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HomeMy WebLinkAboutBLD2006-00597 Final SFR - BLD Permit / Conditions - 2/8/2007 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 Shelton,WA 98584 RESIDENTIAL BUILDING PERMIT BLD2006-00597 OWNER: CEDAR PADDOCK RECEIVED: 4/13/2006 CONTRACTOR: LICENSE: EXP: ISSUED: 5/19/2006 SITE ADDRESS: 1151 NE BELFAIR MANOR DR BELFAIR EXPIRES: 11/19/2006 PARCEL NUMBER: 123307590262 LEGAL DESCRIPTION: TR 26 OF SURVEY 2/149 S 27/187 LOT: B OF SP#2104 PROJECT DESCRIPTION: DIRECTIONS TO SITE: NEW SFR FROM BELFAIR, N SHORE, R ON SANDHILL RD, NEXT L AFTER ELEMENTARY SCHOOL ONTO BELFAIR MANOR DR. GO 1 MI, LOT IS ALL SCOTCH GROOM, BETWEEN 2 HOMES. PINK FLAG, "PADDOCK", (AFTER H011RF ON 1(191) General Information Construction &Occupancy Information Square Footage Information No.of Bedrooms: 3 Type of Constr.: V-B Type of Use: SF Insp.Area: No.of Bathrooms: 3 Occ. Group: R-3, U Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No. of Stories: 2 Occ. Load: Building:1,920 Garage-Attached 484 Valuation: Building Height: Occ. Status: Primary Basement: Cov. Porch 180 Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: E 193.0 Ft. Shoreline: Ft. Water Body: NONE Model: Width: Ft. Rear: W 60.0 Ft. Slope: Ft. SEPA?: Unkn Side 1: S 68.0 Ft. Shoreline Desig.: bWttApplicable Year: Serial No.: Side 2: N 40.0 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 KS 4/13/2006 $824.30 S12006000 Kitchen Sink 1 Furnace<100K 1 Planning Review Fee KS 4/13/2006 $155.00 S12006000 Lavatories 4 Gas Outlets 2 Address Fee GMM 4/18/2006 $140.00 S12006000 Showers 1 Propane Tank 1 EH Plan Review CEW 4/23/2006 $75.00 512006000 Water Closets (Toilets) 3 Ventilation Fan 4 Building State Fee JRN 5/4/2006 $4.50 S12006000 Water Heaters 1 Propane Stove 1 Building Permit Fee JRN 5/4/2006 $1,228.95 §12006000 Bath Tubs 2 Dryer Vent 1 Plumbing Base Fee JRN 5/4/2006 $20.00 S12006000 Clothes Washer 1 Mechanical Base Fee JRN 5/4/2006 $23.50 S92006000 ADJUST--Plan Check Fee JRN 5/4/2006 -$25.48 S12006000 Mechanical Fee JRN 5/4/2006 $135.30 S12006000 Plumbing Fee JRN 5/4/2006 $98.00 S12006000 Total $2,679.07 BI "006-00597 Please refer to the following pages for conditions of this permit. 1 of 5 r CASE NOTES FOR BLD2006-00597 CONDITIONS FOR BLD2006-00597 1) The international 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. JVs are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where such roads c 5 with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X / 2) Contract r registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are poten ks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-09 a person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 3) Water qua ity is no X a degraded to the detriment of the aquatic environment as a result of this project. 4) Prior to final Zroval, all upland areas disturbed or newly c ed by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 5) Approved %Kensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 6) All appro ed 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 not be granted. In ad0on, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building Department prior wy further inspections being performed or approvals granted. X 7) In accordant 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 BuildJ4 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 he international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting inspections. X BLD2006-00597 Please referto the following pages for conditions of this permit. 2 of 5 -8) r 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 indica d on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building • Official. Thep t holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or removal of a ved documents will result in failure of required building inspections. X XUND'ATION 9) THE SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 10) 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 n 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 De lent prior to any further inspections being performed or approvals granted. X 11) Washington State Energy Code Compliance has been approved using the following: Heat Type: Ele r or other fuels, Compliance Method: IV, Window(Max U-Factor):0.40, Skylight (Max U-Factor):0.58, Doors (Type/ 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 12) Per 20 IRC - SECTION 1609-WIND LOADS - 1609.1 Applications. Buildings, structures and parts thereof shall be designed to withstand the minimum wi ads prescribed herein. Decreases in wind load shall not be made for the effect of shielding by other structures. Per FIGURE 1609 BASIC WI EED (3-SECOND GUST)the wind speed for Mason County is 85 MPH. X 13) Per 2 We ECTION R905 - REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in accordathe applicable provisions of this section and the manufacturer's installation instructions. X 14) Conc ete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other vertical con work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2). X 15) All co struction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the State of W:s#hon. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revo X 16) Provisio/Sf: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 locate in 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 project. X BLD2006-00597 Please referto the following pages for conditions of this permit. 3 of 5 177 All changes tWrion, " ed" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or must be reviewed and approved by Mason County prior to construction. ti X 18) CONSTR CTION 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 odes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shall ade prior to requesting additional inspections. X 19) All prop �e tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks filled on site must be located a minimum of 10'from any possible source of ignition (electrical outlets, electrical fixtures, compressors, etc), mechanical system air intake (direct vent appliance, ventilation air intake, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. Propane tanks less than 125 gallons must also be located a minimum of 5'from any building opening (foundation vents,windows, doors etc), property line or easement. If opane tank is exposed to probable vehicular damage, protective bollards must be installed. X 20) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All Propane tanks between 125 and 500 gallons must be located a minimum of 10'from any building, property line, public way, possible source of ignition (electrical outlets, electrical fixture pressors, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. If a propane tank is exposed to probable veh' damage, protective bollards must be installed. X 21) All propane tar t be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must meet the instquirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks. X 22) Fuel piping shall be inspected after the installation of fuel piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the time of inspectiw the test pressure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system shall not be used it the final inspection has been performed and approved by a Mason County building inspector. X 23) The pl ement of small propane tanks are not normally subject to a permit review by the Planning Department; however, propane tanks are subject to Planning Department regulations. Such regulations primarily consist of setbacks from shorelines and features considered to be critical areas (streams, wetlands, slopes, etc.) If you think such feature ist on or nearby your property, please contact the Planning Department so that exact setback requirements can be determined. X 24) All property lines shall be clearly identified-Oat the time of foundation inspection. X 25) All building permits shall have a final inspection performed and approved by the Mason dounty Building Department prior to permit expiration. The failure to request a final i tion or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason County or ' nces and building regulations. X BLD2006-00597 Please referto the following pages for conditions of this permit. 4 of 5 16 j 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 n ceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have prev action from being taken. No more than one extension may be granted. X 27) Pressure treated manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, an ing. Install metal connectors approved for contact with the new types of pressure treated material. X 28) This parcel is�fi n a smoke management zone. Please contact a fire warden at(360)427-9670 ext. 459 for further information. X 29) ""FIRE MARSHAL REVIEW: THIS PARCEL IS LOCATED WITHIN A SMOKE MANAGEMENT AREA-4 X 4 FIRES ONLY. 30) Landings and st ' ust meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "Approved Sit "to ensure these structures are shown and meet the setback conditions listed. X 31) By defini on, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure th X re ese structus the setback conditions listed. This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended fora period of 180 days at anytime after work is commenced. Evidence of continuation of work is rogress 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 inspecti ror 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 st ew and inspection. OWN ER OR AGENT: _ DATE: BLD2006-00597 Please referto the following pages for conditions of this permit. 