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Home My WebLink AboutBLD97-01405 Final Mobile Home - BLD Permit / Conditions - 3/25/1998 -..._` MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 E3 ILJ i L. B I N C-r P E FZ RA 1 T FOR 1 NSPFC T IONS CALL 427--9670 BETWEEN 5Rm AND Sam 427--7262 BLD97-1405 PLAT : DIV , BLK : LOT— JOTS ADDRESS -. 2.. L.f� E3El f A 1 Fa OWNER : DAV I D ENGMAN Q75 7190 CONTRACTOR : GORS'T NT :373-5001 L.EGA - ..T:1T'R4F'!�..i".L�:3'1 .:'.I�'rSYt'�:-SA: 'Z:':Y.�^�OII."GTCO.+�:'.�RTYB tJ�tSY.:Lli�3�:i.-«.i••�SCYi(C� "I ASS OF' WORK :NFW BEDR : 3 BATFt : l 1YPE AMOUpi BY Dr+TE tECElPT IYpf )M0UN1 BY BATE RF!iIPi ! "r Y PE OF USF , . MIT STOR I ES . . . . . . . :trl OCCUP . GROUP . .7 ESL DG . HEIGHT . . - 0 - oft MHOF 1 155.00 KS N1107i98 46181 TYPE OF CONST - 7 FIRFPLACES . . . . 1 0 STFE 1 4.56 K.S 9ii$2191 4618i OCC UP . LOAD . , 0 WOODSTOVFS . . . . . 0 tNCP 1 26.80 KS 01102198 46167 DWELL .UN1TS . . : 0 PARKING SPACE:" : 0 I NSPFC-T I ON AITFA : 1 SHOREI I NF7 : . . . : Y it0YAI 185.5a VhtULATIONc 61052::.'S-u9Ct1-s2-�tY,..�..3.^_•.3:.]T.SC-�Y-n N....,.�.:3A^� SETBACKS---- .. 'tOILET� . . . . , . . . . . : 0 FUFL TYPES-----_.-_.-- 80II_ERS/('0M¢---- MOBILE *MME • FRONT . . .W 120 .0f t BATH BASINS . . 0 0•-3 HP . 0 REAR . . . .E 200 .Oft BATH TUBS . ,. . . . . . . , 0 3 -15 NIP . : 0 MODEL FFAr TWOOD SIDE ( / ) .N 10 ,0f t SHOWERS — 0 FI)PN a 1 00K. BTU : 0 "' 1 5-'0 kip , 0 MAKE SIDE (.2 ) .S 150 .Oft WATER HEATEPS . . . . , A FORN ?,-100K BTU : 0 30-50 HP . : 0 4663C SHRL I NE .E 200 .Oft CLOTHES WASHFRS . . . 0 FURN - FF_OOP . . , . 0 504 lip . : 0 - YL:AR AREA -- - ___...__.__.__ _ KITCHEN SINKS . . . . : 0 BEAT PUMP . . . . . . : 0 97 LOT 'I71F : I"I.00R ()RAINS . . 0 'JENF SYSTFM�: . . . : 0 FVAP COOI. ERS : 0 LFN1i1H :66 BUILDING _ - 1 760sf DRINKING FOUNT — : 0 VENT FAN;. , . . . . , . 0 HOODS . . . . . . . 1 0 Y11 DTH . -27 BASEMENT . , , r 0ST I AUNURY 1 RAYL� . . . . : 0 DOMES , I NC 1 N :0 SER I Ak DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN :O 15552 GAR/CARPS ? Osf GARB DISPOSALS . . . : 0 10000 0rm . : 0 RFLOC/REPAIR : 0 AT/D1 . :7 URINALS — _ - - 0 > 10000 Ofln . : 0 OTHER UNITS . : 9 M I SC PI_M F I XTl1RFS : 0 GAS OUTLETS , : 0 mOT.:.:Ads®s�rrr::Alr�^e��.a.•srta:•.S.S.:'�a•.ra_s.-sar.sc:sr»ac^^i:-Y.:�z�:.s;.xx:C.'c:c2:;J:e-ccz.x..r,.r.iaC:Lets.•1-ig.e�:s:..i'0�',c-.Ti1Ym.-'�s:.2s�e r.��^._t-n:_ax+r.:raL•st.�^-T�.aeau sts:la:..e.�--�'.��a:a:.T,..::..:+zm:�.rrsz^.w�».xis s.:.v-zs:.�. PR11JECT DESCIIP1`101140RICE HOME PROJECT 10CATION:F1011 BEAR CREEL OEWATTO UP ONTO BtACKSM1111 RD, LEFT 0110 BLACKSMITH 9R 110111 ONTO AI;YIL , 114 1.01 GO RIGHT NARCED WITH FLAGS. S1611 111,111 APPAE3S, THIS ?FRUIT BECOMFS Nutt AND VOID IF WOOK OR CONSiRUC11011 AUINORIIED IS 001 COMMiACED WITHIN 181 DAYS, 09 IF CONS1911CTION CR WORY IS SUSPENDED FOR A PFO OD OF 181 RAY; AT ANY TIME AFTER WORK IS CONMENCID. EVIDENCE OF CONTINNATION OF 1019 IS A PIOGIESS .1NBPFCFIO-N WITHIN THE 186 DAY PERIOD FIVAI INSPECIION IVOQT 8E APPROVED RFFORF i,U1tDINf, CAN BE OCCUPIED. OWNER 01 AGE111: DATE- BID P11J1 , tea: 0975 191 '� COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED � CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbonst Z/ date by Gas Piping date �9� b Foundation Walls date by Set Up date by INSULATION date 'Z--2-7-� by 27 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 b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by 2 -Z 7-'7�( 7--h, I 1 �I � I i Building.Perrhit # Q97-)�/�� 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: 1 Items listed below must be corrected to gain code compliance ✓� lni se�,c 51-7,f C-C O�9 c,�� So iL 722 ne 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 G r}- �Ooyj� Department— ,C3G� Date Inspector ■ oo 0 NnT Mo OV ' T141 T " ��= gilding Permit # q� MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location z� c. L�— This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been 'ound: Items listed below must be corrected to gain code compliance fou are hereby notified that the above corrections shall be made BEFORE 'ROCEEDING WITH ANY FURTHER WORK all for re-inspection when corrections are made before continuing ake corrections, items will be checked on next inspection to Department - / Inspector No OTM V THI _ , v - Page No. 1 CASE HISTORY FOR CASE NO.: BLD97-1405 DAVID ENGMAN NE250 ANVIL LN BELFAIR O1/21/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By BLDA010 Application received 12/15/97 / / 12/18/97 DONE KW 12/18/97 KW BLDA100 Approved For Issuance / / / / 12/29/97 DONE KS 12/30/97 KS BLDA500 (F) Issue building permit / / / / 01/02/97 DONE KS O1/02/98 KS BLDA920 Miscellaneous action / / / / 01/20/98 PAID RE-INSPECTION FEE DONE NJP O1/20/98 NJP BLDB110 Structural Plan Review 12/23/97 / / 12/29/97 DONE TLG 12/29/97 TLG BLDB130 Planning Review 12/22/97 / / 12/23/97 SITE VISIT TO NOTE LOW WET AREA, STEEP DONE AHB 12/23/97 AHB SLOPE AND LAKE/WETLANDS IN RELATION TO SEPTIC AND HOME SITE. AHB BLDB134 RLC Review / / / / 12/23/97 CRITICAL AREAS: AQUATIC MGMT (BLACKSMITH DONE AHB 12/23/97 AHB LAKE), STEEP (15-30 PERCENT) SLOPE, SMALL WETLAND THAT IS ALSO ON LOT TO NORTH; BLDB135 Addressing 12/18/97 / / 12/19/97 DONE GMM 12/19/97 GMM BLDB138 Planning Pre-Review 12/19/97 / / 12/22/97 DONE MMS 12/22/97 MMS BLDB200 Environmental Health Review 12/29/97 / / 12/29/97 Approved design, plot plans match.psd DONE PSD 12/29/97 PSD BLDB210 Water Adequacy 12/29/97 / / 12/29/97 well log and water sample in the DONE PSD 12/29/97 PSD file.psd � c� v Page No. 1 CONDITIONS/CORRECTIONS FOR CASE NO.: BLD97-1405 DAVID ENGMAN NE250 ANVIL LN BELFAIR O1/21/98 1) Flammable & Combustible Liquids -- The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X 2) Sideyard Setback -- Proposed structure or any portion thereof greater than 30" in height from grade line, must maintain a minimum of 5' setback from all property lines, easements and 10, from all County and State Road right of ways. X 3) Buffer & Landscaping Requirements -- This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036. X 4) Site Plan -- Approved per dimensions and setbacks on submitted site plan. X 5) RLC -- Subject to the findings of Resource Lands - Critical Areas (RLC) Checklist for the property. X 6) PLANS REQUIRED ON SITE -- All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of $32.00 per hour (minimum 1 hour) will be charged and must be collected by this department prior to any further inspections being performed or approval granted. X 7) POST ADDRESS -- PURSUANT TO 1994 UNIFORM BUILDING CODE, SECTION 305(C) AND SECTION 513, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X 8) MOBILE/MANUFACTURED SPECS. -- REQUIRED INSPECTIONS (Footing Inspection-prior to pour, Set-up Inspection-prior to skirting, Final Inspection-prior to occupancy) . I have received a copy of the General Information and Guidelines-Mobile/Manufactured Housing Installations Handout for detailed descriptions of all required inspections on my mobile/manufactured home installation. I hereby assume all responsibility for the scheduling of these required inspections. If these required inspections are not requested, inspected and signed off(approved) by the inspector in the prescribed order, I understand that reinspection fees and an hourly investigation fee pursuant to the 1991 UBC, Table 3A will be assessed in addition to my original permit fees to resolve any questionable practices or problems that have been discovered. I further understand that this investigation will be scheduled as time allows. Until resolution of any/all problems no occupancy (Final Inspection) will be granted for the residence. OWNER/CONTRACTOR(indicate which) Signature X i MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Casa No . a BLD97- 1405 Fort DAV I D ENGMAN Page : 1 1 ) The use, hand I i rig and storage of hazardou v. mat er I a I s or f 1 aminab I e and combu,at. i b I F liquids in fixcesys or 10 gallons is not allowed without the approval of the Mason County Fire Marshal . X _' ) Propo►aed structure or ariy portion thereof greater than 30" ire height from grade Iinu must maintain a minimum of 5 ' setback from all property line. , easems-nts and 10 ' from all County and State Road right of ways . X ? ) This application is sub leo t to Buf;er and [_.�ndscap i ng requ i remont s aia estat)l I shed under Magcan County Ordinance 1 .03 .036 . X� 4 ) Approved per dimensions and f etbacks on ubmitterl site, plan X 5 ) Subject to the findincls of Resource Lands - Critical Areas (PLC ) Checklist for the property . 6) All approved plans are requ i rpd to be or:-site for, i nrppeat i on purposes . If I nspec t ion Is called for and plans are not on site Approval WI1_L NOT be granted , In addition , a Re- Inspection fee in trio amount of !32 .06 per hour (minimum 1 fiour ) wlII be charged and must be collected by this deprartwent prior t any further inspections being performed or awirova l grante+i . 1 PURSUANT TO 1494 UNIFORM BUILDING CODE , >ECT I ON .305(C ) AN[) >E CT I CAN fill , AtA SITES MUS t HAVE APPROVED NUMBERS OR ADDRESSES PHOVIDED IN SUCH A POSITION AS TO BE PLAINLY VIS1SL !: AND i. EG I RL.F FROM TFIF= STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY Bt11 I. V i NG DEPARTMENT REQUIRES THAT THIS BE COMPL.FTF.D PRIOR TO CALLING FOR ANY SITE I NSPECT i ONS . A RE 1 NSPFCT I ON ru r" , RA.SFD ON RATES, IN 1 ABl_F. 3A OF THE 1994 UNIFORM Cell 11 DING CODE W I LI R+ MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 f ASSESSED IF i.,rV'iJt i. ; :IJ i ii:`l: I OR + LS i +'QS1 i,I:DRE t :, ON S I I I PR I OR i 0 lii.t.: t. i 1 NG II INSPECTIONS . f X S ) RFOU I RED I N.:•PECT IONS ( Foot i iiq I nspec t i on- pr tor 1 o pour , `,et- up 1 n:;pect i on --pr i or to skirtin Fina { Inspection-pr { or to occupancy) . I have received a copy of the Genetai I nformav i on and Guide 1 i nes- Mob i I e/Martutae:t ured F1ous i nct Installations Il andout for detailed descriptions of all required inspections on my mobile/manufsotured home installation . I hereby assume all re►spons i b i l i t y for the _,ohe du i i nu of these requ i t r.d inspections . IF these required inspections are not requested, inspected and signed off ( approved ) by the i nspec:tor in the proscribed order , I itn sat dertnd that re i te;;pect i on fees and an hourt'y Investigation fee pursuant to the 1991 UBC, Table :�A will be assessed in addition to my or i g i na 1 permit tees to roc:o I ve any questionable prac:t i ces or [r)roblems that have been disoovered . I further understand that this investigation will we scheduled as time a I I nwr> . Unt i I reso l ut ion of any/a 1 1 throb I ems n1-1 r,n„upatiov ( I I ria i inspe -�tion ) will be granted for the residence . OWNE11/CON1'RAC1011 ( in(ti , Hte which ) Sirinrature XX''r All mobile/manufactured home landingg,, or decks must be freestanding (self supporting) . The largest landing or deck pertuittect without drawI rig q or a buIIdInq permit in 36" x 16 " . Any landing or deck that Is 30" or more in height from walking surface to finish ?rade requ { res i uuar dra I I Arty { and i n t or desk that has 4 car more riser: re qu i reps a iandrra i 1 , Any I and i rigf. orh-leek I argei han 36" x 36" must be permitted which r equ i r^s structural draw i nets and a u i l d i ng permit app i cation . This I n.. t a l l gat i on Perm,i t does NOT Iiiclude any landing or deck larger than the 36" x 36" size . X.mow` 10) Previsions for stir-face/ subsurface drainages c.�oitrol must be implemented with new constrtection or development on site and MUST NOT adversely impart ad)aoent parcels by being directed off the parco l being dove l opetd unless requ l r•ement:. of Titles 85 pi.W : Private Ditches and Drains have bo^n met or approval has been granted to use ar: existing ut l { i ty and dra i rage easement der} i cated ft,r that spec, i f i c put p"Ise . X 111 Placement of structure must CsatnpIV wI I-1h standards cetforth per 1994 UBC Chapter 18 regarding descending and/or asceitd i ng slopes . Y e Building Permit #,&=O�7-1' �S MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 a (360) 427-9670 CORRECTION NOTICE Job Location ,F/L'G,,**"71y 2,,so This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been fo dd r�j ie 111 " �Xgp111AE 2tems listed below must be corrected to gain code compliance AEs'O 4.1— C��Ni=cT/dam✓ Ei 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 O Make corrections, items will be checked on next inspection ❑ OK to S/Y/lfT . Department 6C.0 Date z - 27 - Ct Inspector Tom, 4Ej. �.�- Eon INnT MnV THVT ' kom� Show following on the site plan Lot Dimensions Flood Zones Existing Structures/ Fences �rarr, Structure Setbacks Driveways FF-, / S Water Lines }js/ Shorelines ✓ ' " Drainage Plan✓ Topography Septic Systems % Wells / Proposed Improvements Easements Name of Flanking Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW S ABTA--&o ScF I C, ?Cc'i �`A r J � L/5+��. V4,4 ao• PR kov Eo PLO .�'� r'_' � ✓ 1i SU '� ,b APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW NQ1103c�SNl 2��3 NO 311(�W SN`�d 3 S31-11: 60 39 1S r L ^_'l Vo o y -DA �uGr✓► c G �� C�� a won 17 /�lC �A.9@� o � y s Q� O omdcwoo CHANGES AJBMIT CHANGES FOR APPROyA$ \ PRIOR TO PERrORMING WORK ot 160 ON THE JOB SITE I f_---e,• ---- FOR INSPECTION. i aAxm • , . . Q • i • • D U •�—•� Cl�lC7lA Ono YECE RtD�(fi ` C/�ML C!E�E�EfiJ•6i (�, Ql , vEvt� I, � ��E7ray 1••• yyppflt,Al10•]t� Si1T t `\ OF i , �� ,t--AA A �� IilRlf•fRBff R,UMERS 1 p ` I W s.us« •rCiM6 g/vwIGTUM ,!W117A• WAVERLYCR ST •M—v=D*34T IS CRTIG1L'MTN M24MUTA R"'F-i S Z I NAYEAY CAE5T LTO. �orn� 0111r," y a n 175 17L 'o wAo9� Z.Z4&— ar s v COMMON lu i a � � Iw• S I GW o =;>f-- re I i 3N &cc's . . ° . ool °' ANO OF ' ate. I, I I ( 4 morn �scoMa+Erf f 31 t t t\ •c� �---- 1111fi11.Eti98 1t111NEA3 �cto,� PEv rr.wins. rAVEAtrCfiEST I •R YcE ei s cRTr—AL'MTH N WMWA AI NER S$` sae �r,rr I v►AVMY CAEST lTO c ` Will I ' I � '1 ' 1 D g 1 I , I I 1 1 LIVINV ROOM DINING ROOM ��UTILITI' BEDROOM BEDROOM 1r a' x 12'-7' ia'-a'x 12'-Y >>'�'x 12'-10' 12'-r x 15'-7' -- I 61 FAI m HALL 1 N ; KITCHEN 7- ! FBI 1 i 1 ® FOYER STUDY ' --� BEDROOM ' ;ai uo+ OPT RETREAT \ 1 ISLAND I ® I'-a' x 12'-2' ---- I BATH 1�-s'x 1r-r I BATH I ' � 1 OAK GROVE 4663C 3 BEDROOMS, 2 BATHS, STUDY, APPRa 60 SO. FT. KT N BEDROOM I1" Sp. Ff. ; I OPT BEDROOM OPT BREAKFAST BOOTH Permit No. mEdEHEM MASON COUNTY �y BUILDING PERMIT APPLICATION • �9Oq O �E� 5 17�e9�7 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 V 1 PLEASE PRINT PERMIT ASSISJANr E #TDii1rections 1N1 N Phone#3ro 'Ll� ? 30 dress - A ui L Fire District#� St G�A Zip to Job Sitey��i^av,�.. f• C ..�f�i, Le;� a' ,Il7 ,�'�%+�.ke.�..:J'h. lLC; L-�f (Zn f& Siac'ika_4,t ' Dr. &—it ain 7-o 4,1 z ,'�� ek� an Owner Mailing Address P.O. o)( zSn7y City 3-i-P4 6q St L� Zip Lien/Title Holder (AA5N i.uG.i n1� /y y'_1q L Address,Seg) PRUF�� Clty k(-J-n 140rL> St LuA Zip 9R33)-/9. Gc�; aGI. Gor/ O 09S& l #2 Contractor Name .. , Contractor Reg# Address Pn RO'K q7r�eo Expiration Date_/ 5 /-18_ City St Zip (2- Phone#.SrCG -9'73 Sean l #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) # arcel No. QQ3/0 -ZZ- egal Description Q 1:558 Q- ) )1 K'1 LQ11 Oo #5 Building Square Footage: (existing/proposed) 1st FI / / 76 O 2nd FI / 3rd FI / Loft Basement / Deck / #bedrooms #bathrooms Garage / Carport / (Circle:Attached or Detached?) Other sq.ft. / #6 Use of building r 1- R r-- - Describe work #7 Type of Job: New X Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year IVZ Makes Model q6O Length(G WidthaX 8/ Serial No. /,SS.S ZO # Bedrooms_ #Bathrooms Z Type of Heat Purchase Price $ 6_30 i 2 ,80 #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland Lake 'Marsh Saltwater Seasonal Runoff Other Show following on the site plan Lot Dimensions Flood Zones Existing Structures' Fences ✓ram A / Structure Setbacks Driveways Iv Water Lines Shorelines Drainage Plan✓ Topography Septic Systems % Wells Proposed Improvements Easements '/ Name of Flanking Street � Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW A�a�kl Srj— CP 1 L �CoT PLqr)r " �l5ld is �o � ��,,�,►� Pip .p•d m^.,. *,-tl 0 Pro N �Y -o 1 d bye, Io A WV; 1 L < o APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW f BAN c , Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 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 i Sinks Spot VelFans Floor Drains No. Boilers/Compressors Laundry Basins _ HP Dishwasher No. Air H 6ndling Units Disposal cfm Urinals No. Fire Protection Systems Other _ Auto.,Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 _ Auto Fire S�rink Sys 25.00 TOTAL PLUMBING $ No. Other i Gas Outle Wood, G s, 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 15.00 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 OF THE 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 FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDI DEP RTMEN DEPARTMENT. X OWNER a X BY DATE r7 / DATE FOR OFFICIAL USE ONLY: Accepted by: Date: �} .. DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: 'u _ Environmental Health: Buil9nq Plan Review zap Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: TOTAL FEE