The URL can be used to link to this page

Home My WebLink AboutBLD98-0447 Garage - BLD Permit / Conditions - 7/10/1998 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 E3 U 1 1,__ 0 1 N 0 P F R M 1 71- FOR INSPECTIONS CALL 427-9670 BETWEEN 5pm AND Sam 427•-728.2 B 8- 0447 PARCE:L. :3203 922900r0 PLAT s D i V s BL.K : LOT , � JO DDRFSS : 720 SF P I CAD I I.L..Y DR StIFLION OWNER : FRED SL.USSER 428-3699 C ,. TRACTOR : ROCK SOI I D CONSTRUCTION .426 .0323 LEGAL. : TN 2 Of NW Ito TO 38 SP 146 a,":i, ',.t.:rt:E6Ge:`.!MafpO:is,J,L#':,L'Y^JO2C>tt.t'.tlTJW 51�:1Al4zTiFrJN:u�:n^3::".. .. 'AAl'3:.Ta'.LCR%Ili%'firi°%1A-vA%ftR'Yd-aS:::.nFCSS:tZiRS i CI-ASS OF WORK . . :NEW REDR s 0 .BATH : 0 71?F AMOUNT SY DATE 1FCI'IP1 j1YPF AMOUNT PY DATE RFCEIPTI TYPE: OF USE . . . . :AC(' STORIES . . . , . , . 20 OCCIIP . GROUP 3U1 BLDG . HEIGHT 0 .OJft PRMT I 162JS KS 07110198 47643 I TYPE OF CONST . . :5N F" !REPLACES , — - 0 PICK t 145.46 KS 01110198 47643 OCCUP . LOAD . , . : 0 WOODSTOVES — , : 0 Siff 3 4.50 KS 17110198 4T643 DWELL .UNITS . . . . : 0 PARKING SPACFSr 0 INSPECTION AREA r 2 SHOREL I NE:7 . . . . :Y 1OTAt s 272.21 VALUTAT;ONs 90821 •...zs•-xaa�xz:e-marxaaxv m.r,•.,xrez.:z:zr..Mw^'•t..arx;.•anrr: raass'u:+.:..recce:a^.au�'.^+=:mc'r::rsrtx:X' SFTBACKS- __-.., _..._._._....___ TOILETS . . . . . . . . , . : 0 FUEL.. TYPES- BOILERS/COMP-_._-- MOBILE HOME.__. FRONT . . .N 150 .Oft BATH BASINS . „ . . . . r 0 0 .3 Hp . : 0 REAR . —S 120 .Oft BATH TUB&. . .:. . . : : 0 3-15 HP . s 0 MODEL : SIDES1 ) .F 70 Oft SHOWERS , . , . . . . . : 0 Ft)PN < 1100K ATUs 0 15 - 30 HP . : 0 - MAKES.-_-_..__ I DF (2 ) .W 1 60J .O1f t WATER HEATERS , . .. . : 0 FURN >-100K 8TU s 0 30-50 HP . a 0 SWIRL I NF Is 50 .oft CLOTHES WAS14EAS . . 0 f URN FLOOR . . . : 0 50 -f Hp ' -- Of AREA _- -._.._._. _ KITCHEN 'SINKS . . . . 0 HEAT PUMP . . . . 0 LOT SIZE . . : FLOOH DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 tVAP COOtERS : 0 LENGTH : 0 BOILDING . " Osf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . .. 0 HOODS . . . • : 0 WIUT11 . : 0 BASEMENT . . . s Olsfi LAUNDRY TRAYS . a i 0 DOMES . INTIN :O E't'ftIAL �� DECKS . . . . . . : Osf D I SHWA aHERS . . . . . : 0 AIR HANDLING UNITS- - COMML. . I NC I N s0 GAR/CARPiG 480sf GARB DISPOSALS . . , s 0 <— 10000 cfm . : A RFLOC/REPAIR : 0 ATf DT . :D UR tNAL.S . . . . . . . , . . : 0 > 10000 r"fm . : 0 OTHER ON I TS . : 0 Ml '-,C PLM F IXTtiVRES : 0 GAS OUTLETS . r 0 s erase%�faaA�,+apaxvc;•'&cc::�aa43salzrsa�'2;�arase::cyumc:�c�m.+av:war�a;ezummrtrnaalaee�ie+m.i--x^�:.=vmx:arwk+.:,e1�r'�'ti�'sumaemmr.:aa.,.rha:x"aws�pirut..'�•r,..nir..:::r_:.... ':n rs.;::.._aT.:zsc.a::.^:.t.+v^'U.s�'x,:.X:.z.^:.tazzt..sxsr,.axs•aexxtm»:s2u.z:w:aa�rn x'..•+•.; -.:...:,.:.r..RaaaC.�!.�c'.::..nerx:xa::N6aGxmeat.ss.ee PROJECT wES�11PlIONs0A1AGE . PRohc] I.Of.ATION:01►1 ARCADIA RD 116NT PN'BINoS SWiGFR R191'sT ON PICADILFY CON7.1110F. PAST END Of RtACK TOP, DUNN GRAVEL ROAD I0 SIGN SNAR TFtl Hot E " 33-0"S 11114, PERMIT BECOMES 0011. AID VOID If 100r OR C.01811OCTIPI AUT11411718 I.S. NOT COMMENCED WITNIN toll DAYS, OR IF CONSTIOCTION OA WORK IS SUSPEIR[D FOR A PCR1$5 OF 180 DAYS AT ANY TIME AffER WORK IS. t'ONWfNCFD, FVIDENCF. OF CONTINUATION OF WORK IS„A PN06Nf*-S INSPECT ION'IT THIN THE 190 DAY PERIOD. FINAL INSPECTION 111S1 QE APP10Vtfl BEFORE AUITDIRG CAN Of, OCCIPIED. OWNER OR AGIN1r �'rl'' DATE 910 FINT r@v. 9919/191 C(1MVI I A MrF TO ATTACHFn CONDITION% IS RFG(J I PFD CONCRETE MECHANICAL MOBILE HOME Footings S;.c� date by Ribbons date by Gas Piping date b Foundation Walls c-� date by Set Up date- 7-3 O- 79 by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by PLUMBING Attic by OTHER Groundwork date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I�2 B / -7' 1 J-9J- r,/-bo xva f c e. Gil/a.cG. e/ Cap rr e4 L _ - 2 o FOOTi" A�6c- iU� 7 f� �3p / eJ o rye 7T0^/ 7-Z7 Foo /o�W A7to� GcJA�ls MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F> U, FA VVI I J' C 0 N r*) 1 -r 1 n N lk't3l Case No . t BLD98-0447 Foi, t FRED SLUSSFA Paget 'I i ) The uso. hand I I no and rtoraue of hazardrous ma.I er I a I t., or flammable And norabu,,tible liquids in excess of 10 gallons Is not allowed without 'the approval of the Ma3on County Fire Marshal . X. L, < - 2) Provision*; for surface/subsurface drainage control must be, implemented with new construct ion or, devel.opmeot on site and MUST NOT adversely Impact adjacent parcels . Under the requiremcints of Mason County Stormwfl,ler Ord inanew , either, car ivat" ditchoo, and - drains will meet rsquirements of the stormwater ordiname or prior api.,iroval will be granted to use art oxisting utility and draino #,� easement dedioated for that qpP(:- I f I e. purpc.)se . For further Information regarding no ordinance and the REQUIREMENT to obtain an ACCESS PFPMIT for the Instaltationloon.trust ion (,,)f a drive.way or, access connecting from to Mason County Road, Contact the Mason County Public Works Department Moror to construction at Ext 41150 , any construction which 1 -,, proposed to tie located within 25 ' of a Mason County road right (.,of way, It Is suggested to oontaot that office to review future planned work which may - affect your pro jecy . X Proposed structure or, any port ton thereof queater -than 30" in he.1ght from gradf, I ine, mm property must maintain a miniu of 10 ' setback frotn ' ai I popety lines , easements and 10 ' from a I I Count 11 and State Road right of ways . X r A__h.. PURSWAN'l 'TO 1994 UNIFORM BUILDING GODE , AI. SITFS MUST HAVE APPROVED NI)MBERS On ADDAFSSFS PROVIDED IN SUCH A POSITION AS TO BE PL.AINI,. Y VISIBLE AND LEGIBLE ' FROM THE STREET OR ROAD FRONTING THE PROPFATY . MASON COtlN1Y BUILDING t)F-PARTMFNT REQUIRES, THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FFE , BASED ON RATES IM- TABLF 3A OF THE 1994 UNIFORM R(IlLDING CODE WILL BF, ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO RFQ11ESTING INSPECTIONS . X_*7 5 ) THIS STRUCTUPF IS CONS.1DFRFD UNHEATED. SP.ACE (NoT 'TO FXCF'Et) I WAlT/SQUARE FOOT OR 31 .4 BTU/HRISQUARE FOOT) . AS- SUC14 TIMF THIS COW)ITION CHANGES, A CHANGE OF USE PERMIT AND A MECHANICAL PERMIT SHALL BE -APPLIF0 FOR AND APPROVED PRIOR TO THE CHANGE . X_.- CONCRETE MECHANICAL MOBILE HOME Footings-5eioack 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 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 The approved pl-,It p 114 11 Is required to be on.-olto for, Inspection ptirpoge.sk I nspect I on I s va I I ex for and P 1 of � I an I s not on site, Approval WIL-1. NOT be granted . I n, addition, a Re lnspectlon fee in he amount of $42 .00 per hour (minimum I hour ) will be charged and must be collected by thi department prior* to any further ln.specticans tieing performed or approval granted 7 ) No Occupancy . This structure Is limited to UI use only . Any other use wi ; l ne Izi v I r, I at I on of the Un I form Bu I Id I rig Code anti Mason County Requ I at ions unless a "Change of Use" permit Is Approved . 