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HomeMy WebLinkAboutBLD2000-00815 Addition, Remodel - BLD Permit / Conditions - 8/17/2000 Inspection Line (360)427-7262 ,.1ASON COUNTY PERMIT ASSISTANCE CENTER Phone: (360)427-9670, ext. 352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2000-00815 OWNER: ERIC BADILI 360-275-6972 CONTRACTOR: LE VOSE ENTERPRISES RECEIVED:ISSUED: 0 /2000 08//17/200 SITE ADDRESS: 61 NE LARSON BLVD BELFAIR PARCEL NUMBER: EXPIRES: 02/17/2001 LEGAL DESCRIPTION: diummuhubARSON BLVD PROJECT DESCRIPTION: DIRECTIONS TO SITE: ADD A GARAGE, W 8X10 ADDITION TO EXTEND EXISTING FROM SANDHILL TURN LEFT ON LARSON BLVD FOURTH LOT ON LEFT BEDROOM, W/COVERED ENTRY General Information Construction 8, Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: 5N Type of Use: SF Insp. Area: No. of Bathrooms: Occ. Group: U1 R3 Lot Size: Deck: 0 Type of Work: ADD Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:80 Garage-Attached 576 Valuation: $16,100 Building Height: Occ. Status: Primary Basement: CVRD PORCH 100 Manufactured Home Information Setback Information Shoreline & Planning Information Make Length: Ft. Front: N 25.0 Ft. Shoreline: Ft. Water Body: Rear: S 61.0 Ft. Slope: Ft. SEPA?: Model: Width: Ft. Shoreline Desig.: Side 1: E 12.0 Ft. Year: Serial No.: Side 2: W 12.0 Ft. Comp. Plan Desi .: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee KLW 07/05/200 $162.34 53847 EH Plan Review CEW 07/25/200 $50.00 54302 Planning Review Fee AHB 08/02/200 $38.00 54302 Building State Fee SKM 08/11/200 $4.50 54302 Building Permit Fee KS 08/11/200 $279.25 54302 Total $634.09 BL02000-00815 Please refer to the following pages for conditions of this permit. 1 of 3 10) PURSUANT TO 1997 UNIFORM BUILDING CODE, 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 AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS T PO T ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X 11) The approved plot plan is required to be on-site for inspection purposes. If in ectio is called for and plot plan is not on site, Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of$42.00 per hour�im 1 hour) will be charged and must be collected by this department prior to any further inspections being performed or approval granted. X 12) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE O R OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x 13) Proposed structure or portions thereof with�Vpretion over 30" in height from grade line, must maintain a 5' separation distance between adjacent structures and that furthest projection. X N 14) Changes to approved building plans that effect compliance to the 1991 Washington State Energy Code, 1991 Ventilation a/r4lnd Air Quality Code, the Uniform Building Code and/or Mason County Regulations must be approved by Mason County prior to constructionX 15) CONSTRUCTION PRCS 'SE BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE.x 16) All property lines shall be clearly identified at the time of foundation inspection. X '��A 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 afte work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before (ding ca e occq, ied. OWNER OR AGENT: DATE`. BLD2000-00815 Please refer to the following pages for conditions of this permit. 3 of 3 CASE NOTES FOR BLD2000-00815 CONDITIONS FOR BLD2000-00815 1) This applicati se�ject to Buffer,and Landscaping requirements as established under Mason County Ordinance 1.03.036.X �`� 2) The use, handling and storage of hazard mKials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X � , , 3) 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 whic is proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that office to review future planned work w ch m affect your project. X 4) Proposed structure or any portion thereof greater than 30" in height_fr ra ne, must maintain a minimum of 5' setback from all property lines, easements and 10' from all County and State Road right of ways. X I ^ 5) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X 6) All upland areas disturbed or n� cr ted by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt X fencing or straw matting). 1 7) Proposed structure or portions thereof with e roj ion over 30" in height from grade line, must maintain a 5' separation distance between adjacent structures and that furthest projection.-X 8) Approved per dimensions and setbacks on submitted site plan. X 7' 7, 9) 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$42.00 per houyj irk um 1 hour) will be charged and must be collected by this department prior to any further inspections being performed or approval granted. X 7- BLD2000-00815 Please refer to the following pages for conditions of this permit. 2 of 3 Building Permit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 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 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 ❑ This is not a complete inspection Department Date Inspector ■ o * NOOT ► MOOV THI T ' Low CO MECHANICAL MOBILE HOME R a 'bank 9r7Ti7�- / P date by Ribbons by Gas Piping date b Foundati,n Vballs J _Zz - v :/ _ date by Set Up date I:eZ/j by / INSULATION date by BG/SLAB Insulation Floors p Final date by date J by date by FRAMING Walls FIRE DEPT. Pa te UMBING by date by date by Groundwork Attic OTHER date by date by D.W.V. WALLBOARD NAILING date by date —7 < >^ -cr!5/ by Water Line FINAL INSPECTION date by date _ �'�_ZU�j byv,,V� date by ,z 4:� ` Gd v,� �S� i i Tip 7 c J Building Permit # 2G,yo g/k-f MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE . Job Locationig,p�L/ G �'�� �� Y3C vzl�) This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been fund: Items Listed below must be corrected to gain code compliance I %v 13,1/ 24 Z dcJi? 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 ❑ This is not a complete inspection Department 1 Date // --13 Inspector TT ■ ou NOT i Mo *V THIT-- T ' Low Building Permit # ogtl MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 6 ,1 /�i� his structure has been in spected by ason 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 /90 A-I�p rc-'� ;�Y/ 4� cif .� O r /-✓ ..��' CC u P 7`19`1� /'� You are hereby notified that the above corrections shall be made EFORE PROCEEDING WITH ANY FURTHER WORK LIAW.../f/_ 7'ti4s 6/�` re-* cam;-, �So i',��sr-� c� ❑ Call for re-inspection when corrections are made before continuing /11�Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department Date �-" 2-8-'>1 Inspector moos NO *T ► MOOV THIC TAL Building Permit # zektt�-� `� MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE . Job Location 6 / 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 7�/y/L - 3 AZ 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 ❑ This is not a complete inspection Department '�'G' Date `3 -2T - r-�) / Inspectors ■ *0 NOOT ► MO *V THF , T ' L* M Building Permit # e,4n `��S` MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTI E Job Location /3 e-T g)/ c./ 6/ d C--L�, ? 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 N f✓� ,✓J��GC lam/ c� _ C/G` 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 ❑ This is not a complete inspection Department sQ«' Date 7-2— Inspector moos VOOT MOOV THIV-- T Low f DATE: APMCAN�� NAME: �[ \ r L- BUILDING PERMIT CHECKLIST SITE ADDRESS nit Dev. ext 291. L7 site address has not been issued refer the customer to Community Ifs ,.; c. FIRE DISTRICTS Please make sure the fire district is included in the application information. Refer to map located at counter. PERMIT ASSISTANCE CENT, 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)? CONTRACTOR REGISTRATION # AND EXPIRATION DATE `'�• This information needs to be provided. The Building Department may be able to research licani to(thef contractorf customer does not know it. We must have a signature in 1 of the 2 boxes, either the applicant SEPTIC RECORDS Application must be filed and paid in full. New systems must have test holes dug prior to submission and Septic A B WATER COMMUNI PRIVATE SEPTIC DESIGN APP. DEV REMODEL STATUS IS THIS A REPLACEMENT UNIT? YES NO IF SO: MASON COUNTY BUILDING PERMIT APPLICATION SECTION #5, BUILDING SQUARE FOOTAGE, MUST BE FILLED OUT COMPLETELY. AND: SECTION 06 MUST CLEARLY STATE, "REPLACEMENT UNIT" PARCEL #/LEGAL DESCRIPTION 1111CHECK PARCEL NUMBER FOR PARCEL FLAGS!!!1 Parcel # must be included. If number is not available contact Addressing at Ext. 291 BUILDING SQUARE FOOTAGE nd that of which is proposed. If there is a garage, verify whether it is attached Clearly show existing square footage a information for mobile homes.(ie. 10X20=200 square feet.) or detached. Include square footage Q~ USE OF BUILDING Residence, garage, greenhouse, designate if it is commercial. f"1 DESCRIBE WORK (i.e. mobile home addition, addition to a house, etc. . .) TYPE OF JOB Verify appropriate boxes are marked. WATER ADEQUACY AND BACTERIAL For new residences and mobiles. PRIVATE WELLS MUST HAVE WELL LOGS OR CAPACITY TEST r signature to verify that the system is not on the Slate's "out TEST. If they are on a public water system, check fo of compliance list" 1 t r MOBILE HOME INFORMATION 1 Verify appropriate boxes are marked. If factory order, please put factory order 9in mobile home serial #. If unit was �l assembled prior to June 15, 1976, refer to procedures handout for "Obtaining Installation Permits for Mobiles assembled Prior to June 16, 1976." Q FLOOR PLAN Manufactured/Mobile homes require a floor plan of the home be submitted. Q FEE DUE A fee of $175.00 is due when application is accepted. This is half of permit base fee of $350.00. El SHOREUNES/CREEK/WETLAND If property is within 200 feet (including adjacent properties) of Shorelines/Creek/Wetlands, #9 must be complete. If none of the conditions are present please enter "na" or "none". El SITE PLAN DRAWING MUST SHOW THE FOLLOWING: ` LOT DIMENSIONS ` DRIVEWAYS ` EXISTING STRUCTURES ` SHORELINES ` STRUCTURE SETBACKS ` WELLS ` SEPTIC SYSTEMS ` NAME OF FRONT STREET • PROPOSED IMPROVEMENTS ` EASEMENTS ` NAME OF SIDE STREET ALSO PLEASE MAKE SURE DIRECTIONAL IS FILLED IN ON APPLICATION IF PLOT PLAN IS ATTACHED TO PLANS OR IS NOT ON CARBON FORM, (3) TDRI.E PLAIN PAPER COPIES ARE,REQUIRED" 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. This should show an accurate side view of the property. PLUM BING/MECHANICAL Ak This form must be completed for any structure with plumbing and mechanical excluding mobiles/modulars. �C1 OWNER OR CONTRACTOR AFFIDAVIT "�• Owner or contractor must sign affidavit statement and date it. ACCEPTED BY gn your initials and date form on the bottom of page 3 or use date Whoever is accepting permit information must si stamp and initial on back of permit. PRINTS Need three sets of prints unless it is a stock plan. For stock plans, we only require one copy. Commercial projects require four sets of plans. WSEC & V & IAO CODE nergy Code compliance form needs to be COMPLETED. Required for all residential,additions and commercial buildings. E Verify heat source (no wood or pellet stoves are permitted as primary system). Window schedule must be filled Out and reflect 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. ROAD ACCESS PERMIT If you will be accessing your driveway from a County road, cont Y the Public Works Department n Mason County val. Building 1, 427-9670 extension 450. Access from State Highways requires Department of Transportation approval. Contact office (206)895-4753 (Port Orchard). Checklist.2 December 17, 1998 2 Trish PERMIT NO.. dLD MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFOR ATION Owners t ,` C 0, ; Contractor Name.,.4" e2rp AJt� Mailing Address N Ic- r Mailing Addres " ' Citya$1�r:..� Stat Zip Code lig Sa y CityYO i`-'e _Stat�l� Zip Cod Phon _'2 9720ther Ph.( ) Ph.*� ther Ph.(_� Lien/Title Holder Contractor Reg. # rise 4 OS'S A10 Address Expiration / _/ SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect o Sewer System Name of Sewer SysterI�}�1 Well Water Systemame of Water system b : ±e vv - PARCEL INFORMATION-1 2,digit Tax Parcel No n 16,0 1 � � (T Fire District Legal Description�Q r Site Address(Ple�p,se include street name, street number and cit ) Dire.ations to site►'1r0 Yh ^A IIL . L, V Will timber be cut and sold in parcel prep ration? (Yes/No) Is your property within 200' of the following: Body of Water (Name) Ajt) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE-C) SEASONAL RESIDENCE❑ TYPE OF JOB Newt_Addy Alt Repair Other Use of Buildin h ti rd�'� �• Describe Work A 60ras0--��LU 2A10 t ,.` 3 Q-440A.If Llr�� C�(1t1Pr . No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2 n d loorY 3rd Floor Loft Basement Deck Othell }44,J ; ti,� h sq. ft.YO S PA Garage ttache—d Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-[certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X Date Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due,/ l^ �� Receipt N6 DEPARTMENTAL REVIEW APPROVED DENIED` CONDITION CODES Building Department Occ Grou -Z TypeConstr. Planning Dep&tment Environmental Health Department Public Works Department I Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) OTALFEES FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. Name�1< /-?,q y•'L PARCEL NUMBER /2 3 3 o s v poo/c3 Date 6�� O SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent Rroperties if on shoreline or within 100 feet of adjacent property line. adjacent property line4 E-adjacent property line I I I •- a , I I 1 I I I I I I O I 0. I I I I I I I I I I 6k ^ f I I I � t I adjacent property lined I I <-adjacent property line SAMPLE SITE PLAN adja t property line4 Fadjacent property line D 30' rRa�SCRvE gel SEASo%JAL_ I ^, fi _Y�PT7L__,I J. CRF�K � \ � 1 Hone tr I \ G4a.tu I HOu1G_ I j Pmo Poi[n sa pt:c --�1 1 I It— bo' —/3o--�I R I VAGNT � 1 GARAC.6 o' I 9 PM1oPo�CD / �\ T A&R=L0_LTWRAL 50 I I 80, I , I •\ I /DO" I I I I c" e-LL I I x /DO• .� I U 'd I adjacent property line- i I " c \; <-adjacent ro ert'line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE d1star.c4L to ruttLA_►1C_ &Sta.,C r- rc 610pm c¢ dis�an�L Y o gnature Date BUILDING PERMIT NPPLICATION MASON COU mk S DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. U NAME t r/ MAIL ADDRESS CITY&STATE ZIP PHONE OWNER �c.t� �t �1 T 3 /=►T � + �/ �ire•�='rTo•y v�y f Z ?7l��o i9 DIRECTIONS t TO JOB SITE iUa r T h �O r �- �'c T!J'" la ` r 'r- s q, 11 ,'d- / e- T o f 2.- �0 �, �v Io T'0 / v PARCEL LEGAL � NUMBER .Z�3L�_ :'p- O©v0� DESCR. %� 1 �✓ e P NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENW ND• CONTRACTOR So.K . r_�K Mw, e .soh z ctf� 7' 69,c1 X50Otc I Ae�Z K 17 USE OF BUILDING 1� CLASS OF NEW W/- ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE WORK . AREA: NUMBER OF: PLEASE INDICATE: NOTICE / SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE 2t d SgFt STORIES SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS PRIMARY RES. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR DECKS SgFt BATHROOMS 13".y- SEASONAL RES.❑ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT GE GARAGE SgFt ATTACHED O D ACHED❑ OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF WASHINGTON AND 1 AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE X BY E DATE Z- ' Cr-/ Z FOR OFFICE USE ONLY APPROVED DEPARTMENT APPROVED BUILDING VALUATION DEPARTMENT YES No YES No HEALTH MT I PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT ZUe -, D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP _ PRE-INSPECTION QJ a pp� /CCp SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE 4 56 APP CATI ACCEPTED BY PLANS CHECK BY (xA- APPROVED FOR ISSUANCE IPERMIT VALIDATION TOTAL BY CASH CK MO