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HomeMy WebLinkAboutBLD94-1635 Final Garage - BLD Permit / Conditions - 3/8/1995 MASON COUNTY Mason County Bldg. III 426 W. Cedar a P.O. Box 186 Shelton, Washington 98584 I� 0 t t..A 1. 1 v) .1 1 A t•ti I., 1- 14 8'r'il I tl HE I IJi F M !,pin ANI) Haiti 4;'1- 14162 1131 094-1535 N(1F?(,I I : I :' .'14,1:{000341 III A I - It TV- HI V I t11 Ini3 (If)1)141-, HE SIO UNION RIVER RD HF1.FAI.R 1)I,INI-.R SIEVE SFRGI 215- 4203 1 IIN I I�Ai' f OR f OWN & COUNI-RY ! F r A 1 It 3 of St IN 15 IS371 at NASA f 1 I'll I'll 1)kI". : Nt_14 HI 110 N HA11J • 0 1YfI ANOtlllf NY BA11 PillIP1 IYff Agifol N'f 0 A I I kf(tTPll '1 {131 Of ll ;f` At;i SII)kI1 `; ? 0 m-._ �_�..-� - ....---:�-,�.<...�-.,-.-m.:,,.��.,:�._,ram.-.,��•.z.-�< n; 111 6k1)1)1-1 r fit fill lit I till 0 . O (t Pt+NI T i IN,.to N,IP 1111 144 1!"1'i I t'0,1 OF N'� I . f-, IRI-l'I AI-! H Pltf 41.'0 N.(P 111'044 ililtq OCI lip I (IAO 0 WOOt)11111vf '; 41 t 4 .51 IIAP I I i,#04 01-If I I U 14 1 I ' 0 FARKINii ':•I)ACI"`i N I I IN 111 1' I Ioll ARt-A ' 1 .I40f?I 1 1N17 :1 Ii11A1 It,[ 40 wilIATinN• 1f8t4, �sa�axKs4nm.as+�r..a-a*e^�e-a.:..e�:-_rc.rrr��.••�•.,:.m--�� «•*.•—. -z..-xe>r,..¢.--.•�as�.arxrzuasz�c�versrs-m� �I 111i;( K`-c,.... _ __ _..:._ _._._._.. 11) 1 1 t 11, N I (If I I Yt'I till i I I It`s It 11MI, MI)11 1 1 1 HIM I le(IN I F, O f( HA I ti HA`, 1 N`-. 0 0 < till 41 Itf Alt . 1 i1O . N h f HA I H ( 1t11 ci ;IT01•f- I2 0 F IIkN I O0K H 1 11 - 0 1 !> t0 111' 4) MAI, I I IIf ( ;' ) 1 '4 0 0 t I,IA1 F.ti HI A I F kS 0 1-111'(14 t 001, It 1 It - 0 0i.-"o fit, 41 t11'1 I N1 0 . 01 1: t't 0 Etif 0 FUkN - t t t1n}t y 1,G+ 1 ill' 0 -YI I11r n1;1 4; -..____ ---v__,_ . 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Ilkt If 1?Eisf: :, . . . . . . ^ 0 t I)1 '-.IiI-JA1�,IIFIi*�+ 0 A I N FiANI)l IMCI I1141 1 I Iit4mi 1111 114 • 0 t4AI+ P AR1' r 1i 1 I.f-I f (iAtiti 01 `.1.,0 IiA1, H 10000 i Ifit H 1 1 1 11t 1c1 1'r� Afff) I t1 URINALS 47 I041OO " tilt • (4 1111111, lilt 1 ' 0 M1 `;t' III N t I .,, 1 ttf t 0 ryt4ti Ml I I l ► , N M^mac xa^--:r�!esa.-•.�-•-s,semex,rr:�s�.z ac-rr--,ra•-:a�z�r_•�_�a:-�_rr_x^^m_.��r e�«na-�r+¢.r..�_�r�«a.a-+rn-s--a--.,-.,e.•n.-�,.sr-evacxrcaaac-rysaw.,.-..,.vrcaeer� � PkO;IECT.Af�LtiPT1AN;6ARAtif i Pkp:11P1 otAl1ON•HYI' :< TO HWY INN 0010 NiIRTH %HIik:ORIVI, 41) 10 Niq PU0 NEW SUN STATIAN TNRN 114111 ON 0N1tiN PlvfP PH 01 lit NIA 1Il1AR lilt IIN Ittfilll 11011`,1 41 till t ]Nis ffaM1-1 BEtONfs NVII AND VOID If w6fit 01 CON�IIUCTION AD1H9011E8 IS NOT (ONNENCED WITNIN 186 BAv. ifk )f (1INSTRIII.T)dN 0/ II041 Is %USPENofN HIS A Pft<Inti Of 18t. tAYS AT ANY TINE Aflik WORC IS CONNFN(ED. EVIDENLi Of CONTINUATION Of WORK IS A PRO6NE5:; INSPECTION WITHIN IRE TO# DAY PERIOD, ANAL INSPE1:11611 II951 UI APPOOVED BEFORE ac tDTN6 CAN 8E O(CDPfED,. OWNEt eA kSENT: _.. Z--:4. -..<'-.Y_.._.._! _ ,- �� . ` _ _ UAIt %�/ �..:?""/ L-/_.... tilBrPRNi CUMP1 !!1N('.t to ICI ItMIG40it i t1dWt 4 10*14-, IS REQUIRED I CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons I 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 i FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date W.V. b WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date `by date by J MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 For : Tt Vt l t-:ii i 11 1111•; NEW fill I L L NIA Mti•; 1 HE 0 1 HALT A MIN NF to l it1." 1 iii 0"! 1 H i r.i,1 l r i , i in I I hot V, ARE tit A`110 0 1 rl 1111- OP I Vi "At rli I Ht 1-frill VIIVI- rIn o ropancy .- I h i I t r{,' {"If{ t• iv i 1 ill l lmd to M I " aF only Any o 1 ilv i it-- "i I l b- in ,ViUlrl1 iiri) Ul th" 11ni term Ill? i 1ditiff i'Urlm And 1r4a n" i ,}ri it V I�' gvil I i ""'. " to l , r,c,c• r9 {.I-i ft f-I r)r. ri1 it,;,�.�" I,pi (II11 l4; i�(r1,t,rY�+r'rt ;\ ,c: 3 ) All appi i11,' d plans; Nr" r "flit i r"-d to bm roil--b i Vp for ill. l,au t i rail i,t1►`1,(},;"" 1 t 'i r1s,�,-chi on K evil led ir.r and plans arp not "" silo . Atlpro" al Will Not b- of ani sari I " ,1'Idi l 10n , ra hy- I nbp" i i i,rt I -- i n l h- ,1tnr,irril rr l Ito 00 per h""I I mi n'im"m I hnit{ l "ill b- rh arq"d mod most bo r:r,l. lq. vl -d by thin dr• pai l-i m"I prior to any I "I Lhr i iw-p-c l irrnc, i,..' Inq p-I fni..ri -d or r' A ) 1>1iRSUAN I 1 u l r+'l I t1N i t "UM ti111 1 it i Nti cn01 , 41 1 1 1 "N Qk f 1. ) ANiI ',I i V I tifd 4 1 1 _ All nII14 M1141 iIAVE= hPI,I"rHV[ I) NiIMHI I;', OP AI)Dkt. 'l `.; Pf:fly 11)l- It 1 N `lli'll A i f I nN A', I it i,,1 1,1 it I t-ll `t V I iI HI 1. AND I f A i lii l F k11M fill nIPUrl "k ROSH l k"N I -1 1,10 (NI i''40PP N I 'i MA` ON 1 1111N I iti11 1 I'1 I Nfi 01- PAfi I M1 N I 101 i)111121 4 I "A l I " In HE t "ITIP1 I t t li 1`11 1 n1r 10 r At I I Nri i "k ANI `, i i 1 I N`0 1. 1 t i1N; A 14171N` VI'VIIHN 1IF , HA'- hD HM kA ! V % iN iAHIV 1A WV 11t1` 1411 HNlVniafal HI1i1111I11i 1" 1)tii Hill MV ri4 I SV_ I1 It "WhII fr /F"N I VAl" f ill; 1 A i 15 10 1`114 1 A00141-sn ON 4111 PR 1 "v to AI it11v4 i i N(-t INK VF I f I "N'. r q ) 1ho 1Jop , h,1nd1 itlri m"d atoraiIp of h"-mr,inti!; mat:wim1w or l ldmmrllrl - and c"Irio"sl iIrl - 1 i dui dS in oxcon , o f 10 qa l 1 nn� i s nni a l l n1-mcl tti t,h""k l h- appr'o-a l " I i hr f+l;fw"" ro""I y fir mli n11a i . x: 6 ) All CON41EOC t IiIN MI1,T MFI- I I)1i FXCI i Ii nil ! "CAI VOItI AN" Iiltr x tom,,,,,,"..• I Chancle, to apprclvod h" iLdi "q 1' 1 ,+"n that eaflocv compii ; "p- I " Ill" 1 "" I 1-I.r�.1ti11rtir,ri �, i ,als�' lneerqy Lolw , 14gI V rit. 11at. io" rand Indoor Air Quality � ( ndiw. t'.ho "n i. Dorm trfi i l tt i rtq i_ndo ,roil/r)t' Ma wn" coitnt.y 1{r-'F,1!^; 401 i n"" rir"r i. by :Appi'o""d by Ma4"Il Vollrfi ')I prior to ('.n115ttIli` ('i ""X MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 i MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTI E Job Location -S-ID f s 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 3 a --L e-- ay4 rrvj c -e. 4->r� ,On (f� l/ rein �c�� a s �aY�le 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 ❑ OKto Department b/A Date Z 3-- 3;5- Inspector ■ 00 NnT MUV T 1 mnwh� T' ,u FEB,07-1995 14:01 206 742 1691 P.Ci1 P ST P1RAtvr. - ,DINGS Pvefett: (206)258-4171 Puyallup: (206)840.3552 mmew y Admintslrative Headquarters: (205)743•1585 ~ ' 'mot) �— �' w FAX: (2CG)742-1621 'roll Ftee: 1-ZO"24-9552 • -Hsb ^F Conuaatoro Lie.•: TOWNCP9099LT Quality: Our Furure Depends On it.' DATE: 1 �} COMPANY: 4.. AZTENTZON: FAX #: `.1 77 ',. = PHONE #. FROM: # OF PAGES (INCLUDING COVER SHEET) : If you do not reCeive all the pages , please call 1-800-824-9 52. XESSLGE -`� ' " ` '� C� TNT Sr 7'F 441 CAN rl5v C ,�rz� eiJ/S t-lam _._._ �+✓"l�-D 1 N� v�5 l�n/ y�� s�c r�u c-, �^l,�aNiS �_ N�o� 7'� S���_ o�C 0 r r- v� � NO .S /z_f-;- /F- �•� S! � �c./1-� � 8 G%'�/� t FJ� ,q - ^D 5I6 fy ary �f0 S Ir6 ft.e ivc � S C 4-r-� fk/, -z rJ - ?j-�*i--IKS� BuildingDesign FLOOR. PLAN -_-.----_- LENGTH tz c2 w0t, oz W r _ _ --- - ����� Ntt��. �li.�cc3�_ v�R'�at .8�+�.Ri�i .11��nu��a>h I t��.Ron.E—.o�.►•�� > - --�--_ i • a.�rs. SM SrEop FrN s� - , 12 _. _ r � Ate__ ._ l2' U l S WIPhoW �,b 7 — - _ - 1 N � s P EASE CHECK: BUILDING ELEVATION - - oof Pitch 9 1 IZ- aves Hei ht - Minimum Clearances4 Q 8 • -SAY i yr ;4-4. J1W Perma-an Induatnm FR34 9/94 3,3c1 I In the event that the Owners perform such work as plumbing,electrical,insulation,or interior improvements,the Owners shall not commence performance of such work until Town&Country Post Frame Buildings has completed its work and the building has been finally inspected and passed by the applicable building department:provided, if the Owners desire to install plumbing or electrical work within the concrete slab,then it shall be the Owners'reponsibility,to notify Town&Country Post Frame Buildings of its intention,and arrange for this work to be accomplished by the Owners in order not to delay or interfere with the construction schedule of Town&Country Post Frame Buildings. E. Price. The price is as follows: Description Dollar Amount Additional Work_ Price of Building Dollar Amount $_ Lifetime Warranty $ Sales Tax $_ Weatherization Warranty $ Sub Total $_ Sales Tax Rate 7--& $ 82y�i.� Code�Q Dollar Amount $_ SUBTOTAL $ t L19ff A5_ Sales Tax Less$600 Deposit' $ (600) Sub Total $_ Unpaid Balance' $ I a79011:5- CS I i:• Total Unpaid Balance $_ 'Estimated upon current rate.Adjustment(increase or decrease),if any,will be made upon final payment. 'Payable at time Agreement is signed by Owners. 'To be paid 50%prior to commencement of the work,or upon completion and issuance of the completion certificate and 50%upon occupancy or issue • ' y Increase decrease if Owners request changes in the work after Agreement is signed. / / The price includes all work identified in paragraphs B or C above,and also includes: ®plans,15d permits, ne -;- Explained below as necesssary. Any amounts of money owing and unpaid under the terms of this Agreement shall near interest at the rate of l/i per month. Any changes or additions to the work performed by Town&Country Post Frame Buildings at the Owners'request shall be paid for by the Owners to Town&Country Post Frame Buildings by cash,rather than additional financing or refinancing,payable upon occupancy or issuance of the completion certificate. F P�awnent of Price. The price will be paid by the Owners to Town&Country Post Frame Buildings as follows(check appropriate block): LJ Purchasers shall pay the price in cash or from financing which they have or will arrange through their own lender. ❑Purchasers intend to pay the price from financing arranged by Town&Country Post Frame Buildings on the following basis: I i1 t o J�apoS IT Tn B,_1a 1A u wb -TO T I)1RNstmc z l 1 ni: I/A 13AW!{ t`1C - -Du S ILFaN r-c•Q I'PT DE /i-'7A Ra lisle' B U ILV 6 �6�I�LT A t�lb 1=1 K rA i_ 15 ALA NC M `P 1,1 Us- I RD N �.��'Pc �'�i n� �(Z f)cc U 12A.ft If Town&Country Post Frame Buildings is not able to arrange financing as described above,then the Owner may elect to seek alternative financing or cancel this Agreement and be returned the$600 deposit. G. Deposit. Upon signing this Agreement,the Owners shall pay a$600 deposit to Town&Country Post Frame Buildings.The deposit shall be fully refunded in the events that(1)Town&Country Post Frame Buildings does not accept and sign the Agreement in the space provided in Section"K;'below,or(2)in the case of a credit sale, upon completion of the project,final inspection and approval,and final payment to Town&Country Post Frame Buildings,or(3)upon mutual Agreement of the parties. In the event of a cash sale,the deposit shall be credited,but not refunded,to the Owner upon completion of the project,final inspection and approval,and final payment to Town&Country Post Frame Buildings. The deposit will not be refunded in the events that(1)financing is arranged by Town&Country Post Frame Buildings as per Section"F"and the Owner is either unwilling or unable to sign the necessary loan documents within 10 days after such financing has been arranged,or(2)Owners decide not to proceed with the project before commencement of construction,through no fault of the Contractor,or(3)upon