HomeMy WebLinkAboutCOM2018-00097 Final Greenhouse - COM Permit / Conditions - 12/7/2018 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
Mason County Phone: (360)427-9670, ext. 352
615 W Alder St
Shelton, WA 98584
� !RW
r COMMERCIAL BUILDING PERMIT COM2018-00097
OWNER: DEPARTMENT OF CORRECTIONS RECEIVED: 8/23/2018
CONTRACTOR: LICENSE: EXP: ISSUED:
SITE ADDRESS: 3420 NE SAND HILL RD BELFAIR EXPIRES: 4/8/2019
PARCEL NUMBER: 223130060000
LEGAL DESCRIPTION: ENTIRE SECTION "
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
GREENHOUSE (Butterflies) STRUCTURE TO BE INSTALLED WA-3 N, FOLLOW TO NE NORTH SHORE RD, R ON NE SANDHILL RD
SLAB ON GRADE.
General Information Construction&Occupancy Information
Type of Use: Insp.Area: 1 No. of Units: Type of Constr.: II
of Bathrooms: Occ. Group: U
Type of Work: ACC Fire Dist.: 2 No.
Valuation: $ 17,638.20 No. of Stories: 1 Exit Design. Load:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building: 369
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline&Planning Information
Front: Ft. Shoreline: Ft.
Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.: Not Applicable
Side 1: Ft. SEPA?:No Comp. Plan Desi
9.: LTCFL
Side 2: Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Access Road?:
Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2018-00097 Please refer to the following pages for conditions of this permit. Page 1 of 5
bing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Floor Sink 1 Unit Heater 2
Water Heaters 1 Ventilation Fan 3
Total
CASE NOTES FOR
?9-3 t ✓ COM2018-00097
CONDITIONS FOR
COM2018-00097
1) Prior to final approval, all upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type
of erosion protection (silt fencing or straw matting). X
2) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
3) Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is
LTC F
X
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 1-800-647-0982. The 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 inspection is called for and plans are not on site, Approval WILL NOT be
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X
6) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title
14.28.
X
7) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL.
X
8) Buildings shall be exempt from the thermal envelope provisions of the International Energy Conservation Code as amended by Washington State
provided one of the following apply: 1.The structure is heated or cooled with a peak design rate of energy usage less than 3.4 btu/hr per sq. ft or
less than 1.0 watt per sq. ft. 2. The structure does not contain conditioned space as defined in the energy code. 33he structure is used as a
greenhouse isolated from conditioned space and does not include condensing unit.
X
COM2018-00097 Page 2 of 5
P'limbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Unit Heater 2
Ventilation Fan 3
Total
CASE NOTES FOR
COM2018-00097
CONDITIONS FOR
COM2018-00097
1) Prior to final approval, all upland areas disturbed or newly crea d by construction activities shall be seeded, vegetated or given an equivalent type
of erosion protection (silt fencing or straw matting). X
2) Approved p r dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
3) Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is
LTCF
X
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 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X 1_aqp�
5) 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 reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X
6) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title
14.28.
X
7) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL.
X
8) Buildings shall be exempt from the thermal envelope provisions of the International Energy Conservation Code as amended by Washington State
provided one of the following apply: 13he structure is heated or cooled with a peak design rate of energy usage less than 3.4 btu/hr per sq. ft or
less than 1.0 watt per sq. ft. 2. The structure does not contain conditioned space as defined in the energy code. 3.The structure is used as a
greenhouse isolated from conditioned space and does not include condensing unit.
X
COM2018-00097 Page 2 of 5
9) . 400Q PSI CONCRETE WILL REQUIRE SPECIAL INSPECTION IF THE QUANTITY EXCEEDS 50 CUBIC YARDS< LESSER AMOUNTS WILL
REQUIRE AN APPROVED CONCRETE SUPPLIER TO PROVIDE YOU WITH A BATCH TICKET THAT WILL BE REQUIRED TO BE SUBMITTED
TO THE SITE INSPECTOR FOR THE VERIFICATION OF MATERIAL USED. X
10) All Material Safety Data Sheets (MSDS) for all hazardous materials used within the facility shall be placed in a notebook and permanently located in
a conspicuous location inside the building near the main entrance. (IFC Chapter 50)
11) Lever hardware is required at doors. The unlatching of any door shall not require more than ONE operation. Hardware with locks must open with a
single action from the egress side of the door. Door hardware shall allow egress doors to be readily open able from the egress side without the use
of a key or special knowledge or effort. Handles, pulls, latches, locks and other operable parts on accessible doors shall have a shape that is easy
to grasp with one hand and does not require tight-grasping, pinching, or twisting of the wrist to operate. X
12) Any changes in construction shall be reviewed by engineer of record and submitted in writing to the Mason County Building Department prior to
construction. All engineering documents are a part of the approved set of plans and must remain attached thereto. If engineering documents are
removed, approval will not be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and
X collected by the Mason County Building Department prior to any further inspections being performed or approvals granted.
13) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND OCCUPANCY
IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OR OCCUPANCY WOULD RESULT IN PERMIT
REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
14) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilationrequirements),
Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
X
15) 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 with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a
Mason County Building Inspector shall be made prior to requesting additional inspections.
X
16) 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 Mason County ordinances and building regulations.
X
17) All permits 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 have prevented action from being taken. No more than one extension may be granted.
X
18) Recyclable materials & Solid Waste Storage: Space shall be provided for the storage of recycled materials and solid waste. The storage area
shall be designed to meet the needs of the occupancy, efficiency of pick-up, and shall be available to occupants and
haulers.X
19) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT
PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING
SYSTEM OR ROAD Y.
X�
COM2018-00097 Page 3 of 5
20) ' .,ncrete encased grounding electrode must be installed and used at each new building or structure that is built upon a permanent concrete
foundation. In Mason County the electrical code is regulated by Washington State Department of Labor& Industries (L&I).
For more information contact L&I for additional information. In Olympia call (360)902-6350 and in Bremerton call (360)415-4000.
X
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 contractor. I further declare that I am entitled to receive this permit and to do the
work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The
owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)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 OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
(�? �J��- 9
Signature Date
OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
COM2018-00097 Page 4 of 5
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� �NDATION PLAN 3920 NE SAND FIIIZ ROAD o`�o
s�M_r_v BELFAIR,WA98528 8
NOTE: DA N OTHERS D—BF E.D
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Name / Parcel#'��'s C3' �' (pl�q�o 4# LOIB —o()O /
Mason County
Department of Community Development DUI D I N 1.34
Small Parcel Stormwater Management Application/Worksheet (page 1 o
Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is
made for residential development,or redevelopment', with more than 2,000 square feet of impervious surface 2.
'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development
including construction, installation or expansion of a building or other structure,and/or replacement of impervious surface that is not
part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment.
'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas,
concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the
natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces.
To Calculate Impervious Surfaces Please Complete This Table
Surface Type Length X Width = Area 'All dimensions in feet
Buildings X =
Greenhouse 29.0416 X 12.7083 = 369 Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways X =
X = Length of drive begins at the right of way
X =
Parking Areas X =
X = Any paved, gravel or packed area per definition
above table
X =
Patios/Walks X =
Sidewalk 20.7 X 5 = 103.5 Any paved, gravel or packed area per definition
above table
X =
Others X =
X = If the total impervious area of the proposed site
X = development is greater than 2000 square feet a
Small Parcel Stormwater Site Plan is Required
Total Impervious Surface Area(sum of all areas) 472.5
If the Total Impervious Surface Area is LESS THAN 2000 Square Feet, please read, acknowledge and sign below.
Based Upon the infonnation you have provided a Stormwater Site Plan IS NOT required for this development activity.
Owner/Builder/Agent Acknowledges that 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,owner's legal representative,or the contractor.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for r view and inspection as may be required. }
X Owner/A ent/Contractor(circle one)Date: �� !
If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, please read, acknowledge and sign
the information provided on page 2 of 2.
Page 1 of 2
Name Parcel# BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 2 of 2)
Based Upon the information you have provided a Storm water Site Plat IS Required for this development activity.
Title 14,Chapter 14.48 of the Mason County Code(MCC) regulates compliance requirements for Stormwater
Management in this jurisdiction. A complete copy of the ordinance can be found on the Mason County website:
http//www.co.mason.wa—us/code/commissioners/index.htm
Please follow the links to "Title 14,Chapter 14.48 Stormwater Management".
Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan
(Mason County Code Title 14 Chapter 14.48 section 14.48.70). You will receive a copy of the Public Works document
entitled "Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan".This document will assist
you in preparing the necessary information and plans for Public Works to review and approve. Per Department of
Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in
their entirety AND no part of the stormwater system adversely affects any septic system(see Environmental Health
information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval.
A design by a registered professional may be required for more complex sites.
*These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan
on the pages that begin with"Handout"
PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A) The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed
in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel.
B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the
system will be located as not to adversely affect any septic systems on this,or any other,parcel.
If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works
Department can provide additional instructions, guidance and examples. (Section 14.48.130) contact Public works at:
Phone: (360)-427-9670 EXT.450
Mail: P 0 Box 1850, Shelton WA 98584
Physical: 415 N 6th St, Shelton WA 98584
If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of
Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or
any other,parcel.You may also wish to consult with the septic design professional involved with the project. Mason
County Division of Environmental Health can be reached at:
Phone: (360)427-9670 EXT. 352
Mail: P 0 Box 1666, Shelton WA 98584
Physical: 426 W Cedar St, Shelton WA 98584
A condition will be added to the building permit that states, in part,that all conditions the stortwater site plan will be met
prior to a request for final inspection of the building permit.
Owner/Builder/Agent Acknowledges that 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,owner's legal representative,or the contractor.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for revie,w and inspection as may be required.
r
X Owne gent/Contractor(circle one)Date:
Page 2 of 2
Ceym2b18 -000I37
MASON COUNTY COMMUNITY SERVICES Permit No:
PERMIT ASSISTANCE CENTER: C
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
4 615 W.Alder Street,Shelton,WA 98584
0Phone Shelton:(360)427-9670 ext.352•Fax(360)427-7798 Phone J///14 `
Belfair(360)275-4467•Phone Elms:(360)482-5269
BUILDING PERMIT APPLICATION 61S 6 2018
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: e S+
NAME: Department of Corrections NAME:
MAILING ADDRESS:PO Box 41100 MAILING ADDRESS:
CITY:Olymgia STATE:WA ZIP:98504 CITY: STATE: ZIP:
PHONE#1:(360) 890-0246 PHONE: CELL:
PHONE#2: EMAIL:
EMAIL:cmholienCa)_DOC1.WA.GOV L&1 REG# EXP. ! /
PRIMARY CONTACT: OWNER® CONTRACTOR❑ OTHER[] f
NAME Cory H011en EMAIL
MAILING ADDRESS 7345 Underson Way SW a7y Tumwater STATE A ZIP 98501 [iluu Q7 &&6AV�
PHONE (360)725-8327 CELL(360) 890- 0246 a
PARCEL INFORMATION:
PARCEL NUMBER(t2 Digit Number) 22313-00-60000 ZONING LTCF
LEGAL DESCRIPTION(Abbreviated) 67-Services-Governmental FIRE DISTRICT North Mason RFA
SITE ADDRESS 3420 NE Sand Hill Rd CITY Belfair
DIRECTIONS TO SITE ADDRESS Southwest from Bremerton National Airport. on Sand Hill Rd
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Clieckall rharapptw:
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW N ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence.Garage.Cornmercial8ldg,Etc.) Greenhouse
IS USE: PRIMARY❑ SEASONAL R NUMBER OF4£BROOMS 2 NUMBER OF BATHROOMS 0
HEATED STRUCTURE? YES 019,ole8mg)R YES(Pan[s]ojB1dg)❑ NO❑
DESCRIBE WORK Greenhouse structure to be installed slab on grade
SOUARE FOOTAGE:(propose+existing)