8 ) ALL CONSTRUCTION MUST MEET OR FXCEFD ALL LOCAI CODES AND UPC AFOUIREMENIS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION . ANY CHANGE or USE On OCCUPANCY WOULD RESULT IN PERMIT REVOCATION . CHANGE OF LOSE, MUST HE APPROVED PRIOR TO rHANGE . X Changers to appru-v.Ard building plans that effect compl ianoe :to the 1991 WashIngtor) State Energy Code. 1991 VenfTlation 9-nd Indoor Air Ouslit I Code, the Uniform BuIlding .Code andl.or Mason Caunly Xog at ions mut t be approved by Mahon ;County prior to oon st ruo t I onX 10) CONSTRUCI ION PPOCESS 'TO BE FIF1. 1) CoRnECTED—AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUALPING CODE x__ 11 ) The propot;ed pcoject mutit be cons 1 ::;tent with a I I appl i clabi 0 po I I V. i pf and other rovisions of the Shoreline Managentent Act , Its rules, and the Mason County Shore litie aster Program . Mill Creel( in designated as a Rural shoreline etivironment . , rhea oar-age cannot be used as an accessory living quarter unless there Is an approved Shore) irke Pet, contaot the pJanning department for more Information . X 12 ) . Al1 upland Areas disturbed or newiv nveaterd,'by oon st ruot I on aotivitles shall be €ieeded, vegetated or given some other equivalent type of protectlon against erosion . 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 FRAMING by date by date by Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 131 1'en �,s va ,D a, era ion oonir•oI measure: mu:ft be Imt) Iomernted to prevent water taut IIty dec r In of adjacent waters or wetlands , rands Slit fisnc I nq and bay bra I esa to be I iista I led tint I I up I and around rover hasp become e>st.&bl shed , x >> 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 # �i8-o '� MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location ',SC- --)20 R;C ad 111 u -a-)rz. 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 Of,-•� �tiSDQ,CC—iZ�� Z_) '6 /a ,__L�o i2 / T_Zewic7� C tt c c`c_ Cep ,,r-Y-e-f e-- 7 4 a—f P z2 z-, , �a l`JO FCC 7-1/1-1 :7:�]Z/L4 C- 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 _Qf Department 11A 11 d -� Date 7 - I-1 - Inspector o 0 100 NnT MnV - T " ,� Building Permit # zf-a4eq MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 7 z 0 7, e q 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 STEe'� i1.�a� T�f�.'D /�✓ �iJ LAG �� Sys�,ovx� ,�-o ��vv2 G'�z�oG . �Z�2 �D T�-��S c /3� �Tn✓�cs.>�� %/•�,F�.� /Uj�/,5 >�G 5�T 7-,,e O /O �7.�G'Eiy� O�'✓��t 7� If �f �ODtirf /S S',�� -TAcf�o jam•c �r�zgs� 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 —Z Z- 96 Inspector T Z S7 ■ 10O NnT 'i&nM*-*V THF-b, T A ,�_ / V(-DK�S tLf Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 wner Phone # 'C — Site Address _ v Fire District# City St t1l Zip 2LS Directions to Job Site / z A e-s C l ( ' Owner Mailing Address & City St Zip 7 Lien/Title Holder one Address City St Zip #2 Contractor Name �� d� � t�T,�ue Contractor Reg #Ie/J61-sc �G Address i� CJ /Sct r �' Expiration Date Q/ / 16) l-29— City f�)'�,�,-. St All— _Zip �r-594-f Phone # C/a i'—0302 3 #3 If septic is located on project site, include records. Connect to Septic?--.,k/_ Public Water Supply Well >� Connect to Sewer System? Name of System (If residential, proof of potable water is required) �°R�rcel No. G3S -�:2 - GB�O Legal Description #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage ' W) / Carport / (Circle: Attached or Detached?) Other sq. ft. / #6 Use of building 4- Describe work #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 $ '� 3 1998 #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Cree 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 Indicate Directional b N S E W Name of Flanking Street y , , , ) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW SCe- APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW S Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 each) No._Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other _Bath Tubs No. Units Fees Showers Furn BTU _Hot Water Htr _ Heatpumps _Laundry Washer Vent Systems _Sinks _ _ Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins _ HP _Dishwasher 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 16.75 _ Auto Fire Sprink Sys 35.00 TOTAL PLUMBING $ No. 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 16.75 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $ 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 X DATE DATE_ `7-- ,?- 7- 99 FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY [Approved Cond. Hold Approval Planning: \S Environmental Health: Building Plan Review JO-V Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: TOTAL FEE Plumbing Fixtures ($3.35 each Fee Mechanical Fixtures ($6.75 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other _Bath Tubs No. Units Fees Showers Furn BTU _Hot Water Htr _ Heatpumps _Laundry Washer _ Vent Systems _Sinks _ _ Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins HP _Dishwasher 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 16.75 _ Auto Fire Sprink Sys 35.00 TOTAL PLUMBING $ No. 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 16.75 WORK IS SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $ 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. �7 X OWNER XDATE DATE DATE `/— 2 99 FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY [Approved Cond. Hold Approval Planning: Environmental Health: 4�-9 I`f_01 Building Plan Review 3D-V Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: TOTAL FEE Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 each)j No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other _Bath Tubs No. Units Fees Showers Furn BTU _Hot Water Htr Heatpumps _Laundry Washer Vent Systems _Sinks _ Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins _ HP _Dishwasher 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 16.75 _ Auto Fire Sprink Sys 35.00 TOTAL PLUMBING $ No. 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 16.75 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $ 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. /7 XOWNER X B) ��_ < DATE DATE 99 FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY [Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review _}r,,._ P— CL,,&k Y Jo-V �zlf Occupancy Group: C I Type of Const: 'Fire Marshal: Other: Special Conditions: k,.c t✓ Ye-Q-- FEES Building Permit Z z5 a /F. qz- - �O�Z Plan Check y6 Q Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation:__ g $Z— TOTAL FEE -�, BUILDING PERMIT # q (� � Gf DATE -b/6 ` Planner Area —r.)r 3203s: 2 �- -- qao CHECKLIST FOR PROPOSED CONSTRUCTION Yes No [ ] Within 200 FT of designated shoreline, wetland, or associated wetland Where? Proposed construction on/over/in wetland My (�n1003Q 4 [ ] [ ] Proposed construction within floodplain [ 7 Eagle nest [ ]1 [ ] State road access needed [ ] [ ] Commercial Development (parking standards, sign ordinance, public works review, other applicable . agencies) [ ] [ ] Mobile Home or RV Park [ 7 [ ] Exempt from building permit application [ ] [ ] Exempt from SEPA process (WAC 197-11-305, WAC 197-11-800) [ ] ( ] Meets all requirements (which section(s)' of SMP does proposed construction pertain to?) [ ] [ ] Variance or- Conditional Use Permit required [ ] ( ] Exempt from Shoreline Substantial Development Permit process (Wac 173-14-040) ( ] [ ] Exempt from Substantial Development, but within Army Corp. jurisdiction (WAC 173-14-115) ( ) ( ) Address needed APPADD, rev. 03/17/97