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HomeMy WebLinkAboutBLD2009-00263 Cancelled Addition - BLD Permit / Conditions - 4/15/2009 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 BLD2009-00263 OWNER: STEVE LOUGHEED RECEIVED: 4/10/2009 CONTRACTOR: LICENSE: EXP: ISSUED: 5/1/2009 SITE ADDRESS: 151 E MARJORIE LN SHELTON EXPIRES: 11/1/2009 PARCEL NUMBER: 321347590091 LEGAL DESCRIPTION: TR 9-A OF SURVEY 2/98 LOT: A OF SP#2656 PROJECT DESCRIPTION: DIRECTIO S TO SITE: W Addition HY 3 B SHORE HILL RIGHT ON CATFISH LAKE ROAD LEFT ON MARJOR I LANE TO DISCOVERY PERK General Information Construction&OccWInfa S uare Foota a Information q 9No.o Bedrooms: TTypeofUse: SF Insp.Area: No. of Bathrooms: Lot Size: Deck: Type of Work: ADD Fire Dist.: 5 No.of Stories: Building: Valuation: Building H ht: ma Basement: addition 624 Manufactured Home Information a ac rmation Shoreline&Planning Information Water B ody: na Make: Length: Ft. Fr nt: .0 Ft. Shoreline: Ft. SEPA?: No Model: Width: Ft. R 108.0 Ft. Slope: Ft. Shoreline Desi i 1: E 65.0 Ft. 9 Not Applicable Year: Serial No.: ide 2: W Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee KKK 4/10/2009 $468.49 S22009000 EH Plan Review KKK 4/10/2009 $41.00 S22009000 Planning Review Fee KKK 4/10/2009 $205.00 S22009000 Building State Fee MAU 4/14/2009 $4.50 S12009000 Building Permit Fee MAU 4/14/2009 $720.75 S12009000 EH Plan Review CEW 4/16/2009 $62.00 S12009000 Total $1,501.74 kc09-00263 Please refer to the following pages for conditions of this permit. 1 of 4 CASE NOTES FOR ` BLD2009-00263 CONDITIONS FOR BLD2009-00263 1) Approved ner dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X_K 2) 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 1-800-6 0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 3) 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 roaconnect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 4) Approve"er dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 5) All other necessary permits from Mason County, Washington State and/or Federal Agencies that armrequired for this proposed development and construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. 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 Depart _�,nt prior to any further inspections being performed or approvals granted. X �__ 7) Owner/te nt is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. 8) All exterior wall ca�jties exposed during construction or remodeling work shall be insulated to the full depth of the wall cavity and inspected prior to covering. X �I 9) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X BLD2 D09-00263 Please referto the following pages for conditions of this permit. 2 of 4 19) 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 t 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 Drtment prior to any further inspections being performed or approvals granted. X L 11) Washington State Energy Code Compliance has been approved using the following: Heat Type: Electric or other fuels, Compliance Method: Prescriptive option IV, Window(Max U-Factor):0.35, Skylight(Max U-Factor):0.58, Doors (Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38, Vault Insulation R-38 (see exception), Slab Insulation R-10. Exception: R-30 insulation may be installed, up to 500 sq. ft., in single rafter or joist vaulted ceilings where the distance of the top of the ceiling and the underside/gf the roof sheathing is less than 12-inches and there is 1-inch vented airspace above the insulation. X 12) Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2). X 13) 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. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. X 14) 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 JL 15) All changes to"ap roved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or reg a ion, must be reviewed and approved by Mason County prior to construction. X 16) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shall bete prior to requesting additional inspections. X 17) All property lines shall be clearly identified at the time of foundation inspection. X lic &LD2009-00263 Please referto the following pages for conditions of this permit. 3 of 4 18) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure Jo request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason Coun rdinances and building regulations. X 19) 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 havevented action from being taken. No more than one extension may be granted. X 20) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, qnd flashing. Install metal connectors approved for contact with the new types of pressure treated material. X 21) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure these structures meet the setback conditions listed. X 22) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "Approved kite Plan"to ensure these structures are shown and meet the setback conditions listed. X 1 23) Prior to final approval, all upland areas disturbed or newly cr ted by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). 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 and struct a for review and inspection. OWN ER OR AGENT: DATE: bkLD2009-00263 Please refer to the following pages for conditions of this permit. 4 of 4 r o CONCRETE MECHANICAL MANUFACTURED HOME p CD Date ��' 3 _ ©7 lay L _ C C) Footings !Setbacks Gas Piping Ribbons G) R g = o Intenor Date By interior-Date By Date By CDS1-�1pct �Q�• m 0) Exterior Date By Exterior- Date By Set-up 0 INSULATION Point Load!Isolated Footings; Date BY N Date By �a SLAB INSULATION By FIRE DEPARTMENT m Foundation Walls Floors Date By G M Date S�-/1-411 By Data By DECKS FRAMING Walls ) Date By Date F- — p} By l✓ Data g�/ — �`} By PROPANE TANKS PLUMBING vault Date ay _a Date _ By OTHER Groundwork Attic; Type. Dale By Date By Date By DM.)/ DRYWALL Type- Int.Brace Wall Date BY Date BY Date By FINAL INSPECTION 0 d Water Line Fire Seperation C Dale By Date By Date BY CD Pass or Request Inspect. c Type f Insp. Fail Date Date Done By Comments o ' K� csS 0� ar' lit "K_ w v NtA 7 7 U9 y 6 , a bte -/'liar o s; b o Ca 1'It s�e-t. y1 ecekt �� -3 "k- x T #s 0 L MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 1 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 compliance �� 7✓wss k. v. o � t� r.' tifi - ,,,' ,'r v2 Q r- . VV .r- C��•G G fd e�� �7 Sfr�crP�,�-� �,,, 11 ea ee— wc,Z 7 OATS, 14,✓� e, I Is ` r x i O 'n D "I �-tc) 51✓-IC4 c) i 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 ❑ please contact our office ❑ Make corrections, items will be checked on next inspection regarding possible structural ❑ OK to damage incurred by recent is made" This is not a complete inspection disasters.This is NOTa Date �� �V�O Department 04& LCORRECTION NOTICK Inspector Lot-, _ ■ ,0* ul J* loT -I* w0l T '/ & Tm * 1111111 Permit# � MASON COUNTY BUILDING III 426 W, CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 6-1 hlr-/ j6f i'G L►^ This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been fo nd: Items listed below must be correctlftf4 to gain compliance �� I� G Srt•I 51"l hol CDC Le C-j e- l( A-( N "►- a/," c11'.% (rHSSCs c;. ✓µSS MT . l l - ►^ti4< 41rfd^-,- 10-Ts 4 ��y► wt 11 Iut� r�.�� N-r �S e-Cj C r t.,rr.S ✓L s7ti a 3 3 I J u� wed -e i2Gr �,� . 12 l,-- L ��1�- Tv ,�,.s.. c-tt - w. d 1L -fy cci✓ +Z lt�s i. �-t.u'4 You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK �j Call for re-inspection when corrections are made before continuing ❑ please contact our office ❑ Make corrections, items will be checked on next inspection regarding possible structural ❑ OK to damage incurred by recent "naturaUman made" ❑This is not a complete inspection disasters.This is NOT a Date 71311Dc;l Department ly) CORRECTION NOTICE. Inspector LV& n* w, NOT , r1* mliT ' T 'I ' T , _* ., Name Parcel# 3213 7—Z� .9670 j BLD# Mason County 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 surface 2. '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. ZCommon 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 stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. Surface Type Length X Width = Area *All dimensions in feet Buildings X = X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: I — eaves/gutters) X = Driveways X = X = Length of drive begins at the right of way X = Parking Areas X = X = Any paved, gravel or packed area per definition above table X = Patios/Walks X = X = Any paved, gravel or packed area per definition above table X = Others X = X = If the total impervious area of the proposed site X = development is greater than 2000 square feet a Small Parcel Stormwater Site Plan is Required Total Impervious Surface Area(sum of all areas) U-2A If the Total Impervious Surface 4ea is LESS THAN 2000 Square Feet, pie read,acknowledge and sign below. Based Upon the information you ave provided a Stormwater Site Plan IS NO quired for this development activity. Owner/Builder/Agent Acknowledges t t subm' ion of inaccurat formati esult in a stop work order or permit revocation. Acknowledgement of such is by signature ow. lare am th ner,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- describe property fo view a inspe on as may be required. -41 X caner 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 I of 2 Name 47P,5 Parcel# U% 2 -e T/ 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: httpHwww.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 SITE 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 WO f......2.................y.........y................. ... .................. .... ... .... ... }.,...... 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Electric wall heater • Electric Central Fu ace O LPG Furnace EX Yln O Heat Pump with electric furnace O Heat pump with gas furnace O Boiler, specify fuel type: O Other: Specify Glazing O Prescriptive Option see reverse side circle one: I II IV Percentage: Compliance Method O Component Performance , Chapter 5— Calculation worksheets required ,�o Check one:: O Systems analysis, Chapter 4 O Whole House Ventilation system O Whole House Ventilation using a Heat Ventilation using exhaust fans&window or wall fresh air Recovery Ventilation System (VIfQ 303.4.4) System vents (VIAQ 303.4.1) Check one O Whole House Ventilation Integrated O Whole House Ventilation using an inline with a Forced Air System (VIAQ 303.4.2) supply fan. VIAQ 303.4.3) Window & Door Schedule (If needed, attach an additional sheet) Total Manufacturer Room/location U-Factor Size Quantity Square Feet Windows: • Windows: Total Sq. ft. Doors: Doors: Total Sq. Ft Total window and door area Total window&door area /(divided by) total sq.ft of heated area = %of glazing MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Permit Assistance Center SHELTON (360)427-9670 BELFAIR(360)275-4467 Elma (360)482-5269 FAx: (360) 427-7798 WEB SITE: www.co.mason.wa.us P.O. Box 186, SHELTON 98584 2006 Washington State Energy Code (WSEC) 2006 Ventilation and Indoor Air Quality Code (VIAQ) Effective July 1, 2007 Code Compliance Application Form The following information will be required for the WSEC and VIAQ plan review: 1. Complete the Washington State Energy Code/Ventilation and Indoor Air Quality Code (WSEC/VIAQ) application located on the reverse side. 2. The window and door schedule should include all windows, skylights, sliding glass doors, french doors and any other door with 50% glass or more. Use rough opening dimensions of windows and doors to calculate size. It is always helpful to list the u-factors of windows and doors, if known. If you do not know u-factors, the plan reviewer will assume all window & door glazing will have a u-factor of .35 or less. When using the area weighted average method to comply with the prescriptive path include calculations with submittal documents. 3. On your building plans note the location and fuel type of heating system, water heater, location of exhaust fans (bathroom, laundry, kitchen, etc.) and R-factor of proposed insulation for walls, floors, ceilings, and slabs. Outdoor lighting, permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy luminaires or motion sensor with integral photocontrol photosensor. All linear fluorescent fixtures must be fitted with T-8 or smaller lamps, but not T-10 or T-12 lamps. To verify compliance, provide lighting information on plans. 4. Questions? Call Mason County Community Development at (360)427-9670 ext. 352. Additional WSEC and VIAQ compliance information is also available on the WSU-Energy Program website at: http://www.energy.wsu.edu/code/ Prescriptive Requirements °,' for Group R Occupancy Climate Zone 1, Table 6-1 Glazing Glazing U-factor Vaulted Wall Wall Wall Area%of Door Ceiling Ceiling3 Above interior exterior Slab 6 Option Floor „ U 2 See note Grade 4 below 4 Below Floor 5 on o vertical Overhead Factor9 belOw 12 grade Grade Grade I 10% .32 .58 .20 R-38 R-30 R-15 R-15 R-10 R-30 R-10 II* 15%* .35 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 IV Unlimited Single Family Res .35 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 (R-3)Only *Reference Case/Call(360)427-9670 ext.352 for footnote information. Log&solid timber wall with a min.avg.thickness of 3.5"are exempt from the above grade wall insulation requirements.Vaulted ceilings shall be limited to 500 sq.ft.of ceiling area for any one dwelling unit. .�.e��v"wa^!,!�v.,aw.... .. .. ARAM''"".�*'o"e�'"^n41iT�,"r,^R5�?,n,�rqpwau�rr;�.�.9,"'°7!r„'�"4"a�l".;':'d!M-'��R��"t�T•` \�7?ffM' . FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. 1 I PLEASE PRESS HARD BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 C�0 Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 //`��f/C On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner j-- .a/» Pf-f.P Company Name Mailing Address L %' ' Mailing Address City State ' Zip Code City State Zip Code Phone Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg. # Exp. E mail address E Mail Address Drivers Ltd. # DO9 Drivers Lic.# DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. `r Fire District Legal Description ,' t" r Site Address (Please include street name, street number and city) /'>/ C~ � '.r rc;✓, `�'E Directions to site Will timber be cut and sold in parcel preparation?Yes/No Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream 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 —T Describe Work No. of Bedrooms No. of Bathrooms Square Footage- 1st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck 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 information 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 OF4PROGRESS INSPECTIO .INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Date: Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department '/t/.04 Planning Department ` Environmental Health Department Fire Marshal FEES Building Permit Fee 7 'S' Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee 41, Violation Fee Pre-Paid at Submittal Valuation $ 22 TOTAL FEES