1 ST FLOOR 369 sq.E 2ND FLOOR N/A sq.ft. 3RD FLOOR N/A sq.ft. BASEMENT N/A sq.ft.
DECK N/A sq.ft. COVERED DECK N/A sq.ft. STORAGE N/A sq.ft. OTHER sq.It,
GARAGE N/A sq.ft. Attached❑ Detached❑ CARPORT N/A sq.ft. Attached❑ Detached❑
NIANUF*C-9FUREE)HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
GREENHOUSE
MAKE Greenhouse Megastore MODEL TR 30 48 SG YEAR 2018 LENGTH 29'-0.5°
WIDTH 121-851 $£9ROOMS 2 BATHS 0 SERIA1.NUMBER N/A
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ ! NEW❑ EXISTING❑ N/A
PLUMBING IN STRUCTURE? YES❑ NO® !ryes,attach completed Water Adequacy Forrn
PERIMETER/FOUNDATION DRAINS PROPOSED' YES❑ NO® EXISTING SQ.FT. N/A
EXISTING BEDROOMS 0 PROPOSED4� BROOMS 2 TOTAL4E.E9ROOMS 2
OWNER acknowledges that 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 and I further declare that I am entitled to receive this permit and to do the work as proposed.I have
obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This permit/application becomes null&void H 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 ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATI N OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
x
a �
gnature of O NER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No: Co-mo'oI -000q
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL
615 W. Alder St-Shelton, WA 98584
www.co.mason.wa.us ^�
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 /�'
Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269 /�/�
PLUMBING & MECHANICAL PERMIT APPLICATION ✓!/� ? ` FO
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Department of Corrections NAME: /SP''I/d
1 .7
MAILING ADDRESS:PO Box 41100 MAILING ADDRESS: tr /
CITY:Olympia STATE: WA ZIP: 98504 CITY: STATE: ZIP:
151 PHONE:_(360) 690-0246 PHONE: CELL:
2°d PHONE: EMAIL :
EMAIL: cmho1ien0-D0C1.WA.G0V L&I REG# "DtfltDIN 1%
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 22313-00-60000 Zoning: LTCF
LEGAL DESCRIPTION(Abbreviated): 67 - Services - Governmental
SITE ADDRESS: 3420 NE Sand Hill Rd CITY: Belfair
DIRECTIONS TO SITE ADDRESS:Southwest from Bremerton National Aires, on Sand Hill Rd
TYPE OF JOB:
NEW X ADD ALT REPAIR OTHER USE OF BUILDING Greenhouse
LOCATION OF FIXTURES/UNITS—1ST FLOOR 2No FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric X LPG Natural Gas Ductless_
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heat Pump 2-5800 Series Electric Heater
Showers Spot Vent Fan 3-14"Exhaust Fans
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hose bibs Dryer Vent
Other Solar Panel
Other 2-Single Stage Thermostats
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER acknowledge 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 contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed. I have obtained permission from all the necessary parties,including any easement holder or parties of
interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of
Mason County access to the above described property and structure(s)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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALIDATE THE APPLI ATION.
X
Si a of bminer Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
I
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JUL16 201 Source:Esri, DigitalGlobe,GeoEye,Earthstar Geographies,CNES/Airbus
DS,USDA,USGS,AeroGRID,IGN,and the GIS User Community
615 W.Alder Street
Mason County WA GIS Web Map Application
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SECTION 18, TOWNSHIP 23 NORTH, RANGE 1 WEST, W.M.
W MASON COUNTY, WASHINGTON
MISSION CREEK CORRECTION CENTER
BUTTERFLY HOUSING 0
BELFAIR, WASHINGTON
STATE PROJECT #1001300
SHEETINDEX
SHEET DWG. TITLE PROJECT z
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815 W. Alder Strom — 'Ro 3
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ELEV ELEVATION N T'
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STATE OF WA5HINGTON U
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f" /'/•, I CONTACT:CORY HOUEN o o
CIVIL ENGINEER: 0 m u o $
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612 WOODLAND 5OUARE LOOP 5E.5URE 100 > o N O
LACEY.WA 98503
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LACEY,WA 98503
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