �� y For? ,aUico .r- d--JseZr--7iT-,ec.9L•--S •ss' T�Ey Rd7`�f ,��i� G�?Grfi' T.S�iS�� Tft,E �6 jC 3 6 /-�GG� •ii4-G�� U��d�T c/) �,Ooi�-ro�gG O�r�iT.S / ►/ O� l/��Gu4� d.� /{FFD/yG �,r/��E/T �ci i d� e/?fiz1/� d- V X C/ 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 1�OK to Department Date ����3 - 7/7 Inspector /- w . �� NOT Mo $V =7fH1 T� , � MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 It~y r7 r—a iw } -! C:.f INN tag a -1I- I PJ 'zr Case No , : BLD97-1165 For ; JASON 'T•AYLOR Page : 1 1 ) This app I i oat i on i s sub f oo t to Ba f�t er and Lind}dsoap f ng r•e rIm i remen•t:s +_►.ra es tRb l i shed u"dor• Mison Co►_tnty Ordinance f .03 .036 . 2 ) The use handling and storage of hazardous materials of flammable and combustible NOUN i1tJ I U i n MASS of 10 ga I I on3 is not allowed without tho- ap prova l of the Mason coup t�f Fire Marshal . x 3 ) Eerop o5ed structure or any portion thereof greater •thmn 30 in h ight from grade f Inee, must maintain a minimum of 5 ' setback from all property I f nee , easements and 10 ' frottr all . Coed,t: and State Road right oT ways . Y �) ) Approved p:,c r d I rt�.n> i a n.� ,.�n r! .:s�a•t:I.a�a c..•. .� s�n S t►.��►i l •l:'t�:rt, ,., . t"c plan . Y, .f S ) PURSUANT TO 1994 UN 1 F'CFAM SU I LD I Nc;:.C00E. SECTION 3000 AND SECTION 513 , ALL SITES MUST HAVE APPROVED NUMBERS OR ADDNE SSAS PROVIDED IN SUCH A POSITION AS TO BE PLAINLY V I I BLE APED LEGIBLE FROM THEI STREET OR OAD FRONTING THE PROPERTY MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT TRI S BE COMPLETED _PRIOR TO CALLING VOR ANY SITE INSPECTIONS . A RE I NSPECT I ON FEE , BASED ON RATES ! N TALL ' .3A OF .THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OU'NER/CONTRACTOR ;�A p 4_S. TO POST ADDRESS ON S I TF PRIOR TO REQUESTING N&PEC T I ONS . X__ 0) REQUIRED INSPECTIONS ( Footing Inspection-prior to pour , Set-up I nsp ec;•t: l a n-pr i or• to uk i rt I ng. Final i nspec�t f on--pc- f or to 00cup�ancy) . I have rer_:e> f v►d a copy of the General I nforEna I: i on and Guidelines-Mobil �:/Man0fact uped Hous i nfo I no to I l a t: i one Flandau•t Tor ei to I I ed descr i pit I onv of a l I .reep.0 ijoa I.nspF.at kons on my mobl i elmancrl'actured home installation . l hereby assume all resp one i b i 1 i tV . f nk the t,c.hedu f i ng of these required Inspections . if these ._r,equ f'red i nspert tons are not requested, inspected any! signed off ( approved ) by the .f nsp ectgr i n the , p�rescr i bed t�rd'er , � t i.rr►►:I�a±otand that re i nsp put i on 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 Attic OTHER Groundwork date b date b y te V WALLBOARD NAILING D.date by date by Water Line FINAL INSPECTION date by date by date by r +L D �n MASON COUNTY Permit No. OCT0 1 1997 BUILDING PERMIT APPLICATION c1< 426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670/1-800-562-5628 �C �U - PL&WX11ff SISTANCE CENTER (Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269) #1O ner L-S:0Y) � � �1�'��.� �, " \ �Y( 0r Phone# o� 5�J �'��� " CD 0 Site Address /r-n nm I r. �,� Fire District#� City -P� ! �� St. UO Zip �? Directions to Job Site ^6u`C' n r' cv-N Pam 'S'l'`' pl"u'1l ' n '8(r,n k-4-2 )n"s 6(N Gr)", at r? . 6 U GJ 1 1 Jet 47 S aT-- m v, Owner Mailing Address r- �'Dhe,Ul AraPC l 1A ray City?tom r-1... o<C\ncw A- St�1,,) c( Zip f2(0 Lien/Title Holder L L n y IDtr' Address ()7 7oZ Clty St zip e C(')J , #2 Contractor Name ���'(7l!.G ��S-I'+.( ' - ; "�+::x:'1 _ ,k r�C d.l r%�; `,F;t,, ':` Contractor Reg# Address Expiration Date City S# I 0j; Zip C'1 )��''�':3 Phone ek �r(o&) f�7`1�2- #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 residential, proof of potable water is required) 0070 #4 arcel No. \\ gal Description 12. *0 61/ �/ nE nuJ nu) #5 Building S uare Footage: 1st FI 2nd FI 3rd FI Loft Basement #Bedr oms #bathrooms Deck Other Gara a Carport (Circle:Attached or Detached?) #6 Use of building '�— Descri ork - v, o, v #7 Type of Job: New Add Alt Repair /Other- #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year (qcl Make Pd,2��',��s°,Model�:'��+'tali��xv� OVAO L�( Length E 61�0 Width Serial No. w1\1 E �6 #Bedrooms Bathrooms Q Type of Heat k-"yw'$ Purchase Price$ °� � +'{- + #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other n 0/ _L t g 4 � 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 Indicate Directional by (N, S, E, W) Name of Side Street Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW '- lumbinq Fixtures 13.35 each Fee M hanical Fixtures 6.75 each No. Toilets CIRC E FUEL TYPE: Gas, Electric, Bath Basins Heatpu p, Other _ ath Tubs No. U its Fees Sh veers Fur BTU _Hot ter Htr _ Heat mps Laundr ,.Washer Vent S tems _Sinks _ Spot Ven Fans _Floor Drains No. Boilers Co ressors _Laundry Basin _ HP _Dishwasher No. Air Handlin Its _Disposal _ cfm# _Urinals No. Fire Protection'SvVtems _Other _ Auto. Fire Alarm Sy 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 1 75 _ 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 1 .75 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $ 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 (�'lQn1Qq X BY ell DATE vl - 3 'z DATE FOR OFFICIAL,IJSE;ONLY;Accepted by Date 7`r � DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Ap oval Planning: Ala c 7 Environmental Health: Building Plan Review Llam C 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 0qJ1. a(-7 Other Other Building Valuation: TOTAL FEE Ow SEPTIC SYSTEM DESIGN FOR BARRY RICHLIN -'' NE 31 TIME BELFAIR WA 98528 PARCEL N❑. 123292202000 0 50 wo S 33 Ir %RED 225 r ice , • SEPTIC TANK M GALLON D-BOX WELL 2 i EL EL 80' �4LI � 8 DWELLM p7 4" DIA ASTM 3034 PP A PERC HOL 3 2' -'c I tQ� • ERC HOLES Mason County Dept. ;earth Services APPRO Y' Initials ED jLv ft�4 Date ���y Q0 Pkq poxxk