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HomeMy WebLinkAboutBLD2006-00580 Final SFR and Bonus Room - BLD Permit / Conditions - 4/3/2007 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 < Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton,WA 98584 RESIDENTIAL BUILDING PERMIT BLD2006-00580 OWNER: GARY CHRISTENSEN RECEIVED: 4/12/2006 CONTRACTOR: PACIFIC BUILDERS LICENSE: PACIFB*013L4 EXP: 8/2/2007 ISSUED: 5/31/2006 SITE ADDRESS: 101 E MARYANN PL SHELTON EXPIRES: 11/30/2006 PARCEL NUMBER: 321347590084 LEGAL DESCRIPTION: TR 8-D OF SURVEY 2/98 LOT:4 OF SP#2649 AF#616091 PROJECT DESCRIPTION: DIRECTIONS TO SITE: New SFR/BONUS ROOM ABOVE GARAGE Catfish Lk Rd. to Catfish Lk. Ln. to Marjorie to Maryann PI to right on Mart Ann Way. General Information Construction&Occupancy Information Square Footage Information No.of Bedrooms: 3 Type of Constr.: VB Type of Use: SF Insp.Area: No.of Bathrooms: 2 Occ.Group: R-3 Lot Size: Deck: 160 Type of Work: NEW Fire Dist.: 5 No.of Stories: 2 Occ. Load: Building:1,827 Garage-Attached 1,786 Valuation: Building Height: 27 Occ. Status: Primary Basement: COVPORCH 256 Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: E 38.0 Ft. Shoreline: Ft. Water Body:S Rear: W 2 EPA?: No Model: Width: Ft. .0 Ft. Slope: Ft. Shoreline Desi Side 1: S 122.0 Ft. 9.: Not Applicable Year: Serial No.: Side 2: N 35.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty, Type By Date Amount Receipt Dishwasher 1 Exhaust Hood 1 Plan Check Fee KKK 4/12/2006 $886.18 S22006000 Hosebibs 3 Furnace<100K 1 Planning Review Fee KKK 4/12/2006 $155.00 S22006000 Kitchen Sink 1 Ventilation Fan 4 EH Plan Review CEW 4/23/2006 $75.00 S22006000 Laundry Tray 1 Heat Pump 1 Address Fee GMM 4/24/2006 $140.00 S22006000 Lavatories 3 Dryer Vent 1 ADJUST—Plan Check Fee ARC 5/26/2006 $18.20 §22006000 Showers 2 Building State Fee ARC 5/26/2006 $4.50 S22006000 Water Closets (Toilets) 2 Building Permit Fee ARC 5/26/2006 $1,391.35 S22006000 Water Heaters 2 Mechanical Fee ARC 5/26/2006 $72.35 S22006000 Bath Tubs 1 Mechanical Base Fee ARC 5/26/2006 $23.50 S22006000 Clothes Washer 1 Plumbing Fee ARC 5/26/2006 $103.00 S22006000 Plumbing Base Fee ARC 5/26/2006 $20.00 S22006000 Total $2,889.08 BLD2006-00580 Please referto the following pages for conditions of this permit. 1 of 5 l CASE NOTES FOR BLD2006-00580 CONDITIONS FOR BLD2006-00580 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 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X J!�e� 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 sucWs connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 3) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 4) 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 Department prior to any further inspections being performed or approvals granted. X /1Zj 5) In accordance with international codes and Title 14, Mason County Building Code, "Standards for Fire Apparatus Access Roads,"all new structures that require an address shall have approved numbers or addresses located at the beginning of long driveways when the address is not clearly visible from the access road. The numbers shall also be plainly visible and legible from the street or road fronting the property and shall contrast with their background. Mason County Building Department requires that this be completed prior to calling for any site inspections. A re-inspection fee based on rates as adopted by the jurisdiction and the international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting insp tions. Xl 6) 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 real of approved documents will result in failure of required building inspections. X BLD2006-00580 Please referto the following pages for conditions of this permit. 2 of 5 ?6) ' Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact 'r a4acent 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 locatedwithin 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 17) All changes to"approved"building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordin iWe or regulation, must be reviewed and approved by Mason County prior to construction. X �V/-Z 18) 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 Xspecto��ll be made prior to requesting additional inspections. 19) All property lines shall be clearly identified at the time of foundation inspection. X I �[i• 20) 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 to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with MasQn_County ordinances and building regulations. X 21) 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. No more than one extension may be granted. X 22) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connect rs, and flashing. Install metal connectors approved for contact with the new types of pressure treated material. X 23) 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 �" 24) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "App�te Plan"to ensure these structures are shown and meet the setback conditions listed. X BLD2006-00580 Please refer to the following pages for conditions of this permit. 4 of 5 7) ' 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 be applied for, reviewed and approved prior to the change. X 8) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 9) 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 Buildi_n� Department prior to any further inspections being performed or approvals granted. 10) Washington State Energy Code Compliance has been approved using the following: Heat Type: Electric or other fuels, Compliance Method: IV, Window(Max U-Factor):0.40, Skylight(Max U-Factor):0.58, Door Type/Max U-Factor):0.40 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38, Vault Insulation R-30, Slab Insulation R-10. X 11) 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 WIND SPEED (3-SECOND GUST)the wind speed for Mason County is 85 MPH. X 12) Per 2003 IRC - SECTION R905- REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in accore with the applicable provisions of this section and the manufacturer's installation instructions. X 13) 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 ?�2 14 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, 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 Department prior to any further inspections being performed or approvals granted. X � 15) 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 WvvJocation. X— BLD2006-00580 Please referto the following pages for conditions of this permit. 3 of 5 25! This parcel is located in a smoke management zone. Please contact a fire warden at(360)427-9670 ext. 459 for further information. X 26) 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 /' ,2i 27) 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 Site Plan"to ensure these structures are shown and meet the setback conditions listed. 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 anytime 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. / OWNER OR AGENT: DATE: BLD2006-00580 Please referto the following pages for conditions of this permit. 5 of 5 n o� CONCRETE MECHANI AL MANUFACTURED HOME Z 0 _.-. _ �� Date D B rn Footings I Setbacks Gas Piping ZQ y Ribbons o �1 io.Date By Interior-Date 3' ©� By // Date By —I 0 Ul __ _- _. _ .._.__._._, m Co Ercterpr Gate By Exterior-Date By Set-up Z INSULATION Cl) Point Load t Isolated Footings Date By m BG t SLAB INSULATION Date By Data By FIRE DEPARTMENT Foundation Walls Floors Date By D Date By Data By DECKS -< FRAMING Walls Date By Date By Data I l� ze o r. By ec PROPANE TANKS PLUMBING vault Date, By Date Z Zo I O0 oy }tom OTHER Groundwork Atdc Date By gate _ ByType: Dana By MW.V DRYWALL Type: Date By Int Brace Wall pate By W gate By FINAL INSPECTION (D Water Line /,. Fire SeperationZn fV Date /Z D� t3y � oats By Date ?�-,� E3yCD CD Pass or Request Inspect. c Type of Insp. Fail Date Date Done By Comments _ _ o Co _0 r1plIv, �z fz ,, Q _ D 1 - o E �Q�F �, ��0 3� b 1SIP� ScE- 8 _Ji,30#4k 4' AND I�Ew• Fog C o� a 0 zn �5a1ele BASS wAhi55eard r�1 ,Icc `I C�Zl�1 z 1- ' ,v n t r � S I !Oi 0 i Ei A : A E c,v e tr_ i.—S ell 3:-dl Loo" �2 ZF 4,A/ ter✓ . � o II �/ Or l "ti n ".�v =4,5 71r, It �ir0 l"n G5� y 2-c-1 .A V u t" `5 n S t 4 dr V�dL t S Tb`n1 crt,-3 -'5 U i t✓� N G S ;Tv rY i 4 �, N��-�( r�"N N w `�. - S t�"E-t•b+u,W�L• ��o`"� � � i1 � .,,s /�u hr APPROVED rt G®Uly i Y GCD PLX' ,#'"INC; ►�t -Ls" a :SITE PLAN REQLI''E,) TO BE 0 SITE C NGES SUBiLCT TO APPRQVAL 5100148 DREG J.WALTERICK��s C N5l=C1bE�l NE=f(' 6) 6 Syv ACCESS & GRADE WORKSHEET DATE: �1-2, 6 ADDRESS 1 ! I / A4 t4 X lko t(J AY INSPECTOR 1n ✓t`- DRIVEWAY ACCESS Length: C' Width: Surface: f�-- Size of turn-around: Condition of shoulders: Vertical clearance: Lc ) need post at end of driveway with reflective address numbers GRADE,OF DRIVEWAYJ % OF ROAD ROAD ACCESS Length: Width: Surface: Condition: Vertical clearance: ( ) BURN PERMIT REQUIRED FOR LAND CLEARING FIRE. (�' ) LOT INSIDE SMZ, 4X4 FIRES ONLY. ( ) LOT INSIDE UGA, NO OUTDOOR BURNING PERMITTED. LOT TOO SMALL FOR: BURN PERMITS 4X4 FIRES. REMARKS 9n az�--8 , , I s //�t / (continue remarks on back MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT WSEC/VIAQ Compliance Application Owner: IJ�r�.. Telephone: "6C-7cj0?S� _ Parcel#:3z13q-75-_goo g� Type of project ( ) New Residence ( )Addition ( ) Remodel Total Sq. Ft. 16 Floor: 2 nd floor: Heated Basement: of heated area:: I /S'27 Heating System Type: O Electric wall heater 'O Electric Central Furnace O LPG Furnace P,Heat Pump with electric furnace O Heat pump with gas furnace O Boiler, specify fuel type: O Other: Specify Glazing Prescriptive Option see reverse side circle one: I` II IV Percentage: Compliance Method O Component Performance , Chapter 5— Calculation worksheets required 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 (VIAQ 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: � v 0 � � L fg 2 Ll L�-{i^cvom Z"Yo o3a 1 3 3 2- 3 C)3° 1 yo 16 4° 3° Windows: Total Sq. ft. I Z- Doors:C�e1•r+�f�i y;,�; �. ,�»�h �•° 6� 3 06 v—ho.\ v nar - ilia 366 Doors: Total Sq. Ft Total window and door area Total window & door area 22CG, /(divided by) total sq. ft of heated area t)�`/ �- = _%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 2004 Washington State Energy Code (WSEC) 2003 Ventilation and Indoor Air Quality Code (VIAQ) effective July 1, 2004 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 (WSECNIAO)application located on the reverse side. 2. Complete the window and door schedule on the reverse side. Include all windows, skylights, sliding glass doors, french doors and any door that is more than 50% glass. Use rough opening dimensions of the windows and doors. Information about the U-factor of the window will also help to expedite the energy code review. If you are complying with the WSEC by prescriptive path and are using the area weighted average method you must include your calculations. 3. On your building plans note the location and fuel type of water heater, location of exhaust fans (bathroom, laundry, kitchen, etc.) and R-factor of insulation proposed for walls, floors, ceilings and slabs, 4. Questions? Call Mason County Community Development at (360) 427-9670 ext. 352. Additional WSEC and VIAQ compliance information is available on the internet at: http://www.energy.wsu.edu/code/ Prescriptive Requirements 0,1for Group R Occupancy Climate Zone 1, Table 6-1 Glazing Glazing U-factor Door Wall Wall Wall Area % of Ceiling Vaulted Above interior' exterior Slab' Option Floor „ U s 2 Ceiling3 Grade below ' Below Floors on t0 Vertical Overhead Factor 12 grade Grade Grade I 12% .35 .58 .20 R-38 R-30 R-15 R-15 R-10 R-30 R-10 II* 15%* .40 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 IV Unlimited Single Family Res .40 .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. ... '�+►+5".x,,r"�,*wtrix?Ar"rw^'.'�q,.'�!4dr€ .. .. .. .t�.\.,aw�.;i:.�,. .:.'. ... _ MASON COUNTY PERMIT NO., V BUILDING PERMIT APPLICATION CD 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 INFORMATION CONTRACTOR IN ORMATION Owner VS S Company Name ii Mailin Address Mailing Addre City Lr State Zip Code City_ State Zip Code Phone Other Ph. Phone '�0-42& �-;4W S Other Ph. Lien/Title Holder Contractor Reg. #PkX FFPcb131�kxp. 4s'k!0 E mail address A M G E Mail Address Drivers Lic.# rt s Ll DOB I Drivers Lic.# pbOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic X Existing Septic j Connect to Water System Name of Water System 34al r'411:15H Z Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No Fire District Legal Description Ind S LVT 0 Oki<R UM Site Address (Please include street name, street number and city) till !Q4*FCrQAj Directions to site 'r l 0 C 1- I L Will timber be ut and sold in parcel preparation?Yes o Is property within 200' of Saltwater Lake River/Creek Pond `'`'' ✓ Wetland Seasonal Runoff Stream Slopes or BluffT/o Z Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?YeslNo:.- TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE 2Z SEASONAL ❑ Use of Building Describe Work SEA No. of Bedroom No. of Bathrooms �. Square Footage- 1st Floor ISM-7 2nd Floor 3rd Floor Basement Deck Covered Deck �� Other Sq. ft. Garage Attached — —Detached Carport Attached _ Detached MANUFACTURED HOME INFORMATION - Make --1C7(fodel Year Length Width Sefial No. N Bedrooms No. of Bathroamit 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 M NS OFA ROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Date:_ / ZOO _ wne Owners Representative/Contractor (in(fcate which'We) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: �' l Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee A'aj 8 • 20 EH Review Fee Plumbing & Base Fee 23 • O Planning Review Fee Mechanical & Base fee 9 5 • 85 Other Wood /Gas/ Pellet Stove Fee State Fee S Violation Fee NO 6A$ Pre-Paid at Submittal Valuation $ 1 ZO 0 -7 TOTAL FEES L'sci- � . > 1 04. 1 PERMIT NO. O MASON COUNTY 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 INFORMATION CONTRACTOR IN RMAT N Owner. ar Company Name ic ` � d Mailin ddres rnQ Mailing Addre s S City tate &Q(% p Code City a _Q taL_ Zip Code Phone Q— "anther Ph. �-----ram Phone 2-S�• Other Ph.— Lien/Title Holder Contractor Reg. L Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# VbOB SEPTIC INFORMATION - Connect to New Septic Existing Septic. Connect to Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description Site Address (Please include street name, street number and city) 0-rsi a"n Directions to site 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 Location of Fixtures/Units - 1 st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS ype of Fixture No. of Fixtures Fees Fuel Type:ElectriG_ LPC Natural Gas— Heat Pump_ Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace Bath Heat um s Showers s 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 parry 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 and, ants employees of Mason County access to the above described property and structure for review and inspection. OOF,OF CONT NUA N OF RK I$BY ME SOFA PROGRESS INSPECTION Date: 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 Department Environmental Health Department FEES Plumbing & Base Fee Site Inspection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES