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Home My WebLink AboutBLD96-0474 Final Foundation, Basement and Storage - BLD Permit / Conditions - 8/16/2000 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 1;S I 1 1 , 113 1 N c;, k' E: FT M I i FOR. INSPECTIONS CALL 427-9670 SETIN EN 5pm AND Elam 427-7262 BLO96-0474 PARCEL L 0 23305200016 PLAT o BE PL.O D I Nit BLK : JOB ADDRFSS s NF 50 SCHOONER PL RFLFA IR I,T OWNER : TERRY THAVES 275-8152 PE TIoN CONTPACTOR ; LL & Vol"' ;`+' IRA LEGAL. : IFAWEIS CEI11t DIV 5 61 X: 1011 16 Tu (A C( �� l CLASS OF WORt , . ADD BEDR r 4) BA'IH : 0 TY O—V N I 'fGflPl APE ANOVOT B1 DAIF OfCE P� k TYPE OF USF — MH STORIES . . . . . .. . :Pl k UC^UP , GROUP — `t BUDG . HF I GHT . . e 91 ,.Oft INCP S 2A.10 CPN 05122196 11110 TYPE OF E'ONST . . :? F' I RFPLACE'S . . . . a 0 STfE 1 4.50 CPN 05122196 0000 OVCl.)P . 1_OAD . . . . : fix WOODSTOVFS . . . . : 0 PENT I 185.50 CPR 05122i96 0000 DWFLI. .UN I 1 S . 0 PARKING SPACES : 0 PI C,K t Tf.20 CPH 05122196 0000 I INSPECTION AREA : 1 SHOREI INE? . . . . :N TOTAL: 290,26 VAIVIA1101t 21 flip � SETBACKS __. __.. ._._ __ _. _. TOILETS . . . . . . . . . . , 0 FUE:I_ TYPES -•--------- BOILERS/C,OMP-.--- MOB 1 LE HOME._ FRONT — , N 10 .0ft BATH BASINS . . , . . 0 : 0_.3 HP r 0 RI_AR S 10 .0ft BATH TUBS . . . . . . , x 0 3--15 HP . :- 0 MODEL : A 1 TxF t i ) .E 10 .Oft SHOWERS . . . . . : . . . . : 0 1 ORN -- 100K ST(I s 0 15-30 HP , : 0 --MAKE-,. - GIDE(2 ) .W 10 .0ft WATER HEATERS . . . 0 FURN --100K 6TU : 0 30--50 HP . : 0 SHRL I NE O .Oft CLOTHES WASHERS . : 0 FORN - FLOOR . . . : 0 50•I- I9P . : 0 -YEAR AREA - --- _ ____ KITCHEN SINKS . . . . a 0 HEAT PUMP — . . . . : 0 LOT S 1 ZF , . t FLOOR PRA INS . , 0 VFN'T SYSTF M S . . . : 0 EVAP COOLERS a 0 1 EN(17H : N BUII-DING . . . t fpsf DRINKING FOUNT . . . : 0 VENT FANS . . . 0 HOODS . . . . . . . : 0 WIDTH . : 0 BASEMFNT . . . 9 OF;'1 LAUNDRY TRAYS . - . . 0 UOMFS . INCINrO - SFRI At. II--- DECKS . . . . . . : 09'f DISHWASHFRS . . . ., . . : 0 AIR HANDLING UNiT5— COMML. , 1NCTN :0 GAR/CARP :? Rst GARB DISPOSAIS , . . . 0 10000 cfm . : 0 REt_OC/REPAIRz 0 AT/DT , o? URINALS . . . . , . . . > . : 0 10000 cfm . : 0 OTHER UNITS . : 0 M I SC PLM F I XTURES : N GAS Ot1l 1 17TS . c 0 z�rreca.avexse- �.:sz.=:.•a.-'xac:eae•�a:usavue:.va:r.T..�.--ev.+.s-•,--_..•sa:asanr;..:mrcors-•rsala..ss-Samar.s,eracvaer.,r=a.nn+n.:wi••..c:::es>ssr.x:uxr'r:�rrri�auieaCc+cs�::s�•+arm.^vmcsaR�m�..r:s�..:r•ss+ses.:aarom..:.:-s:.--�-a P1OJEC1 DESCRIPIION,400 FODNOATiO11, wFNENI, 6161w UNOu HORILT NONE PROJECT 1OCA1IO0%tOCAIfD 11 ISEARDS COVE CONINR FRON BfIfAi1 SIOCk NKT TAKE HIT 300 TO 011001tt TURN 11601 1`01101 SAN01II11 10 I.ARSON wo, NON IEFT, F011ON LARSON RIVD TO TOP OF HITA THIN 11011 ONTO SCISONER LP GO APP101 2 CITY RLOCXS TUPN 11611i ONTO SC100NE1 PL IE'1f AT THE BOTTOM CDIDESAC OI RIGHT INITE GARAGE 011150 00 17, NORI!E IS GREY AND 8F1S BACK IN. IRIS PERNII 8ECONiS NULL AND vOIO IF NORIi 01 CONSIOUCI104 AU1N0111ED IS NOT CONNENCEu WITHIN 180 DAYS, O1 IF CONSIAUCTION ON WORK IS SUSPENIiED E41 A PtRI OD Of iDW DAYS AT ANY TINE AFTER 1019 IS CONNFNCEN. EVIDENCE OF CONTINUATION OF WORK 13 A 110611. S INSPECTION IITNIN THE 180 PAY PE11/8. fINA1 INSPECTION RUST 01 A►PNOVEO BEFORE 80110106 CAI DE OCCUPIED. OWNER 08 A8EN1e...�X-4:�.+.u.�.. ' _81C,,t"T rev, #3131191 _ CCTMPE I_AN(;F TO ATTACHEE) CON01 T I ONS IS REOU I RFD CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Setup 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 J MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 `I I P E= €=i M 1 "F C 0 N I-) 1 I' 1 C.>N w Case No --; OL.D96--047 4 For c TERRY THA.VF S Page ► 1 ) The use, hand Ing and storage of haraudous materials or t iarosl rble send (;omtoust ible liquids in axoess of 10 gal Ioits Is not allowed without the lapproval of the Mason County Fire Marshal . cc 2) Proposed structure or any port l can thereof (It eater than 10" In he I ght Prom grades 1 i ne, must maintain a minimum of 5 ' setback from all property I i ne s, easements and 10' from a I I fxun ty nd State Roars v i ght of ways , 3 ) Struotur mutt be -et.ba;-tk h ' from a7 I uti I sty and draina41e a?ise.noer-ktry a total of 10 ' f rom apch qropert i ne, or a variance moist be obta i need from the Flu I d I ng Department . X - , z ) ' A PER E NG I NEER I N(i SPEC I F i CAT I ONti TH i C 1 ` A MODULAR HOME:-NOT A MANUFACTURED HOME . If F NG I NE ER I NG CAL.CS ARE BASED ON MOI�1)L AR AND THIS IS A MANUFACTURED HOME , 00 NOT COMMENCE CONSTRUCTION ` W I TH0'1�9TREVISED ENGINEERING AND MASON COONT Y APPROVA1 X--7yL-zU -44 1,2 5 ) THE PROPOSED BASEMENT AREA is 'TO BE USED FOR STORAGE PURPOSES ONI. Y . ACCESS 'TO PASFM1=NT AREA !S BY EXTERIOR MEANS ONLY . NO OPENINGS THROUGH MODULAR TO BASEMENT ARE PROPOSED OR APPRCV ..D , xtiLC-116c(L� 6) ALL POTFNTIAL SI TE RUN OFF OF 81)HrA1:E AND SUB�3URFACE WATER MUST RU ADEOUATELY ADDRESSED SO AS NOTE TO CREATE NEGAT1VF DRAINAGE IMPACTS ON ADJACENT PARCFI_S. x MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 i .a > n; .,t .°rt. .I r - ' t. �t.�E a .a.. t.� '.I t.. („e�! i- Si NU TO+ EXCEEIT 1 WATT/SQUARE FOOT OR 3 .4 BTU/HR/SQUARE FOOT) AT SUCH TIME THIS CONDITION CHANGES, A CHANGE OF USE PERMIT AND A MECHANICAL. PERA41 T SHALL. BE APPLIED FOR AND APPROVED PRIOR TO THE CHANGE . IT IS RECOMMENDED THAT R-10 SLAB INSULATION BF INSTALLED IN RASE ENT w0 THE�COMPLIANCE TO THE WASHINGTON STATE ENERGY CODE CAN BE ACHIEVFD . X (G. 8 ) All approved plans are required to be on--site for inspection purposes . If Inspection Is railed for and plans are not on site, Approval WILL NOT be granted . 1n addition , a Re- inspection fee in the amount of $30 .00 per hour (minimum 1 hour ) will be charged i4nd must be co 1 l euted by this department prior to any further inspections being performed or approv I qranted 9 ) PURSUANT TO 1991 UNIFORM BUILDING CODE SECT I Oita 305(C ) AND SECTION !- 13 , ALL S I T'ES MUCT HAVE APPROVED NUMBER: OR AVDRESSCS PR6VIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND -LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPURTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES !"HAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTION^ . A REINSPECTiON FEE PAGED ON RATES IN TABLF :3A OF THE 1g91 UNIFORM BUILDING CODE Wli1 BE ASSESSED IF OWNFA/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING 10) ALL ON .T,/ kff,T I UST MEF.T OR EXCEED AI_I. LOCAL CODES AND UBC REQU i REMUN TS . X_ (._ AJi,mot_ '!(_e 1CaY L1 ) Change.; to approved building plans that effect compliance to the 1991 Washington State Energy Cade, 1991 Ventilation and Indoor Air Quality Code, tha Uniform Buildin { ode Ma on Count yyRe� -i{= .�- be approved by Mason County prior to constructIoy = � 12 ) ALL CONSTRUCTION MUST MEET OR EXCEED LOCAL CODES , 1F ANY QUESTIONS, PLEASE' CAL-.. TH-IS OFF i C,��EFORE. CONSTRUCTION . 13 ) CONSTRUCTION PROCESS TO BE FIELD CORPEC TED AS RF$?U I AFD R MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODF. ,x_ .� : �`�C —� '/17A PLlr 8/14/00 Conditions Associated with Case #: BLD96-00474 3:51:02 PM Cond. Stat. Changed Updated Code Title Hold Status Changed By Tag Updated By 5001 Flammable+Combustible Liquids Not Met 4/30/96 MMS 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 5025 Sideyard Setback Not Met 4/30/96 MMS 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'from all County and State Road right of ways. X 5022 Multiple Setbacks Not Met 4/30/96 MMS Structure must be setback 5'from all utility and drainage easements,a total of 10'from each property line,or a variance must be obtained from the Building Department.X 1000 **CUSTOM CONDITION** Not Met 5/21/96 TLG AS PER ENGINEERING SPECIFICATIONS,THIS IS A MODULAR HOME-NOT A MANUFACTURED HOME. IF ENGINEERING CALCS ARE BASED ON MODULAR AND THIS IS A MANUFACTURED HOME, DO NOT COMMENCE CONSTRUCTION WITHOUT REVISED ENGINEERING AND MASON COUNTY APPROVAL. x 1000 **CUSTOM CONDITION** Not Met 5/21/96 TLG THE PROPOSED BASEMENT AREA IS TO BE USED FOR STORAGE PURPOSES ONLY. ACCESS TO BASEMENT AREA IS BY EXTERIOR MEANS ONLY. NO OPENINGS THROUGH MODULAR TO BASEMENT ARE PROPOSED OR APPROVED.x 1000 **CUSTOM CONDITION** Not Met 5/21/96 TLG ALL POTENTIAL SITE RUN OFF OF SURFACE AND SUBSURFACE WATER MUST BE ADEQUATELY ADDRESSED SO AS NOT TO CREATE NEGATIVE DRAINAGE IMPACTS ON ADJACENT PARCELS.x 1005 UNHEATED STRUCTURE Not Met 5/22/96 DC 5/22/96 WLC THE PROPOSED BASEMENT UNDER THE PROPOSED MODULAR HOME IS CONSIDERED UNHEATED SPACE (NOT TO EXCEED 1 WATT/SQUARE FOOT OR 3.4 BTU/HR/SQUARE FOOT). AT SUCH TIME THIS CONDITION CHANGES,A CHANGE OF USE PERMIT AND A MECHANICAL PERMIT SHALL BE APPLIED FOR AND APPROVED PRIOR TO THE CHANGE. IT IS RECOMMENDED THAT R-10 SLAB INSULATION BE INSTALLED IN BASEMENT SO THE COMPLIANCE TO THE WASHINGTON STATE ENERGY CODE CAN BE ACHIEVED. X 1001 PLANS REQUIRED ON SITE Not Met 5/22/96 CPH 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 1002 POST ADDRESS Not Met 5/22/96 CPH 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 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 5003 ALL CONSTRUCTION Not Met 5/22/96 CPH ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS. X 5030 Changes to Approved Plans Not Met 5/22/96 CPH 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 5040 Excessive Corrections Not Met 5/22/96 CPH ALL CONSTRUCTION MUST MEET OR EXCEED LOCAL CODES. IF ANY QUESTIONS, PLEASE CALL THIS OFFICE BEFORE CONSTRUCTION.X 5045 Field Correct Not Met 5/22/96 CPH CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE.x Page 1 of 1 8/14/00 Activities for Case #: BLD96-00474 3:50:52 PM #- 1 a33o Sa - o00 1 cv s kP �� S Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes BLDA010 Application received 4/25/96 KW 4/25/96 BLDB134 RLC Checklist Review N/A MMS 4/30/96 BLDB135 Addressing 4/26/96 GMM DONE GMM 4/26/96 BLDB110 Structural Plan Review 4/30/96 5/21/96 TLG DONE TLG 5/21/96 AS PER ENGINEERING BLDB130 Planning Review 4/25/96 4/30/96 MMS DONE MMS 4/30/96 BLDB120 WSEC Compliance Review 5/22/96 5/22/96 DC COND WLC 5/22/96 UNHEATED BASEMENT,SEE CONDITION ON PERMIT BLDB200 Environmental Health Review 4/25/96 4/25/96 JWT DONE JWT 4/25/96 non-heated storage area.JT BLDA011 WARNING!!SEE PARCEL FLAG 5/22/96 TW DONE TW 5/22/96 verified with kerry x 283 everything ok BLDA100 Approved For Issuance 5/22/96 TW DONE TW 5/22/96 BLDA500 (F)Issue building permit 5/22/96 CPH DONE CPH 5/22/96 BLDC110 Footing inspection 5/29/96 5/30/96 5/30/96 LW PART LAW 5/30/96 PART APPROVAL:THE FOOTING AND WALL ARE BEING POURED IN ^ SECTIONS.THIS SECTION IS !/1 THE FIRST 1/4 OF THE FOOTING. 1. LEAVE REBAR STUB OUTS TO TIE THE V SECTIONS OF THE FOOTING 1"' �' TOGETHER 15 INCHES MINIMUM. 2.THE VERT. BAR / r WAS NOT IN PLACE YET,OK TO INSTALL AND TAKE PHOTOS OF IT. PROVIDE AT 1 THE NEXT INSPECTION.THE VERT BARS REQUIRE A 90 DEGREE BEND AT THE BASE. BLDC115 Foundation wall inspection 5/31/96 6/3/96 6/3/96 LW PART CMS 6/3/96 PART APPROVAL; 1. FIRST 1/4 OF FOUNDATION WALL. BLDC110 Footing inspection 6/7/96 6/10/96 6/10/96 LW PART CMS 6/10/96 SECOND 1/4 OF THE FOOTING OK'ED. BLDC115 Foundation wall inspection 6/11/96 6/12/96 6/12/96 LW PART LAW 6/12/96 SECOND 1/4 OF THE FOUNDATION WALL. BLDC110 Footing inspection 6/17/96 6/18/96 6/18/96 LW PART LAW 6/25/96 3rd SECTION OF FOOTING. BLDC115 Foundation wall inspection 6/17/96 6/21/96 6/21/96 LW PART LAW 6/25/96 LAST SECTION OF WALLS OK ED. BLDC115 Foundation wall inspection 6/18/96 6/20/96 6/20/96 LW PART LAW 6/25/96 NOT READY FOR INSPECTION. BLDC110 Footing inspection 6/21/96 6/24/96 6/24/96 SKM FAIL SKM 6/25/96 not ready BLDC110 Footing inspection 7/1/96 7/2/96 7/2/96 LW PART LAW 7/3/96 FOOTING SECTION ACROSS THE OPEN END OF THE BASEMENT, DONE AS PER ENGINEERING.ALSO THE PERIMETER FOOTING ALONG THE EDGE OF THE SLAB. BLDA560 Permit cancelled 2/1/99 K DONE KW 2/4/99 Page 1 of 1 I� Permit N o` ii MASON COUNTY BUILDING PERMIT APPLICATION - 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 One a ��; 2S Phone# �F�0��75`b i Address ,yt� soSc�7 D nU�' PL Fire District# Z City St I'.)J� Zip `MS'5��T Directions to Job Site 1.ac41ee� Li&W-As Cnv_. rn; p Q D ! >I vGYm-sr,�Q� C L a 1 �J v� Owner Mailing Address rn GL d V 2 City St Zip Lien/Title Holder i a -01 C'4� c Address �C'� � � I S� i a vc City 5 V,Lo�,I•+0-y-/ St WL Zip S #2 Contractor Name Contractor Reg# Address Expiration Date City St Zip Phone# #3 If septic is located on project site, include records. &cons s G�2 O►n i n '�W-V S Connect to Septic? Public Water Su I 151�lellS l � � =aY d p Pp Y ca r� p� �,r't" ' Connect to Sewer System? Name of Syste r (If residential, proof of potable water is required) # � "I No. 2� 3 -�- 0oo I � Legal Description T)�y, 1 L.bt 16- ` Sec . 3 O 23 N W w #5 Building Square Footage: (existing/proposed) 1st FI '3 ,S 2nd FI / 3rd FI / Loft / Basement 3 %eck 4R 5 / #bedrooms / #bathrooms / Garage 3365t/ Carport / (Circle:Attached or'Detached�), Other sq.ft. / #6 Use of building T—_our�.d_a+1' Ql'i a5�-��o w S r�Describe work #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANL4F-ACTURED HOME INFORMAT Model Year -Maka�WidthsariaLN_9. el Length .S� �FL� A�t'7 4 g� !38 # Bedrooms 3 Z `-Type of Heat Purchase e$ „ �, )0, #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 -99w 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 Name of Flanking Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3$3 each) Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins H tpump, Other Bath Tubs No. Units Fees _Stowers _ urn BTU Hot\Water Htr _ Heatpumps _Laundry Washer _ Vent ystems Sinks Spot V t Fans Floor Drai No. Boilers/Compressors Laundry Bas' s _ HP Dishwasher No. Air H ndlin i 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 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. DEPARTMENT. X OWNER d' !�C'LQJ�4— X BY DATE '' 3 �(,�/ DATE FOR OFFICIAL USE ONLY: Accepted by: Date: - w DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: 14,-�-,' — Sc.�fnrtr hems 4/30 Environmental Health: 6 Building`Plan Revie Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES low / ea'- Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: TOTAL FEE