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HomeMy WebLinkAboutBLD2005-00521 Final Garage - BLD Permit / Conditions - 2/11/2015 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2005-00521 OWNER: JIM GREGERSEN RECEIVED: 3/30/2005 CONTRACTOR: LICENSE: EXP: ISSUED: 5/12/2005 SITE ADDRESS: 470 NE TOONERVILLE RD BELFAIR EXPIRES: 11/12/2005 PARCEL NUMBER: 223024200170 LEGAL DESCRIPTION: TR 17 OF SE PROJECT DESCRIPTION: DIRECTIONS TO SITE: Garage Old Belfair Hwy to Bear Creek Dewatto. 6 miles left on Toonerville , 1/2 down on right. General Information Construction &Occupancy Information Square Footage Information p Y q 9 No. of Bedrooms: Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: U Lot Size: Deck: Type of Work: ACC Fire Dist.: No. of Stories: 1 Occ. Load: Building: Garage-Detached 2,000 Valuation: Building Height: 22 Occ. Status: Primary Basement: Manufactured Home Information Setback Information Shoreline& Planning Information Make: Length: Ft. Front: S 826.0 Ft. Shoreline: Ft. Water Body: Type 5 water Rear: N 40.0 Ft. Slope: Ft. SEPA?: No Model: Width: Ft. Side 1: W 20.0 Ft. Shoreline Desig.: Not Applicable Year: Serial No.: Side 2: E 98.0 Ft. I Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee KKK 3/30/2005 $405.31 S22005 Planning Review Fee KKK 3/30/2005 $155.00 S22005 Building State Fee LDK 3/31/2005 $4.50 S22005 Building Permit Fee LDK 3/31/2005 $623.55 S22005 Address Fee GMM 4/5/2005 $140.00 S22005 EH Plan Review CEW 4/6/2005 $35.00 S22005 Total $11363.36 BLD2005-00521 Please referto the following pages for conditions of this permit. 1 of 4 CASE NOTES FOR BLD2005-00521 CONDITIONS FOR BLD2005-00521 1) The internatioanl 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 sucKrrooads connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 2) 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 3) In accorda ce 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 inspections. X 4) This struct\ 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 Mall be applied for, reviewed and approved prior to the change. X 5) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 6) The"approved"site plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved"site plan is not on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building,Department prior to any further inspections being performed or approvals granted. X J C� 7) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X \ BLD2005-00521 Please referto the following pages for conditions of this permit. 2 of 4 8) 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 9) This structure is limited to U-occupancy use only(private garages, carports, sheds, and agricultural buildings.) Any other use will be in violation of the in tigrTl codes and Mason County Regulations unless a"Change of Use" permit is applied for, reviewed and approved. X 10) 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 ch ged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. X 11) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the State". ashington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit r ca#ion. X 12) 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 De locate 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 pro' I\ X 13) All changes to"approved"building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ord Wce 6rregulation, must be reviewed and approved by Mason County prior to construction. X 14) All property lines shall be clearly identified at the time of foundation inspection. X Y\ J 15) 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 on.Cou ordinances and building regulations. X 16) All permits expi 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 h er.have prpvented action from being taken. No more than one extension may be granted. X BLD2005-00521 Please referto the following pages for conditions of this permit. 3 of 4 17) Press re treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, comect , and flashing. Install metal connectors approved for contact with the new types of pressure treated material. X 18) 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�-W-'09, . The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X �• 19) Wat ality i not to be degraded to the detriment of the aquatic environment as a result of this project. X 20) Prior to final app al, all upland areas disturbed or newlyvreated by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 21) A p�vedper dimensions and setbacks on submitted site pla . Setbacks are measured from the furthest projection of the structure. X 22) All other necess ry permits from Mason County, Washington State and/or Federal Agenciesat are-required for this proposed development and construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. 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 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 mea f a progress inspection.The owneror the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above describ@ rty d structure for review and inspection. OWNER OR AGENT: DATE: BLD2005-00521 Please referto the following pages for conditions of this permit. 4 of 4 W r o CONCRETE MECHANICAL MANUFACTURED HOME 0 v' Footings / Setbacks Date By Ribbons Date S`'L`f© By Z11Y Gas Piping Date B y N Foundation Walls Date B y Set-up Date 2;L/0� By 66 INSULATION Date B y B G / Slab Insulation Floors Final Date By Date B y Date B y FRAMING Walls FIRE DEPT Date By Date By Date By PLUMBING Attic OTHER Groundwork Date By Date By WALLBOARD NAILING D.W.V. Date By Date By FINAL INSPECTION Water Line Date V11115, By Date By "a Date By 0 m cc 6 8 / O a N' ��'�1_ Ism-���CiS L /=/>v,�C f'�}L L c.S'c=i` 2 '�✓� in I•+ 0 _ C _ O_ Err /'/�t� Svc%T,�_ -" L f�c / !' ,. -,- CD WC. L101L— T 0 Building Permit # C `�� MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location1F �=fir 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 cjr �-- T r dlJ V G C- 13 You are here s all be made �BEFORE PROCEEDING WITH ANY FURTHER WORK •' �_"Q�' 77? ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection �L OK to V�5& ? This is n t a complete inspection Department ZC./2 Date Inspector �T� moos NOT ' MO OV THllqftk T ' L0106 1 � y x z (v AQ ki- /,A s ` �� �� w 1t' Oi"cid 1. 103Mr)S c3`'�! i0 (� 311S NO 30 Ol GMJn�32! NVId 311S c JNINNVId CIM - !i SX I , �, I _ �11Nn0� NOStIW� l < a a �+ Q% -� to i0o, (D I TOPOGRAPHY PROFILE: O cjSZ k A /006.30 Direction: Scale: Approval: for office use LE e,tl�i C. Building Permit number. Q = 36 Building: - �1�N $"A'tT V ) Owner/Applicant: J1,t•. $9.�1cCea1-,K °ate of Planning: �r���.�_ti+.�_�p 1-10 L.ft O��c��1z pplication: Env. Health: Parcel Number: �a���, C�R•.�� 3��-05 �3� •Z7 ' 1 ■ ■■■ ■ '■■■■ SOMEONE■ ME■E ■■■■■ i■ ■■M ■■■ MEN ■Si��l�.!�1�■Mir , , !�M�■M■■■■ ■■■ MOM■ ■®1�.AN, Z NMI. ,�S■■M■ ■ ■■M M■■MM■11■1111 11■1ls�/►�►.�/BEM . .m&J■Mmusill wommm MEN ■M ■►`�.''�M■EI MMM■ I: SO ill M " S2 NONE NMI mmom 1 - 0 ME 11011 ■ 111O■O11■um ■11 .. sue , Oi�■ �mrnnrgmnm M"�M■■ �■ m 0� I■! ■MME ■MEMO r ■ 4 w was 3■ ■ ■ ON No IF ME 0 ICE ■ wffi�� ME ME■ IMM ■■1 I■ a,"MEN a - �I�M■OMM E■■ IEE ■1 1 MOO■: �1iE■■M loon m ENE �11�1® 1 ■ ONO■■ TOPOGRAPHY PROFILE - - i use • . . ` r ` application: Aff oN-STATE MASON COUNTY 4P� N,c �� DEPARTMENT OF COMMUNITY DEVELOPMENT AS ° Planning Division o Y �? P 0 Box 279, Shelton, WA 98584 of 0 (360)427-9670 1864 NOTIFICATION OF INCOMPLETE APPLICATION April 11, 2005 JIM GREGERSEN 69 E WATERTHRUSH LN BELFAIR WA 98528 Parcel No.: 223024200170 Project Description: Garage Dear Applicant: You have submitted a permit application (case no. BLD2005-00521) for proposed construction or development in the county. Upon review of your application, I have determined that the contents of the application are incomplete or do not provide enough detail for review. Therefore, review of your application will not proceed until the necessary information is provided (see the comment section of this letter for details.) Once the information is submitted and the application is complete, I will continue to process your application accordingly. If the additional information is not provided to the County within 180 days of this request, the application shall expire and no further action on the proposed development shall take place. Please contact me at (360) 427-9670, ext. 294 if you have questions. Sincerely, Charles Me cCoy III Land Use Planner Mason County Planning Department 4/11/2005 1 of 2 BLD2005-00521 NOTIFICATION OF INCOMPLETE APPLICATION 4/11/2005 Case No.: BLD2005-00521 Comments: Please find enclosed a Joint Aquatic Resources Permit Application (JARPA) form and a Mason Environmental Permit (MEP) to be completed. The JARPA must be returned for review to Mason Co. Planning Department and all other Governmemtal Agencies indicated are to be sent copies as well. The MEP application is to be returned to Planning with a fee of $ 510. The building permit for the proposed garage can not be issued before the completion of these other permits are satified. 4/11/2005 2 of 2 BLD2005-00521 1pMason County Dept. of Community Development Mason County Bldg. 3 426 W. Cedar P.O. Box 186 (360) 427-9670 Local (360) 482-5269 Elma Shelton, WA 98584 (360) 275-4467 Belfair r to Notice to Obtain Final Inspection November 15, 2007 V/ Z �� JIM GREGERSEN let /''' �iJ 2 ?© 69 E WATERTHRUSH LN BELFAIR WA 98528 Case No.: BLD2005-00521 Darnel No.: 22302420n17n Proiect Description: Garage The Mason County Department of Community Development is currently reviewing all permits that are expired and have not been approved for occupancy and use. Pursuant to Mason County Code, Title 14 Building and Construction, a permit and final inspection for this type of activity is required under the 2006 International Building Code and your property is currently in violation status of occupancy and use. Please contact our office to make the necessary arrangements 21 days from the date of this letter. Failure to contact our office to make the necessary scheduled inspections will result in enforcement actions. To bring your site into compliance, you must schedule an inspection. One (1) $64.00 site investigation fee will need to be paid prior to inspection along with any outstanding fees currently due on your building permit. For every inspection required after that, you will be charged $64.00 again, per inspection until final inspection and conditions are met. To schedule an inspection, please call (360) 427-9670 ext. 262. If you should have any questions regarding this notification, please contact me at (360) 427-9670 ext 359. Sincerely, Terry Ryan Mason County Department of Community Development Cc: Property File November 15, 2007 BLD2005-00521 1pMason County Dept. of Community Development Mason County Bldg. 3 426 W. Cedar P.O. Box 186 (360)427-9670 Local (360)482-5269 Elma Shelton, WA 98584 (360) 275-4467 Belfair r 14 Notice to Obtain Final Inspection December 05, 2007i"�/^' fJ,ppif/�SS 'f s T_-.-7- at syo4/ h',oD/��s-s BRIAN ALEXANDER 6602 81 ST DR NE MARYSVILLE WA 98270-8020 Case No.: BLD2005-00521 Parcel No.- 223n24200170 Proiect Description: Garage The Mason County Department of Community Development is currently reviewing all permits that are expired and have not been approved for occupancy and use. Pursuant to Mason County Code, Title 14 Building and Construction, a permit and final inspection for this type of activity is required under the 2006 International Building Code or the code your permit was issued and your property is currently in violation status of occupancy and use. Please contact our office to make the necessary arrangements 21 days from the date of this letter. Failure to contact our office to make the necessary scheduled inspections will result in enforcement actions. To bring your site into compliance, you must schedule an inspection. One (1) $64.00 site investigation fee will need to be paid prior to inspection along with any outstanding fees currently due on your building permit. For every inspection required after that, you will be charged $64.00 again, per inspection until final inspection and conditions are met. To schedule an inspection, please call (360) 427-9670 ext. 262. If you should have any questions regarding this notification, please contact me at (360) 427-9670 ext 359. Sincerely, Terry Ryan-/ � Mason County Department of Community Development Cc: Property File December 05, 2007 BLD2005-00521 Mason County Dept. of Community Development Mason County Bldg. 3 426 W. Cedar rioP.O. Box 186 (360)427-9670 Local (360) 482-5269 Elma Shelton, WA 98584 (360) 275-4467 Belfair Notice to Obtain Final Inspection December 18, 2007 BRAIN ALEXANDER 470 NE TOONERVILE RD. BELFAIR WA 98528 Case No.: BLD2005-00521 Parcel No.: 223024200170 Protect Description: Garage The Mason County Department of Community Development is currently reviewing all permits that are expired and have not been approved for occupancy and use. Pursuant to Mason County Code, Title 14 Building and Construction, a permit and final inspection for this type of activity is required under the 2006 International Building Code or the code your permit was issued and your property is currently in violation status of occupancy and use. Please contact our office to make the necessary arrangements 21 days from the date of this letter. Failure to contact our office to make the necessary scheduled inspections will result in enforcement actions. To bring your site into compliance, you must schedule an inspection. One (1) $64.00 site investigation fee will need to be paid prior to inspection along with any outstanding fees currently due on your building permit. For every inspection required after that, you will be charged $64.00 again, per inspection until final inspection and conditions are met. To schedule an inspection, please call (360) 427-9670 ext. 262. If you should have any questions regarding this notification, please contact me at (360) 427-9670 ext 359. Sincerely, f / „ Terry Ryan �'"'v Mason County Department of Community Development Cc: Property File December 18, 2007 BLD2005-00521 I tt MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION ©p�j'� 426 W. Cedar • PO. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFO MATION CONTRACTOR INFORMATION Owner C Company Name S�mP CIS; 4p(2 , 1Lz n- Mailing Address Mailing Address City I State Ilk 11 _7ip Cnrlecf& City State Zip Code Phone 2A 0&-- Other Ph ' " Phone Other Ph. Lien/Title Holder Contractor Reg.# Exp. E mail address E Mail Address Drivers Lic.# AfPhF,1H3VWtb013 Drivers Lic.# _ DOB_ SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic cYisting Septic Connect to Water System Name of Water System Well Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No. — Fire District Legal Description .T Site Address (Please include street name, street number and city) Directions t site m c\ i 1' Will timber be cut and sold in parcel preparation?Yes Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Add Alt Repair__Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building Describe Work No.of Bedrooms--No. of Bathrooms Square Footage- 1 st Floor "d yl ) 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq.ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No.of Bedrooms No.of Bathrooms Type of Heat Purchase Price$ 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. PR OF INUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date: ?0�- +DS cr-o—wner hQwners NNesentative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Departmentu v r h c 7 a, Planning Department ( ` W F Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee Site Ins ection Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES FORM MUST BE COMPLETED IN INK PERMIT NO PLEASE PRESS HARD 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 Seattle(206)464-6968 APPLICANJ INFO4MATION CONTRACTOR INFORMATION Owner 1 �� (�i(P_. I en Contractor Name NILINE JJQMFtS Mailin Add ss PQ_ . OX ter" Mailing Address City C State \ -i Zip Code City UYAL-1,U State W Zip Code Phone - Other Ph.(�)q`)q-�-7� PhJ 2S3 ) QHO 2121y9 Other Ph. Lien/Title Holder i Contractor Reg. # µ I t_t/J J4 •1E 7p Address Expiration 'I / o-7 / o5 SEPTIC INFORMATION-Connect to New Septic_,)�_Existing Septic Connect to Sewer System Narne of Ili Sewer System PARCEL INFORMATION - 12 digit Tax Parcel No. �Fire District Legal Description �'1 S , Site Address (Please include street name,street number and city) h (V Directions to site i ro V'�pl�Q�( Aluc-gP .c P"ar C\'i ) O r -q0 q ft mNli f.) Cn )e f 4 Is your property within 200'of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes p s or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No.of Fixtures Fees LPG Natural Gas Heatpump -- Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace Bath Tubs ► Heatpumps Showers Spot Vent Fan Water Heater I Propane Tank Clothes Washer I Gas Outlets Kitchen Sinks �_ Wood/Gas/Pellet Stove Dishwasher I Kitchen Exhaust Hood Hosebibs —�— Dryer Vent / Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. 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-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that 1 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 ap oval. first obtai pr Ix Date ' `L �� X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. IIEFBuilding PARTMENTAL REVIEW.: APPROVED DENIED' CONDITION CODES mentT e Constr. ment FEES;; Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing& Base Fee Other Mechanical&Base Fee Other Wood/GaslPellet Stove Fee Pre-Paid at Submittal ( - Violation Fee TOTAL FEES