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Home My WebLink AboutBLD96-0795 SFR, Deck - BLD Permit / Conditions - 6/19/1996 �" � �,d� � �� ; _. .�- =.x •� j �: . 14. /r � { � �► �� ,'" k S �. 1 r�. .�. �i -� � i � � i : \� \_ ^� �`� �� . �� ® , � ,: � � �� \ ^ < £ � � � - : )/ � � :\ ��2 . �� / � �� - « %, � �� / � � � \� \ � \ �� . \ ! { . / • ■ � , \ }f� � : � � ; < � � t \ . � � * ? � < ► � k � , a ^ $ . , � � ) r . r„ - MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 B Li I 1__ D 1 N 04 R E R M 1 _T_ FF:OS I NSPECT I O " CALL 427-9679 BEIWFEN 6pm AN Sam 427-7262 SLO96--0 795 PARCFI- :3203 1 220001 2 PLAY - D I V - BLK : LOTI JOB AUURCSS : W 172 CL-ARK RD SHELTON OWNER DAN WI1..SON 427--0960 CONTRACTOR : JOHNSON 1398--2255 LFGAL : 11 6 Of 11 11 SEE SUIVEY 9126 1 11? CLARK 0 CLASS OF WORK . tNEW BFDR : 2 .BAT'li t 2 TYPE AMONIT 1Y DATE RECEIPT TYPE 41411711 RATE RECEIPT TYPE OF USE . . . . sSF STORIES . . . . . . . : 1 � _ OCCUP . "OUP . . . t? BLDG . HE. I GHT „ t O .Oft ENCP 1 26.00 CPU 01110196 42691 fift 1 �`.l.60 CPN /1119106 42694 TYPE OF CONS? . , :7 F 1 REPL.ACES . . . . : 0 Poll 1 493.50 CPU #1111196 4269E OCCUP . LOAD . . . 0 WOODSTTOVES . . . . : 0 PICK 1 246.75 CPR 01119196 41690 WE 1-L .VN I TS . s H PARKING SPACES t 0 PL1 1 55.25 CPU 09119196 42690 INSPECTION AREA t 2 SHORELINE? . . . . :N RCN 1 4?.?5 CPU 6#119196 42.693 TOTAL: 161.2T VAIVIATION: TT606 aaassz:-aaec'-awr:ruarr.:xam+s�essras. .r_rae .saatee�t:�^r .r SETBACKS--------------- T011_ETS; . . . . . . . . 0 FUEL TYPE:---.-------- BOILERS/COMP-- ; MOBILE HOMr-- ,. FPONT : . . O .Oft BATII BASINS . . . . . . : 0 t t 0-3 !1P " PEAR . . . . 0 .0ft BATH TUBS . . . . . . . . t 0 3-Jr) hP . : 1A ` ; -MODEL : SIDE ( 1 ) . 0 -Bft SHOWERS . . . . . . . . . . t 0 FUFN 100K 8TU: 0 15-30 HP .'; 0 SAKE '--__.-...... SIDE (2 ) . 0 .ort WATER HEATERS . . . 0 FURN y-100K BTU : 0 ' 30-50 HP . t 0 SHRL 1 PRE . 0 .01 t CLOTHES WASHERS . P FFUPN -- I-L07R . . . t 0 50+ HP , : 0 _46R- _ AREA - _--- -- -_-- KITCHEN SINKS . . . . t 0 HEAT PUMP . . . . . . : 0 LOT S I . . FL'+f1Rr E)RAy1 NS . . . . t 0 Vf NT Si(.`�TE MS . . . s f�1 EVAP 1"f►(3LE:RS : 91 i !?NGTN : L+1t BU I LD I •�< . : i z1510stt :16R I NK I N�FOUNT . . . t P' VFNT FA 8 . . . . . . t 0 IN`,i#G e(4S , . . . . . : 0 W 1 T)TH . t 0 fi $)` ;. . . t -' 0nf LAUNDRY 'fQA.YS . . . . t 0 ,� MME;`. INC I N cO iSl Ii-1AL`11 - 228of D I SHWAS �AS . . . . . . 0 AIR HANDLING NG UN%S- L��tlNC I N ,0C CEEARP :G 472sf GARB DI: USALu . : 0 <- '10010 rfm . PAIR : k0 T , t A UR !NAI S . . . . , . . . : 0 t`�1000 Gfit:i .'?ice 0 ttN i f5 , t 0 M1SC Pl_ IXTURES : ,.0 r -' GA9 ETS . t 0 ti- W:YARY.Oa4' -Ym��pRLte1¢i�4 t.t9C¢�:'oit^."xift5'J�M1'YI. _'. -'Ivy ••:.•:9::l.YC�1•�'JR'nffiW�':MCT.9 ::.::trtr-Y".�3�I.�.RYI[9 iliY�l0�lo4a.-'iC].�.�. .�rtCi�3itAlK:e PVBJcCT RiPT19N,VESIIEMC�, DECK AND SAVAGE , P40JfCT I 10t60 001 CLOAUPJ1.11N RD ACROSS FRFFIAY 60 TO CLAIK RD ON iffl Slot A0.10b fRov UASpA4k,4AIhif 6B 4N} 141K.1I0,'70 A1OE tODRPSS 01 tFF1, 09 0111 CON[ A 10611f NOIF, Of 11611T SIDE Of ROA1. kiNIS PERM {ONES NULL AND VOID If NORK OV CONSTRUCT 1,01_.10TN�)V'Ito I3 NOT C011El ''N'THIN 111r AAa* 00`Ef ONSTR`gCT' 01_N4 IS SNSPENDED fOR A PERIOD fA 0 ANY TINE Afiff IFOAK IS CQ11f10EV, EV!611C.F-Of C01liINNAFION Of NOVI�-1'S"� PPOGrIFSS 111&1T:�71ON Ocii Tif1~`1tt-$Af PE�60. f1RAl INSPECTION IIU�T R A`t"Ov SOUDINC CAN. 6f OtCUPIfIl. of OR AGENT Bi_D-tVNI, r f Y� 13131191 COMPLIANC17 Tn ATTACHED CON T 1 ONS IS RFQ()1 1417-1) CONCRETE MECHANICAL / MOBILE HOME Footings-Setback date /(2 '��/ "i'{�v by Ribbons date c�-'F 1? —"(�' 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 d- Z 9 — 190 by date le _z` — by y? date by PLUMBING OTHER date z Groundwork Attic /� �) 7� date b _ / b y D.W.V. WALLBOARD NAILING Fp,- Oe date/& 25 ' -9f. by date NONE- � by CO1) Water Line FINAL INSPECTION date p—� /�� by date _/ / 7 by date by i�vAiC iz -Zy-9,G MASON COUNTY � Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PERM I T CrC3Nr> I T I C31`I Casey No. : BLD96--0795 Fort DAN W I L SON Page : 1 1 ) The use, handling and storage of hazardous malerlals or flammable and ooiabustiblej liquids in excess of 10 gallons Is not allowed without the approval of the Mason County Fire Marshal . X r_1z' ''" 2 ) Pro posed structure or any portion thereof greater than '?0" i n tip inht from tirade 1 i ne, must maintain a minimum of 5 ' setback from all property 1 i i►es, easements and 10 ' from all Gout/y and State Road right of ways . X �., 3 ) Applicant rospons i b l e for contact i nq bii i 1 d i ng departmF3��' to es tab 1 i st► any required slope setback prior to setting foundation farms . x 4 ) Ali upland areas disturbed or newly created by construction aativitien shall be aeoded, vegetated or given some other equivalent type; of protection against erosion . 5) Temporary pros l on control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands . X. 6) Approved per setbacks and dime rr, i ons on site-p I ar . x___ _ • ,_ _ - _ _�. __ 7) Appiicant acknowledges that this property is approved for one single famlly residence only . As a cond i t i or► of the hu) I d I nq perm I t , mob i 1 e home sha i I be removed r rom s i t" prior to house occupancy . x 8 ) All approved plans are required to be on-site for inspection purposes . if inspection Is called for and plans are not on alto Approval WILL NOT be granted . in addition, a Re- Inspection fee: in the amount of $32 .06 per hour (minimum1 hour ) will be charged and CONCRE'rc ' 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 IRE 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. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 approval grafited . r 9) PURSUAN" TO 1994 UNIFORM BUILDING CODE SECTION 305(C ) AND SECTION 513 ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES POVIDED IN SUCH A POSITION AS TO b PLAINLY VISIBLE: AND LFC3 i BL E FROM THE STRF":T OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMF.=NT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPrGTION FEF BASFD ON RATES IN TABLE 3A OF THE 1994 UNIFORM RUItftING CODF WILL BE ASSESSED IF OWNED/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING I NSPF'CT I ONS . 10) Thq oorr,ection list , along with the Energy Compliance Wor•ksheet (when Ea pl icable ) is part of the plans and gust remain attached thereto . it is the respcnsigility of the applicant to make oorreotlons indicated on the plans frost the oorrection hats . Once they plans are marked APPROVED, they may t;ot be changed or altered without atithor i zat i on from the Building Official . The permit holder is reponsible to retain the complete approved set of plans on site for the duration of the project . Failure to comply will result In failure of required buildin Inspections . Every permit shall expire by limitation and become null and void if the building or work authorized by such permits I s not commenced within 180 days from the date of I ssi.tancea, or It the bu i i d i n or wcrrk authorized by such permits is suspended or aba ned at any time after the wore is commenced for a period of 180 days . X 11 ) ALL C NSTRUCTION MUST MEET OR EXCEED ALL LOCAL_ CODES AND UBC REQUIREMENTS . 12) Changes to approved building plans that effect vompIiance to the 1991 Washington State Energy Code, 1991 Ventilation and Indoor Air Quallty Code, the Uniform Building Code and/or Mason County Rego ations Must be approved by Mason County prior to constructIM.— 13) ALL CONSTRUCTION MUST MEET OR EXCEED LOCAL CODES . IF ANY QUESTIONS, PLEASE CALL THIS OFFICE BEFORE CONSTRUCTION . x 14 ) CONSTRUCTION PROCESS TO BE FIFLD CORRECTED AS RLQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BI.1 I LD i NG CODE .x Or 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 Building Permit #W -&Z75 MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location t4z k%Cscel /D'w 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 R03sip FIR s et'wT 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 ❑ OKto Department Date - � Inspector ��4 5'` 0 10O Nr)T Mo AV T T' ,fir Building Permit ^ MASON COUNTY /lBUILDING III 426 W. CEDAR Z SHELTON, WASHINGTON 98584 360 427-9670 CORRECTION NOTICE Job Location / 7Z ,L4 wl I - , , This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: /r Items listed below must be corrected to gain code compliance 7 '�1 Ic C` s , �� rc/r (ie ��i�t� crxr- rfi�c Jr �K You are hereby notified that the abov 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 Department e- 1iv Date '7 — �� Inspector ■ on NnT ;MnV■- T 1 T, � ,� .-W- sue• - ." 1 m1w ZI V till 1) lot 8 �. - _fir;„ t3f✓ 'a } r+ L. �1 �.; a) � .. ,>•._._ \}.1 .�.,i�✓�' .'• \�1 .,3\��,��\_;t`'YJ -".� '�\ �`\._1 /�.,��' � "�Y��. � 1. ��\� lt• 1� �k >t " ' S a 1 C,� •t y , r ^ i`s<qa 6 , y+ �. _ i, � � �.�,i,/7- �+'. t•.y�.:' l:y• l..f'' � ~! --�("� ''i .� �. .4'.. t i_t S,�• � .aY Vi .•.i i�. c � �� .y � •r.,.� _'•k�i +�'e �F'• �k• •�" !_-1� ,, i:. R'��•.;r..' 'r,�`' r '�� yt1�w'`` � ��TT �t '� �Y•��y� .. ! t}�::.,J �M1 .. I ri � �� lr. � � �� r+.�' lR M }� b J,'y'� � t y, 7y� �'Ly. T .. �y,.p��' 47•N�yf Builping Permit # MASON COUNTY BUILDING III 426 W. CEDAR Z—_ 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 correct d to gain code compliance z1111-'*L"t 5P'4C'e KW14Z �5CO, H CO I S�-: 6d4wlle OW 5ZA21 AEnl(r4rW 04t 200-el, 7 �1-0'r1G1 t y /f. Sri c�a 40 1 di(-)L 54?lcr- 3 IF �r ^�rl 00& ' lkt 1 i--7 i Su/jam hL�v/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 ❑ Wke corrections, items will be checked on next ins ectio dOK rcv�v y �� I��y Dre artment Date Z— � 1� Inspector 6 to �5 0100 NnT MnV THLIT LOW BuilditAy P.Armit #�� MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location Z 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 1,51-14 7� a-(�?W 2,4-- J-) pis 7;v-S-1//g-h /S2// ��/l ,� 7el V/// yk�� 7 40 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 Department 5 � 'J� Inspector N Date � � ■ �n NnT Mnv Ti4l ' T A i Building Permit #�6 MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 1 l so,4/ 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 �s le Lv/A/1 0,50 �y��'�//�7`io�i �20N`/' Sod r2 1`K �'.