mutual Agreement of the parties. H. Contingencies. This Agreement is subject to the following contingencies: The Owner shall notify Town&Country Post Frame Buildings within_days of the date of this Agreement that all contingencies stated above have been satisfied or removed. Otherwise,Town&Country Post Frame Buildings,at its option,may cancel this Agreement and refund the S600 deposit to the Owners. I. In the event this contract has not been started(by no fault of contractor)within �5 months from date of signing,the contractor shall be able to renegotiate the purchase price to reflect any market increases or decreases. 1. Time of Commencement.Town&Country Lost Frame Buildings will promptly schedule the commencement and completion of the building upon receipt of the building permit(residential)or approved plans(commercial),receipt of the Owner's payment of 50%of the price,and completion of site work by the Owner,if any. K. Signing of Agreement.Owners acknowledge that they have read and understood the provisions of this Standard Form of Agreement,including the General Conditions of the Contract,and have been provided a copy of the same.This Agreement is not binding on Town&Country Post Frame Buildings until Town&Country Post Frame Buildings receives and approves this Agreement signed by the Owner,and a corporate officer of Town&Country Post Frame Buildings then signs this Agreement in the space provided below.When signed by a corporate officer of Town&Country Post Frame Buildings,this Agreement becomes a valid,binding,and enforceable contract. There is no right of rescission.Owners acknowledge that this Agreement contains the complete tinderstandirrtg of the parties.There are no prior or oral Agreements or understandings other than those which are stated in this Agreement.The Owner acknowledges that all blanks have been idled in,and this Agreement states the complete Agreement of the patties.YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANAXIONO RIGHT. Sales Pep4e Date (d Purchase Date �! a Z `� Y Print Name 1�64-= MKeI TOhi—Date Purchaser —f Date Corpo tance Date Purchaser Date by �� l'-.'� Date 4 copies: I.office file copy—white 2.production copy—pink 3.accounting copy—canary 4.customer copy—goldenrod ,Poll-P HOME OF Town &Country Suite B•16521 Highway 99•Lynnwood,WA 98037-3199 + POST FRAME BUILDINGS Everett: (206)258-4171 Puyallup: (206)840-9552 Administrative Headquarters: (206)743-1555 �— FAX: (206)742-1691 Toll Free: 1-800-824-9552 DIVISION OF • Contractor's Lic.#: TOWNCPF099LT Quality:Our Future Depends On It."' PLEASE CHECK: Site Plan ❑Property dimensions ❑Septic and drainfield ❑Access to proposed building ❑Existing buildings ❑Sewer lines []Lot size ❑Proposed building ❑Setbacks of proposed and ❑Elevation of property ! ❑Easements existing buildings ❑Bodies of water []Main road with name ❑Floorplan STEP N-�t� E o Job name: ><I�G 1 Job Site Address: R>=�.P-*N-1 . LU 8S�7 Legal Description - I�.2 L, 32 oPosRD __. Cr.NT 11S�. - p r- Rc►q�--- OL _ Rts+b*x( Ci •'TI_ 15. i - W t -- .- .N '1'�0't3v+zo'tic' O.O r Owner has verified and approved the location of accessories,orientation of the building v fies that all items specified in paragraph re B of the contract a shown on this drawing and vice versa. Customer signature 011c.(.hit*) produmon(eww) Producbm(Oink) CUM (90idm od) Page No: 1 CONDITIONS/CORRECTIONS FOR CASE NO.: BLD94-1635 STEVE SERGI NE510 UNION RIVER RD BELFAIR 11/30/94 ��C_LcJLF�-C 1) "CUSTOM CONDITION" -- THE NEW BUILDING MUST BE SETBACK A MIN. OF 10, FROM THE NORTH PROPERTY LINE. SETBACKS ARE MEASURED TO THE DRIPEDGE OF THE STRUCTURE. 2) M-1 Use Only -- No Occupancy. This structure is limited to M-1 use only. Any other use will be in violation of the Uniform Building Code and Mason County Regulations;unless a "Change of Use" permit is approved. X 3) PLANS REQUIRED ON SITE -- All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of $30.00 per hour (minimum 1 hour) will be charged and must be collected by this department prior to any further inspections being performed or approval granted.;;X 4) POST ADDRESS -- PURSUANT TO 1991 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 1N TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.;;X 5) 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 6) ALL CONSTRUCTION -- ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS;X 7) Changes to Approved Plans -- Changes to approved building plans that effect compliance to the 1991 Washington State Energy Code, 1991 Ventilation and Indoor Air Quality;Code, the Uniform Building Code and/or Mason County Regulations must ;be approved by Mason County prior to constructionX 8) Field Correct -- CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE.x 9) No records -- owner/builder assumes all responsibility if drainfield area is encumbered.;;X i I I 1561-jq � l 4 o U6/1 Gov 1/mv Hie �� C *F"M* Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT v #1 wn 5�tf`V� S£ PO� Phone# ;�75 ' g'3 e Address , £ - S/C i V e Fire District# City Ce.1 f o, 1' a St Zip Directions to Job Site 'ee 4 tt L e a _ Owner Mailing Address City St Zip Lien/Title Holder Address Clty St Zip #2 Contractor Name row h f C©uhti-Y fpr 6um e- Contractor Reg #r wnVC P/Cd 9 C/,Lr Address Expiration Date_/3 U — City u IO St Zip W3 7 3 Phone # q V O ``J S Z- #3 If septic is located on project site, include records. Connect to Septic? A/" Public Water Supply Well ---- Connect to Sewer System? Name of System (If residential, proof of potable water is required) rcel#4 a No.j 23 A'1 -�-3- o 0 Legal Description E /zy Al 1-0 %y 5 V_ aC1 1 1" .23/40, /(.t.�, L� M . #5 Building Square Footage: (existing/proposed) 1 st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / # bedrooms `bathrooms / Garage //4 �/ Carport / (Circle: Attached(or Detached?)' Other sq. ft. / • #6 Use of building Describe work #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION O Model Year Make Model Length Width Serial No. # Bedrooms # Bathrooms Type of Heat fl�► �� Purchase Price$ R44 #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: SER��c River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other �`S Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Indicate Directional b N, S, E, W Name of Flanking Street y ) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN B W APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3 eac!21 Fee Mechanical Fixtures ($6 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 15.00 Auto Fire Sprink Sys 25.00 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 15.00 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 OF THE 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. DEPARTM NT. X OWNER X BY 7 DATE DATE �� C FOR OFFICIAL USE ONLY:Accepted by: Dater DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: ' Environmental Health:/LLC.c3>-zee c� C5-P Building Plan Review Occupancy Group: Type of Const: �= Fire Marshal: Other: Special Conditions: FEES Building Permit Z-60 Plan Check yys6 Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: La TOTAL FEE �(� Existing House Proposed House ROOF - LINE -- Exist i ny House I �.-- I I I I Imaginary Line Used To Determine Setback Shorel ine (O.II.W. ) �/ Existing House Proposed Vacant Vacant House I I ROOF E ICIr I � I I I Imaginary Line Used_ Determine Setback 15' Imagined Shoreline(( FI.W. Setback 51