HomeMy WebLinkAboutCOM2015-00113 Final Portable Classroom - COM Permit / Conditions - 8/24/2016 lopv
MASON COUNTY DEP] . OF GOMMUNI I Y UEVELUPMEN I one: 36 ) ,� 9670, ext. 352
�PeoN ��oNr} Phone: (360)427-9670, ext. 352
Mason County Bldg. III
426 W. Cedar
Shelton, WA 98584
IN.54
COMMERCIAL BUILDING PERMIT COM2015-00113
OWNER: BELFAIR ELEMENTARY SCHOOL RECEIVED: 7/28/2015
CONTRACTOR: LICENSE: EXP.- ISSUED: 11/3/2015
SITE ADDRESS: 22900 NE STATE ROUTE 3 BELFAIR EXPIRES: 5/3/2016
PARCEL NUMBER: 123324060000
LEGAL DESCRIPTION: TR 1 OF NE SW& NW S SEE SURVEY 9/13
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
PORTABLE CLASSROOM FOLLOW ST RT 3 TO BELFAIR THEN TO SITE ADDRESS ON THE RIGHT
SIDE
General Information Construction &Occupancy Information
Type of Use: ELEMENTARY SCI Insp.Area: No. of Units: Type of Constr.: VB
No. of Bathrooms: Occ. Group: E
Type Work: ACC Fire Dist.: 2 No. of Stories: Exit Design. Load: 84
Valuation:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline&Planning Information
Front: W 300.00 Ft. Shoreline: Ft.
Rear: E 300.00 Ft. Slope: Ft. Water Body: Shoreline Desig.: Not Applicable
Side 1: S 120.00 Ft. SEPA?:No Comp. Plan Desig.: Urban Growth Area
Side 2: N 400.00 Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2015-00113 Please refer to the following pages for conditions of this permit. Page 1 of 6
i
Plumbing Fixtures Mechanical t-ixtures r«o
Type Qty. Type Qty. Type By Date Amount Receipt
Modular Office Submittal rnnnn 7nAi9ntA VVAQ71; gi9ntAnn
Modular Office Issuance I rnnnn 7i?Ri9niF I AA47A s19nit;nn
Foundation Only rnnnn 7i9At?ntr, ,tiFi x;n vigntAnn
Planning Review Fee rnnnn 7/9A/9ni� viin nn gi9nirnn
EH Minor Plan Review rnnnn 7nAi,)ntr atnn nn Stgn1Ann
IFC Plan Check Fee ('nnnn 7i9A/9no F 147,1 nn R1 gni rnn
Total $1,334.00
CASE NOTES FOR
COM2015-00113
CONDITIONS FOR
COM2015-00113
1) Approved per dimensions and setbacks on site plan submitted on 07-27-2015 and through Mason Environmental Permit MEP2015-00017 .
Setbacke measured from the furthest projection of the structure.
X
o
2) All construction and demolition debris must be removed from the shore area after project completion. Proper disposal of construction debris must
be on land in such a manner that debris cannot enter or cause water quality degradation of State waters. X
3) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters of roperties. Silt fencing,
straw, or surface matting must be installed and maintained until upland vegetation has become established. X
4) Concrete leachate and wash water must be contained during construction pouring, such that water quality degrada Ion of adjacent waters does not
occur.
X
5) All prope Ines shall be clearly identified at the time of foundation inspection. X
6) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
"Appro to Plan"to ensure these structures are shown and meet the setback conditions listed.
X
7) By de Inition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to
ensure is ese structures meet the setback conditions listed.
X
COM2015-00113 Page 2 of 6
�) I he toiiowing special conaitions snouia oe maae a part of the t)uiiaing permit:
1. Address Posting: Numerals for residential and commercial building addresses shall be conspicuously displayed on a contrasting background and
shall be a minimum of 4 inches in height with a minimum stroke of 1/2 inch. Property addresses shall be posted prior to requesting any inspections.
If property addresses are not posted upon inspection, inspection may not be approved and a re-inspection fee may be charged and must be
collected by the County prior to any further inspections being performed.
X
2. All Construction: All construction shall meet or exceed all local ordinances and the requirements of the 2012 International Codes as adopted by
Mason County and Washington State. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or
occupa uld result in permit revocation and/or Code Enforcement action.
X
3. Field orrect: The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must
be in conformance with the 2012 International Codes as adopted by Mason County and Washington State. Any corrections, changes or alterations
requireA a building or fire inspector shall be made prior to requesting additional inspections.
X
4. Reinspection Fee: All approved plans are required to be on-site for inspection purposes, and work to be inspected shall be complete and ready
for inspection. If an inspection is called for and plans are not available on site, or the work is not ready for inspection, approval will not be granted.
In additi re-inspection fee may be charged by the County prior to any further inspections being performed or approvals granted.
X
5. Permit Expiration: 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
circurnstaftes beyond the control of the permit holder have prevented action from being taken.
X
6. Fina(ltrKppection Required: 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 failure to obtain final approval prior to expiration will be documented in the legal
property records on file with Mason County as being non-compliant with the county's ordinances and building regulations and may be referred to
the Count ttorney for action.
X
7. Certificate of Occupancy: No building or structure shall be used or occupied, and no change in the existing occupancy classification of the
building or structure or portion thereof shall be made until the building official has issued a certificate of occupancy as provided herein. Issuance of
a certificate of occupancy shall not be construed as an approval of a violation of the provisions of the codes or ordinances of the jurisdiction.
Certificate suming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid.
X o
8. PermWitalicfity-, IBC 105.4/IRC R105.4: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any
violation of any of the provisions of the building code, or any other code or ordinance of. Permits presuming to give authority to violate or cancel
the provisions of the building code or other ordinances of the jurisdiction shall not be valid. The issuance of a permit based on construction
documents and other data shall not prevent the building official from requiring correction of errors in the construction documents and other data.
The building official is also authorized to prevent occupancy or use of a structure where in violation of this code or of any other ordinances of this
jurisdic
X
COM2015-00113 Page 3 of 6
9. Fire Alarm Hermit Ftequlrea. A TUII, W-FA tz compliant Tire alarm system snail De instaiiea inrougnout the ounamg unaer a separate permit issuea
by Mason County. Complete permit applications shall be submitted with ample time for review and approval, prior to the installation of any
component of the required fire protection systems. Fire alarm permit final inspection and approval shall be obtained prior to requesting a final
inspection.
X
10. Electrical Permit Required. The electrical system shall be installed under a separate electrical permit issued by the Washington State
Depart t of Labor& Industries (L&I). Electrical "final" inspections must be approved by L&I prior to requesting a building final.
X
11. Fire Extinguishers: Fire extinguishers are required for this occupancy. Minimum rating of 2-A:10-B:C required. Fire extinguisher shall be located
along a path of egress and spaced such that not more than 75 feet of travel distance exists between any point inside the building and an
extinguisher. Extinguishers shall be located not higher than 5 feet above the finished floor. Indoor fire extinguisher cabinets shall not be equipped
with locks. Extinguishers shall have a service tag verifying they have been serviced by a professional extinguisher company. If extinguisher is
recent chased, the tag inside the box may be affixed to the extinguisher with "NEW" and the date of purchase.
X
12. Special Inspection: IBC Chapter 17, Section 1704. In addition to the inspections required by IBC Section 109, the owner or the engineer or
architect of record acting as the owner's agent shall employ one or more special inspectors who shall provide inspections during construction on
the types of work listed under IBC Section 1705. The special inspectors' duties & responsibilities shall be as specified in 1704. All special inspection
reports shall be provided to the Mason County Building Department in accordance with IBC 1704.2.4. Prior to final inspection, the special
inspection agency shall also provide a final, signed report to the building department stating that all items requiring special inspection and testing
were fulfilled and reported, corrections of any discrepancies has been completed, and, to the best of their knowledge, are in conformance with the
approvp44esign drawings, specifications, and applicable provisions of the code.
X
13. Special Inspection Contractor's Statement of Responsibility: Third-Party Special Inspection is required in accordance with IBC Sections 1704 &
1705 for the items identified in the Statement of Special Inspections (as required by IBC Section 1704.3). In accordance with IBC Section 1704.4,
each contractor responsible for the construction of the work listed in the statement of special inspections shall submit a written statement of
responsibility to the building official and the owner prior to the commencement of work on the system or component. The contractor's statement of
responseNlity shall contain acknowledgment of awareness of the special requirements contained in the statement of special inspections.
X
14. Vineering or Architecture: Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in
writing to the Mason County Building Department prior to construction. All engineering and/or architectural documents are a part of the approved
set of plans and shall remain attached thereto. If documents are removed, or changes are made without approval from the architect or engineer
and the Building Official, approval will not be granted, and a re-inspection fee will be charged and shall be collected by the Couny prior to any
further' ections being performed or approvals granted.
X
15. Soil Bearing Capacity: Assumptions were made in the design of the project in regard to the bearing capacity of the native soils. It is the
contractor's/owner's responsibility to ensure upon excavation that the soil bearing capacity will satisfy assumptions and provide the necessary
bearing capacity. Soils must generally be compacted to 95% Modified Proctor Density in accordance with ASTM D1557. All construction on fill soils
shall be- viewed by a geotechnical engineer. If footings bear on fill material, a copy of the geotechnical engineer's report and recommendations
shall be cir vided to the Building Department prior to scheduling any footing or foundation inspection.
X
16. Plan Review Requirements: Any identified corrections, along with the Energy Code Compliance Worksheet(when applicable) are part of the
COM2015-00113 Page 4 of 6
approvea pians ana must remain auacnea triereto. it is trie respansiumry ui Me appncanr ru niaKe Me uuiieuuuiis uiuicareu uri rile prarib. vnue Me
plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building Official. All proposed changes to
"APPROVED" building plans that affect compliance with the Codes as amended and adopted, or any other Mason County ordinance or regulation,
must be reviewed and approved by the Building and Planning Departments prior to construction. Failure to comply and/or removal of attached
documenXWyl result in failure of required building inspections.
X
17. Pn Lines: Relevant property lines shall be clearly identified at the time of foundation inspection.
X
18. Sales Taxes: This work is being done in Mason County. All sales tax for materials delivered to, or work performed in Mason County shall be
sourced to Mason County. Prior to final approval, a completed supplier/sub-contractor list may be requested by Mason County to identify suppliers
that delive ed materials to the project site, and sub-contractors who performed work on the site.
X
19. Owner/Contractor: All contractors working in the State of Washington must be registered in accordance with RCW 18.27. There is significant
risk and potential monetary liability to a homeowner who uses an unregistered contractor. To obtain information regarding contractor registration
requirements and other helpful information for homeowners to protect themselves from un-registered contractors, please visit the Washington
State De ment of Labor and Industries (L&I)website at: www.Ini.wa.gov/tradeslicensing/contractors .
X
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 contractor. I further declare that I am entitled to receive this permit and to do the
work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The
owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s) for review and inspection. This permit/application becomes null &void if work or authorized construction 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 MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
-3 I 13
Signa Date
OWNER - r!RESENA
C ToIVE - CONTRACTOR
Print Name
i
COM2015-00113 Page 5 of 6
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u, Footings 1 Setbacks Gas Piping Ribbons D
o Interior Date By interior-Date By bate By �
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Date By Set_ I—
INSULATION
Point Load/Isolated Footings Date By 9
BG l SLAB INSULATION m
Date By Data By FIRE DEPARTMENT Z
Foundation Walls Floors Date By D
Date By Data By DECKS
FRAMING Walls Date By N
Date By Data By PROPANE TANKS =
PLUMBING vault Date BY O
Date By OTHER r
Groundwork Attic
Date B Date By Type.
y Date By
D.W.v DRYWALL Type. n
Int.Brace Wall Date By O
Date By Date By 9
Water Line Fire Separation FINAL INSPECTION r� 1�;�,
Date By Date By Date 1 1 1 J e) By Cis O
Pass 4r Request Inspect.
Type of Insp. Fail Date Date Done By Comments G,
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OVERALL SITE PLAN
BRIG SCALE: 1 60'- 0"
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_"",4PROS
October 1, 2015
Mason County DCD
Barbara A. Adkins, Director
426 West Cedar Street
Shelton, WA 98584
Re: Building Permit# COM2015-00113, 22900 NE State Route 3.
Occupancy Group: E
Construction Type: V-B, FAS, non-sprinkled
Occupant Load: 84
Dear Ms. Adkins,
The construction plans for the "dry" portable classroom structure have been reviewed
for compliance with the 2012 International Building Code, the 2012 International
Mechanical Code, the 2012 Uniform Plumbing Code, and the 2012 Washington State
Energy Code, as adopted by the State of Washington, as well as any locally adopted
amendments to the codes.
The construction plans have been found to be in substantial compliance with the
adopted codes, and provided the special conditions identified below are incorporated
into the building permit, we recommend approval of the construction documents in
accordance with IBC Sections 107.3.1.
The following special conditions should be made a part of the building permit:
1. Address Posting: Numerals for residential and commercial building addresses
shall be conspicuously displayed on a contrasting background and shall be a
minimum of 4 inches in height with a minimum stroke of 1/2 inch. Property
addresses shall be posted prior to requesting any inspections. If property
addresses are not posted upon inspection, inspection may not be approved and
a re-inspection fee may be charged and must be collected by the County prior to
any further inspections being performed.
2. All Construction: All construction shall meet or exceed all local ordinances and
the requirements of the 2012 International Codes as adopted by Mason County
and Washington State. Occupancy is limited to the approved and permitted
classification. Any non-approved change of use or occupancy could result in
permit revocation and/or Code Enforcement action.
3. Field Correct: The construction of the permitted project is subject to inspections
by the Mason County Building Department. All construction must be in
conformance with the 2012 International Codes as adopted by Mason County
and Washington State. Any corrections, changes or alterations required by a
building or fire inspector shall be made prior to requesting additional inspections.
TM&11C Page I of 4 P.O.Box 185
Allyn,WA 98524
CodeProsWA.com
r
4. Reinspection Fee: All approved plans are required to be on-site for inspection
purposes, and work to be inspected shall be complete and ready for inspection. If
an inspection is called for and plans are not available on site, or the work is not
ready for inspection, approval will not be granted. In addition, a re-inspection fee
may be charged by the County prior to any further inspections being performed
or approvals granted.
5. Permit Expiration: 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 prevented action from being taken.
6. Final Inspection Required: 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 failure to obtain final
approval prior to expiration will be documented in the legal property records on
file with Mason County as being non-compliant with the county's ordinances and
building regulations and may be referred to the County Attorney for action.
7. Certificate of Occupancy: No building or structure shall be used or occupied,
9 p ,
and no change in the existing occupancy classification of the building or structure
or portion thereof shall be made until the building official has issued a certificate
of occupancy as provided herein. Issuance of a certificate of occupancy shall not
be construed as an approval of a violation of the provisions of the codes or
ordinances of the jurisdiction. Certificates presuming to give authority to violate or
cancel the provisions of this code or other ordinances of the jurisdiction shall not
be valid.
8. Permit Validity: IBC 105.4/IRC R105.4: The issuance or granting of a permit
shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the building code, or any other code or ordinance of . Permits
presuming to give authority to violate or cancel the provisions of the building
code or other ordinances of the jurisdiction shall not be valid. The issuance of a
permit based on construction documents and other data shall not prevent the
building official from requiring correction of errors in the construction documents
and other data. The building official is also authorized to prevent occupancy or
use of a structure where in violation of this code or of any other ordinances of this
jurisdiction.
9. Fire Alarm Permit Required. A full, NFPA 72 compliant fire alarm system shall
be installed throughout the building under a separate permit issued by Mason
County. Complete permit applications shall be submitted with ample time for
review and approval, prior to the installation of any component of the required fire
protection systems. Fire alarm permit final inspection and approval shall be
obtained prior to requesting a final inspection.
10.Electrical Permit Required. The electrical system shall be installed under a
separate electrical permit issued by the Washington State Department of Labor &
Industries (L&I). Electrical "final" inspections must be approved by L&I prior to
requesting a building final.
"Pros,uC Page 2 of 4 P.O.Box 185
Allyn,WA 98524
CodeProsWA.com
11.Fire Extinguishers: Fire extinguishers are required for this occupancy. Minimum
rating of 2-A:10-B:C required. Fire extinguisher shall be located along a path of
egress and spaced such that not more than 75 feet of travel distance exists
between any point inside the building and an extinguisher. Extinguishers shall be
located not higher than 5 feet above the finished floor. Indoor fire extinguisher
cabinets shall not be equipped with locks. Extinguishers shall have a service tag
verifying they have been serviced by a professional extinguisher company. If
extinguisher is recently purchased, the tag inside the box may be affixed to the
extinguisher with "NEW" and the date of purchase.
12.Special Inspection: IBC Chapter 17, Section 1704. In addition to the inspections
required by IBC Section 109, the owner or the engineer or architect of record
acting as the owner's agent shall employ one or more special inspectors who
shall provide inspections during construction on the types of work listed under
IBC Section 1705. The special inspectors' duties & responsibilities shall be as
specified in 1704. All special inspection reports shall be provided to the Mason
County Building Department in accordance with IBC 1704.2.4. Prior to final
inspection, the special inspection agency shall also provide a final, signed report
to the building department stating that all items requiring special inspection and
testing were fulfilled and reported, corrections of any discrepancies has been
completed, and, to the best of their knowledge, are in conformance with the
approved design drawings, specifications, and applicable provisions of the code.
13.Special Inspection Contractor's Statement of Responsibility: Third-Party
Special Inspection is required in accordance with IBC Sections 1704 & 1705 for
the items identified in the Statement of Special Inspections (as required by IBC
Section 1704.3). In accordance with IBC Section 1704.4, each contractor
responsible for the construction of the work listed in the statement of special
inspections shall submit a written statement of responsibility to the building
official and the owner prior to the commencement of work on the system or
component. The contractor's statement of responsibility shall contain
acknowledgment of awareness of the special requirements contained in the
statement of special inspections.
14.Engineering or Architecture: Any changes in proposed construction shall be
reviewed by the engineer or architect of record and submitted in writing to the
Mason County Building Department prior to construction. All engineering and/or
architectural documents are a part of the approved set of plans and shall remain
attached thereto. If documents are removed, or changes are made without
approval from the architect or engineer and the Building Official, approval will not
be granted, and a re-inspection fee will be charged and shall be collected by the
Couny prior to any further inspections being performed or approvals granted.
15.Soil Bearing Capacity: Assumptions were made in the design of the project in
regard to the bearing capacity of the native soils. It is the contractor's/owner's
responsibility to ensure upon excavation that the soil bearing capacity will satisfy
assumptions and provide the necessary bearing capacity. Soils must generally
be compacted to 95% Modified Proctor Density in accordance with ASTM D1557.
All construction on fill soils shall be reviewed by a geotechnical engineer. If
footings bear on fill material, a copy of the geotechnical engineer's report and
Prot.LLC Page;of 4 P.O.Box 185
Allyn,WA 98524
codeProsWA.com
a
recommendations shall be provided to the Building Department prior to
scheduling any footing or foundation inspection.
16.Plan Review Requirements: Any identified corrections, along with the Energy
Code Compliance Worksheet (when applicable) are part of the approved plans
and must remain attached 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. All proposed changes to "APPROVED" building plans that
affect compliance with the Codes as amended and adopted, or any other Mason
County ordinance or regulation, must be reviewed and approved by the Building
and Planning Departments prior to construction. Failure to comply and/or
removal of attached documents will result in failure of required building
inspections.
17.Property Lines: Relevant property lines shall be clearly identified at the time of
foundation inspection.
18.Sales Taxes: This work is being done in Mason County. All sales tax for
materials delivered to, or work performed in Mason County shall be sourced to
Mason County. Prior to final approval, a completed supplier/sub-contractor list
may be requested by Mason County to identify suppliers that delivered materials
to the project site, and sub-contractors who performed work on the site.
19.Owner/Contractor: All contractors working in the State of Washington must be
registered in accordance with RCW 18.27. There is significant risk and potential
monetary liability to a homeowner who uses an unregistered contractor. To
obtain information regarding contractor registration requirements and other
helpful information for homeowners to protect themselves from un-registered
contractors, please visit the Washington State Department of Labor and
Industries (L&I) website at: www.ini.w. a.gov/trades lice nsing/contractof .
It has been our pleasure to work with you on this project with our mutual desire for
safety in the built environment. If you have questions or concerns, please contact
CodePros at 360-801-0543, or contact me directly at mbarthCa codeproswa.corn .
Sincerely,
Digitally signed by Michael J.Barth,M.C.P.
Date:2015.10.01 22:10:57-07'00'
Michael J. Barth, M.C.P.
Building Code Consultant
-,Pros,LLC
mfile
Pros.LLC Page 4 of 4 P.O.Box 185
Allyn,WA 98524
CodeProsWA.com
MASON COUNTY _ PERMIT NO.
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING• PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352
�xsa PO Box 279, Shelton, WA 98584 (360)482-5269 Elma ext.352 2
ILDI -� �i1An,r4a,b ILDING PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Dana Rosenbach,North Mason School District NAME: TBD
MAILING ADDRESS: 71 E. Campus Dr MAILING ADDRESS:
CITY: Belfair STATE:WA ZIP: 98528 CITY: STATE: ZIP:
PHONE: 360-277-2300 CELL:N/A PHONE: CELL:
EMAIL: drosenbachnnorthmasonschools.org EMAIL:
ericna,hainline.com L&I REG#
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) 12332-40-60000 FIRE DISTRICT CMF �c
LEGAL DESCRIPTION(ABBREVIATED) : TR 1 OF NE SW&NW 5
SITE ADDRESS 22900 NE State Route 3 CITY Belfair,WA 98528
DIRECTIONS TO SITE ADDRESS State Route 3 toward Belfair.Across from Theler Center
IS PROPERTY WITHIN 200 FT:(Clear water Creek opposite side of site)
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM✓
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES✓ NO❑
TYPE OF JOB: NEW ❑ ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ✓
USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) Classroom IS USE:
PRIMARY✓ SEASONAL ❑ NUMBER OF BEDROOMS N/A NUMBER OF BATHROOMS 0
DESCRIBE WORK_ I 1,773 S.F.da,classroom Rortable structures from No o High School to Belfair
Elementary
,SQUARE FOOTAGE: � I� �O6
1ST FLOOR: 1,773 ea.(3,546 S.F.total)sq.& 2ND FLOOR:0 f�.�3RD R sq.ft.
BASEMENT sq.ft. COVERED DECK sq.ft.STORAGE s . Gow((M-echanical
Platform): sq.ft. �.
GARAGE sq.ft. ATTACHED n DETACHED F1 CARPORT 42s6.ft. ATTACHED F1 DETACHED
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE.FLOOR PLAN
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
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 contractor. I further
declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary
parties, including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for
review and inspection.This permit/application becomes null&void if work or authorized construction 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 MEANS OF
INSPECTI1PN. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X G--1 -7. 7-
Signature p scant Date
X Ravm ow. Principal. Erickson McGovern Architects OWNER PRESENTATI /CONTRACTOR
Print Name C ATE
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDINGDEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL