HomeMy WebLinkAboutBLD2006-01162 Final SFR with Garage - BLD Permit / Conditions - 12/27/2006 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
solo Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT
BLD2006-01162
OWNER: JOHN BYERLY
CONTRACTOR: LICENSE: EXP: RECEIVED: 6/29/2006ISSUED: 8/3/2006
SITE ADDRESS: 20 NE BONANZA RD BELFAIR EXPIRES: 2/3/200
PARCEL NUMBER: 123312390092
LEGAL DESCRIPTION: TR 16-B OF GOUT LOT 2 LOT: 2 OF SP#2241 AF#608409
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
SFR with garage 3 MILES WEST ON HWY 300, TURN ONTO LARSON LK RD FOR 1/2 MILE,
TURN EAST ONTO BONANZA RD, FOR 100'
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.: VB
Type of Use: SF Insp.Area: No. of Bathrooms: 2 Occ. Group: R-3U Lot Size: Deck:
Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:1,346 Garage-Attached 400
Valuation: Building Height: 23 Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make: Length: Ft. Front: S 25.0 Ft. Shoreline: Ft. Water Body:
SEPA?: No
Model: Width: Ft. Rear: N Ft. Slope: Ft. Shoreline Desi
Side 1: W 6.0 Ft. 9.: Not Applicable
Year: Serial No.: Side 2: E 6.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 Plan Check Fee CMH 6/29/2006 $641.39 812006000
Hosebibs 3 Furnace<100K 1 Planning Review Fee CMH 6/29/2006 $155.00 B12006000
Kitchen Sink 1 Ventilation Fan 3 EH Plan Review TW 7/12/2006 $75.00 612006000
Lavatories 3 Dryer Vent 1 Building State Fee ARC 7/31/2006 $4.50 B12006000
Showers 1 Building Permit Fee ARC 7/31/2006 $986.75 612006000
Water Closets (Toilets) 2 Mechanical Fee ARC 7/31/2006 $54.45 612006000
Water Heaters 1 Mechanical Base Fee ARC 7/31/2006 $23.50 612006000
Bath Tubs 2 Plumbing Fee ARC 7/31/2006 $89.0o 612006000
Clothes Washer 1 Plumbing Base Fee ARC 7/31/2006 $20.00 612006000
Total $2,049.59
BLD2006-01162 Please referto the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2006-01162
CONDITIONS FOR
BLD2006-01162
1) W to ality is not to be degraded to the detriment of the aquatic environment as a result of this project.
X
2) Prior to final approval, all upland areas disturbed or,661y created by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X
3) Ap ed per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
4) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan" to ensure
thes structures meet the setback conditions listed.
X
5) ,,a dings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
"Ap ed Site Plan"to ensure these structures are shown and meet the setback conditions listed.
X
6) Owner uilder assumes all responsibility if drainfield/reserve area is encumbered. X
7) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will
n e 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
D nt prior to any further inspections being performed or approvals granted.
X
8) 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
i sp
X
BLD2006-01162 Please refer to the following pages for conditions of this permit. 2 of 4
9) 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
rem �If pproved documents will result in failure of required building inspections.
X
10) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
11) The "approved" 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
B artment prior to any further inspections being performed or approvals granted.
X uil
12) Washington State Energy Code Compliance has been approved using the following:
Heat Type: Electric or other fuels, Compliance Method: IV, Window (Max U-Factor):0.40, Skylight (Max U-Factor):0.58,
Do /Max U-Factor):0.40 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38, Vault Insulation R-30, Slab Insulation R-10.
X
13) Per 2003 IRC - SECTION 1609 -WIND LOADS - 1609.1 Applications. Buildings, structures and parts thereof shall be designed to withstand the
minimum wind loads prescribed herein. Decreases in wind load shall not be made for the effect of shielding by other structures. Per FIGURE 1609
B WD SPEED (3-SECOND GUST) the wind speed for Mason County is 85 MPH.
X
14) Per 003 IRC - SECTION R905 - REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in
ac o nce with the applicable provisions of this section and the manufacturer's installation instructions.
X
15) Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other
vertElcrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2).
X
16) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
Sta of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
p r evocation.
X
17) 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 within 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 pro' c
X
BLD2006-01162 Please referto the following pages for conditions of this permit. 3 of 4
18) All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ord r or regulation, must be reviewed and approved by Mason County prior to construction.
X
19) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED
BUILDING CODE.
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
Ins hall be made prior to requesting additional inspections.
X
20) All property lines shall be clearly identified at the time of foundation inspection. X
Ne
21) 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
M unty ordinances and building regulations.
X
22) 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
hve prevented action from being taken. No more than one extension may be granted.
X
23) Pr sure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
c n s, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
X
24) Thi cel is located in a smoke management zone. Please contact a fire warden at (360) 427-9670 ext. 459 for further information.
X
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 owner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to
the above describe roperty and structure for review and inspection.
OWN ER OR AGENT: DATE:eg C'3 —ZCC�>6
BLD2006-01162 Please referto the following pages for conditions of this permit. 4 of 4
100
N �` CONCRETE MECHANICAL MANUFACTURED HOME �—,
rn Footings!Setbacks Date By Ribbons ___ +. d�
Gas Piping r
O Interior Date u. By Interior-Date By Date B
rn J Exterior Date b�31 By Exterior-Dante B y
� Set-up
INSULATION O
Point Load!Isolated Footings Date By 2
Date By Ba a SLAB INSULATION By FIRE DEPARTMENT Z
Founda=e>
do malls Floors Date By
D I Da By Q Data By DECKS
FRAMING Wails Date By
Date p l z& By 6Dace / -/6-a 6 By PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
Groundwork Attic
Type:
Dale By Dale By Date By
D.W.v DRYWALL Type:
c InL Brace Wall Da#e By I3
Date 10 I( By �> Date —2-y-0 5 By FINAL INSPECTION �
Water Line. Fire Seperation CD
Dale By Date By Dale Z ,��.y By p
m �
Pass or Request Inspect.
s Type of Insp. Fail Date Date Done By Comments I
6 t16 � lro $Z3 Ob L IO I L- oh
N S v rt Ix, S `lr ev c�/ oYL N
s
SGc/A//s pA55 8 28�aty g IZ� Db �I�C bw„tl�,
ri
icy
-k
r/�aL � �Zlo� 1Zl07/cc, AS
�� �Z•LL.c� /L-27� /�/1
0
71
MASON COUNTY PERMIT NO'--)()()((
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 ;a
On the web www.co.mason.wa.us
APPLICANT I�f FORMA_TION CONTRACTOR INFORMATIgNt
Owner Jc l"'' gL E rtL Y Company Name��
Mai linq Address �'0 $X /3 ,3 Mailing Address
City QFA R State lAJ A Zip Code 9 8 S Z.S City State Zip Code
Phone 360-Z7 SS GOther Ph. Phone Other Ph.
Lien/Title Holder 19S A Bol/E Contractor Reg. # Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System '"- Name of Water System hY1406 CQdf W v47-E le
Well Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. /Z 3 3 1 2..3 900 L Fire District Z
Legal Description 40E # Z 0 F P �* zZ
Site Address (Please include street name, street number and city) Alf ZO Z tA- (ZA. E LFra ll
Directions to site 3 v n t E W f�ST F reo vv� �$E l (+� I o v� N uJ yl 3!OO -r v le/V /?plh �
ONTO ZPgeS-d !C. !e Foie . 44 Nei a ES , '7,w_&ry R1 r iA*To 71rom t4N s4 lAdfoe /&F .ti AiNl�
Will timber be cut and sold in parcel prepWan?Ye o p4
Is property wit i 00'of Saltwater ake River/Creek Pond
Wetland easonal RunoffStream Slopes or Blu s 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye ,
TYPE OF JOB - New'' Add Alt Repair Other PRIMARY RESIDENCE 2-SEAS AL ❑
Use of Building Describe Work
No. of Bedro s 3 No. of�Bpthrooms #?_ � uare Footage- 1 st,FSo r /3 A C- 2nd Floor
3rd Floor l"9 1 Basement / 1�' Deck A— , Covered Deckm✓ Other Sq. ft.
Garage � Atta hed X Detached Carport Attached Detached
MANUFACTUR M INFORMATION - Make Model Year
Length t al No. No. of Bedrooms No. of Bathrooms
Type of He ' urchase Price$ Replacement Unit? Yes/ No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative,or the contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all
the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The
9owner
orr
agent on owners behalf, represents that the information provided is accurate and grants employees of Mason Counl�-do s,twGibe
boy
described property and structure for review and inspection. This permit/application becomes null &void if work or r n is
not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY
M SOFA INSPEC INACTIVITY OF THIS PIE RMITAPPLICATION OF 180 DAYS WILL INVALIDATE=JM A21 Q1I WN.
X - Date: Q w [uuUUll''
caner/Ow R resentative Contractor (indicate which one) SELFAIR OFFICE
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department -
41
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee 7 Site Inspection
Plan Review Fee EH Review Fee
Plumbinq & Base Fee 101. 8'0, Planning Review Fee
Mechanical & Base fee Tj 9R Other
Wood /Gas/ Pellet Stove Fee State Fee
Violation Fee D LNI`— Pre-Paid at Submittal
Valuation $ 7 17 TOTAL FEES
TM
17 I'll",
MASON COUNTY PERMIT NO.
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar- P.O. 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
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner Company Name— 4 F Q
Mail in Address 7e Mailing Address- 144 'I tl-t
City
J54 FAIR tate I,. Zip Code City State— Zip Code
Ph Other Ph. Phone Other Ph.
,,0
Lien/Title Holder S 0 Contractor Reg.4 Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic— Existing Septic Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No 2 33 / I? -P. Go 7 Z_ Fire District
Legal Description 1-0 7-221- ?- ap 1= -57 P-** ? z Ak Site Address (Pleasp,include street nafne, street number and cit
Directions to site 4MOK& )1100k M3 E 1 3k"', &A Z 14 k7
14WY lAd / A17IAo-t-i-,opr 64K_Sf" eA' Rk4-
4 e" yr'1', , ebok ?;F1e"64&471-4 Aglt4- .
Is property ith" 200'of Saltwater A/ /-;- -Lake Az 4� River/Creek A-1 '1-04 Ppnd fy
Wetland Seasonal Runoff-Z-ZL-�L-Stream--��-'�-,lopes or Bluffs > 15% 6Z 4 41
TYPE OF JOB - New L_---Add Alt—Repair Other Use of Building
Location of Fixtures/Units - 1st Floor. 2nd Floor Basement— Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
jype of Fixture No. of Fixtures Fees Fuel Type:Electric LPG— Natural Gas— Heat Pump—
Toilets - Type of Unit No. of UnitsFees
Bathroom Sink 3 Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater 1 Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs A*- Dryer Vent
Other Other
Base Fee— Base Fee
TOTAL PLUMBING— TOTAL MECHANICAL
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.
PROOF OF W-INIUATION OF W9§K IS BY MEANS OF A PROGRESS INSPECTION.
X Date: 4,
" caner/Ow%e—rsRaQresentative ntractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# -Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APP D DE NOTES
Building Department
Occ Group—Type Constr.—
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Inspect on
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES
� � m
CIO
LA
i Z �� N
ro
r'LANNING: s
ALL SETBACKS ARE MEASURED .�
o
FROM THE FURTHEST -d
PROJECTION OF THE BUILDING 0
�� 30N 0� S
lt' 02�ddd Ol 10 `
a Ndld
�iIS NO 39 01 o38WO3 liS
J� Wid I1NfO0 NOSdI' O
I
a� W
C�-lAo8 d`d
ti
SHORT PLAT NO.
APPt V.
OIRECT16R 0 IIiERAL SERVICES
N 89 50'09" W — _
- - - - - -
678.45
NW CDR GOV LOT 2,
SEC 31, T23N, RI W, W.M.
FD 1" IP ��
N D
02 91D
of 06 ' . . ..
F,CE
Z 0 P R I V,4 T-C R DA o g� 1
�l- UT 1 L 1 T 1 C 5 EASE, 1 �e��6 n5 EST E Of"
_SRM Q.. rNELk.R
— — — — — O •�9 I 544'42' W 7.1149.20
2 _ 110.00 NE COR SW 114
GOV LOT 2, SEC
31, T23N, RIW,
W M.
FD IRON PIPE
i W N 20'. PRIVATE
rn
Z re -t � W UTI�Ir IEs
•; h o �' I w AgE.
^ O
f
A N 89 39'14" E z � a
:BUSH- DAV1D h
w
o }-
r�
SCALE 1" = 100'
0 50 100 200
FD MONUMENTS
Legal Description O FD IRON PIPE
Lot 4 of Mason County Short Plat No. 1700, 4p SET 1/2" REBAR W/CAP
Auditor's File No. 469858.
WARNING: Mason County has no responsibility OWNER:
to build, improve, maintain, or JOHN BYERLY
otherwise service the private roods P.O. Box 133
contained within or providing service to Belfoir, VIA .98528
the property described in this short plot. Ph: 275-6230
z 30 -e° RoAD 30 zq SHORT PLAT
36 31 QB Ise
31 3Z FOR
4
MASON COUNTY RESIDENTIAL PLANS SUBMITTAL CHECKLIST
Owner's Name: flo Date: ofo Reviewed By:
Documents:
✓-wilding Permit Application Completed
Planning Intake Checklist Completed, 'r�C
plan includes:Allowable building area roof overhangs,decks etc.
P g A F�
1��ire Apparatus Access Road info required? Yes/ ✓�,r `
l�Energy Code Application Form-O Electric wall heater 9(klectric central furnace O LPG 10&16,
O Heat pump with electric furnace O Heat pump with LPG furnace O Boiler(heat type_ O
O Other: Specify:
16Mechanical/Plumbing A ation-WATER HEATER FUEL TYPE 12
ii
ngineering? Yes No Snow load d: Seismic Design Category: D1 or D2
eotechnical report or sessrnent? Yes
Construction Plans: ' 3 COMPLETE SETS
ns Legible �ecognized Scale -e evation Views
oss Section Voundation Plan ✓Roof Framing Plan
_Floor Plan-Use of Rooms Noted
—Floor Framing Plan-all floor levels represented? Loft,crawlspace,etc.
—Deck Framing Plan,including covered porch roof framingplan
Plan Details:
Roof framing details,truss lay-out may be neededs
✓Wall Framing-Does bearing-wall heigl I exceed 10'?(Engineering may be required)
,Floor framing: Floor joists: I Floor beams: ��
_Window headers. Typical header:
foundation: footing size,reinforcement
_Gowrete Walls-Does Concrete Wall HeightpExcd 9'?(Engineering may be required)
ndings at all exit levels? <30"above grad / N
Heated By Furnace-Location of Furnace
_Firepla Wve Information Shown-Fuel e?
VlQow Sizes Marked on Plans
_1-8fory Garage? (Engineering may be required)R602.10.1, I'story of a two story: D1 —45%,D2—55%
Braced wall panels(shear walls)marked on plans or lateral engineering?(Plans may not be approved if not provided)
COMMENTS:
IRREG BUILDO(Unusual Shape)R3 .2.2.2.2
Irregular portions of struc es shall be designed in accordance with accepted engineering practice. A portion of a building shall be
considered to be irregular when one or more of the following conditions occur:
1)Exterior braced wall line or BWP cantilevered or offset by more than 4'
2)Roof or floor is not laterally supported on all edges
2A)Portion of roof or floor extend more than 6 ft.beyond the braced wall line.
3)End of BWP extends more than 1 ft.over an opening more than 8 ft in width below.
4)Opening in a floor or roof exceed the lesser of 12 ft.or 50%of the least floor or roof dimension.
5)Portions of floor level are offset vertically
6)Shear wall lines do not occur in two perpendicular directions.
7)When a story above grade includes masonry or concrete construction(exc: fireplaces,chimneys, and veneer).
0 When this condition applies the entire story shall be designed in accordance with accepted engineering practice.
v t
^1 #C4C jo, tg:J-H, q- g&l*f �2003LIR�C Plans submitta/�l�c,,hecklist simplirieNWORD
MASON COUNTY, WA 6/29/2006
Building Department 3:14: 6 P M
Environmental Health Department
Planning Department
P10
Permit status and inspection results can nowbe checked on the web -www.co.mason.wa.us/permits
Building Dept. inspections requests can be made via the web -www.co.mason.wa.us/community_dev
Receipt #: B1200600000000000296
Date: 06/29/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
BLD2006-0 1 1 62 Plan Check Fee 001.125.140.345.83.00.0000 641.39
BLD2006-01162 Planning Review Fee 001.125.145.345.83.03.0000 155.00
PRIMARY APPLICANT FOR BLD2006-0 1 1 62: BYERLY,JOHN RECE
JUL 2 Line Item Total: $796.39
Payments: C LF MR OFFICE
Method Payer Bank No Account No/Check No Confirm No How Received Amount Paid
Check J014N BYERLY OLY FED 5296 In Person 796.39
, Payment Total: $796.39
o
� r �Ieecil 0 Y-),5 ;
tA)C a re S L'-f rvt7 o va w�yr S e-
E'
04 612c� 6l� ,
J J
4 e -�b
r is r.�a C l l oac� ale
y
Page I of 1 '6�.J k�•�i,,,�,�
Alf e0 ��N u4v1zt.4 fi c
MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name PARCEL NUMBER V61P2Date Dl- 21- Z406
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
site plan
t.- Lot Dimensions Fences
�- Existing Structures u-Driveways
Structure Setbacks Shorelines
,- Water Lines &.-Topography
Well Location (including adjacent) i,-Drainage Plan
Names of Streets --Easements
Names of Fronting Streets , Septic System 11
DRAW SITE PLAN BELOW Include adjapent properties if on shoreline or within 100 feet of adjacent eroperty line.
adjacent property li '
=� I RV I E-adjacent property line
�T I
I w w I
Wow I
�V
I
I
I � �
� � I
tieA
I
DeA
I �
I � �
I � 1
I N I
I 1
I .N I
ad acent property line-� E-adjacent property line
SAMPLE SITE PLAN 62.7'
adja nt property line-> Sic, _ _ _ E-adjacent property line
I p 30' rR�SCmv
HOM t I .Ga6.E�1
Cru�v,
I Hoes¢
R\ I j PrioPostD Sa.Pr:C_ --�I
\ 1
I 14— 6°• --/30 �11
I R 1
VAGtvT
I(C PM1oPasCD So'
I \ \ T Ad•R ZL'LLLT�RAL 1
F—4o�1 \ yo• I
I
80
/D0
\ I L—e-LL
I � I
I
1 A /DD' -� 1
A I
adjacent property line-� Fadjacent 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
a d15+�r+Gm fin
SfiruLtt.�YG
dis'ta ,Cc- to
Si opm to
dis+ancQ
Signatur- Date