5 of 5 w CONCRETE MECHANICAL MANUFACTURED HOME A � 0Date rn Footings f Setbacks Gas Piping By Ribbons p 0 IntenorDate 6417 By Interior-Date BY Date By 0 (D Exterior DateG-� BY T/j Exterior-Date B -� X INSULATION�� Point Load J isolated Footings Date By BG 1 SLAB INSULATION ITI Date By Date By FIRE DEPARTMENT D Foundation Walls Floors Date By Date(; By 71� Data By DECKS FRA14ING YYw 6 Date By Date R `Zz7e--' � By Data L� _ By Tom' PROPANE TANKS PLUMBING vault Date fay Date By OTHER Groundwork Attic Date By Data By Type: Date By D.W.v DRYWALL Tyke: Int Brace Wall Date By W Date -L By Dare .pG By FINAL INSPECTION p m Water Line Fire Seperation o oN Date By Date By Data z- g-- D7 BY CD CD Pass or Request Inspect. c Type of Insp. Fail Date Date Done By Comments CD V1 a y K 1"!"? ��t t!, 0 CD /r✓ i�Cir a a . in CD QvE���•Lcs- Flo //I � 14/#u.. ice- 6b zr 2 y✓,� i fvJvt"Jg/ I Sri - Prju fy/(_ i-2"'7 r �4 ( Sparta— 2.-,f-63 �� MASON COUNTY RESIDENTIAL PLANS SUBMITTAL CHECKLIST Owner's Name: C •ed a"V— ` -dr)O C-k Date. Reviewed By: t Documents: l Building Permit Application Completed �41anning Intake Checklist Completed, `m ite plan includes:Allowable building area,roof overhangs,decks,etc. Fire Apparatus Access Road info required?'\`J No J�Energy Code Application Form-O Electric wall heater O Electric central furnace O LPG Furnace O Heat pump with electric furnace O Beat pump with LPG furnace O Boiler(heat type ) O Other:Specify: echanical/Plumbing Application-WATER HEATER FUEL TYPE LE '—G a n Engineering? Yes (Need 2 sets of calculations)No _ Geotec ' Tort or assessment? Yes No Snow load: ag- Seismic Zone(circle one): DI or D2 Construction Plans: 3 COMPLETE SETS Plans Legible > Recognized Scale X Elevation Views Cross Section Foundation Plan Roof Framing Plan ©Floor Plan-Use of rooms noted(all floor levels) Floor Framing Plan-all floor levels represented? Loft,crawlspace,otc. Deck Framing Plan,including covered.porch framing Plan Details: Roof fuming details,truss lay-out may be needed,truss or stick framed? Wall Framing Does bearing-wall�exceedngineering may be required) Floor framing: Floor joists:a tFloor beams: Window headers marked on plans. Typical header: oundation:footing size,reinforcerncnt Concrete Walls-Does Concrete Wall Height Exceed 91?(Engineerin may be required) iandings at all exits? Less than 30"above grade? Y / N Ye-d J � i ru—&, t,D y,cAx- d eel t,ej-e- Q V Heated By Furnace-Location offurnace G -i Fireplace/Stove Information Shown-Fuel Type? Location(s): Window Sizes Marked on Plans traced wall panels(shear walls)marked on plans or lateral engineering? (Plans may not be approved ijnot provided.) 2 tory Garage? (Engineering may be required) R602.10.1, 1"story of a two-story D 1-45%,D2-55% COMMENTS: ENGINEERING REQUIRED: Braced wall panels/braced wall lines are not marked on plans(R602.10) Amount and location of bracing does not meet minimum required in Table R602.10.1 IRREGULAR BUILDINGS(Irregular Shape)R301.2.2.2.2 Irregular portions of structures shall be designed in accordance with accepted engineering practice. A portion of a building shall 1 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 is includes masonry or concrete construction(exc:fireplaces,chimneys, and veneer). When this applies the entire story shall be designed.In accordance with accepted engineering practice. DESIGN CRITERIA:Wind 85 mph exp B(unless proven otherwise), Seismic Zone: , Snow: psf 2003 IRC Plans submittal checklist simplificdM oc 5cl ACCESS & GRADE WORKSHEET DATE: 9ADDRESS Z053 i)12 INSPECTOR DRIVEWAY ACCESS Length: Width: Surface: l Size of turn-around: i I Condition of shoulders: Vertical clearance: T ) need post at end of driveway with reflective address numbers GRADE,OF DRIVEWAY % OF ROAD % ROAD ACCESS Length: Width: Surface: Condition: Vertical clearance: ( ) BURN PERMIT REQUIRED FOR LAND CLEARING FIRE. LOT INSIDE SMZ, 4X4 FIRES ONLY. ( ) LOT INSIDE UGA, NO OUTDOOR BURNING PERMITTED. LOT TOO SMALL FOR: BURN PERMITS 4X4 FIRES. 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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 I4 FORM�jT10N I (� CONTRACTOR INFORMATION Owner dr-r f M1�� u5�+� �t� ��` Company Name Mailing A res I'. h) Mailing Address City State W Zip Code City State Zip Code Phone 04per P Phone Other Ph. Lien/Title Holder n Contractor Reg. # Exp. Email address v ' S,0w,,i E Mail Address Drivers Lic.# DOB 1-2 - 7 Drivers Lic.# DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to ew S Existin Septic Connect to Water System _ � Name of Water System ptic, ✓ a Well Sewer System Name of Sewer'system PARCEL INFORMATI N - 12 Digit P cel o. Fire District Legal Description _ 77�104 Site Address (Please include street name, street num r and city) Directions to site —�C C114:4oh L/Y- Rton Sand hill Rd - l�+ oI /Fa�� MArv,- irHG — 4110w v h I Ae Wie- Nano D 00 r' Is PfOA Z rl L-ci- horl4ej — `,Paddock ri Sr A rn Czue- Will timber be cut and sold in parcel preparation?Yes No Is property within 200'of Saltwater 410 River/Creek n o Pond 1 A. 0 Wetland no Seasonal Runoff�_Stream A v 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 Bedroom No. of Bathrooms Q& Square Footage- 1 st Floor 2nd Floor 105Q 3rd Floor Basement Deck Covered Deck Other Sq. ft. Garage- ` Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width lal No. No. of Bedrooms No. of Bathrooms e Price Re lacem nit? Yes/ No Type of Heat Purchase p Yp m Certification No. Installer Name OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature be)o�. I declare that I am the owner,owners legal representative,or the contractor. I eclare that I am entitled to receive this permit and to do the work as proposed in the apppllSation. I declare that I have of �65 �N from all the necessary parties. If permission is required from any easement holder or 4ny other party in interest reg rS 4 i r the work I for this permit and conduct the work sed. Tpz ner or r sed in the a lication' I have obtained ermission from them to app y p �p opo pp P nts that the information provided is accurate and grants employees of Mason Co ,a s above agent on owners behalf, represe vi an ins ection. This ermit/a lication becomes null & void if work o$�Vhoti�eonstruct n is described property and structure for re e p p PP not commenced within 180 days o f c tr ion work is spended for a period of 180 days. PROOF OF CONTINUATION BY MEANS OFA PROGRESS IN TIVI S PERMIT APPLICATION OF 180 DAYS WILL INVWWS IiPPLlCA ION. X f Dat_e�d�d6 VV�t which one caner/ wn pre-Representative/Contractor (, indicate ) FOR OFFICIAL,USE BEYOND THIS POINT Accepted by: tivlJ Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department r' oco " Planning Department Environmental Health Department cJ Fire Marshal FEES Building Permit Fee 5 Site Inspection Plan Review Fee EH Review Fee Plumbinq & Base Fee Planning Review Fee Mechanical & Base fee Other Wood/Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES 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 li On the web www.co.mason.wa.us APPLICA�T INFO�ATIf�N p CONTRACTOR INFORMATION Owner lcr(u� /''40WO(E1Jy. il, Patfe� Company Name r. �+/ 'I' p t✓a ren A N Mailing Address Mai in Add 9 City r-�erL tate I-A Zip Code P33S City State Zip Code Phone 3 - o58 Other Ph. Phone Other Ph. Lien/Title Holder Ctior 1?A,,k Contractor Reg.# Exp. E mail address jJs4'"P2,ka.r 42 Se4^e•1.Cow E Mail Address Drivers Lic.# r e Z-3 DOB (f-Z1--77 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`7 15- 026Z Fire District Legal Description -tR 26 of Syr✓t.y ;/)y9 S z7//,¢7 Lof g bf SP ,*210y Site Address (Please include street name, street number and city) Directions to site NE 01�4ovr L/V- At. 014 Sad NON 0- Lf# on 4effa,r �'Irnor- Dry - 10 fl ou � t"41 Ui fa, ° " - Prop Is Z ne,e,i- h " dW k" n G7TA41 ' Ma,40.d Is property within 200'of Saltwater 'A0, Lake )Ao River/Creek L2 Pond Wetland Seasonal Runoff � ,) Stream A0 Slopes or Bluffs > 15% ( ; TYPE OF JOB - New_i Add Alt .Repair Other Use of Building 4Q�j 1, Location of Fixtures/Units - 1 st Floor ✓ 2nd Floor,/ Basement Garage � Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric— LPG ✓� Natural Gas_ Heat Pump_ Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs �_ Heatpumps Showers ay I Spot Vent Fan Water Heater I Propane Tank Clothes Washer I Gas Outlets Kithen Sinks I Wood/Gas/Pellet Stove i Dishwasher I Kitchen Exhaust Hood Hosebibs Dryer Other Vent 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) rrryt and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and grartqem fs of Mason County access to the above described property and structure for review and inspection. PROOF OF CONTINI OF A PROGRESS INSPECTION. �.G Date: G /a 06 X Owner O ers Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYONDTHIS POINT Accepted by: Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group-Type Constr.- Planning Constr.- Planning Department Environmental Health Department FEES Plumbing & Base Fee Site Inspection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES