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Home My WebLink AboutBLD98-0418 Mobile Home - BLD Permit / Conditions - 5/27/1998 k MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 B L) 1 li.__ C-) 1 N E'er El F1 m 1 _r FOR INSPECTIONS r.AL t. 4P7--0610 BETWEEN 5pm AND Bam 427-•7262 BLU98-0418 PARCEL PLAT ; D I V : BLK : LOT JOB ADt)P "SS : 720 SE:. P I CAI)I _ SHFI 'YON OWNER : F'RE:D SLUSSEP 426--3609 q.,? � CONTRACTOR ; ROBS EXCAVATING PE;pMIT LEGAL. : TA 2 OF NN 114 TR AR SIP146 BULL OID BY EXPIRATION CLASS OF WORK . . ;NEW BFDR : 3 BATH : 2 1TYPf � A140641 BY DATE RFCFIR RECEIPT TYPE OF USE . . . . :MN STORIES . . . . . . . : 1 OCCUP . GROUP . . tR3 BLDG . HE I GHT i 0 .0'f t. Ism s 4.S4 %S 05127191 47211 � TYPE OF CONST . . :aN F1 RFPL.ACES . . . . : 0 IN40F s 160.00 KS IhI27198, 47211 OCCIJP . LOAF) . . . . % 0 WOODSTOVES . . . . : 0 EHCP 3 50.60 KS 151271ts 47216 DWELL .0NITS . _ : PARKING SPACES : +0 INSPECTION AREA , 2 SHORELINE7 . . . . eY TOTAL 2I4.5i1 VAtUlA1iON: 56da1 SETBACKS-- __ __ -._ TOII.E:TS . . . . . . . . . . : 0 FUEL TYPES----------- BOILERS/COMP -- MOBILE HOME" FRONT . . .N 150 .Ott RATH BASINS . . . . , . : 0 : 03 HP . - 0 REAR . . , .S 120.Oft BATH TUBS . . . . . , . , : 0 3-- 16 Hp . : 0 MODEL :MARLETTE SIDE ( 1 ) .E 70 .Oft SHOWERS . . . . . . . : 0 FURN <= 100K BTU : 0 '15-30 HP . : 0 -MAKE- .-.-_.__ SIDE(2 ) .W 1 G0 .0ft WATER. HEATERS . . . . : 0 FURN >-100K ATU : 0 30-50 HP, : 0 8216 SHRL 1 NE .S 50 .Oft CLOTHES- WASHER.S . . : 0 FURN - F LOOP - . . 0 50+ tip . s 0 - YEAR - - - AREA KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 98 LOT S 1 7F . . : FLOOR DRAINS . .. a A VENT SYSTEMS.— . : 0 EVAP COOLERS : 0 LENGTH :66 BUILDING . . . .- 1760sf DRINKING FOUNT . . . : 0 VENT FANS . . . . .'. ; 0 HOODS . . . , . . . . 0 WIDTH . :27 BASEMENT . . . ; Osf 1 AUNDRY TRAYS 0 DOMES . I NC I N :O SE"R I At..1t- DECK: . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS--- COMML . I NC I N :O GAR/CARPc7 Osf GARB DISPOSALS . . . i C 10000 otm . : 0 REL.00/REPAIR : 0 AT/DT , :7 UfIINALS . . . . . . . . . . a 0 > 10000 01m . t 0 OT14ER UNITS . : 0 MISC PLM FIXTURES : 0 GAS OUTLET;~ . : 0 1AYCR�LTY�S:^'ts7Ls.L,.,:Y'.'S��:+�'[x.:Al'^cWE1z.NemA`SS::'16:r,�:s:marms:a:.'^"a. #�fA�lr,Yv6:."L'^Lc�lr..ucSG�E'iC@imtxmlftn:^�a:'�.':'k.szc3�P.a:'�^ra.�."'a;;ra'IDGi+�erRaC�F.:Ri."��++snmc.LT;m4:. dfaRaM1Y.Rs.scr..t:A�r:aa::::.a'A.;.�0.,'rs�::?�plpwa FlojfCT DFSCIIPTIGA:MOSILE HOME PROJECI LOCA71010111 ARCADIA AD 11111111 ON PINNS SMI9ER AI'&NT:ON tiCADIIIY CONTINUE PAST END Of .81ACK TOP DOWN &RAVEL ROAD TO SIGN f.NAR TEST HOLES. THIS PE1111 BECONES NO I. A1It •r010 IF 1OAK OA UIStIVC1101 A-01118R1Z0 AS 001 CAOIIENCED� 11THIA 161 DAYS, 01 If CONSfOUCTION OR WORK IS SUSPENAEI FOR A PE1106 OF Ili DAYS AT ANY 11ME AFTER 101k 1S CONMFNC .-EVIDENCE OF CONIINUAIIOM Of 1001 IS A PROGRESS 14SPFCT011 111MIN THE IRA DAY PE11101. FINAL INSPECTION NDST BE APPIOVED,1EF-41E 8OILDING CAN Of OCCUPiEU, 0 A I E OWNER R AGEN1 ELO FROI, rev.Y0/3101 COMPLIANCE TO ATTACHED CONDITIONS IS REOUtRED CONCRETE MECHANICAL MOBILE HOME /'"x Footings-Setback date by Ribbons _ date by Gas Piping date S " S" ' b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date FRAMING by date by date by Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by G.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by SET .?-,25 DE10 FIA 4L 541L .sue -- 1- 13 2S Deo FI /kc, N - � MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PF- RM 1 -r C0ND II T I ON Case. No . : BLD98-0418 Vor c FRED SLUSSER Page : i 1 ) Provisionq for surtaoe/ subsurfaFoe drainage control must be rmpletmeanted with new construction or development on site and MUST NOT adversely impact adjacent parcels . Under the requ i roment.. of Marron County Stormwater• Ord 1 nanne , either pr i va tee ditches and dreins will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing ut i I i ty and drainage easement dedicated for that wo I t i e purpose . For further Information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the lnstallatton/.00nstruction of a :driveway or access connecting from a Mason Countyy Road , Contact the Mason County rublic Works Department >rior to construction at Ext 450 . P e� or any construction which Is to belocated within 25 ` of a Mason County road right of way, 1t Is suqr,�ested to contact that office to review future planned work which m aaf f e( t your pro'l eot . X t1 2) Proposed structures or any portion thereof gr-eater than 30" in he i qht from grade 1 i ne , must maintain a minimum of 10 ' setback from all property lines , easements and 10 ' from �1 1 ,County and State Road right of ways . '3 } The use, hand I I ng and storable of hazardous mate3r-I a,I s or f, i ammah i e and combust I t.I e liquids In excess of 10 gat Ions Is not allowed without the approval of the Ma�.on County C Fir,.e Marshai . x 4) This app I i oat i on Is subject to F of fer and L_andsnap i ng reger i re�me�:nt.s as estab I i sherd under `Mason County Ord i nance 1 .03 .036 . 5 ) PURSUANT TO 1994 UNIFORM BUILDING CODE SECTION 305(C ) AND SECTION 513 ALL. SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PR6V I DED IN SUCH A POSITION AS TO Bt. PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTINt-3 THE PROPERTY ., MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECT 1 ON FEE BASED ON RATES IN TABLE 3A OF THE . 1994 'UN 1 FORM BUILDING CODE WILL BE ASSESSED IF OWNEI !CONTRACTOR FAILS TO -POST,.ADDRESS ON wiTE PRIOR TO REOUESTING INSPECTIONS . - x• CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 6) THE FOUNDATION SYSTEM SHALL BE Pt ACE:V ON UNDIS-lURBED, NATIVE SO�11 L . 7 ) Theap�roved plot plan Is required to be on.--site for ins ection Oses . It spe Ino Ion is called for and plot plan Is not on situ, Uproval MET NOT be granted . In addition a Re- Inspeotion fee In he amount of t34 ,00 per hour (minimum 1 hour ) will be charged on, must be collected by this department prior to any further Inspections being pp.rf,ormed or approval . qranted . (6 C_ 'C EXCEED ALA., LOCAL CODES AND U C I. EOUI EMENTS . 8 ) ILY RUCTION ,MUST MEET OR I R 9) REQ0IAFD INSPECTIONS (Footing Ins ention--prior to pour , Se s Set--up Inpection.-prior to skirting, Final Inspection-prior �o occupancy) . I have received a 0 ng of the General Information and ritildelineti-Mobile/MatiulaoturecI Hous a inq Inqtalltions andout for detailed descriptions of all required Inspections on my mobile/Rianufactured home Installation . I hereby assume all responsibility for the scheduling of these required Inspections . It these required inspections are not roquested Inspected and signed off ( approved) by the Inspector In the pre s'ari bed .order I 4ind;rstand that rein,!';peotion ' fees and an hourly Investigatinn too pursuant to the 199J OBC, Table 3A will be assessed in addition to my original permit fees to resolve any quest lonable praol: lces or roblems that have been discovered . I further understand that this Investigation will e scheduled as time Rllows. . Until resolution of anylall problems no occupancy ( Final Inspection ) will b" granted for the residence . OWNER/CONTRACTOR ( indicate which ) Signuture X_ 10) All mobile/manufactijr-ed home landin s or decks most be freestanding ( self supporting ) . The I arijast I and I ng or- deck permit?&d without straw inqs or a building permit Is 36" X 36" . Any Landing or deck that Is 30" or more In height from walking surface to finish grade upquires to guardrail Any l andin or (leek tha of-l has 4 more risers requires a handrail , f,Any landing o deck. larger htin 36" x 36" must be permitted which requires -troictural drawln(gs and a bu I I d I ng perm I t app I I cat I on- Th I z; Installation Permit does NOT Include any landing or deck 1a.rqer than the' 36" x 3.6" size . X CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date FRAMING by date by date by Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D W WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by MASON COUNTY Mason County Bldg, 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 11 ) CONSTRUCTION PROCESS TO BE FIE1 D CORDF�T") AS REOUIRED PER MASON COUNTY BUIL( DEPARTMENT AND UNIFORM BUILDING COD 12 ) The proposed pro jec,,.t must he cons lstent with al I appi l cab le )ol Jules and o he ir rovisions of the Shoreline Management Act , Its rules, and the Mason County Shoreline Master Program . Mill Creek is designated as a Rural shoreline environment . Clearing and construction Is PROHIBITED within 50 ' feet of the Type I water . Natural vegetation is to remain undisturbed In the vegetation manage mont area as reqijired by Ordinance No . 93fQQ All upland areas disturbed or newly created by construction aotivitles shall be seeded, v,ogo-sted or given st-.)m" other equivalent type of protection against erosion . 1141 ) Temporar erosion control measures must be implemented to prevent water quality degradatyon of ad acent ca r r wetlands . Silt fenoing and �aV bales to be installed until upland groundoover has benome ep't ab fished . 15) Mill Creek is regulated' as a Flood Hazard Area 2'.one A . The flood hazard area is holow the residenr-e down the hill . 16) OWNE11 MUST SHOW PROOF' OF SAT I SFACTOFIY WATER SAMPLE . WATER WELL. REPORT AND CAPACITY TF-.':',T . PRIOR TO FINAL INSPECTION 6'r OBTAIN TEMPORARY/PERMANENT OCCUPANCY or THE RESIDENCE . CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by INSPECTION RESULTS Pagel MASON COUNTY Department of Community Development COMMUNITY DEVELOPMENT 615 W Alder St, Shelton,WA 98584 Permit Assistance center,Budding,Planning (360) 427-9670 ext. 352 Application# BLD98-00418 Application Type NEW SINGLE FAMILY Owner RESIDENCE Parcel# 320352290020 Site Address 720 SE PICADILLY DR SHELTON, WA 98584 Inspector Inspection Type Date Status Comments 1-2-25 DED 1)guards required at back deck where deck height exceeds 30" above grade within Dave Dobson BLD-FINAL INSPECTION 01/02/2025 FAIL 36" of the walking surface 2)graspable rail required at stairways with 4 or more steps (back deck) SEND PHOTOS TO: DDOBSON@MASONCOUNTYWA.GOV Building Permit # f —��<< MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 26) -e- l Z1 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 OrAl A-17AV LICK---1-r �£ fLL'_ /�1 f� p1�S �/�`/', N�,r ,�i� r`CJrz _ E4C 7c�. 2- 7: 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 Date ! �jj Inspector .T 2 '° moo * NOOT M $ff *V THI ' , T , Building Permit #7 l �f MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be corrected to gain code compliance -7/G �Jti7 _ - - e IV L` IV) nAl U R C Ll.%/t If/Al -> F. t C•—roe t C A You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to / ❑ This is not a complete inspection Department 4 tll Date C,;,- 2-Z` 7& Inspector T 4 C T ■ AU NOOT 1, MO *V THIMI& Tm ,llllw I 1 Q 32 G 2� 70 Nt,wil G 67 From PHONE No. Apr. 29 1998 1:29PM P02 rae �o► 41 SWIM i � r � CI I r71ri-T Imo•r"��' � I B ;1 ? Nang s art A;a L 'y o MOOI140 ��7U L as a'Dud i I ; P`r os t.a -•u ea�7 Ala. O�t-T INNS ,1�0 0 1 l7uni� 7i,�r,r.H ` iin�i �: yuo .Ylb 11VA,ri11 (>y� S�9oH 3.LLQ711Vfi 6Br1'LA9t6g'f$ �L9:O0 BO/CL'iye ,S �/Oermit No. e7lxq -IbLa MASON COUNTY BUILDING PERMIT APPLICATION ' 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670 (Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269) PLEASE PRINT #1 r SwsSe�z- Phone# NSite Address 79c) c2E brI V[r Fire District# city )r R\'r tz� St- zip 8 Directions to Job Site o A } rJaS SW,Nc Owner Mailing Address �p �x `TK City I—A\,-\A, o A St HAwA i Zip 7�0 Lien/Title Holder 1-�p t-)U Address Clty St Zip ROB'S EXCA ATING #2 Contractor Name fig. 1871 inhnS Prat,ie Rd. UBI # Address 9 584 Contractor Reg # '9 C1�"17K( City St Zip Phone# a V Expiration Date_/ / 9? #3 If septic is located on project site, include records. Connect to Septic? \,*,/,_ Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 cel No. 3ao3� - tea- - 00Zo 22 4 Legal Description `I-e. v� D u'1uJ `�4-- -T� J�C� #5 Building Square Footage: 1st FI �-` "� J- 2nd FI 3rd FI Loft Basement # Bedrooms 3 # bathrooms Deck Other Garage Carport (Circle: Attached or Detached?) #6 Use of building Is ER __ r Describe work co O J C. tS rylu #7 Type of Job: New Add Alt Repair Other : #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year �% Make Rafe e Model ga I U Length �je p Widths Serial No. �- # Bedrooms # Bathrooms Type of Heat )(w F:�se� ., 0*11 Purchase Price$ ? #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: o River Pond Cree Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other Show following on the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Drainage Plan Wells Septic Systems Easements Proposed Improvements Name of Side Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW 1'N \A5 �e e APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3.45 eachl Fee Mechanical Fixtures ($7.00 each No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other Bath Tubs No. Units Fees Showers Furn BTU Hot Water Htr Heatpumps Laundry Washer Vent Systems Sinks Spot Vent Fans Floor Drains No. Boilers/Compressors Laundry Basins _ HP Dishwasher No. Air Handling Units _Disposal _ cfm# Urinals No. Fire Protection Systems Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 17.25 _ Auto Fire Sprink Sys 35.00 TOTAL PLUMBING $ No. Other Gas Outlets Wood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 17.25 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT TAINING APPROVAL FROM THE BUILDING MADE WITHOUT FIRST OBTAINING APPROVAL FROM )T THE BUILDING DEPARTMENT. EPARTM T. X OWNER X BY DATE DATE FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW IM4^L)C,Q, FOR OFFICE USE ONLY � � �ro Cond. Hold t Approval Planning: ZL>1 — M Environmental Health: Building Plan Review 4-2f-fg (o L C- Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Violation Fee Site Inspection Building State Fee Other Other Other Building Valuation: TOTAL FEE Plumbing Fixtures ($3.45 each Fee Mechanical Fixtures ($7.00 each No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other Bath Tubs No. Units Fees Showers Furn BTU Hot Water Htr _ Heatpumps Laundry Washer Vent Systems Sinks _ Spot Vent Fans Floor Drains No. Boilers/Compressors _Laundry Basins _ HP Dishwasher No. Air Handling Units Disposal _ cfm# Urinals No. Fire Protection Systems Other Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 17.25 Auto Fire Sprink Sys 35.00 TOTAL PLUMBING $ No. Other Gas Outlets Wood, Gas, Pellet Stove 40TICE: THIS PERMIT BECOMES NULL AND VOID IF NORK OR CONSTRUCTION AUTHORIZED IS NOT COM- IAENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 17.25 NORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ 3F 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. DWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU- DRDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE --ONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM T TAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. EPARTM T. X OWNER X BY DATE DATE =OR OFFICIAL USE ONLY: Accepted by: Date: i DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review ft. 6aC-c- Jeri e-Itcvjtw (,vLe- -5-(- Occupancy Group: tL Type of Const: ,Sf� Fire Marshal: Other: Special Conditions: FEES Building Permit (o C)- Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Violation Fee Site Inspection Building State Fee tf° Other ^ Other Other Building Valuation: 6exi TOTAL FEE Plumbing Fixtures ($3.45 eachl Fee Mechanical Fixtures ($7.00 eacW No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other Bath Tubs No. Units Fees Showers Furn BTU Hot Water Htr — Heatpumps _Laundry Washer — Vent Systems Sinks — Spot Vent Fans Floor Drains No. Boilers/Compressors _Laundry Basins — HP Dishwasher No. Air Handling Units _Disposal — cfm# Urinals No. Fire Protection Systems Other Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 17.25 — Auto Fire Sprink Sys 35.00 TOTAL PLUMBING $ No. Other Gas Outlets Wood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF _ WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 17.25 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM T TAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. EPARTM T. X OWNER X BY DATE DATE v� c FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: WAU - •ram y Building Plan Review Co(_C- 1'ar-/rcvrtw Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Violation Fee Site Inspection Building State Fee Other e (�, jqcrn �io Oa Other Other Building Valuation: TOTAL FEE