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Home My WebLink AboutBLD98-00636 Cancelled Mobile Home - BLD Permit / Conditions - 10/3/2001 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 E3 0 1 1_ D I N( F:1 F_ Ft M I "t- FOR I NSPECT I ON$ CAL1 427_. 10 E3E TWEEN 5Pnt AND Sam 427-7262 BLO98-0636 PARCE I. :2231 1 7613041 0 PLAT ,- D I V : RLK : LOT JOB 4DDRESS : 3:30 NU SIDES WY BULFAIR IT OWNER : RAMONA� PERM CONTRACTOR : O1�% RY EXPIRATION LEGAL . TR 41 OF SDUVFY VOE 411t-27 ,�IUL.� Vof CLASS OF' WORK , . iNF=W BEDR e 2 BATH : 2 1 PF AmOUNT BY DATF RECEIPI Ith ANtiUNT 0 BATE R11'EiPT� TYPE. OF USE . . . . ..MH STOR I S, Ot Ct)P . GROUP : . . : ? RI..L)G . HE I GF1 ' . , 0 ,QS f t PLCK I; i75.0D KI 4605108 47446 TYPE OF CONS I . . :7 FIREPLACES — . . O ENCP 4 50.00 NS ON07198 47607 OCCUP . LOAD . . . , : , 0 WOOD`�TOVES . . : 0 NHOF 1 175.00 KS 47107/04 47607 DWELL .UN I TS . . : 0 PARKING SPACES : 0 STFE 4 4.50 KS 07107158 t7607 INSPECTION AREA : 1 SHOREL I NEw7 . . . ;N I:+TAL: 404.50 VALULAI 10Ac 0 r x FTBACKS______.._...__._ ._ a___. TOILE-iu . . . . . . . . . . . 0 FUEt. TYPFS--- _... ___._..._ SoILERSICOPJIP_____._ MOBILE HOME _-. FRONT . . .S 100 .oft BATH BASINS . . . . . . : C 0-3 tip , ; 0 HEAR . . . .N 40 .Oft BATH TUBS . . . . . . . . : 0 3-1:5 HP . : 0 MODEL :SALEM I DES 4 1 ) .E 50.0 .0f t SHOWFRS .. . . . . . : 0 Ft_IRN 1001( BTU . 0 1 5-30 HP . : 0 MAKE SIDE? 4_ ) .W 45 .0f#• WATER HEATFRS . . . . . 0 FURN' -= 100K IATU T 0 30--50 HP . : 0 SHRL I NE .N 0 .0f t CLOTHES WASHERS . . : 0 FURN FLOOR _ . . : 0 50+ lip . : 0 YEAR-- .--.-_ _.. AREA KITCHEN WINKS...' , : 0 HEAT PUMP . . . . . . : 0 72. LOT S 1 7..E . . : FI.00R ORA I NS . 0 VENT SYSTEMS . . . S 0 EVAP COOLER$ : 0 LF.NGTII t60 BUILDING . . . : Osf DRINKING FOUNT . . . : 0 VENT FANS . , . , . : : 0 HOODS . . . . . . . : 0 WIDTH . ei BASEMENT . . . : 03f t.AUNDRY TRAYS . . . x 0 DOMES . I NC I N :0 C;F R I AE. 11 DECKS . . . . . , z 05' T D i aHWASHE:RS . . , . . . . 0 AIR HANDLING UNIT«- - COMML . 1 NC I N :0 S6165 GAR/CARP :? Osf CARES D I SPOSAL.S . . . : 0 10000 ofm 0 RE L OC I RE PA I FI : 0 ATIDT —.7 URINALS . . . . . . . . . . ; 0 a 10000 ofln 0 OTHER UNITS . : A M I SC PI M FIXTURES . 0 GAS OUTL FTS . ; 0 masc.�xsxmr.:z:ssee_z.au::n-^ar..�az:s::z:ara,4:..^�:r::��::.-a•:;swsr�x:..a•�.:_��:::xz!nr•.:s�tsv.._s.•a-ns��ett+:c::�r:r�z.•_'�zvr:.t:^�cames::.��s:^.a�:.straas�:_,.rr...xxr.:-.m.:.•,�:�zazer.:�aem:��^_�•tu:„v-ars::��--tea^rarer.-.:csx.....:..r-=a.^:.as•:.:srce-_r_-..x..-.:=r_smeesau. PROJECT t1ES!9(PTIONr11O811E NONE PROJECT LOCATION;1?.7 NiLL FROM GORST TAVE OLD 11ELFAIR NNY 10 FEAR CREEK DFIATTO AOAD 10111 R19HT 60 TO TOONERVILLE 51Alf PkRK LOT ON FIFENDA.NL 2 11tFS TURN IFFT ON SIDES LAY ON PINE LAIp 'P14 111 tHT 161 FT. ► 1 d-A-4cr_ THIS PERMIT BECOME NULL AID VuIE II.)i: OR {;J#fiTRUCTiON AYINDA1ZED IS NOT CONNENC':Q WITHIN 1€6 DAYS 90 IF CONSTRUCTION IR IORf1 IS SUSPFNDfu F�1A ! pFRIOD OF I81 QAYS AT ANY TINE AFTER WORK IS CONNEICE1, EVIPFNCE OF 'COITINOAFION OF WORK IS A P900 ESS 1NgPf610N WITHIN THE 181 9A? PE11100. FINAL 11lSPECTIO4 NUST Of APPROVID BEFORE PUItDiNG CAN BE OCCUPIED. OINEA1R AGENT=._. -,i� °�-� �. nT��fA1,�! _ _.._ __ _ _____ GATE•_._ _ ____ _�_� RtQ PRNT, rev, 01,1111*t COMPE. IANCF TO ATTA(14FT) cirmnIT11ON", IS PFOt!IRI7V COWCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date by 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 -714f 5,60-0e, bj6 Building Permit #��7fl� MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location (fc-4It 3e> 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 7 d/Ors-" ✓�9T/G9c. GG ,��i 4i sy 2��`,EN.o (57'c S `f D/f V/=17 12<-�7- 7� ,C-XTi�7�� T 7) P oL7— �-/�i� LX%.EST' T� �uTctiO.� c ��.•-�i A�T.�/� r-i/r'T/�✓� TU/Ini Lbu�.� Gy �O� d-TF�?,✓1�.,�/�TF @ l� Ty Z 5° �.��yE G✓7r�.OF 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 .. k a Date ?-/y 9R Inspector 7,elUv �� NnT Mo *V H1 , T 'RL* m MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P E_ R M I _r C-1 C-) N 0 1 _r I C") N Case No . : BLD98 -0636 For r RAMONA J CLARK Page ! I 1 ) Approved per, dimensions and setbacks on submitted site plan . X 2 ) Temporar erosion oontrol measures must be Implemented to prevent water qi.-alitV dogiadatyon of adjacent waters or wetlands . Slit fencinq must be Installed and maintained until upland vegetation has become established . X 3 ) Proposed structure or any portion thereof greater than 30" in he i g h t f r rim grade I I n e must maltitain a Minimum of 5 ' setback from all property lines , 9a'3ements and 10 ' from all. Cotinty and State Road right of ways . X 4;) Th I app I I cat i (in I s sub sect to But ter, and t. andscap i ng r eqtj i rements as establ I shed tinder Mason County Ord inanoe 5) The use. handling and storage of hazardous materials or lilammalale and combu,.z:t I b I e I I qii I ds I ri excess of 10 gal I onf, is not a I lowed w I th�iut t tie approva I of the Mason County Fire Marsha I . 6) Provisions for surtaoe/ subsurface drainage control must be implemented with new (-onstruction or development on site and MUST NOT adverselV Impact adjacent parch ! s . tinder the requirements of Mason County Stormwater Orel inanoe, either private ditohes and drains will meet requirements of the stormwater ord- Inarse.e. or prior approval will be e g e , granted to us an exi-stin utility a-nd drainag easement ded ca t ed for that syeCifle -f or or further information regarding this oroinancst and the RFOUIRFMEN to obtain an ACCESS PERMIT for the Installation/construction of a driveway or access c.onnect I ng from a Mason County Road, Contact the Mq,;on County Public Works Department prior to construction at Ext 450 . or- any construction which Is proposed to be located within 25 ' of a Mason CountV road . right of way, It is suggested to contact that office to review future planned work which Mayr,) .affect your prey,feot . —————————— MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 � ) PURSUANT TO 1994 UNIFORM BUiLDING COD AL.t, ITFS MUSE HAVI APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIPt_E AND LEGIBLE FROM fHF STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REOUiRFS CHAT THiS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPFCTION FEE , BASED ON RATES IN TABL IF 3A OF THE 1994 UN' FORM BUILDING CODE VOILA- BE ASSESSED IF OWNER/CONTRACTOr FAIL.S TO POST ADDREvS ON SITE PRIOR TO REQUESTING iNSPECTIONS' . 8 ) THE FOUNDATION SYSTEM SHALL BE PLACED ON UND I STO PIR D, NATIVE SO It. X 9) The approved plot' plan is required to be on- a i to for Inspect i ei On urpOss : I f Inspection is caIled for and plot. pi an Is not on site, Approval �iLL NOT be granted . In addition . ca Fite- Inspectfort fee in the^ amount of $42 .00 per hour (minimum 1 hour ) wi I 1 re3 charged and must be collected by this department prior to any further inspections being performed or approval granted . X. a...___... 10) REOU1RED INSPECTIONS ( Footing Inspection-Ear for to pour , Sjt--up Inspect Ion-prior, to skirting, Final Inspection-prior to occupancy) . I he received a copy of the General Information and Gu i de t i nes Mob i I e/Mariuf ac:turre(I Housing Installations Handout for detailed descriptions of a 1 I . requ i red inspections on my mobile/manufactured home] installation . I hereby assume all responsibility for the scheduling of these required I nspect i ons . It these required Inspections are not requested, I nspesotead and signed Off (approved) by they insa ector in the prescribed or-der, I understand that reinspection fees Sand an hourly Inve�stIvation fee poi-suar±t to the 1994 136C, Table 3A will be assessed in addition to my or i q i na i permit fees to resolve any questionable prant i ces or robleins that have been discovered . I further understand that this investigation will e scheduled as time allows . Uist i I roso i ut i on of any/ a I I problems no occupancy ! F, I n a I Inspection ) will be gr-anted for the reap I deance . i. OWNER/CONTRACTOR ( Indicate wh I ch ) '�; i gnatrire* X 1 1 ) Al I- mob i I e/rsaanuf actured home I and i tigs or decks must be freestanding ( self supporting ) . . The largest landing nrr deck perm i tfed with out dr caw i ngs ors a tau I I d I ng permit 1 120� sq T t or less AND MUST bea under 30" I n he i qht from surrounding ggrade . NO second story decks , or decks above 30" cart. bee built .without a permit . Any 1 earlct i ng or deck that i s 30 or i k MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 mare 16 he i qht tram wry i k i s,g su►-t d,,o to f i ►► i sh yi -iO, deck that has 4 or more r ! stirs regU i reG a hands i i . 12 ) The a L ppraveh and s i yn®d a ! test ion pc+rm i # fi rr.>rrr the [�eF,t . of tabor ar►ei ! neSustr i �4 mu-1 t be on site for inspection by the Hasorn County Building Department when requesting the first inspec-tion for this unit .. X fL. 13 ) Placement of Fstructure roust comp i y with standards setforth per 1994 UHC Chapter 18 regarding descending rand/or ascending s lopes. , X i i i �� .� �L _-__,_ �,' i y --f `� � �� Cg� t 1170y0 Department of Labor&Industries _ i' a ALTERATION PERMIT Factory Assembled Structures Section � % Do not complete shaded areas INSTRUCTIONS: 1. Complete all spaces,including the signature box(marked with an X). Invoice lk 2. Draw a map on reverse side of WHITE copy only. 3. Forward completed permit and fees to the nearest L&I office. See list on reverse. 4. Contact and schedule the inspection with the same L&I office within 15 days. Insignua Owner last name first name Day time phone Date (9,)0 SKY9 - 4 Address City State ZIP Installer/Contractor/Dealer Phone Contractors registration number Address City State ZIP+4 Check the appropriate boxes in section A and section B. FEES A ❑ B Alteration Inspection(check appropriate boxes below) $ Commercial Coach ❑___ Air Conditioning/Heat Pump Serial No: Electrical Trans III 9$541967 Electrical Appliances 06/143/1998 0$:29 Mobile Home Fire Safety Currency : $78.00 serial No. Gas Furnace Gas Piping HUD Idq Plumbing Structural Serial No. ❑ Recreational Vehicle or ❑ Park Trailer Wood/Pellet Stove— — Plan Review — —— — — —— —— —— —— —— —— — $ Senal No . RV Inspection — — — — — — — $ gtna ermtt $ Model Nis or Plsri Approval No. Reinspection— —— — — No: Technical Inspection- -— — — —— — — —— —— — — $ Signature of applicant or authorized representative Make check payable to: Dept.of Labor&Industries X r , FEES DUE $ Department use only Request approved or ❑ Request denied because of specific violations of Washington rules and regulations. Violations must be corrected and reiQspectioi requested within 10 days for recreational vehicles and 20 days for mobile homes and commercial coaches of the notice of.votatlon date. {This does'not gpply to technical Inspections); It is unlawful to offer for sale,rent, or lease any non-complying mobile home;commercia vcoach ar recreational vehicle. h q Zahler .. Larry Hance Inspector Construction Comp 360/415-4036 Department of Labor and Industries FAX 360/415-4048 500 Faatic Avenue Suite 400 Bremerton WA98337-1904 Includai are Prins.:rrgutred which must be completed and fees submitted before reinspec[tor► LUate Area offset To Bag Inspector sal es _. F622-012-000 alteration permit 11-97 White-Olympia Greeai-Contractor Canary-Inspector Pink-Purchaser Goldenrod-Purchaser � % 1 �- � V Permit No.�C./,��8-r�l0 )SUN Z 5 i� MASON COUNTY BUILDING PERMIT APPLICATION f ERMI' S 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670 (Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269) PLEASE PRINT #1 ner_R A M t NA J, C L A R K Phone# a-o 6 - Site Address 330 IV F, �� N/<<�[ . Fi District o� City "Soj (Z"r St Zip Directions to Job Site 13. 7 ,•ru x.a. & o k-:57' zka_ 01.,L B. e. Hwi ;29 Bear Vz.wa Ifio R.I. -r" „w &L4' 1• "Jo .� Totr, eI' vilfe- STa7a Park Le.F'l` ca, E1,da,K Ia��.e P.m (7} a-j VSo�) L. E.-r:''T t,r S;'J e g WA_y R r a h T o h Pi'h � 6 A m p, R�a,AT cn cE d � � TV _ Owner Mailing Address City 13 A.I N B R 7 D G C St WA, Zip Cl 7116 Lien/Title Holder Address y o City St Zip #2 ' Contractor Name � � �q� UBI # v ■ , Address Contractor Reg# City St Zip Phone# Expiration Date #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well yz,4,� Connect to Sewer System? Name of System (If residential, proof of potable water is required) r cel No. a a 3 /1 -��- O Q 4/O al Description S, ! A G R E S 7 R ] �'�/ #5 Building Square Footage: 1st FI 2nd FI 3rd FI Loft Basement # Bedrooms #bathrooms Deck Other Garage Carport (Circle:Attached or Detached?) #6 Use of building Describe work #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION CV' "/ `"' ' Model Year /'' ' Mak �Model `7,2 � a ?e.3 Length_Width Z Serial lyo. � A # Bedrooms , / Type of Heat Purchase Price$-Zon to c #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 Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Drainage Plan Wells Septic Systems Easements Proposed Improvements Indicate Directional by (N, S, E, W) Name of Side Street in relation to plot plan Name of Fronting Street APPLICANT TO DRAW SITE PLAN BELOW oa � THESE PLANS MUST F3E; {`' '✓� - 0 ON THE Jvia S!TE FOR INSt'E(_'TION. r CIS APPR SPEGTOR MA APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW I. - P977 ALL CURRElff YIASe� t 4 fATE CODES ES S08MIT :. :S FOR APPROVA¢ �F I I " r 'r,•ORMING WORD ��a Plumbing Fixtures ($3.35 each Fee Mechanical Fixtures ($6.75 eachl No. Toilets CIRCLE FUEL TYPE: Gas, Electric, _�ath Basins Heatpump, Other Bath Tubs No. Units Fees Showers \ Furn BTU Hot Water Htr Heatpumps _Laundry Washer — Vent Systems Sinks — Spot Vent Fans Floor Drains No. Boilers/Compressors —Laundry Basins ' _ HP Dishwasher / No. Air Handta Units _Disposal — cfm# 1 _Urinal No. Fire Protection SySttems _OtF}�r Auto. Fire Al Sys 50.00 // _ Fixed Fire S p. Sys 50.00 16,7 Permit Basic Fee5 Auto Fire S rink Sys 35.00 TOTAL PLUMBING $ No. Other / Gas O 'lets Wo d, 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 16.75 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 OFTHE 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 _ C�, X BY DATE DATE FOR OFFICIAL USE ONLY: Accepted by: Date: s� DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold 12 _ Approval Planning: laidA Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Violation Fee Site Inspection Building State Fee Other Other Other Building Valuation: TOTAL FEE l� DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review - - sai, 9� Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit � Q Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Violation Fee Site Inspection Building State Fee Other Other Other ==Buildiingtion: TOTAL FEE Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, �Path Basins Heatpump, Other B'4th Tubs No. Units Feg�g _Showers — Furn BTU _ Hot Water Htr Heatpumps % Laundry Washer _ Vent Systems % Sinks _ Spot Vent Fans Floor Drains No. Boilers/Compressors _Laundry Basins ' _ HP Dishwasher No. Air Handling Units Disposal _ cfm# _Urinal No. Fire Protection Sv tems 7Oter Auto. Fire Ala Sys 50.00 _ Fixed Fire S P. Sys 50.00 Permit Basic Fee 16.75 _ Auto Fire Sprink Sys 35.00 TOTAL PLUMBING $ No. Other i Gas 0 tlets Wo d, 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 16.75 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD 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 RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE 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 DATE DATE FOR OFFICIAL USE ONLY: Accepted by: Date: Plumbing Fixtures ($3.35 each] Fee Mechanical Fixtures ($6.75 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, �aath Basins Heatpump, Other _B�th Tubs No. Units F�gfg i Showers Furn BTU Hot Water Htr Heatpumps Laundry WasherWasher _ Vent Systems / I — Sinks _ %ot Vent Fans —Floor Drains No. Boilers/Compressors i Laundry Basins _ HP Dishwasher / No. Air Handling Units _/Ds — cfm# No. Fire Protection S /temrs Auto. Fire Alar Sys 50.00 Fixed Fire S p. Sys 50.00 Permit Basic Fee 16.75 — Auto Fire S�rink Sys 35.00 TOTAL PLUMBING $ No. Other /alets as, 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 16.75 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 OFTHE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORKFOR 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 OWNERS, � z X BY DATE DATE FOR OFFICIAL USE ONLY: Accepted by: Date: