Loading...
HomeMy WebLinkAboutBLD94-0512 Deck - BLD Permit / Conditions - 5/3/1994 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 11 1 11`118 (14 1 M. 11-4 m 1 l 0 1'< I N �,PF 1" 11 0 N',i I'A 1 1 427-9610 BF 1141- t-N F;pm ANI" Ham 427-7262 8 1.0 9 4--0 5 12 PA R C f I 1 0 L 0 V RI 1. 1 (1 1 10H A1100' ME .!00 KISSIN FREE LN TAHIJYA ()I,lNf k GEORGE SHAW CON IRAt. 101i ABOVE VIEW DECKS AND RUMODUI 11; 275-49%4 I l'-a1 A 1 11 11-1 if SINVIFT Offlill It A It St #1135 IS 116111111-A At 414 A'i'I, it I WI R I< 1.4 F Ill 0 k A I It (A T v 11 f A10001 IQ PAIL At f I p I IypI A1110111111 By 0 A I F ,Tyf)f' Of tj�il A(' F 0 k, I F 01AAIP , 610,10P . 1141 flH 1 0 01 r 16 411 TW th/03.19 3 4 504 i YPI nF I 0N,; I t 114 1'. P1 A C t ". , - 0 rppR,.0 14 44 fu llqllj44 '457?4 Of'CUP I 0Aft 0 14 0 1)D S 1 0 V F' 0 STFI, t 4 t,1 19 OS/13(14 351?4 f)IJU I I IN 1 -1 S 0 PARKING 'il-,A(A 0 N';P F I I ON AREA SHORF I I Nf'I N F T R A(' v 0 1"1 f 1 0 J'All' I I rI^t H n I I f R I' lit)t= t I I rRON 1' N of I. HA-1 H HAS I Nki 0 0-1 1 lit, 0 REAR - ri 0 It. HA I H F U 13S 0 11''. 1 !, 1(1> 0 M001 I ll 1-1 -30 ill" 0 MAf I ,0 1)F ( ) v 0 f t H 0 W L R!; 0 1 UkN 1 0 01, 13 1-11 0 1 , 0 f-'. "I w @ f I W A I f R 1-4 E A It:R'- 0 FIMN ',- 100F fill) 0 f'o I I P 0 0 0 f:t C 1. 0 1 HE p 0 r-I I v N 1. 0(1 p (I-t HP 0 W A':i 14 11 AREA K I 't C H U N ',�I N Y -i 0 HF A 1 1)11 M P 0 1 01 Z( rFLOOR I)RAINi 0 VU N I '7-y" ft'm"' 0 1 VAII 0 1 t Nfi111e 0 filITI. UJING 0-'1 D 1<I N JK I N 6 11)IJN1 0 V1 NI I AN`' 0 11000 0 IIJIDIH 0 8 A'�U ME N I lbs f LAUNDRY lf?AY ., . Oomf- 1; 1 Nf f N 0 —�.1fJ? i­At #-- DE("K S 1' 1)1 H 14 A H 1.R 0 AIR HANI)l I IN14i I.IN I 1 IN'' I N • 0 10000 c im 0 11,f I (I I k t P A 111? 0 6AP /CARF 0,� t 6ARH 0 AI 01 It R I N A 1- 0 10000 c f m 0 it I lit If IIN I 1 0 P 1.111 U I XI I-I P 1 "-1 0 1 PRO1111 10011AVIA411YA 01,111114 RD, I 11111S PA"f (ANP RANORAS ON fli F 11th"I 1111S PfRNII of.colts 111111 AND VOID If 4141 OF A011111flife 1!, 001 1011111fill(I'0 111114111 191 OAYS. 00 It 00 0001 IS "ASPINDF11 fug A PFPIOP 1110 OLE Of (011111110AII011 Of 4011 IS A PRO61tfS� INSW11811 III(IIIII THE 18111 OAV FfRIOO. Fi#At 111'�PECIIOI N#SI Of DAIL! 1110JR111. rev; I'j , 1/91 COMPI IANCE 10 ATTACHED COMO LOfW5Yri Ru"QUIRE0 CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping I date by 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 Case No Fit 094 -0 i For Ui F 1)R 6 F ':',Irl A W 1, 1 I-h I li;e . handl i fig eq to d s t*,0 C""I"144 1- h M 7 A r d 0 If In A C 1" 1.A I S 0 1­ 1 1 0 1111141 h 1 0 A f-I C 0 ff I b ti C; I 1 i qu i ek, in owref;si, of 10 qflfons' i n o a 0 w o tj 1 1.11 M 1% f i re? Marshal r* o r t.J­n rT t'1- r f q I 1 1:11,4 n io I n I I f, I cl il I- i v t In (I v --I i n'tA n o Ill n A In I I nil a -1 nit Ic r")Ih p 9 r'1.v 1 1 n#4 t;; :i A, o iw.4 to 1,s. A n 44 1- f Cl tl 1. 0 *�)a y A 1 1. app r(­/ed 1)1 arls n r,P r equ i.I,o d o oI- I to 1)o t)n tj t 1) ci to to a o i a n d p.1 a 11 4�j ii r- c,- I I o 1. 0 1-1 p p 1,r) ,,A t N 0 1 t",w, #1 k Pon V 44(1 I'll Fit ddi 1­,i of) el rl F)41 4. t, J,o 11 f�P ill the i-if'.1otifit of 1,10 00 p,�?r hom- fili 11 i Inlim I h o Ii t h(,, 01mr(l�lrl "md In L5 f-; 4.o (".c i o r 1 1) ilk II I l,1. e r 111 1) h 1 rlcl t>w I f or'Iprad 0 In t;o 4 p X, IJ A N-1 f 0 1,14,L) 1. -1.)H f V 0 R M R V I I I I I N 6 t.Q111 f-t: l IIIN 3 0 1: ) A N 1) 1,C F .1 (l N 1.'1 At.I ;i' ll ;; Mtvf H3VI A 1)P R 0 VF 1) N 1)M R U R(�. 1)R A 1)0 R E FR()VJDV to IN SOCII A PO�,.Jl ION AS if) H f`_ 11 1 AJ N I Y V 1 111 H I I A D t f, G (f111. FROM f H E '14 R FL f 0 R ROAD f-1?0 N I I N 6 (H[ P R 0 1)f R I Y MASON I O(IN I 'I' I'A 1.1 1 1.11 1 N III fi F: I"A R I M F N I R f-0 11114 F I HAT 111.1 S HF COMPI I-'I Fit PR 1014 10 1 At I I N6 101i ANY '-' 111 1 N':;V F 'f I I N 1; It pf 11 11()N f.-F E , BASE D ON RA I't"i IN f Atli, f 3A OF I ill I I)�) I IIN I, 1R 0 M 1-4 11 1 1 1.1 F N 6 c(1111- 1 j I I t fi f A f C II IF OW N FR 0 N I'R A C 10R f 7 A I I S 1 1) P I.)G; I A 1)(1111 [IN 1,,i I I t I,I? I (w 10 P U Q UE I I N IJ I N I t C 1 1 0 t)i Frl At C 0 N I R.1.1 C IJ-0N M1tS4 MEFf OR EXCI` 1­ 0 Alf t 0 CA( C 0 D I- I%N I I I I VI I PI H 1,R I tit, N T X C h a I!tj p a p p r ovp d 1)ij i I d i to cl p .1 a 11 S I-Al a k *,- f f e c n c P, i,!) i-Al"! 1 (f'41 tfa,�;hinqt.on lliliit (4 Fwrqy codt, , 1.991 VentJ..Imt:,ion and Indoor Air- 0mil it1v 1 0 d*, , IJic Ifni form HLJj l.ditiq Clock, and/or Mel,;;orl volint',y I<ip q I I el I i tl, fill I bl.a mpprovod by Melf-.on Cotini,.y prior t,.o cofist'.t.11c't i mix Co N 1i UR U C T I I)N ["f?0 C F f 0 R f I, I'l-D A 1; R 17 0 It I I?I Ill P MA"ON I WIN I Y fill I 1 1) f N(i DI PA TM1,N T AND IJN I VORM fit)I I U I N6 CODI: CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping - date by 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 MASON COUNTY Mason County Bldg. III 426 W. Cedar F.O. Box 186 Shelton, Washington 98584 CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping — - date by 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 MASON COUNTY BUILDING III -;26-W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORRECTION NOTICE Job Location 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 d' /Li� Z , c'1 ,�G, h e , 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 Department Date �`� /`� `� Inspector C--c,� moos NOLJOT MOOV H1� T, OL Page No. 1 CASE HISTORY FOR 6SCE NO:} BLD94-0512 GEORGE SHAW NE200 KISSIN TREE LN TAHUYA 05/20/94 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA010 Application received / / / / 04/21/94 04/21/94 KW BLDA500 (F) Issue building permit / / / / 05/03/94 DONE TW 05/03/94 TW BLDA510 (F) Reprint building permit / / / / 05/03/94 DONE TW 05/03/94 TW BLDA940 RLC Checklist Completed / / / / / / 04/21/94 KW BLDB110 Structural Plan Review 04/21/94 / / 04/26/94 DONE CO 04/28/94 WLC BLDB130 Planning Review 04/21/94 / / 04/21/94 DONE MMS 04/28/94 WLC BLDB135 Addressing / / / / 04/26/94 DONE GMM 04/26/94 GMM BLDB200 Environmental Health Review 04/28/94 / / 05/02/94 see conditions DONE CAJ 05/02/94 CAJ BLDC155 Final inspection 05/18/94 05/19/94 05/19/94 CONDITIONAL APPROVAL: PROVIDE 1 HANDRAIL COND LW 05/20/94 LAW ON THE FRONT STEPS 34 TO 38 INCHES IN HEIGHT 1 1/2 INCHES TO 2 INCHES IN DIAMETER. FINAL IS APPROVED UPON MAKING THIS CORRECTION. NO REINSPECTION IS REQUIRED. MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 E` l....N :R IL... II:'3i :::IC: D',R ii""i II'`' iF7 N ;I IP"I'li "II: IL F O R INSPECTIONS CALL 4 2 7—9 6 7 0 BETWEEN 5pm ANO Pain 427-7262 BLD94-0512 PARCEL : 323347590102 Pt..AT ° DTV : BLK : LOT : JOB ADDRESS : NE 200 KISSIN TREE LN TAHUYA OWNER : GEORGE SHAW CONTRACTOR : ABOVE VIEW DECKS AND REMODELIG 275-4954 L E G AI. : TR 11-B OF SURVEY 8111 TR 8 OF SP 11335 FS 15888:1-A BI 114 CLASS OF WORK . . : NEW BEDR : 0 BATH : 0 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT TYPE OF USE . . . . : ACC STORIES . . . . . . . : 0 OCCUP . GROUP . . . : ? BLDG . HEIGHT . . : 0 . Oft PRMT 16.00 TW 05/03 19 4 35724 IPLCK TYPE OF CONST . . : ? FIREPLACES . . . . : 0 = 15.00 TW 05j03194 35724 OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 ,STFE S 4.50 TW 05103/94 35724 DWELL . UNITS . . . . : 0 PARKING SPACES : 0 INSPECTION AREA : 1 SHORELINE? . . . . : N TOTAL: 35.50 VALULATION: 936 SETBACKS--------------- TOILETS . . . . . . . . 0 FUFL TYPFS ----------- BOILERS/COMP—­­ MOBTLF HOME-- FRONT. . . N 5 . Oft BATH BASINS . . . . . . : 0 : ? 0-3 HP . : 0 REAR . . . . S 5 . 0ft BATH TUBS . . . . . . . . . 0 3-15 HP , : 0 MODEL : ? SIDE (1) . E 5 . Oft SHOWERS . . . . . . . . . . . 0 FURN < 100K BTU : 0 15-30 HP . : 0 —MAKE-----— SIDE (2) .W 5 . Oft WATER HEATERS . . . . : 0 FURN ?=100K BTU : 0 30-- 50 HP . : 0 ? SHRLINE . ? 0 . Oft CLOTHES WASHERS . . : 0 FURN — FLOOR . . . : 0 50+ HP . . 0 —YEAR------- AREA ---------- ----- --- KITCHEN SINKS . . . . -. 0 HEAT PUMP . . . . . . . 0 ? LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0 BUILDING . . . : 0,f DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0 BASEMENT . . . : 0sf LAUNDRY TRAYS . . . . : 0 DOMES . TNCIN : O —SERIAL#---- DECKS . . . . . . .. 156sf DISHWASHERS . . . . . . . 0 AIR HANDLING UNITS- - COMM[. .. INCIN : O ? GAR/CARP : ? Osf GARB DISPOSALS . . . : 0 (= 10000 cfm . : 0 RELOC /REPAIR : 0 AT/OT . : ? URINALS . . . . . . . . . . : 0 10000 cfm . : 0 OTHER UNITS .. : 0 MISC PLM FIXTURES : 0 GAS OUTLETS . : 0 PROJECT DESCRIPTION:DECK PROJECT LOCATION:TAHUYA DEWATTO RD, 1 MILES PAST CAMP HAHOBAS ON THE RIGHT THIS PERMIT BECOMES NULL AND VWWOIggD IF WORKOR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD 8 � �b� A � �R��II TAGA�AARBEOO�CbPIEBMMENCED. EVIY NCE OF CONTINUATION OF WORK IS A PROGRESS INSPECT ON ITHIN THE 181 DAY PERIOD. FINAL INSPECTION MUST BE GATE: BLO—PRMT, rev: 13 1(9 COMPLIANCE TO ATTACHED CONDITIO IS REQUIRED MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 Case No . : BLO94-0512 For : GEORGE SHAW Page : 1 1) The use , handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 galions is not allowed without the approval of the Mason County xxFire Marshal .P 2) r thpregf Are et- than 30" in height from gradq fine in main ,a in a minimum f .� ' retbac ro a. property 1i.nes , ea _ ements a d rag t o ways . X 3) 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—In pectlyn fee n t} Q amount of 30 . OQ per hour tminimum 1 hour) will be charged and must H co ected by thhis epartmen prior to any urther inspections being performed or approval granted . X A. 4 ) PL1 SUANT 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 STTF INSPECTIONS . A REINSPECTION FEE , BASED ON RATES IN 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) AL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQ1.1 RE ENTS X 6) Charges to approved building plans that effect compliance to the 1991 Washington State Energy Code , 1991 Vent.i..lat.i..on and Tndoor Air Qiral .i.t:y Code , the Uniform Building Code and/or Mason County gu ations mint be approved by Mason County prior to constructionX._ e 7 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING C 0 0 E . x " ' � MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Permit No. [2R@N0TN2 MASON COUNTY 6 v ILDING PERMIT APPLICATION APR 2 0 J W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 U PLEASE PRINT#1 HEALTW /I G r51 N Phone# Site Address ZC�p 1i �n�cy, 1A n as ra rye Fire District# City lJ� St�_Zip Directions to Job Site - OwnVQlailing Address - City(lv G L St Zip Lien/Title Holder ze_'7w Address Clty St Zip #2 Contractor Name (-� �(f.V l Q �1 Y�L-'�jc �r r'Cl� Contractor Reg# �,fP,VI�(�Ca$ Address .O• ' Expiration Date_/__/� City (-Vl r l St ZipqEfZqPhone# #3 If septic is located on project site, include records. Connect to Septic?-L)CL_Public Water Supply Well Connect to Sewer System?_A)L_Name of System (If residential, proof of potable water is required) #4 Parcel No Z j_ Legal Description 9--- #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / DecksArf #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached of Detached? Other sq.ft. / #6 Use of building IJ Describe work #7 Type of Job: New f Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length Width Serial No. #Bedrooms # Bathrooms Type of Heat 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 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 by (N, S, E, W) Name of Flanking Street Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3 each) 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 Vert Fans Floor Drains No. Boilers/Compressors __Laundry Basins _ HP _Dishwasher No. Air Handling Ua _Disposal _ cfm# Urinals No. Fire Protection Systems —Other Auto. Fir Alarm Sys 50.00 Fixed F' e Supp. S�s 50.00 Permit Basi .Fee 15.00 _ Auto Fife Sprink Sys 25.00 TOTAL PLUMBING $ No.. Other ' Gas utlets Woo , 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. DEPARTME T. X OWNER X BY DATE DAT FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: s r` Building Plan Review Occupancy Group: to Type of Const: l� Fire Marshal: Other: Special Conditions: FEES Building Permit «o ,UD Plan Check 15 . Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: ��7 TOTAL FEE 345 —50 20,0 �-=I LLJ V L119 U c� © c Lu ,\o 60 ELng CL # , CO [LnD Oct —� 1 S t/A\ •� V ■ LD D �G-Vf �t �ARA � `� yy c©'d Sa@S9L59UT 01 0i62, PEE 9©Z k:)HH NGStdbW wOb.t SE:9T �bEi-O�-nGN Z0 39VJ 1N3 3SOA3-1 99099L890Z S6 :0T C66T C :s- a W L S z � QL rip � r zz s vl 2x� 0f/ Gcn�c/` A APPLICANT NAME: t DATE BUILDING PERMIT CHECKLIST ❑ RESOURCE LANDS & CRITICAL AREAS CHECKLIST. All projects must complete the Resource Lands and Critical Areas Checklist before a building or land modification permit is issued, or before final approval of a septic system. [� 1. SITE ADDRESS If site address is not listed, customer needs to be given a site address form. 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 for clarity (Landmarks, signage, owners name on mailbox, etc.?) . LIEN/TITLE HOLDER Who holds the mortgage (Bank or name of private owner holding contract)? 2. CONTRACTOR REGISTRATION # AND EXPIRATION DATE This information needs to be provided. The Building Department may be able to research expiration information if customer does not know it. We must have a signature in 1 of the 2 boxes, either the applicant or the contractor. ❑ 3. SEPTIC RECORDS Septic records should be included. BE SURE TO INFORM CUSTOMER OF $25 RECORD RESEARCH FEE FOR ENVIRONMENTAL HEALTH. If no records are available, make a notation on the form "No Records". If septic application is recent, mark "pending" in the upper right hand corner. EXISTING SEPTIC Remind customer they need to have their tank pumped and determine whether their system meets code (sanitary survey or parcel review?) . They will probably need to show reserve for their septic. 4. PARCEL # Parcel # must be included or researched through Gateway. 5. BUILDING SQUARE FOOTAGE Verify that boxes are filled in. If there is a garage, verify whether it is attached or detached. Include square footage information for mobile homes (you can multiply length X width to determine number) . 6. USE OF BUILDING Is it a residence, garage, greenhouse, etc. . .? DESCRIBE WORK (i.e. mobile home addition, addition to a house, etc. . ) 7. TYPE OF JOB Verify appropriate boxes are marked. ❑ 8. MOBIL HO INFORMATION Verify ropriate boxes are marked. If factory order, please put factory order # in mob e home serial #. If unit was assembled prior to June 15, 1976, refer to proced es andout for "Obtaining Installation Permits for Mobiles Assembled Prior to Juile 15, 1976." ❑ 9. SHOXpit If r is on or adjacent to property within 200 feet, 19 must be complete. Onc is entered into Tidemark, it will be routed to the Planning Department. If is not on water, then put "none" or "n/a". 1 r [ 10. SITE PLAN DRAWING Must have setbacks from all property lines, easement lines and structures. Drainfields septic tank location, outbuildings, etc. . . 11. TOPOGRAPHY DRAWING If property is flat write "flat" on the topography section. If house or structure is near a slope or hill, drawing must reflect this. 12. OWNER OR CONTRACTOR AFFIDAVIT Owner or contractor must sign affidavit statement and date it. 13. ACCEPTED BY Whoever is accepting permit information must sign your initials and date form on the bottom of page 3 or use date stamp and initial on back of permit. 14. PRINTS Need two sets of prints unless it is a stock plan. For stock plans, we only require one copy. ❑ 15. WATE AD UACY For ne esidences and mobiles. PRIVATE WELLS MUST HAVE WELL LOGS OR CAPACITY TEST AND B T AI, TEST. If they are on a public water system, verify the water system is i compliance with State requirements. ❑ 16. WSEC & V &tZAQ CODE Require r all residential, additions and commercial buildings. Energy Code complian form needs to be COMPLETED. Verify heat source (no wood or pellet stoves re p rmitted as primary system) . Window schedule must be filled out and refle9t what appears on submitted building plans. If applicant has decided to go with the PUD in a Long Term Super Good Cents program, we require a copy of the signed agreement with the utility. ❑ 17. PLUMBING CHANICAL This for at be completed for any structure with plumbing and mechanical excludi g mobiles/modulars. 18. FIRE DISTRICTS Please make sure the fire district is included in the application information. Refer to map located at counter. ❑ 19. ROAD AC SS ERMIT If you wi be accessing your driveway from a County road, contact the Public Works Departme t Mason County Building I, 427-9670 extension 450. Access from State Highwa requ res Department of Transportation approval. Contact office (206)895- 4753 ( ort Orchard) . i * ACCEPTED BY:. ** DO NOT ACCEPT PER IT APPLICArNWITHOUT PRINTS AND REQUIRED DETAILED INFORMATION (SETBACKS, ADDRESSES, P CEL # AND . "checklst.blg" 10/05/93 checklst.blg 2 9/20/93