HomeMy WebLinkAboutBLD2005-00210 Final MFG Home - BLD Permit / Conditions - 2/8/2006 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
r Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2005-00210
OWNER: EARL IDDINGS RECEIVED: 2/10/2005
CONTRACTOR: LICENSE: EXP: ISSUED: 4/13/2005
SITE ADDRESS: 51 NE PEG LEG CT BELFAIR EXPIRES: 10/13/2005
PARCEL NUMBER: 123305100035
LEGAL DESCRIPTION: BEARDS COVE DIV 4 LOT: 35
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME SAND HILL RD, LEFT ON LARSON BLVD, RIGHT ON NE SCOONER LP RD,
LEFT ON PEG LEG CT
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.: VB
Type of Use: MH Insp.Area: No.of Bathrooms: 2 Occ. Group: R-3 Lot Size:8,250 Deck:
Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:1,296
Valuation: Building Height: 14 Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline& Planning Information
Make:DISCOVER' Length: 48 Ft. Front: S 30.0 Ft. Shoreline: Ft. Water Body:
Rear: N 55.0 Ft. Slope: Ft. SEPA?: No
Model:4483R Width: 27 Ft. Side 1: E 15.0 Ft. Shoreline Desig.: Not Applicable
Year:2005 Serial No.: Side 2: W 12.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fee KS 2/10/2005 $214.50 S12005
Planning Review Fee KS 2/10/2005 $155.00 S12005
Building State Fee ARC 2/11/2005 $4.50 S22005
Mobile Home Issuance Fee ARC 2/11/2005 $214.50 S22005
Address Fee GMM 2/14/2005 $140.00 S22005
EH Plan Review CEW 2/24/2005 $75.00 S22005
Total $803.50
gLD2005-00210 Please refer to the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2005-00210
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CONDITIONS FOR
BLD2005-00210
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-64 - 9 2. e person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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2) The internatioanl code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150'from an approved
access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where
such ro s nn with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
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3 All approved plans are re uired 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 (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building
Departt prior Many further inspections being performed or approvals granted.
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4) In accordance with international codes and Title 14, Mason County Building Code, "Standards for Fire Apparatus Access Roads,"all new structures that
require an address shall have approved numbers or addresses located at the beginning of long driveways when the address is not clearly visible from the
access road. The numbers shall also be plainly visible and legible from the street or road fronting the property and shall contrast with their background.
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 international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting
inspectif�s
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5) The plan review check list and corrections 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
removf ppro ed documents will result in failure of required building inspections.
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6) The "ap roved" site plan is required to be on-site for inspection purposes. If an inspection is requested and the "approved" site plan is not on site, then
approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the
Building Depart t i0e any further inspections being performed or approvals granted.
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hL D2005-0021 0 Please refer to the following pages for conditions of this permit. 2 of 4
7) Any retailer, manufacturer or contractor who installs a manufactured home warrants that the manufactured home is installed in accordance with the State
Installation code, chapter 296-150M WAC. All installers hired to do installation work shall be certified manufactured home installers and shall be present
to supervise the installation of all on-site work. An Installer Tag shall be posted on site giving the certification number and signature of the certified
installer responsible for each major part of the installation. RCW43-63B.090
An approved Installer cerification tag shall be placed on the end of the manufactured home directly above or below the HUD certification tag or temporarily
located in plain site within three of the home's front entry. There shall be one certification tag for each certified installer accounting for the work that each
installer performed(onin tall certification number and signature of the certified installer responsible for each major part of the installation.
WAC365-210 X
8) If you are installing a manufacturing home and no longer have the installation manual for the home, you must use the instructions of the American
National Standards Institute (ANSI). To order the ANSI instructions you may either get an order form from the Mason County Building Department or you
can contact the Offfice of Manufacturing Housing (360) 725-2800.
9) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit re at' n.
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10) REQUIRED INSPECTIONS (Footing Inspection-prior to pour, Set-up Inspection-prior to skirting, Final Inspection-prior to occupancy). I hereby assume all
responsibility for the scheduling of my required inspections. If the 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 current fees adopted by the Mason
County Building Dept., and 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 Until resolution of any/all problems no occupancy(Final
Inspection) will be granted for the residence.
OWN ER/CONTRACTOR(indicate which) Signature X
11) This permit is for the pl nt n installation of the manufactured home only and does not imply approval or review for any other items indidcated on
the plot plan. X
12) 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 with 25'of a Mason County road right of way, it is suggested to contact that office to review future planned work which may
affect your proj
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13) All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinance or gu i must be reviewed and approved by Mason County prior to construction.
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LD2005-00210 Please referto the following pages for conditions of this permit. 3 of 4
14)• The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector be de prior to requesting additional inspections.
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15) The installation permit shall be displayed in clear view of the site access road. The approved site plan and other applicable instructions, including
installation instructions, shall be available in this location OR placed in the location specified by WAC 296-150M-655. Support configuration shall be
clearly marked in the installation instructions.
16) All property lines shall be clearly identified at the time of foundation inspection. X
17) 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-compliant with
Mason Coun rdAan e and building regulations.
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18) 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 permit
holder have f ente ction from being taken. No more than one extension may be granted.
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19) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors, nd la rT"g. Install metal connectors approved for contact with the new types of pressure treated material.
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20) Water lity is not be degraded to the detriment of the aquatic environment as a result of this project.
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21) Prior to final approval, all upland areas disturbed or newl re te construction activities shall be seeded,vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X
22) All construction and demolition debris must be removed after project completion. Proper dispmal pf c struction debris must be on land in such a
manner that debris cannot enter or cause water quality degredation of State waters. X
23) Approyad p mensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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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 occupied.Proof of continuation of
work is by means of a progress inspection.The owneror the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to
the above described property and structure for revi a inspection.
OWNER OR AGENT: DATE: C/
hLD2005-0021 0 Please referto the following pages for conditions of this permit. 4 of 4
0
o CONCRETE MECHANICAL MANUFACTURED H Ei
0
T Footings / Setbacks Date By Ribbons
0
N Date By Gas Piping Date S�/a-62)-Byl;,--2
o Foundation Walls Date B y Set-up
Date By INSULATION Date By WlL
B G / Slab Insulation Floors Final
Date By Date By Date ®������, By, ��
FRAMING Walls FIRED PT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By _.LC N16 �1f7�
Date By WALLBOARD NAILING FSs, ASP ice'
D.W.V. Date By
Date By FINAL IN PECTION
Water Line Date odZ 66 o B y
Date By Date By
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TOPOGRAPHY PROFILE: L r�
Direction: Scale: Approval: for office use
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Building Permit number: 1 01 _ Building:
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Owner/Applicant: rar J fCt-�U Date of Planning:
1 �33� —,/ — C application: Env. Health:
Parcel Number:�
FILE
'�. eUMMING
COPY �
i9ol, Silvercrest Discovery : 4483RRECE,VED
1// N 6- C?—' FEB 10 2005
j tie< /006Ow� C6 426 W. CEDAR ST:
--48'-0"
-lop,Sr lyt)!-i- rovrr 01't
--- ull Sw fPLE1ER o o
D u M% SPACE
=pal M4%/MTR pPr D/M Sw i
-"P' UTILITY DINING ROOM s _ BATH
KITCHEN - BEDROOM
8'-I1'K12'-6 g . ---I
7pP�-++ y
a
BATH
00
1 0_� HALL 2_C�
tD - �o
u"
�au
MASTER BEDROOM LIVING ROOM BEDROOMl3
13'-O'r12-10' i 19'-9-■12-10'
ENIRY
Silvercrest Discovery 4483R
3 bedrooms, 2 baths, utility T1 1 D 2 00 S -- 0 0 210
2V-8"x 48'-0"Approx. 1280 SQ. FT. THESE P LA J_) MUST BE
All room dimensions are approximate l 2 3 3 0-- 5-1-000 3 T ON THE JOB SITE
and subject to change.
_T''c(c(1'.4 y s
CHANGES
SUBMIT CHANGES FOR APPROVAL
PRIOR TO PERFORMING WORK
1 MUST MEET ALL CURREN1
WASHINGTON STATE CODES
4/16/2004
_ APPROVED
MASON BUILDING INSPECTOR
CHANGES SUBJECT TO APPROVAL
A!L4=_DATE? +1 I"
1
RETURN ADDRESS
Land Title Company
PO Box 1920
Relfair, WA 98528
Q-157105JB
AWASHIN6TOM STATE DEPARTMENT Of Manufactured Home :OTITLE ELIMINATION
LICENSING Application [--]TRANSFER IN LOCATION
Anyone who knowingly makes a false statement of a material fact is guilty ❑REMOVAL FROM REAL PROPERTY
of a felony, and upon conviction may be punished by a fine, imprisonment, or both. (RCW 46.12.210)
MANUFACTURED HOME
TPO/PLATE NUMBER YEAR MAKE LENGTHMIDTH(FEET) VEHICLE IDENTIFICATION NUMBER(VIN)
21 Silvercrest 52 X 28 118-30669AB
LAND LEGAL DESCRIPTION ON PAGE-2
MANUFACTURED HOME WILL BE [AFFIXED REA330 51R00035TY TAX PARCEL NUMBER
❑ REMOVED 12330 51 00035
LOT BLOCK PLAT NAME OR SECTIONITOWNSHIP/RANGE QUARTER/QUARTER SECTION
35 Beard's Cove No.4
GRANTOR(S)REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE
COUNTY NUMBER NUMBER OF REGISTERED OWNERS NUMBER OF LEGAL OWNERS
1 1
NAME OF REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER
Ricky L.McCaig
NAME OF ADDITIONAL REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER
ADDRESS CITY STATE ZIP CODE
51 NE Peg Leg Court Belfair WA 98528
NAME OF LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER
Wells Fargo Bank,N.A.
NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER
ADDRESS CITY STATE ZIP CODE
600 108th Avenue NE,Suite 340 Bellevue WA 98004
GRANTEE
NAME
I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT I/WE AM/ARE- HE REGISTERED OWNER(S)OF THIS
VEHICLE AND THIS INFORMATION IS ACCURATE:
Signature of of Registered Owner and Title, IF APPLICABLE
Signature of Additional Registered Owner and Title, IF APPLICABLE
NOTARY
\����py���� NOTARIZATION/CERTIFICATION FOR REGISTERED OWNER(S)SIGNATURE
`IGJ§4 Jill State of Washington�Q Signed or attested
County of before me on •��,// ` .
� �- t� �
Ricky L. McCaig -'
:0 a s Ile Sign"
- - PRINT NAME OF REGISTERED OWNER ! O.ARY OR AGENT
,Fj S(5 PRINT NAME OF REGISTERED OWNER PRINTED NAME OF NOTARY
/
'� V� County/Office No.OR
/ll FOI�AA�a�x�. '� � I Title f y AND: Dealer No.OR
I�It F WAS\*.� I DEA ERSHIP POSITOOi' '4T/NOTARY Notary ExpiraGun Dale
Lj TITLE COMPANY CERTIFICATION
I certify that the legal description of the land and ownership is true and correct per the real property records.
NAME(TYPED OR PRINTED) TITLE COMPANY/PHONE NUMBER
SIGNATURE/POSITION DATE
Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs.
BUILDING PERMIT OFFICE CERTIFICATION
I Certify that: the manufactured home has been affixed to the real property as described,
a building permit has been issued for this purpose and the attachment will be inspected upon completion.
NAME(TYPED OR PRINTED) BLDG PERMIT OFFICE/PHONE# BLDG PERMIT#
_.
SIG TYRE/POS ION DATE
1
TD-420-7 9 (R/ 6)W Page 1 We
Q-157105JB
MANUFACTURED HOME-FROM SECTION 1
TPO/PLATE NUMBER YEAR MAKE LENGTH/WIDTH(FEET) VEHICLE IDENTIFICATION NUMBER(VIN)
2005 Silvercrest 52 x28 118-30669AB
r.1 SIGNATURE OF LEGAL OWNER
SIGNATURE OF LEGAL OWNER INDICATES CONSENT FORE !MINATIQN OF TITL / EMOVAL R M EAL PROPERTY.
Wells Fargo Bank, N.A..
Signature of Legal Owner and Title,IF APPLICABLE
Signature of Additional Legal Owner and Title,IF APPLICABLE 4�115 F r N.P,.
NOTAVy/8EAL0R•SZAMP NOTARIZATION/CEF;TIFICATION FOR LEGAL OWNERS SIGNATURE
+tt11�U(;..•••• State of Washington •� Signed or attested
County of before me on
" fl�,'�,J fn:n by 7 l Signature
PRINT NAME QP LEGAL OWNER C NOT R OR AGENT
o�,,� by �� „n��, i1vC1Q.l l)Y4��,L► l:sM
--9/X •' `,2��� t1 I PRINT NAME OF LEGAL OWNEA PRINT D NAME OF NOTARY
11 I County/Office No.OR W ASW\1;*j 1 f 1 Title AND: Dealer No.OR tJ
DEALERSHIP POSITION/AGENT/NOTARY Notary Expiration Date
LAND DESCRIPTION (A legal description of the land can be obtained from the local County Assessor's Office)
Lot 35,Beard's Cove No.4,as per plat recorded in Volume 8 of Plats,page 93,records of Mason Celtnty,
Washington.
DEALER'S REPORT OF SALE
I CERTIFY THAT THIS INFORMATION IS CORRECT.THE VEHICLE IS CLEAR OF ENCUMBRANCES EXCEPT AS SHOWN.
ANY REQUIRED SALES TAX HAS BEEN COLLECTED.
DEALER NAME(TYPED OR PRINTED) r A DEALER NUMBER DATE OF SALE
PURCHASE PRICE TAX JURISDICTION/rAXBATE DEALER'S AUTHORIZED SIGNATURE
USE TAX EXEMPT Sale to a Certified Tribal member on the reservation(attach notarized statement of delivery).
COUNTY AUDITOR/AGENT LICENSING OFFICE APPROVAL: (Not for use by Subagents)
I certify that the above application appears to have been completed correctly,and the applicant has sufficient documentation to proceed
with the recording of this form.
NAME(TYPED OR PRINTED) COUNTY OFFICENFS OPERATOR NUMBER
SIGNATURE DATE
TITLE FEES
FILING FEE APPLICATION MOBILE HOME FEE ELIMINATION FEE I USE TAX ISUBAGENTFEES
TOTAL FEES&TAX
IMPORTANT: Once the application has been approved by the County Auditor/Vehicle
Licensing �—
Office, take your application form to the County Recording Office.
Retain proof of the recording fees paid. If the Recording Office retains
your original application form, obtain a certified copy of the recorded form.
APPLICANTS: Once recorded, you must return to a Vehicle Licensing office to file the
Manufactured Home Application, paying all required fees. Vehicle
licensing subagents charge a service fee.
For full instructions on completing this form for Title Elimination, Removal from Real Property or
Transfer in Location, see form TD-420-730, Manufactured Home Application Instructions.
The Department of Licensing has a policy of providing equal access to its services.
TD-420-729 (R!6/06)W Page 2 of 2 If you need special accommodation,please cal(360)902-3600 or TTY(360)664-8885.
�_.
MASON COUNTY' PERMIT N '���'
BUILDING PERMIT APPLICATION
426 W. Cedar • FO. Box 186, Shelton, WA 98584 _
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICAU1 INFORMAT N CONTRACTOR IN RM TION
Owner o�k - ���rZ - Company Name
Mailin Addres Mailin Address o
City State W# Zip Code City �11k State W k Zip Code
Phone c�-!I I`���-ether Ph. 7S- YS� Phone 1 71se ys er Ph.
Lien/Title Holder Contractor Reg. S Exp.
E mail address.-S1N'Vk E Mail Address
Drivers Lic.# DOB /J•0-10-7 DOB* III 1*-77
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Sep is Existi g Se tic
Connect to Water System _J<Name of Water System ��" 5 cA�,
Well Water System Name of Water System
PARCEL INFORMATI N - 12 Digit Parcel No. 121,330 ^ Fire District
Legal Description
Site Address (Please include street name, street qumber and city �!
Dire tions to sit o^ on ,SGctO'14f"
F
Will timber be cut and sold in parcel pr aration. Yes o
Is property with* 200'of Saltwater Lake River/Creek. Pond _
Wetland—Seasonal Seasonal Runoff Strearn-4Q0 Slopes or Bluffs > 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work
No. of Bedrooms No. of Bathrooms Square Footage- 1 st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport Attached Detached
MANUF, TURED H�j E INFORMATION - Make - vCW1 Model y 3 Year- jD•='
Length idth�d l Serial No. N No.of Bedrooms_2t—NogLjBathrooms
Type of Heat Purch a Price $Mma Replacement Unit? Yes QU
Installer Name �•S Certification No. O
OVVNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit rppcc 11,,
Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or the co9M.Ifl/rEeD
declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I h obtained the permis-
sion from all the necessary parties.If permission is required from any easement holder or any other party in intere t arf ig tl� plica-
tion or th ork pro sed in the pli tionAk�, I have obtained permission from them to apply for this permit and conduct the w r4F bsed.
X Nate: 0�"9"2� 426 W. CEDAR STg
Owner/Own epre-,entative/ ntracto (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED /, , NOTES
Building Department
Planning Department
Environmental Health Department 2 0 os- UO -L /O
Public Works Department
Fire Marshal
FEES
Buildinq Permit Fee ZF e> Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee PlanningReview Fee
Mechanical & Base fee Other
Wood/Gas/Pellet Stove Fee State Fee S�
Violation Fee 0 �/\f Pre-Paid at Submittal
Valuation $ &0 TOTAL FEES