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HomeMy WebLinkAboutBLD2008-00790 Cancelled Shop/Storage - BLD Permit / Conditions - 7/1/2008 r 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 BLD2008-00790 OWNER: CHRIS GIRALDES RECEIVED: 6/26/2008 CONTRACTOR: LICENSE: EXP: ISSUED: 7/11/2008 SITE ADDRESS: 2380 E MCEWAN PRAIRIE RD SHELTON EXPIRES: 1/11/2009 PARCEL NUMBER: 321330090022 LEGAL DESCRIPTION: TR 2 OF N1/2 LOT: 2 OF SP#2295#564084 PROJECT DESCRIPTION: DIRECTIONS TO SITE: SHOP/GARAGE McEwans Prairie Rd. to addre s. General Information Construction &Occupancy Infor at n Square Footage Information No. of Bedrooms: Type of Constr.. V Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: Size: Deck: Type of Work: ACC Fire Dist.: 5 No. of Stories: 1 2cc. L Building: Garage-Detached 1,530 Building Height: c Sto : Basement: Manufactured Home Inform o Setba or ation Shoreline& Planning Information Water Body: NONE Make: Length: Ft. N1: 4 . e: Ft. SEPA?: No .0 Slope: Ft. g.: Not Applicable Model: Width: Ft. S .0Shoreline DesiYear: Serial No.: SFt. Comp. Plan Desig.: Rural Plumbing Fixtures echanical Fixtures FEES Type ype Qty. Type By Date Amount Receipt Lavatories entilation Fan 1 Plan Check Fee KS 6/26/2008 $372.48 S12008000 Water Closets (Toilets) 1 Planning Review Fee KS 6/26/2008 $190.00 S12008000 Water Heaters 1 EH Plan Review KS 6/26/2008 $40.00 S12008000 Bath Tubs 1 Building State Fee MAL 7/1/2008 $4.50 S12008000 Clothes Washer 1 Building Permit Fee MAL 7/1/2008 $573.05 S12o08000 Mechanical Base Fee MAL 7/1/2008 $26.60 S120080o0 Mechanical Fee MAL 7/1/2008 $8.40 S120080o0 Plumbing Base Fee MAL 7/1/2008 $23.10 S12008000 Plumbing Fee MAL 7/1/2008 $40.50 S12o08000 Water Adequacy Plan Review CEW 7/11/2008 $40.00 S12o08000 Total $1,318.63 BLD2008-00790 Please refer to the following pages for conditions of this permit. 1 of 5 CASE NOTES FOR •. BLD2008-00790 CONDITIONS FOR BLD2008-00790 1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647 82. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) 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. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where such roams onnect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 3) Prior to final approval, all upland areas disturbed or newly c d by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 4) Approve r dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 5) No part of this structure has been reviewed, or approved for any living or sleeping purposes. es Any change of use requires a review and permit for the propose upancy. X 6) 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 not be 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 Depa nor to any further inspections being performed or approvals granted. X rtm 7) Own;A-� ®nt is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 8) 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 removal proved documents will result in failure of required building inspections. X BLD2008-00790 Please referto the following pages for conditions of this permit. 2 of 5 9) This structure is approved as un-heated space. If at any time this building is to be used for anything other than what it is approved for, a change of use permit shall belied for, reviewed and approved prior to the change. 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 Building Dep t prior to any further inspections being performed or approvals granted. X 12) 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 BASIC SPEED (3-SECOND GUST) the wind speed for Mason County is 85 MPH. X y� 13) Per IRC - SECTION R905 - REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in accordan j the applicable provisions of this section and the manufacturer's installation instructions. X 14) A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit application. Design, sizing, placement, inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It is the owner/agent/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel prior to the commencement of any development activities. `NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater Management Application/Worksheet the document entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan" constitutes an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are responsible for contacting Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this, or any other, parcel. You may also wish to consult with the septic design professional involved with the project. By calling for a final inspection of the building permit the owner/agent/contractor is�e�Wedging that all components of the stormwater management system have been installed as approved on the stormwater site plan. X —tea 15) The use, handling and storage of hazardoerials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X 16) This structure is limited to U-occupancy use only(private garages, carports, sheds, and agricultural buildings.) Any other use will be in violation of the international c tt' Mason County Regulations unless a "Change of Use" permit is applied for, reviewed and approved. X ; 17) 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 document are removed, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall ollected by the Building Department prior to any further inspections being performed or approvals granted. X BLD2008-00790 Please referto the following pages for conditions of this permit. 3 of 5 98) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the State of Washington -,OOccupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation X 19) 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 locate thin 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 20) Placement�_Ntr e must comply with standards set forth per the international codes regarding descending and/or ascending slopes. X 21) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or r � n, must be reviewed and approved by Mason County prior to construction. X 22) 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 internatio al codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shal ade prior to requesting additional inspections. X 23) All property lines shall be clearly identified at the time of foundation inspection. X 24) 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 i,spection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason Coun ances and building regulations. X 25) 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 pe_riod not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder ha vf nted action from being taken. No more than one extension may be granted. X 26) Pressure treated wgod manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, ancjft' ing. Install metal connectors approved for contact with the new types of pressure treated material. X BLD2008-00790 Please referto the following pages for conditions of this permit. 4 of 5 27) Retaining walls needed to support a surcharge as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X 28) Prior to finai approval, all upland areas disturbed or newlyy construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 29) Approved ` ensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. 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 described property an ucture for spection. / ,,Np OWNER OR AGENT: DATE: ll ��p BLD2008-00790 Please refer to the following pages for conditions of this permit. 5 Of 5 I G) o CONCRETE MECHANICAL MANUFACTURED HOME C) T C) Footings /Setbacks Gas Piping Date By Ribbons Co interior Date By interior- Date ay Date By C) j ­-1-111-11-11-1— 1 m (0 Extef of Date-7-1Y. f- B Exterinr-Date By C/) C) el�111 Set-up Point Load I Isolated Footings INSULATION Date By 0 Date By BG I SLAB INSULATION m Data By FIRE DEPARTMENT X Foundation Wall* Floors Date By Date By Data By DECKS FRAMING Walls Date By Date i/1k)" By Data B y PROPANE TANKS PLUM61NG( vault Date, By Date By OTHER Groundwork Attic Date 13 y Date By Date D.W.V DRYWALL "ype, n Brace Wall Date By Date BOM r -0 Data By FINAL INSPECTION 0 (D Water Line Fire Separation NO Date B Y Oulu By Data By 40 CD 00 6 1 Pass or Request Inspect. 6 0 Done By Comments C1 _Ty.pe of Insp. Fail Date Date -4 CD Cl 6 0 :E. 70 CD 62, 8 O En d L-0c qlid v blo . ......... ................ 04 0 ------------ v QuiI din g Permit # C� _ %x �' MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location z 3 .9c 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 7cUiC'-r7— n' AZ- , 6 Jf AV r�T/ �i�'^'•' �G�G.�-`'tis !r�cT i� CC_ rG�C C�«��✓G- You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK IX 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 d3L4-) Date �-�Z -off Inspector r moos NUT MOOV T lb- TAU al6o, v Building Permit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRE TION NOTICE Job Location 260 �� e+� 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 ��, eu ;c� L C.T- s n-y�F ram' I=1c�1'r;cG z`J. .ems C� 11 e)C iot.".✓ 'a ,N - 3 J ✓wC S ► a j T 0,nn CU rc.� (3/'cca,n:.4 -to b.- G'f 16 o .c- C}�_ s ). 11 /J ell, cry a lt"Pqh► i02 C- r3 �- 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 67A) Date V � Inspectors moos NOOT MOOV T 1 T A ,� ■4.EME■E■E.a■■■■■■.■■!■■■■.■■■■�■■■■■■■..■■■■■■■■■■■■■■■■■■■Merl.■■ OWN- eta ■■■■■I■■■. 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Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 1 of 2) Per Mason County Code, Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development, or redevelopment',with more than 2,000 square feet of impervious surface2. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 2Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stornwater. Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. ..:.......... ..: :: .:: . Tc>'Q.1 rxfate frrtpWVvtous Or.S.Ce ease>+t �► ,p1et :T t�s bl� . .. Surface Type Length X I Width = Area "All dimensions in feet Buildings 34 X y - I 53 51) X 3 = Z oes Measurements for buildings are taken at the perimeter of the farthest projections(example: yv X Z = 460 eaves/gutters) IZ X I41L Drivewa s / S X O = (40z Length of drive begins at the right of way X = Parking Areas -5,0 X /0 U = 000 X = Any paved, gravel or packed area per definition above table X = Patios/Walks •Z;EF X = X = Q Any paved, gravel or packed area per definition above table X = Others X .:::. _ . >«if<th total"` >'ervivt#s.e. . . X oJI = develWrnei#�s:gr ter:tflar. (I 0 square feet a n u�r d m Ee e(.a �r� ©rfl�w�Sl' Its � is ftit`l:lm ruitius:>!W....ce Aria:..sum af:.a.fE:: rasa: a 6Z If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read,acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity. Owner/Builder/Agent Acknowledges that 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,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 Name Parcel# BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity. Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater Management in this jurisdiction. A complete copy of the ordinance can be found on the Mason County website: http//www.co.mason.wa—us/code/commissioners/index.htm Please follow the links to "Title 14,Chapter 14.48 Stormwater Management". Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan (Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public Works document entitled"Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan". This document will assist you in preparing the necessary information and plans for Public Works to review and approve. Per Department of Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in their entirety AND no part of the stormwater system adversely affects any septic system(see Environmental Health information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval. A design by a registered professional may be required for more complex sites. *These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SUE A) The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works Department can provide additional instructions,guidance and examples. (Section 14.48.130)contact Public works at: Phone: (360)-427-9670 EXT. 450 Mail: P 0 Box 1850, Shelton WA 98584 Physical: 415 N 6th St, Shelton WA 98584 If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or any other,parcel.You may also wish to consult with the septic design professional involved with the project. Mason County Division of Environmental Health can be reached at: Phone: (360)-427-9670 EXT. 352 Mail: P 0 Box 1666, Shelton WA 98584 Physical: 426 W Cedar St, Shelton WA 98584 A condition will be added to the building permit that states,in part,that all conditions the stormwater site plan will be met prior to a request for final inspection of the building permit. Owner/Builder/Agent Acknowledges that 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,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: Page 2 of 2 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 On the web www.co.mason.wa.us APPLICANT INFOR ATION CONTRACTOR INFORMATION Owner tj Company Name Dw•+d r' Mailing Address Nrr. t Mailing Address City State U01 Zip Code f93W City State Zip Code Phone '117_6W4 Othgr Ph. TiQ-ylo-oyeo Phone Other Ph. Lien/Title Holder --# fak&e Contractor Reg. # Exp. Email address - e CO-' E Mail Address Drivers Lic.# fZ C-C_(,Zy F DOB QW,06L&L6 Drivers Lic. # DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Sewer Systern- Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. '14-1 j 3 L,)u`1 w L Fire District Legal Description Site Address (Please include street name, street number and city) Z380 r' ! /9 Directions to site AJvj jj oh rm r .0 Will timber be cut and sold in parcel preparation?Yes Is property within 200'of Saltwater Lake a River/Creek Pond A)o Wetland Seasonal Runoff Stream Slopes or BIuffT/o ` r' Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New_,4_Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building "Iooe Describe Work No. of Bedrooms—­*'l- -No. of Bathrooms Square Footage- 1st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck 'C7 Other Sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make 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. 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 informaticn provided is accurate and grants employees of Mason County access to the above described property and structure 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�AJ. GRE S SP9,'TION.INACTIVITYOF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THEAPPLICATION. X `' P,W Date: (-zy-00 Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVE DENIED NOTES Building Department Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbin & Base Fee [j �� Planninq Review Fee Mechanical & Base fee 0 Other Wood /Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ?j7Z Valuation $ i TOTAL FEES I 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 INFOR TIOM CONTRACTOR INFORMATION Owner �� Tole, Company Name Mailing Addr s l r• Mailing Address City . State GJ Zip Code IK8 y City Mate Zip Code Phone 10-20-405 4 Other Ph, 360-y16 -0400 Phone Other Ph. Lien/Title Holder &""e/ Contractor Reg.# Exp. E mail address f a-,ye'-O,yvel E Mail Address Drivers Lic.# RALLGZy6 AJ ' DOB IB 06 M79 Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic X Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. Z 7 co 0 o Zt Fire District Legal Description 4.04 P * 7- T Site Address (Please incl de street name, street number and city) Dir ions to site w ' h-t ` CA . 2. M-`e ON d-i e/ , 01 -11 c+- Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff-Stream-Slopes or Bluffs > 15% TYPE OF JOB - New Add Alt Repair Other Use of Building�z e -rise Location of Fixtures/Units - 1 st Floor 2nd Floor Basement Garage--X_Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric_ LPQ­ Natural Gas_ Heat Pump_ Toilets t Type of Unit No. of Units Fees Bathroom Sink Furnace Bath Tubs Heatpumps Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kithen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs 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 O NTIN TIO OF WORK IS BY MEANS OF A PROGRESS INSPECTION. /�.� Date: �-t'�,-Og X�Owner/Owners 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 Inspect on Mechanical & Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES