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HomeMy WebLinkAboutBLD99-00525 Final Garage - BLD Permit / Conditions - 7/6/2006 CONCRETE MECHANICAL MANUFACTURED HOME Z o Footings/Setbacks Date By Ribbons D p Gas Piping Z N Intenor Date By Interior-Date By Date By - �' Extero(Date By Exterior-Date B G) Set-UP D Point Load!Isolated Footings INSULATION Date By X Date BY BG/SLAB INSULATION Data By FIRE DEPARTMENT Foundation Walls Floors Date By Date BY Data BY DECKS FRAMING Wets Date By Date By Data By PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork Attic Date By Date By Type: Data By D.W.V DRYWALL Type: Int Brace Wall Date By Date BY Date By FINAL INSP CTION W 2 Water Line Fire separation r 8 Date By Date By Date `7 S Pass or Request Inspect. c 5 Type of Insp. Fail Date Date Done By Comments N CD 0 cN,4 -0151 /0L" 0 8 a a' N O r S 0 Building Permit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 ORRECTION NOTICE Job Location Zc-e) r-- gu�am--� 13r 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 Pel- i r "PAS Cra(-a0le- yi cf ccCt� Z C+tt C e ci 11 tA u a rk 'Ct,,v l4vt7,1 You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ' p Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department Date Inspector 1-- ■ �� � NuT nl; M « *V ' T lvm& T ' ,u MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 13 U I L G 1 N Ca P E- R IVI I _ FOR I NSPF:CT I ON.'-> ,427-toi. . T BETWEEN 5pm AND Gem 427-7262 ��'� ;`.`1. MAIT10" BLD99-0525 PARCEL :321345000028 PLAT :RAPLO D I V : BI ' ; y()iDT cr' .908 ADDRESS : 200 E EVERGREEN DR SHEL.TON f1UL� ! ( BY �� OWNER : GARY INMAN 426- 0660 CONTRACTOR : ADCON CONSTRUCTION 432•-9663 PATE LEGAL : NAIWBOW LAKE T9 28 CLASS OF WORK . tNEW BEDR : 0 BAT 14 0 DFE ANOUN; By DATE IRIQIPT TYPE AVOBNI BY DATE RECEiPTI TYPE OF USE . . . . :ACC STORIES . . . . . . . : ! OCCUP . GROUP . . iUl BLDG . HE I GMT . . : 0 .0f t PLCK 1 162.34 K/ #6114/99 1002 j TYPE OF CONST . . :5N FIREPLACES . . 0 �FRNT 1 20.76 Nip 671/1199 50738 i OCCUP . LOAD . . . . o 0 WOODSTOVES . . . . : 0 ISTFf t 4.50 NJP O741199 59788 DWELL .UNITS . . . . c 0 PARKING SPACES : 0 MRCP 1 50.00 N.1P 61191199 511i/$ INSPECTION AREA : 2 SHORELINE? . . . . :N TOTAL: 466,S9 VAIVLATION: 16347 ��ii:.-:�L]ei.e_'.SR.�:C�::`s11S.�.t3�YSY�._.�.1C.l:iC...�'G—..'O�Y.-��_T�".�bw'.T✓.'..SI.�"Li_�'T-:J"ii�T•�.•_••-ten...-,_....., SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES-----,------ BOILERS/COMP---- MOBILE HOME- - FRONT . . .N 60 .Oft BATH BASINS . . . . . . : 0 0--3 HP .. : 0 REAR . . . .S 60 .0ft BATH TUBS . . . . . . . . . 0 3- 15 HP . r 0 MODEL : SIDE( 1 ) .E 10 .0ft SHOWERS ., . . . . . . . . . : 0 FURN < 100K: BTU : 0 15--30 HP . : 0 -MAKE:- ..-•--- S I DE (2 ) .W 10 .0f t WATER HEATERS . . . . : 0 FURN >=1 f00K BTUs 0 30-50 HP . : 0 SHRL I NE .N 0 .Oft CLOTHES WASHERS . . : 0 FURN - FLOOR,_ : 0 50+ HP . : 0 -YEAR-•-•-•--••- _ AREA --------------- - -- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . ; 0 LOT SIZE . . : FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0 BUILDING . . . : 08f DRINKING FOUNT . . . : 0 VENT FANS _ . . . s 0 HOODS . . . . . . . : 0 WIDTH . c 0 BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCINaO SERIAL_#- - DECKS . . . . . . r 0sf DISHWASHERS . . . . 0 AIR HANDLING UNIT`;-- COMML . INCIN :O GAR/CARP :G 864sf GARB DISPOSALS . . . : 0 <- 10000 cfm . : 0 RELOC/REPAIR : 0 AT/DT . :? URINALS . . . . . . . . . . r 0 > 10000 c;fm . : 0 OTHER UNITS . c 0 MISC PLM FIXTURES : 0 GAS OUTL..ETS . : 0 .'c.£Z.L4•�'�^."—••-•••vr - -••G::16�1CT�^^_:S^—^«l�Lt".i'6�':'D�fi2:1'l�':T'.�.'�'ir^1".ffi:�`�t.G'�5:.�]••.-•••"er'�'�L:1�?�'T.�Y%S9":Y1Gf�._^�.��V4T�.".S^i_��'-.'^'-.C:2"�1�5:?.SST_^.Y�.:��.Y_'L'7GS^-.CCU:CrtLY��:iYF..�"".-.:-11�"..5:_:_Y�.+A•�•�._K�'w'C�.C�JtCSt;:L'Z.iX'�"f_;aT.�'r�'Y.'�•�� PROJECT DESCRIPTION:GARA6E PROJECT LOCATiON:NWY 3 TO NASON LK 1I01IC7< TAKE 290 LEF1 INTC RAINBOW LAKE TO END OF CULODESAC AT END CAN RICHT THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION AVINONIiEQ IS NOT ,ONVFACFD WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENIED FOR A PEA10O OF 180 DAYS AT ANY TIME AFTER WORK IS CONK NCEQ, i=ViDENCE �F CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 181 DAY PERIOD. FINAL INSPECTION MUST BE APPROVED BEFORE BUILDING CAN BE OCCDPIEO. • OWNE�'W; AGENT: ��` .-�.t..-s�r<.__.��_'''!�-_ ____.____ _._.___._ ...... DA1Es TtD-1111T, rev; 13131191 �� f COMPLIANCE TO ATTACHED CONDITIONS IS RE©U I RED MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PF= RM I T CC3NC3 1 T i C3N Case No . : BLD99- 0525 Fort GARY I NMAN Pane : 1 1 ) The use, handling and storage of ha af d(iu:> or flammable and combustible liquids In excess of 10 gallons is riot allowed without the approval of the Mason County Lire Marshal . 2. ) 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 Countx 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 pr( ject . X 61-4- 3 ) Proposed structure or any portion thereof greater than 30" In height from grade line, must maintain a minimum of 5 ' setback froac all property lines , easements and 10 ' from all County ang State Road right of ways . X ,,',_Z:7 4 ) owner/builder assumes all responsibility if drainfield/reserve area Is encumbered . 5 ) All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given some other equivalent type of protection against erosion . X 6) Approved per dimensions and setbacks ,:)n submitted site plait . MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 7 ) All approved plans are required to be on-site for Ins ecteon purposes . If inspection is called for and glans are not on site , Approval WILL NOT be granted . In addition , a Re- Inspection fee { n the amount of 9142 .0 per hour (minimum 1 hour ) wi I 1 be charged and must be collected by this department prior, to any further inspections beyinS1 performed or approval granted . X 8 ) PURSUANT TO 1997 UNIFORM BUILDING CODE . ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS T'O BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY , MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTiON FEE BASED ON RATES AS ADOPTED BY 'THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE W{LL It3E ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . X 9 ) THIS STRUCTURE IS CONSIDERED UNHEATED SPACE (NOT TO EXCEED 1 WATT/SQUARE FOOT OR 3 .4 BTUIHRISQUARE FOOT') . AT SUCH TIME THIS CONDITION CHANGES, A CHANGE OF USE PERMIT AND A MECHANICAL PERMIT SHALL BE APPLIED FOR AND APPROVED PRIOR TO THE CHANGE . X_S-y�.____� 10) The approved plot plan Is required to be on-site for inspection purposes . If Inspection is called for and plot plan is not on site, Approval WILL NOT be granted . In addition, a Re- Inspeotion fee in the amount of $42 .00 per hour (minimum 1 hour ) will be charged and must be collected by this department prior to any further Inspections being performed or approval granted . X 11 ) No Occupancy . This structut-e Is limited to U�-1 use only . Any other use will be In violation of�the Uniform Building Code and Mason County Regulations unless a "Change of Use" permit is approved . X _ G,.,Z_ 12) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION . ANY CHANGE OF USE OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION . CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE . MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 13) Changes to approved building plans that effect compliance to the 1991 Washington State Energy Code, 1991 Ventilation and Indoor Air Qualityy g Code the Uniform Building Code and/or Masan Coun#yy Re ulations must be approved by Mason County prior to constru�ctIM 14 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE . Case No . ! BLD99--0525 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 d Mason County Bldg. III 426 W. Cedar P.O. Box 186 ISO Shelton,WA 98584 ' t RESIDENTIAL BUILDING PERMIT BLD99-00525 OWNER: GARY INMAN RECEIVED: 6/14/1999 CONTRACTOR: ADCON CONSTRUCTION LICENSE: EXP: ISSUED: 7/1/1999 SITE ADDRESS: 200 E EVERGREEN DR SHELTON EXPIRES: 12/28/1999 PARCEL NUMBER: 321345000028 LEGAL DESCRIPTION: RAINBOW LAKE LOT: 28 PROJECT DESCRIPTION: DIRECTIONS TO SITE: GARAGE HWY 3 TO MASON LK LIMERICK TAKE 2ND LEFT INTO RAINBOW LAKE TO END OF CULODESAC AT END ON RIGHT General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 0 Type of Constr.: 5N Type of Use: ACC Insp.Area: 2 No.of Bathrooms: 0 Occ. Group: U1 Lot Size:0 Deck: 0 Type of Work: NEW Fire Dist.: 5 No.of Stories: 1 Occ. Load: 0 Building:0 864 Valuation: Building Height: 0 Occ. Status: Basement:0 Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: 0 Ft. Front: N 60.0 Ft. Shoreline: 0.0 Ft. Water Body: Rear: S 60.0 Ft. Slope: Ft. SEPA?: No Model: Width: 0 Ft. Side 1: E 10.0 Ft. Shoreline Desig.: Year: Serial No.: Side 2: W 10.0 Ft. Comp.Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Final Expired Permit KKK 5/23/2006 $58.00 S22006000 Building plan check* KW $162.34 1002 Building permit....* NJP $249.75 50788 Building State Fee NJP $4.50 50788 EH Plan Review NJP $50.00 50788 Total $524.59 BLD99-00525 Please referto the following pages for conditions of this permit. 1 of 3 „. CASE NOTES FOR BLD99-00525 CONDITIONS FOR BLD99-00525 1) The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X 2) 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 project. X 3) Proposed structure or any portion thereof greater than 30” in height from grade line, must maintain a minimum of 5'setback from all property lines, easements and 10'from all County and State Road right of ways. X 4) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X 5) All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given some other equivalent type of protection against erosion. X 6) Approved per dimensions and setbacks on submitted site plan. X 7) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of$42.00 per hour(minimum 1 hour)will be charged and must be collected by this department prior to any further inspections being performed or approval granted. X 8) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X 9) THIS STRUCTURE IS CONSIDERED UNHEATED SPACE (NOT TO EXCEED 1 WATT/SQUARE FOOT OR 3.4 BTU/HR/SQUARE FOOT). AT SUCH TIME THIS CONDITION CHANGES, A CHANGE OF USE PERMIT AND A MECHANICAL PERMIT SHALL BE APPLIED FOR AND APPROVED PRIOR TO THE CHANGE. X BLD99-00525 Please refer to the following pages for conditions of this permit. 2 of 3 10)' The approved plot plan is required to be on-site for inspection purposes. If inspection is called for and plot plan is not on site, Approval WILL NOT be • granted. In addition, a Re-Inspection fee in the amount of$42.00 per hour(minimum 1 hour)will be charged and must be collected by this department prior to any further inspections being performed or approval granted. X 11) No Occupancy. This structure is limited to U-1 use only.Any other use will be in violation of the Uniform Building Code and Mason County Regulations unless a "Change of Use" permit is approved. X 12) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x 13) Changes to approved building plans that effect compliance to the 1991 Washington State Energy Code, 1991 Ventilation and Indoor Air Quality Code, the Uniform Building Code and/or Mason County Regulations must be approved by Mason County prior to constructionX 14) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE.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 fora 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 and structure for review and inspection. OWN ER OR AGENT: DATE: BLD99-00525 Please referto the following pages for conditions of this permit. 3 of 3 Tr ' 1�• I (���6 t� kv\� 7_ w�I 6 vP, t `'�F �.yyt 00 tr ia�, moo., 9 s� �� v�, \ / ,•` ` r Kcp 41 o q� a v 0 1 AA C U �.3 �( ^ 0/ \� e\05 Np 3.7 ,� 1 q�4hh.h� r 7 b lD dl oili=� �3e�.to A\ Vn cf s. a 4/SIB" v /i/ p y •� a1 Op o3 6tgo Qo /LTN e�> nr 83•oz l: 7 J� o ice, 0 0 N 43 ea E �1�0 114 7p w!!Z) eV n0 3�.C\9+-p ' N 7z•3A'j� w ti nti y �Q7 /\ m 19 ' 01y i M Q O rag.34 ,• ° 1. 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(i3 1\2 C r � V Q 2r4 O V 1 7 N 88*24'03`E 108.59 O 1 �� '��•r`a- `P01•>a� 'e, 6500 �•20'44' 98 � d L1 0N Do-35'07" 0, P 1 fp5.32 \\ 1 -Tin 32 1�'0 48 c°ph 25 M Zj N* m o Da1Te311 a' r wi0 >i e� ql 30y. , N88'BE'07`ff— �'` 2B 0`�I " M 6�Fd� TC p\ '� ��s �9 O 171.04 p=26'57'SE° V N 8 !ea �: \4i "�'\-lv,• 'v�5 4 C, 3 La g3.4z P/y 4i'toy 19 �• Z� y r52a7 L`54.7G� nli �A •\�06 L= Pg23 3n �IJ .3�'a oho ZA,O ti�� t:pMu P s19 nor ZjO Q:�pb C�3e• `� 'Ab�lt q7n no /n P DI / IL S Ci99•12',4 q " r / • 'Alell in N),eR) Z 71• i 50 N,, o �`h to -450 � ��.� �✓ b �0 THE 1 80 00 r 50 00 12 N 88• IS" S. E SUVTH /n/E NW %t OF 5 Jv 14 v� SEC i� 7HE' �9PP� we°s n 1 1aar���V � • 471T NO.: BLD � MASON COUNTY lS> U BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INF M TION ll Owner G�2 vJ ' Vktz+ T =. v44 Contractor Name LU C� � 9� r� Mailing Addres IZG Mailing Adc ress „ 170 City State Zip Code City State W4L&ip Code Phone (oo 449LIc-pL�COther Ph.( IPh. Other Ph Lien/Title Holder C,.Ag,y w+- Contractor Reg. # Address E- Zc v , Expiration SEPTICIWATER SYSTEM INFORMATION-Conne New Septic_&Q Existing Septic AIV Conneg to Sewer System lame of S er yste Well�Water System lame of Water System pip PARCEL INFORMATION-12 digit Tax Parcel No. ` C Q L4 Fire District_ Legal Description Ler 2.% , Cortaecnekj ,-.a of LwKE oc�w.,- of LA t-3 Site Address(Please i clude street IT s reet numF er nd city) Direction to site L i Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following,Body of Water ame) Saltwater N Lake River/Creek Pond�&Wetland Seasonal Runoff_ G Stream lopes or Bluffs TYPE OF JOB Newix,Add Alt Repair Other Use of Building Describe Work L 4114 No. of Bed r o s No. of Bat rooms UARE OTAGE-1st Floor 2nd Floor 3rd Floor Lof—(L Basement G Deck�(�Other G sq. ft.__1y/A Garage Attached�Detached Carport !1 U Attached Detached IF I MOBILE HOME INFORMATION-Make odel Model Year Length Width Serial o. No o. of Bathrooms Type of Hem ase ff/ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval f first obtaining approval.4 G X ate X Date FOR OFFICIAL USE BEYOND THIS POI Accepted by Date Submittal Amount Due Receipt No.1Oz DEPARTMENTAL OEVIEW APPPIOVEP DENIED' CONDITION CODES Building Department G 9q Occ Group Q— Type Constr. - 4 Planning Department Environmental Health Department Public Works Department I Fire Marshal Valuation $ FEES Building Permit Fee iJ Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other clip Wood/Gas/Pellet Stove Fee Other j —� Violation Fee Pre-Paid at Submittal ( ) ii>:\?:i%�i::iiti:.::::::i+.+' ri^:f+�r.ti'n'•'i::>ii:::j$ti;}i iri::iF.{iY:•}:?'4:0:••i::•i::^:4:^:iii?ii:Jii:4:fi:?o:v4:v:S.iii:•: •:?>:::.-.v.r.v}::n•:}ti:{i:xr.?• nvN ry:::::r:ndr::::$ixii.}Y.;.; iyY•::i:{}{;};;•iiiTiii:4:4:vii:4:4s::•Tii«?�. ;ra. «,; .N:< <:s ::::?.;:i.>;:::.:, TOTAL FEES '•:?G{:C'?+�}j}::?{::}.}::}}:}i:;::•.?v ..T:}i:•:ii:•t•!•:?•!.i:J:?::::::::i::::::':•:L•i•}::4;{• .:...i•ir:^:i{i..v,.v,.}:iti:{t^::{?.}:i::.;.;::LiLy i:4iiii:?:n...:...n..4.....:'::::::.::::::i::•nw::.�::: FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD I . MASON COUNTY PROJECT SITE INFORMATION I, Case No. NameJQP _PARCEL NUMBER JZ 13 Uate b1/<b!T SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography `= L J Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line4 I CJ I f-adjacent property line I , I I S0� I I I I � , I Ir I I adjacent property line4 I ' E-adjacent property line SAMPLE SITE PLAN adja t property line4 3io- _ E-adjacent property line r1 30" rRLS,RvE gel .gEAC�wJ AL ;• ('�\ h 7I� � _�'PTSL__,� �- CRE&K I \ I HOMC i GaSEu \ Ha.,aQ I j Prio Po�GD sm Pt:c —�I I rE— b o• —.��__� I I VAGtNT I 7F I 3o vaoPa�cD I� I 11-1 \ fwascu�r�nn� So — 1 I I I \\ 80, 31I I I /00 I � I L- e-LL I I I I � �A adjacent property line-; ; ' E-adjacent ro ert'line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE dtstanc� to ruts-ta.r� rs Iopz -f­'0"11---< 4e t Signa re a 427-9670 MASON COUNTY BUILDING DEPARTMENT ALL PERSONS ARE HEREBY ORDERED TO AT ONCE TOP WORK On these Premises at This order is issued because A.M. Posted P.M. 19 By WARNING The failure to stop work, the resuming of work without permission from the Building Official, or the removal, mutilation, destruction or concealment of this Notice is punishable by fine and imprisonment. 50 - ���� ;. Top Wos,?K CORRECTION t;>4w asa w» �-_ F" �� ,,��?5'�"a'^*7"R'•n°'�"wr i Z"!%.�'"': 7 �. r..-, NOTICE „ s 1t«:. lw �roMf FitLk,EEr rztM,levy ittv II.FA�*if4 WCSNs r � ,.= s: - 'a�e�* �" � s ,awri> S. .o- 0 w bcc2006-00067 4-20-06