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Home My WebLink AboutBLD2008-00063 Final ATF Replacement Stairs - BLD Permit / Conditions - 12/18/1985 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 . IP10 RESIDENTIAL BUILDING PERMIT BLD2008-00063 OWNER: JENNY GUSE RECEIVED: 1/17/2008 CONTRACTOR: LICENSE: EXP: ISSUED: 2/21/2008 SITE ADDRESS: 7090 NE ELFENDAHL PASS RD BELFAIR EXPIRES: 8/21/2008 PARCEL NUMBER: 223117600211 LEGAL DESCRIPTION: TR 21A OF SURVEY VOL 4/19-22 PROJECT DESCRIPTION: DIRECTIONS TO SITE: ATF Replacment of stairs, deck railing, sheet rock and insulation in rec Bear Creek-Dewatto Road to Elfendahl, second driveway on left room above garage General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: V-B Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: U-1 Lot Size: Deck: 90 Type of Work: ADD Fire Dist.: No. of Stories: 2 Occ. Load: Building: Valuation: Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline& Planning Information Water Body: Make: Length: Ft. Front: Ft. Shoreline: Ft. SEPA?: No Model: Width: Ft. Rear: Ft. Slope: Ft. g.: Not A Side 1: Ft. Shoreline Desi Applicable Year: Serial No.: Side 2: Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee TAM 1/17/2008 $90.51 B12008000 Planning Review Fee TAM 1/17/2008 $190.00 612008000 BLD Vio. Investigation Fee TAM 1/17/2008 $68.00 612008000 EH Plan Review TW 2/12/2008 $100.00 612008000 Building State Fee RTB 2/15/2008 $4.50 612008000 Building Permit Fee RTB 2/15/2008 $139.25 1312008000 Building Violation Fee RTB 2/15/2008 $139.25 B)2008000 Total $731.51 BLD2008-00063 Please refer to the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR BLD2008-00063 CONDITIONS FOR BLD2008-00063 1) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X (,AL� 2) All exterior wall c vities xposed during construction or remodeling work shall be insulated to the full depth of the wall cavity and inspected prior to covering. X 3) Approed per�i ensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X, L i 4) 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-q47-0982.J he person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 5) 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�;ny further inspections being performed or approvals granted. Xi;�i\ - 6) Owner/Agent is rgs4nsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 7) 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 epartm Mnprior to any further inspections being performed or approvals granted. X 8) All const ction 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 rev c do . X I, 9) All changes toApproved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinanc oC egul tion, must be reviewed and approved by Mason County prior to construction. X BLD2008-00063 Please refer to the following pages for conditions of this permit. 2 of 3 10) 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 required b a Mason Count Building with the international codes as amended and adopted by Mason County. Any corrections, changes or alterationsq y y g Inspect r shall be e prior to requesting additional inspections. X .� 11) All property in shall be clearly identified at the time of foundation inspection. X 12) All building permits shall have a final inspection performed and approved by the Mason, ounty 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 Mas n Count or Finances and building regulations. X_ .- t 13) All per its 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 1�pve preven)�e ;,action from being taken. No more than one extension may be granted. 14) Landings an stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "Approv d Site PI ," o ensure these structures are shown and meet the setback conditions listed. fX 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 means of a progress inspection.The owner or the age t on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above described prope and structure for review and in pe t n. OWNER ORAGEN ` DATE:_ i BLD2008-00063 Please refer to the following pages for conditions of this permit. 3 of 3 7 o CONCRETE MECHANICAL MANUFACTURED HOME 0 Date By C/) �oCD Footings f-Setbacks Gas Piping Ribbons M CD Intenor Date By Interior-Date By By L_ C) C) m Exterior Date By Exterior-Date BY Set-up z Point Load I Isolated Footin INSULATION z Footings INSULATION I SLAB INSULATION Dale By < Date By Data By FIRE DEPARTMENT Foundation Walls Floors Date By By Data By DECKS FRAMING Walls Date By r i--.I f= By Data By PROPANE TANKS PLUMBING Vault Date By Date By OTHER G ro undwork Atdc By Date By Type: Dale By D.W.V DRYWALL Type: Date By Int Brace Wall Date By -0 Date By FINAL INSPECTION 0 N Water Line Fire Seperation IVC Date By Date By Dalo By CD CD 1/ co Pass or Request Inspect. 6 Done By CD Type of Insp. Fail Date Date Comments CD 5 a) CD CD 2. 0 D U) (D E� lJv . ccc to ALL SETBACKS ARE MEASURED -- FROM THE FURTHEST ' PROJECTION OF THE BUiI_DiNG �� i I - -�-�i PLANNIN + `- -�- -� ��v FyJA IcIft �f ] O O L APPROVED PLANNING �{Aus4 J ASON CCOUNTYDCD SITE PLAN REQUIRED TO BE ON SITE C AN SUBJECT TO APPROVAL BY ate MASON COUNTY PERMIT NO.PDLOZCO U'bmLz?j BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 T Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us ,APPLI'CANT,A FORMATION CONTRACTOR INFORMATION Owpmf � fi�� r� 1' ( - ; ; Company Name Mailing Add�Qss -'+ ' f Mailing Address State Zip Code City State Zip Code citytic � _, Phone = � ;L Other Ph 3 - ' e. Phone ;Lr,', x 6 v - S01 7 Other Ph. A, Lien/Title Holder" ' ��` ' �' E ,",!, .- Contractor Reg. #Lvlu cH 5- F'I Exp. E mail address 4< < N !, <• ,� E Mail Address Drivers Lic. #F',,,c. * ml 71 b .i DOB r, i r; Drivers Lic. # DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connec to Water System Name of Water System Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel N( W1 70 n M2 Fire District Legal Description Site Address (Plea include street name, street number and city -7°-P° N £•- t al. ! ` Directions to site a P �o a+i e w a 0 vN li �t r i t-" . _ Will timber be cut and sold in parcel preparation?Yes h ov Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluff/o Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Add X Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building Describe Work r' (� �� No. of Bedrooms Nol athrooms Square Footage- 1st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq. ft. Garage__,__— Attached Detached c Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit? Yes/ No Installer Name Certification No. OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative, or the contractor. I further declare that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. This permit/application becomes null & void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEAJVI OFAPROGRE�S INSPEC IONa INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X _%� t Date: / -7 caner/Ow. rs Representative)Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee - Site Inspection Plan Review Fee YPI S�f EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee L Violation Fee /• Pre-Paid at Submittal Valuation $ TOTAL FEES COMPLETE .N COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete a ure item 4 if Restricted Delivery is desired. / ❑Agent ■ Print your name and address on the reverse X Addressee so that we can return the card to you. B. R ive by( rinted ame) C. Date of Delivery ece■ Attach this card to the back of the mailp , or on the front if space permits. V'1 --Dr-K'delive4 address different from item 1? ❑Yes .1 f,1VNI Y n,q If YES,enter delivery address below: [A No,: irL�:�f . 3. Service Type )KCertified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes �2. Article Number 7007 1490 0004 6441 4700 I (Transfer from service label) PS Form 3811, February 2004 DorQ"dc Retum Recelpt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • V.°romwiq�vl1®p nt WW b�CN CCU`�'l MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT h. Mason County Bldg. III, 426 West Cedar Street PO Box 186, Shelton, WA 98584 www.co.masonma.us (360)427-9670 Belfair(360)275-4467 Elma(360)482-5269 January 11, 2008 Jenny M. Guse 7090 NE Elfendahl Pass Rd. Belfair, WA 98528-9752 RE: Mason County Building Code Violations: BCC2008-00008 Site Address: 7090 NE Elfendahl Pass Rd., Belfair, WA Legal Description.