�► gl A�o SK P�cr--rYouare =u�� a ,� - hereby no that the abov PROCEEDING WITH ANY FURrH a COrrect�ons ER WORK shall hall be "'adpg ❑ Call for re-inspection when correction EfORE s are xt ipec �•� ❑ Make corrections, items will be checked on xt;n before continuing �1 I �=0f��toy1- t/S!•/`%r= SPecti'on J B De'°artment Date � •_ ,� �. ` � i' � DO; Inspector 9NOT � t IsT A G 3uilding Permit # 9/r' 070s�- MASON COUNTY qqqq BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (� (360) 427-9670 CORRECTION NOTI E Job Location Ll .;p /-,7-z bog to to , t'500 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 3 NO 7isr- lJ ct). IVO At 5 Ivof ed,� �t� C�uNIJR �At 4- Due . 7 0 � *a You are hereby notified PROCEEDING that the 300ve c G WITH ANY FLRTHE °rrections R INpRK a ❑ Call for re-inspection when corrections are 1de �eB�FORC ❑ Make corrections items will be checked or-x be1°r a OK to a continuity t�tyspection 9 Date DepallMent DSpector O NOT O T S T A G BUILDING DEPARTMENT INSPECU REQUEST TAKEN BY i _TIME DATE OF INSPECTION TODAY'S DATE /f z Z� �� DATE INSPECTION REQUESTED NAMEONPERMIT-Z SITEADDRESS ' ( i I?V PERMIT NUMBER ' '- TYPE OF PERMIT -t C /iV TELEPHONE CONTACT # AND NAME W 7 INSPECTION AREA L �41 TYPE OF INSPECTION: FOOTING WALLBOARD NAILING HOLES FOUNDATION/STEM FINAL kC OTHER SLAB INSULATION MH FOOTING DETAIL SLAB ROUGH-IN PLUMB MH SET-UP -SLAB MH FINAL INSULATION WOODSTOVE BUILDING DEPARTMENT INSPECTION REQ REQUEST TAKEN BY TIME �' DATE OF INSPECTION TODAY'S DATE _ DATE INSPECTION REQUESTED / NAMEONPERMIT SITEADDRESS PERMIT NUMBER_ C� / TYPE OF PERMIT TELEPHONE CONTACT# AND N �J /INSPECTION AREA TYPE OF INSPECTION: ( 0 FOOTING WALLBOARD NAILING HOLES FOUNDATION/STEM FINAL OTHER SLAB INSULATION MH FOOTING DETAIL SLAB ROUGH-IN PLUMB MH SET-UP FRAM/PLUMB/MECH/PEN MH FINAL INSULATION WOODSTOVE CONFIRM CALL BACK BY DATE CONTACTED TIME BULDING DEPARTMENT INSPIEUT REQUEST TAKEN BY TIME ,!� DATE OF INSPECTIO TODAY'S DATE I �l I DATE INSPECTION REQUESTED NAMEONPERNIIT C \ l ' SITEADDRES S Q (� PERMIT NUMBER l 7 TYPE OF PERMIT TELEPHONE CONTACT # AND NAME ��-- V`� INSPECTION AREA TYPE OF INSPECTION: FOOTING WALLBOARD NAILING HOLES FOUNDATION/STEM FINAL OTHER SLAB INSULATION 71( MH FOOTING DETAIL SLAB ROUGH-IN PLUMB MH SET-UP FRAM/PLUMB/MECH/PEN MH FINAL INSULATION WOODSTOVE CONFIRM CALL BACK BY _ DATE CONTACTED TIME , MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton,Washington 98584 (360)427-9670 BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION Dan Wilson August 10, 1996 170 Clark Rd. Shelton, WA, 98584 Re: Permit #BLD96 - 0795 Dear Mr. Wilson, Thank-you for submitting your plans to the Mason County Building Department for review. During the review process it was determined that your proposed house does not meet the 1994 Uniform Building Code Section 2326. Please note the items checked on the attached sheet. Please resubmit two copies of plans that meet the prescriptive requirements of U.B.C. Section 2326, or provide engineering. If you have any further questions I can be reached at 427 - 9670 extension 551. Sincerely, Sheri Crawford Plan Checker cc: Parsons and Myers pr.�s Lv,5g2 t� —t*0 r I F-P rZ) MR. W 11,50 Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 0 PLEASE PRINT #1 #iite ner L kki W i .sox i Phone # �/.Z7- 04/00 Address t; I'l a CLAEK R-d Fire District#ty SHEL7"p7\1 St V) q 8SSLf Directions to Job Site eo Our QIQG1L A LLUM PC), /f Lklss 2]Q 0-/A9K /Zc/ epAl LEFT siAE Fe'nIn /y7A-1t1& �rJ S.4GU�6. e 2W. o E - Owner Mailing Address /a2 1A,e e AZ, City St r y.4 Zip --- Lien/Title Holder 5'/A;17AF Address City 5� P� St 5 Zip S #2 Contractor Name Jf�ie�O,c/S /l�D �y� S �yIST Contractor Reg #lA�ineo86,�'2 Address ?D .eox Expiration Date_/ 30 / City �f7��7�� St Gr/iA_ Zip 9gQ91V Phone # 4. 7—0%0 #3 If septic is located on project site, include records. Connect to Septic? 4---- Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 �eagrcel No. V03 - ZZ-1 Description -7;E.- �t/cd- SyRU/e-� 9 #5 Building Square Footage: (existing/proposed) 1st FI GCS/O / 5�r 2nd FI / 3rd FI / Loft _ Basement / Deck 22Q / SQ FT # bedrooms.BO-6 Ft #bathrooms�l�/ Garage �{7� l �,?.FT_Carport / (Circle ttache or Detached?) Other sq. ft. / #6 Use of building S_F"lit, . Describe work �vi1c1 4r'" Pf�D� #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length Width Serial No. # Bedrooms # Bathrooms Type of Heat Purchase Price $ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond reek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other _____ Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways 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 ok Cut' I`KISTILIE MU APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW - F SAT D QT N��5� Plumbing Fixtures ($3 each) F Mechanical Fixtures ($6 each) No. Toilets 6 CIRCLE FUEL TYPE: Gas, Electric, Bath Basins V .Sb Heatpump, Other / Bath Tubs 3'2 No. Units Fees Showers Furn l BTU / Hot Water Htr '� Z Heatpumps Laundry Washer Vent Systems Sinks 14 � �' Spot Vent Fans I`7. � Floor Drains No.. Boilers/Compressors Laundry Basins 3� — HP z Dishwasher 31 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 15.00 < _ Auto Fire Sprink Sys 25.00 2 TOTAL PLUMBING $SS . Other Gas Outlets Wood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD 2D OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. X OWNER X BY 'L DATE DATE — FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW -. FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: l91 Environmental Health: Q Allo��l4 A o u ryk tP9 cr'�c inn Q we- -1-3-`,\kp Building Plan Review W t-c Occupancy Group: -3�(Type of Const: 5N Fire Marshal: Other: Special Conditions: FEES ISIU XYS = �7. 9.f0 Building Permit93. 47 Z 13 = 6, (3(, Plan Check 2y� 7 22$ 9 s� _ ! , 932"1' 22 S X 6 r, = ! g.Z Plumbing Fee �-• z�� Mechanical Fee yZ, z� 7 71 SOG Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee y, Other a tf irzt u i c ,j �G CC-5 Other Building Valuation: -7 7, TOTAL FEE 01 r C I APPLICANT NAME:- - � �� `1 ��[T DATE: to lv BUILDING PERMIT CHECKLIST SITE ADDRESS If site address is not listed, customer needs to be given a site address form. FIRE DISTRICTS Please make sure the fire district is included in the application information. Refer to map located at counter. DIRECTIONS TO JOB SITE - Needs to be as complete as possible (i.e. maior roads, is house on left or right side of road, etc.). Be sure to read for clarity (Landmarks, signage, owners name or. mailbox, etc.?). �❑ LIEN/TITLE HOLDER Who holds the mortgage (Bank or name of private owner holding contract)? -� CONTRACTOR REGISTRATION # AND EXPIRATION DATE This information needs to be provided. The Building Department may be able to research expiration information if customer does not know it. We must have a signature in 1 of the 2 boxes, either the applicant or the contractor. ❑ SEPTIC RECORDS A B WATER COMMUNITY PRIVATE SEPTIC EXISTING DESIGN APP. DEV REMODEL NEW STATUS IS THIS A REPLACEMENT UNIT? YES NO IF SO: MASON COUNTY BUILDING PERMIT APPLICATION SECTION #5, BUILDING SQUARE FOOTAGE, MUST BE FILLED OUT COMPLETELY. AND: SECTION #6 MUST CLEARLY STATE, "REPLACEMENT UNIT" ❑ PARCEL # Parcel # must be included or researched through Gateway. ❑ BUILDING SQUARE FOOTAGE V• Verify that boxes are filled in. If there is a garage, verify whether it is attar r detach nclude square footage information for mobile homes (you can multiply length X width to deter ' umber). ❑ USE OF BUILDING "� 7 Is it a residence, garage, greenhouse, etc. . .? — M. 1 ❑ DESCRIBE WORK C� %P (i.e. mobile home addition, addition to a house, etc. . .) 2 y ❑ TYPE OF JOB Verify appropriate boxes are marked. (V _ MOBILE HOME INFORMATION Jam` f Verify appropriate boxes are marked. If factory order, please put factory order #�in4odbile home serial #. If unit was assembled prior to June 15, 1976, refer to procedures handout for "Obtaining Installation Permits for Mobiles Assembled Prior to June 15, 1976." �. SHORELINES If any water is on or adjacent to property within 200 feet, #9 must be complete. Once permit is entered into Tidemark, it will be routed to the Planning Department. If property is not on water, then put "none" or "n/a". SITE PLAN DRAWING Must have setbacks from all property lines, easement lines and structures. Drainfields septic tank location, outbuildings, etc. . . TOPOGRAPHY DRAWING If property is flat write "flat on the topography section. If house or structure is near a slope or hill, drawing must reflect this. �] PLUMBING/MECHANICAL This form must be completed for any structure with plumbing and mechanical excluding mobiles/modulars. OWNER OR CONTRACTOR AFFIDAVIT Owner or contractor must sign affidavit statement and date it. 1 t10 ACCEPTED BY Whoever is accepting permit information must sign your initials and date form on the bottom of page 3 or use date stamp and initial on back of permit. Q PRINTS Need two sets of prints unless it is a stock plan. For stock plans, we only require one copy. WATER ADEQUACY For new residences and mobiles. PRIVATE WELLS MUST HAVE WELL LOGS OR CAPACITY TEST AND BACTERIAL TEST. If they are on a public water system, verify the water system is in compliance with State requirements. ❑ WSEC & V & IAQ CODE� Required for all residential, addit)ons and commercial buildings. Energy Code compliance form needs to be COMPLETED. Verify heat source (no wood or pellet stoves are permitted as primary system). Window schedule must be filled out and reflect what appears on submitted building plans. If applicant has decided to go with the PUD in a Long Term Super Good Cents program, we require a copy of the signed agreement with the utility. ROAD ACCESS PERMIT If you will be accessing your driveway from a County road, contact the Public Works Department in Mason County Building I, 427-9670 extension 450. Access from State Highways requires Department of Transportation approval. Contact office (206)895-4753 (Port Orchard). ACCEPTED BY: DO NOT ACCEPT PERMIT APPLICATION WITHOUT PRINTS AND REQUIRED DETAILED INFORMATION (SETBACKS, ADDRESSES, PARCEL # AND WATER). checklst.blg 9/20/93 1