- TR21A of Survey Voi 4i 19-22 Parcel No.: 22311-76-00211 To all interested parties: The Mason County Building Department has received a complaint for construction of staircase and second story deck without county permits or approval at the address listed above. A site investigation was done on January 10, 2008 and a correction notice was posted asking you to contact our office within 21 days to apply for building permit for the construction and repair to staircase and second story deck. On Thursday, January 10, 2008, 1 spoke with Jenny Guse in regards to the illegal construction and repair work. She claimed that the only work done was to replace a few rotten boards and some of the railings to the deck and staircase 30" above grade. I explained that this type of work does require a permit, but that since I wasn't on site and that the inspector hadn't returned with documentation, I could not adequately give her detailed information. She stated that she would apply for the necessary After-the-Fact building permits at the Belfair Annex. I explained that she must provide building plans and a site plan and has 21 days to submit the required application and records to obtain a permit. We also discussed the original complaint and she confirmed that no interior work was being done. I explained that if they intended to make the space above the garage into living space, a permit was required. upon return of inspector, I viewed photos of work done. It was evident that more than replacement of a few boards were replaced. Engineering may be required due to the height of the deck and staircase. Failure to make the necessary arrangements by February 4, 2008 and any continued construction or development without permits issued by Mason County will result in additional enforcement action. If you feel you have received this notice in error, please contact me immediately at (360) 427-9670 ext. 356 to discuss your concerns. Sincerely, � 1 Mindi Brock Building Inspector/Code Enforcement Cc: Property File Mason County Map Output Page Page I o I' I Or 5 w. d. a �t > vg a' �e i ' 40 ;c 44, Or Le�cZ1 c�f'scr. T2 -2-1 v4�- SL.A, {tea rc�l �o 2Z3 i l - to- a o i t rp-Yk h s "7v9 0 /V E- al e ►1aa 'B.O-1-Pa i ►- ct 9 $5 Z Fs http://mapmason.co.mason.wa.us/servlet/com.csri.esrimap.Esrimap?ServiceName=amason... 1/21/2008 5(,C?,L)O 0 -- 0 0 008 -az l I --1 o 0 CZ 1 � Building Permit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 20 9D =l�,Ci��i�/ ��ss la 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 44 ,WL 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 _ fry- a Inspector � u moos NOOT MOOV T LoTAu Building Permit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 96564 (360) 427-9670 CORRECTION Nv""'�kTICE 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 AQa d r .mac 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 f. Department t Date ;�� — `�' Inspector f`•''1h G� DONOTREMOVE THIS TAG � v v it A-S Lz C)17 U Lee, C'� .ud n�J ,S f rs — aD0 — S ' trs) k:�a� . s Ck Licensed Bonded AG I k Insured - LENTZ r Construction&Home Repair LENTZCH935B9 Owner/General Contractor Office(360)830-5017 Brian S.Lentz,USN Ret. Cell(360)265-1366 Email:brian_s_lentz@msn.com HE HOME �iEF'C►T 471£, THE HOME IEPOT 4716 iU991 S. 10991 SIL'VERDALE 4W., SILVERDALE,WA. tLVERDALE WAY NW., SILVERDALE,WA. 360 llnt"`--- 360- 07,-9�p0 4716 00002 37131 4716 0 9V35 12/14/07 SALE O1/07/08 SALE 61`•6YM55C 10:48 AN 61 ►4RR372 08:24 AM ------- Ilk N4 g� (604603004603 2X6-8 CONST <A> - 018236500034 DRYWALL MUD <A> 10@7.t37 L IGHT <A> 6.9719013856 R21/23IN <A> 15.94 048243163007 WIRE <A> 41.00 z�a�h6£�9921d� .RL1��._NA-'!-_.� n1to6@5 i.80 b 4 65 470 HALO CAN-EA 555't0383 STAPLE <A> 810.80 10.67 2�7,65, 15. 0 SUBTOTAL 919.41 b 69i6 65WBR30F3 g,g3 TAX EXEMPT SALES TAX 0.00 :34481111580 OUTLET BOX <k> 5@0.47 2.35 TOTAL $gig J514112.05706 CLAMP CONN <A> 2.45 CASH XXXXXXXXXXXX0407 DEBIT 820.O0 078477211892 1G VIP, SOH <A> AUTH CODE 662367 99.41 4@0.44 1.76 078477211809 1G WP WH <A> 0.44 078477943700 BR15 WHITE <A> 4@1.99 7.96 078477069608 CS115 WHITE <A> 1.99 1��IIIII�1 t750298153253 66160668 1-5/8DRYWL5# <A> 8.94 6211004 1 JOINT TAPE <A> 4 4.98 7 l6 02 3 - �`''"` 7131 01/07/2008 9$33 19013856 R21/23IM1! `h" J RETURN POLICY pEFINITIONS @55.80 T OCPOLICY ID DAYS POLICY EXPIRES ON 6@12.756 3/4 OS: `":? -:A>A 1 6@12.75 00 90 04/06/2008 2X4-9- J2D <A> -ul �,.,,, 8@1.84 33.12 F' Qr�FRVVC THE RTPHT Tn 91324728 2X4-16 HF <A> @3.73 11.19 SUBTOTAL 683.86 SALES TAX 58.81 TOTAL $742.67 CASH 800.00 CHANGE DUE ll�i1ll 4716 01 95735 12/14/2007 0097 ,moo o o , 3 RECEIVED FEB 14 2008 BELFAIR OFFICE i . . _ THE HOME DEPOT HOME DEPOT SILVERDALE WAY NW.. FLc. THE HOME 10991 S[LVERDALE WAY NW., SILVERDALE,WA. STORE t4ANAGER:JASON PELL�+, 3c!" •i STORE MANAGER:JASON PELLOW 360-307-9200 4716 00001 4751? Dli .b SALE 61 KDB111_ 12:'.; flM 4716 00002 41505 01/08/08 SALE 61 RS29LH 06:33 PM _ 604603004573 2X4-16 PT/CS <. >' 2@10.97 21•s4 604603002371 4X4-8 PREM <A> 081099000362 5/8 DRYWALL <A> 39.88 2@9.25 604603004627 2X6-12 #2 PT <A> 604603004641 2X5-16 CONST,<A> 5@12.97 64.85 _ �,a-4xiolt n;" t"v` • . 027418675279 4000CidPHTRWH <A> 166.00 SALES TAX 4.15" � 604603004559 2X4-12 CONS' <A> TOTAL $61.26 10@7,97 79.70 XXXXXXXX4633 STORE CREDIT 53.65 SUBTOTAL 350.43 CARD.BALANCE • 0.00 SALES TAX 30.14 TA TOTAL $380.57 XXXXXXXX7980 STORE CREDIT 7.61 XXXXXXXXXXXX0407 DEBIT 380.57 CARD BALANCE 127.44 AUTH CODE 860669 TA 47Z6 01 .4�512 01/09/2008 3538 47'16 02 41505 01/08/2008 0247 RETURN P LTvY DEFINITION ,, RETURN POLICY DEFINITIONS POLICY ID DAYS POLICY EXi*'T1`L ON' POLICY ID DAYS POLICY EXPIRES ON A 1 90 04f08/2008 A 1 90 04/07/2008 ` ;'` , THE HOME DEPOT RESERVES THE RIGHT TO #' THE H014E DEPOT RESERVES THE RIGHT TO � n LI14IT / DENY RETURNS. PLEASE 'SEE THE LIMIT / DENY RETURNS. PLEASE SEE 7HE RETURN POLICY SIGN IN STORES FOR DETAILS. NOBODY BEATS_MIR—PRSLFIZ_ f11°RANTEEC. ,RANTEE -q o v, , a CD —I X ry cc rn m c rn a w O A X _ rn C7.� Q1- C M --+ cA O rn �. _-1 O�w w 0 Oco moo: 7C : ti r- < .. , r: m 6,rnr N J a r OD m O W rvl 7D _ O O O rnOD O�-+ O cY O m L7 p, ID w N O co CD m OD 3 CD CD S• Z --- Site inspection . . -• 1 11. ..a •a{S 4 TyY '� 22311-76-00211 /91 NE Elfendahl -. Belfairc - -- Left correction notice for permits l • �' _ i... days and referred owner to contact Mindi B. L V :�a 3�:!t,�� 1 � � �a�ty•` .. r •. 44 ,'7c'y4 : .. F� IMASON COI, .14TY- PERMIT NO. BUILDING 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 INFORMATION Owner Company Name Mailing Addre U ► Mailing Address City State W-a Zip Code City State Zip Code Phone Other Ph. - fe qy6o Phone Other Ph. Lien/Title Holder i9eer. 1440m / h.aer-S YContractor Reg. # Exp. E mail address E Mail Address Drivers Lic.#5,,_s ' r1�c� DOB -- / - S Drivers Lic.# DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well `, Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description Sit Addres��Pl se include street nam , street number an city) Di Ions o SIL bp e Kr. 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 Is this permit submittal the result of a Stop or Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Add Alt Repair Other P IMARY PZESIDENCE ❑ SEASONAL ❑ Use of Building2wc escribe Work-nwja C,V Ire S ` � r-. No. of Bedroom No. of Bathrooms Square Footage- 1st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq. ft. Garage Attached Detached —; Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit? Yes/ No Installer Name Certification No. OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or the contractor. I further declare that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. This permit/application becomes null & void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS FA PROGRESS SPECTION.INACTIVIJY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X AA Date: c2- .11 D Se caner!Own Representati ontractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Ins ection Plan Review Fee EH Review Fee Plumbing & Base Fee PlanningReview Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES