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HomeMy WebLinkAboutBLD94-01050 Final Mobile Home and Deck - BLD Permit / Conditions - 3/31/1995 MASON COUNTY Mason County Bldg. III 426 W, Cedar P.O. Box 186 Shelton, Washington 98584 13 U 1 t_ D I t4 01 PERM 1 -T FOR INSPECTIONS CALL 427--9670 BETWEEN 5pm AND Sam 427-7262 BLD94-1050 PARCEL 22232.54491O7O PLAT : DIV . Bt.K : LOT : JOB ADDRESS : NE 1561 MISSION CREEK RD BELFAIR OWNER : WESTBOUND CONCEPTS 895--4336 CONTRACTOR : WESTBOUND CONCEPTS 895 -4336 LEGAL : TN 7 OF 1112 SE SE LOT 1 OF SP #915 FS 44614:2 BK 157 ..asaei:--:x•c.�a_^as:r.;.axar-�::�a..,* --•,�,•T--.•• ..mean.- ::::ms:^cc s. CLASS OF WORK . . :NEW BEDR : 3 BATH : 2 �IYPE ANOINT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT TYPE OF USE . . . . :MH STORIES . . . . . . . .. 1 OCCUP . GROUP . - 7 BLDG . HEIGHT . . : 0 .Oft NHOF $ 100.00 NJP 12109194 37946 TYPE OF CONST . . :? FIREPLACES . . . . ; 0 STFE 1 4.51 NJP 12169194 37946 6CCUP . LOAD . . . c 0 WOODSTOVES . . . . : 0 RLC 1 46.116 NJP 1216904 37946 DWELL .UNITS . . . . : 0 PARKING SPACES : 0 PRN1 f 16,01 NJP 12109/94 37946 I'NSPECT I ON AREA : 1 SHOREL I NE7 . . . . :N PECK I 6.51 NJP 12169194 37946 TOTAL: 161.11 VAIAIATION: 53=161 SETBACKS— __.__..____._ __— TOILETS . . . . . . . . . . : 0 FUEL TYPES---- -- -.__._ BOILERS/COMP--- -- MOBILE HOME-- FRONT . . .N 5 .Oft BATH BASINS . . . . . . : 0 :7 0--3 HP . - 0 REAR . . . .S 5 .Oft BATH TUBS . . . . . . . . : 0 3-15 HP . ! 0 MODEL :F'LEETWOOD SIDE ( 1 ) .E: 5 .Oft SHOWERS . . . . . . . . . . : 0 FURN < 1O0K BTU : 0 15-30 HP . : 0 —MAKE---._.._.- SIDE (2 ) .W S .Oft WATER HEATERS . . . . : 0 FURN >�1O0K BTU : 0 30-50 HP . : 0 4443A SHRL i NF .7 0 .Oft CLOTHES WASHERS . , . 0 FURN — FLOOR . . . . 0 50•4- HP . : 0 .-YEAR--- - -- AREA --- ___._____.__.___ KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 94 LOT SIZE — :', FLOOR DRAINS . . , . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH :44 BUILDING . . . : 1232sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . , : 0 HOODS . . . . . . . : 0- WIDTH . :28 BASEMENT . . . : Osf LAUNDRY TRAYS . . . . . 0 DOMES . INCIN :O -SERIAL.#------- DECKS . . . . . . .. 56sf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS— COMML . I NC I N :0 7 GAR/CARP :? Osf GARB DISPOSALS . . . . 0 <- 10000 atm . : 0 RELOC/REPAIR : 0 AT/DT . :? URINALS . . . . . . . . . . . P > 10000 cfm . : 0 OTHER UNITS . : 0 M I SC PL.M FIXTURES : 0 GAS OUTLETS . : 0 P104ECT DESCRIPTION:NOBIIF HONE AND DECKS PROJECT LOCATION:80 DOWN NORTHSHOP.E ROAD 10 NISSIOK CREEK ROAD ITS ABOUT 112 111F AFTER YOIJ CROSS THE THIRD 611106E ON MISSION 4REEK ROAD ON LEFT SIDE OF ROAD. THIS PERMIT BECONES NULL. AND VOID IF NONE 01 CONSTRUCTION AUTHORIZED IS NOT CONNFNCED WITHIN 1D1 DAYS, 01 if CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD OF 181 DAYS AT ANY TINE AFTER WORK IS COONENCED. EVIDENCE Of CONTINUATION Of WORK IS A PROGRESS INSPEC11011 1111110 THE 101 DAY PERIOD, FINAI INSPECTI011 OUST BE APPROVED BEFORE 8111LOING CAN BE OCCUt.lE1� OWNER OR AGENT - — .,, ( _. r_— _ DATE BID PRN! . r►vi 11:11 ,i f 11 C46ft.084M TO ATTACHED +'Ar*3 T►0W 13 AtnU I RE0 CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date Foundation Walls date by setup date by INSULATION date Eby BG/SLAB Insulation Floors Final date by date by date 3--3 /- 5 by [-- FRAMING Walls FIRE DEPT. date by date by PLUMBING date by OTHER Groundwork Attic d date by ate b / D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I Page No. 2 CASE HISTORY FOR CASE NO.: BLD94-1050 WESTSOUND CONCEPTS NE1561 MISSION CREEK RD BELFAIR 03/23/95 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDC200 MH Setup inspection 03/10/95 03/13/95 03/13/95 NOT ALL OF THE CORRECTIONS WERE DONE FAIL LW 03/16/95 LAW FROM THE LAST LIST, THE PERIMTER BLOCKS ARE STILL NOT ON THE EDGE OF OPENINGS 4 FT. AND GREATER. BLDC200 MH Setup inspection 03/15/95 03/16/95 03/16/95 DONE LW 03/16/95 LAW BLDC210 MH Final inspection 03/21/95 03/21/95 03/21/95 CONTRACTOR WAS NOT READY FOR INSPECTION. FAIL LW 03/23/95 LAW BLDC210 MH Final inspection 03/22/95 03/23/95 03/23/95 CORRECTION: FAIL LW 03/23/95 LAW 1. POST THE ADDRESS. 2. PROVIDE 3X3 FT. LANDING OUT SIDE EVERY DOOR. M Page No. 1 CASE HISTORY FOR CASE NO.: BLD94-1050 WESTBOUND CONCEPTS NE1561 MISSION CREEK RD BELFAIR 03/23/95 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA010 Application received / / / / 07/09/94 APPLICATION NEVER TURNED INTO BRENT TO 07/14/94 KW BE FILE SEARCHED, TO KERRY ON 7/13/94 BLDA100 Approved For Issuance / / / / 12/08/94 DONE KS 12/08/94 KS BLDA500 (F) Issue building permit / / / / 12/09/94 DONE NJP 12/09/94 NJP BLDB110 Structural Plan Review 12/07/94 / / 12/08/94 no site plan and no deck plans sent DONE CDW 12/08/94 CDW letter out 8/894 CPH TURNED IN DECK AND PLOT PLANS 12/07/94 CPH PLACED IN PROPERTY FILE AND GIVEN TO CLARK BLDB130 Planning Review 07/14/94 / / 07/28/94 DONE MMS 07/28/94 MMS BLDB134 RLC Checklist Review / / / / 07/22/94 DONE AHB 07/26/94 TMJ BLDB135 Addressing / / / / 07/19/94 DONE GMM 07/19/94 GMM BLDB200 Environmental Health Review 08/08/94 / / 08/11/94 Septic Design in file DONE HLS 11/16/94 HLS back to bldg. when done please BLDB210 Water Adequacy 11/16/94 / / 11/16/94 Cedar View Tracts system WFI #06151A is DONE HLS 11/17/94 CPH adequate DOH overnite review BLDC199 Mobile Strip Footing 12/13/94 12/14/94 12/14/94 CONDITIONAL APPROVAL: COND LW 12/14/94 LAW 1. THE PROPERTY LINES ARE NOT MARKED, MAINTAIN A 5 FT. SET BACK BETWEEN THE OVER HANG ON THE UNIT AND THE PROPERTY LINES. 2. FINISH HANGING AND TYING REBAR, MAINTAIN 3 INCHES OF CLEARANCE BETWEEN THE GROUND AND REBAR. WHEN ALL OF THE REQUIREMENTS ARE MET ITS OK TO POUR. BLDC200 MH Setup inspection 02/28/95 03/01/95 03/01/95 CORRECTIONS; FAIL LW 03/13/95 LAW 1. THE SET UP MANUAL NEEDS TO BE PROVIDE FOR THE INSPECTION. 2. THE SKIRTING WAS INSTALLED BEFORE THE SET INSPECTION WAS DONE, REMOVE 1 PIECE OF SKIRTING AT EACH CORNER. BLDC200 MH Setup inspection 03/01/95 03/02/95 03/02/95 CORRECTIONS; FAIL LW 03/13/95 LAW 1. PERIMETER BLOCKS ARE REQUIRED AT ALL FOUR CORNERS AND AT THE EDGES OF OPENINGS 48 INCHES AND GREATER. 2. WHEN USING CABLE FOR TIE DOWNS, THE CABLE MUST BE 1/4 INCH STAINLESS STEEL CABLE OR 1/2 GALV. STEEL CABLE, A TURN BUCKEL NEEDS TO BE USED WITH IT (1/2) WITH A CLOSED EYE. 3. THE SET UP MANUAL REQUIRES TIE DOWNS TO BE 12 FT. O.C. i Page No. 1 CASE HISTORY FOR CASE NO.: BLD94-1050 WESTSOUND CONCEPTS NE1561 MISSION CREEK RD BELFAIR 03/01/95 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA010 Application received / / / / 07/09/94 APPLICATION NEVER TURNED INTO BRENT TO 07/14/94 KW BE FILE SEARCHED, TO KERRY ON 7/13/94 BLDA100 Approved For Issuance / / / / 12/08/94 DONE KS 12/08/94 KS BLDA500 (F) Issue building permit / / / / 12/09/94 DONE NJP 12/09/94 NJP BLDB110 Structural Plan Review 12/07/94 / / 12/08/94 no site plan and no deck plans sent DONE CDW 12/08/94 CDW Letter out 8/894 CPH TURNED IN DECK AND PLOT PLANS 12/07/94 CPH PLACED IN PROPERTY FILE AND GIVEN TO CLARK BLDB130 Planning Review 07/14/94 / / 07/28/94 DONE MMS O7/28/94 MMS BLDB134 RLC Checklist Review / / / / 07/22/94 DONE AHB 07/26/94 TMJ BLDB135 Addressing / / / / 07/19/94 DONE GMM 07/19/94 GMM BLDB200 Environmental Health Review 08/08/94 / / 08/11/94 Septic Design in file DONE HLS 11/16/94 HLS back to bldg. when done please BLDB210 Water Adequacy 11/16/94 / / 11/16/94 Cedar View Tracts system WFI #06151A is DONE HLS 11/17/94 CPH adequate DOH overnite review BLDC199 Mobile Strip Footing 12/13/94 12/14/94 12/14/94 CONDITIONAL APPROVAL: COND LW 12/14/94 LAW 1. THE PROPERTY LINES ARE NOT MARKED, MAINTAIN A 5 FT. SET BACK BETWEEN THE OVER HANG ON THE UNIT AND THE PROPERTY LINES. 2. FINISH HANGING AND TYING REBAR, MAINTAIN 3 INCHES OF CLEARANCE BETWEEN THE GROUND AND REBAR. WHEN ALL OF THE REQUIREMENTS ARE MET ITS OK TO POUR. BLDC200 MH Setup inspection 02/28/95 03/01/95 03/01/95 CORRECTIONS; FAIL LW 03/01/95 LAW 1. THE SET UP MANUAL NEEDS TO BE PROVIDE FOR THE INSPECTION. 2. THE SKIRTING WAS INSTALLED BEFORE THE SET INSPECTION WAS DONE, REMOVE 1 PIECE OF SKIRTING AT EACH CORNER. MASON COUNTY . BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location /S� / Af s:-<i� /. 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 C e i -r- zF,6ej7r5 Al _1 Z —� d• L . fug , � You are herebynotified that the above corrections shall be made BEFORE o PROCEEDING WITH ANY FURTHER WORK all for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to Department ,C3/ Date 3- Z - Inspector L -J ■ oo s NnT Mo *V THI T " ,��- MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PE RI /A I T' CC:) ND I T l C) NF3 Case No . : BLD94- 1050 For : WF.STSOUND CONCEPTS Page : 1 1 ) The use , handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons Is not allowed without the- approval of the Mason County Fire Marshal . X Y/).4�L 2 ) Proposed structure or arty portion thereof greater than 30" in height from grade line, must maintain a minimum of 5 ' setback from all property lines , easements and right of ways ., ' X sZA _—.____ 3 ) All approved plans are required to be on-site for inspection purposes . if inspection is called for and plans are not on site Ap roval WILL NOT be granted . In addition , a Re- Inspection fee in the amount of t'ifd .fd per hour (minimum 1 hour ) will be charged and must be collected by this department prior to any further inspections being performed or approval granted . X llL„za� _. 4 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECTION 513 ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO St PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT PEOUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE l ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING • INSPECTIONS . X 5 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND USC REQU S X 6 ) REQUIRED INSPECTIONS ( Footing Inspection-prior to pour , Set-up Inspection-prior to skirting, Final Inspection-prior to occupancy) . I have received a copy of the General Information and Guidelines-Mobile/Manufactured Housing Installations Handout for detailed descriptions of all required inspections on my mobile/manufactured home installation . I hereby assume all responsibility for the scheduling of these required inspections . If these required inspections are not requested, inspected and siggned off ( approved) by the Inspector in the prescribed order , I understand that reinspectlon fees and an hourly --——— ---——— ——————— ———— - MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 investigation fee pursuant to the 1991 UBC . Table 3A will be assessed in addition to my original permit 'fees to resolve any questionable practices or problemv= that have been discovered . I further understand that this investigation will be scheduled as time allows . Until resolution of any/ all problems no occupancy ( F ' nal Inspection ) will be granted for the residence . OWNER/CONTRACTOR ( indicate which ) Signature 7) All mobile/manufactured home landings or deck::• must eestand i ng ( self supporting) . The largest landing or deck permitted without drawl or a building permit is 36" x 36" . Any landing or dee that is 30" or more in height oat walking surface to finish grade requires a guardrail . Any landing or, deck that h s I or more risers requires a handrail , Any landing or deck larger, than 36" x 36" must be permitted which requires structural drawings and a building permit application . This Installation Permit does NOT include any Ian ng or deck larger than the 36" .x 36" :size . X 8 ► Changes to approved building plans that affect compliance to the 1991 Washington State Energy Code, 1991 Ventilation and Indoor Air Quality Code , the Uniform Building Code andlor Mason Counx°ky, #1 , �ttions musk approved pproved by Mason County prior to construction 9 ) CONSTRUCTION PROCESS 'TO BE FIELD CORRE OUi VD N COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE . x i _ MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W.Cedar P.O. Box 186 Shelton,Washington 98584 (206)427-9670 BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION August 8, 1994 Westsound Concepts Inc. P.O. Box 227 Port Orchard, WA 98366 To whom it may concern: It has come to my attention that Case #BLD94-1050/Westsound Concepts is proposing to build 2-decks (4X6 and 4X8). Mason County requires that any landing larger than 3X3 a permit and (2) two sets of prints submitted for review before we can approve this permit. I have enclosed an example of a deck handout for your convenience. If you have any further questions you can reach me Mon-Fri 8:00-5:00 (206) 427-9670 Ext, 352 Sincerely, �h Christine Herth Building/Clerical cc: property file enc: deck handout s l FT ; 24" 24". Rim Joist 12 X V dote: — Decking This drawing aaL to scale BEAM l PLACEMENT I Warning: SCHEDULE I ;' Beck surfaces Joist `) FT in excess of 38" above grade require railings (Der code) ost eam I 12" Rim Joist F 1' FT 1' POST PLACEMENT SCHEDULE SPEC'2FICA7r:10NS LL 60#/SF.• LEDGER . . 2 x 6 APCL !STOCK .,' 'POSTS 4 x 4 APCL STOCK BEAMS . . . 4 x 6 APCL STOCK ;;�J,OISTS 2 x 6 APCL STOCK @ 24" U. C. DECKING 2 x 6.�"OUTDOOR,"'.W00041. ALL PURPOSE TMCONSTRUCTION LBR (APC,L) : COMPLIES W/CABO R-308 W/UBC SEC; 25 16 (c) Pr \ CO.•cwflc �b � PT I Gko�... 0 6G Grs< �Yt'Yt SKxcl�*� tQ�t Gadc.,.q SKstc�t.s �NCcu ►h o b�l E Li — _ I � I QsJ,ir i /}�c,S.z/s 2XA 41CK T (e• o/C g� � � F•Lc=��'1. ! I I 1 1 ma,l �l yq P �— •�►fa.nG � RfatCd Oa.T ce—C'Kne Psct B l£Am DGCC Ty prcO l &J'X U' R12uS.n6A. ^1 fi.+ -n C bs 1l /{ar►.c RC y. cep c ice"' 2><8z/6 4�oaf 36,K YxYYrL y i pill Co..c 91 K t are r rG t� I 5iv oo� 3 z=sy 3 rsc .� o - Y rn=tl_VS1Guff.�+ Ts� ooaAL.%j UcZaz Qrb6c^., Sloc�-2uq �eT4S� I ��< 7� (A n c, �e� pOS/�. 7�) VIC-I N 1TY MAP PLAT 0 MtSS int,3 c-2FE k- !✓ CaR SEC. 25 _ T 23 N, Z W, wM 25 --,_ RESERVk� FOR 11 pvrWr`' USE i EN2L OERCIMI%�j NE COR. 6 F - SE4 L, p�AT' LOT I - CUL 9 � SEG. 2.5 18� OG V" 33O.Z Ca �` 2 2D0 . 2_G 130 .00 ` �/ /v 7 %�o LLJ w _ M � O v � a N u In .Q N u � m cr 1 - I � W W - s Be la' o�' w �� o.Z� ' J70I4N S 6N SELLER . 0 ((t� (-R 20 O .ZG' E-- I3�.�0 a L11 i _ ro Il- le �. ��, 1-- - I�.00 -, a .STIIR ZOUTE 2 � 30 N - W LLf I3 0 �c. ► 7 oo T,�` !v�y_=sF�m o — Tip 6 :�� _ ;7 U E L M(R cn f N 4, 07 U� ,1 a rl '��'3 r +�_ Aa . 44572 b \ — — FOUND MONuM�NT I JCL ,� Q �, ,_ I a•7 0 Z 18 0 2 - m 0 SHOM- PLAT - TDHN S"oNNSON l G/��'sa� CIO cn . .. UPVSN lOAT� FOR: J IRVYIN ENGINEEMMG vim , A R . �v, �o Joy�tJ So tl 2"it Englnet",Tin,n and land Surveying t`� P 8 So. ?nth"�� Tacoma, VJA 98409 r Cl-1lp_ CK1:-: SCA I_ 0 . n f n-rn moo-.. .,� � ._L ,,E C �� O F .. � Jai _ � ,- •. � I Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628�y� PLEASE PRINT �'S� #1 Owner C°i Phone �j��� �l o g,ftWAddress Fire District# City St &2A _Zip�S12Q Directions to Job Site 642% , `1/6 fz % W To &!Z�9aa/ Owner Mailing Addresses Q n 2 Z City D St Zip Lien/Title Holder 00,4) ,4) Address / City e/- z2zk St zip R #2 Contractor Name I e-<lad)0/)0 L' o/t,C- Contractor Reg#1 �`sTC tnPoc G Addre 2—Expiration Date / 7 /9S' City r—t O 2 St (AJA Zip ne# #3 If septic is located on proje site, include records. Connect to Septic? V Public Water Supply Well a" Connect to Sewer System? Name of Systemlp Y Y (if residential, proof of potable water is required) #4`►Nrcel No.-V 3 Z. egal Description #5 Building Square Footage: (existing/proposed) �1 1 st FI2=/ 2nd FI / 3rd FI / Loft / Basement / Decker& / #bedrooms / #bathrooms / Garage / Carport / (Circle: Attached or Detached?) Other sq.ft. #6 Use of building '2- i ,a e "L, c g- CLOW Describe work #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME IF 8M`T �4s Model Year Make'- Mol Jde5 Length� �h Z28 ' Serial No. # Bedrooms # Bathrooms Type of Heat Purchase Price$ .�3,,SRO #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 I 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 t 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 40 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW l Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each No.�2-_Toilets CIRCLE FUEL TYPE: Gas lectric �—Bath Basin Heatpump, Other Bath Tub§ No. Units Fees ,tAShowers Furn BTU V Hot Water Htr _ Heatpumps Laundry Washer Vent Systems / Sinks _ Spot Vent Fans /Floor Drains No.. Boilers/Compressors Laundry Basins HP k'b-ishwasher No.. Air Handling Units Disposal _ cfm# ,,tWUrinals Fire Protection Systems Other Auto. Fire Alarm Sys 50.00 ed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 Auto i e Sprink Sys 25.00 TOTAL PLUMBING $ No. Other Gas Outlets r Wood, Gas, Pelle Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF ' ORK 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 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 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 DATE DATE FOR OFFICIAL USE ONLY:Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: M161GI;n��,vx ►v� rvlUwl S�?�-I�cc11� myy Environmental Health: Building Plan Review e0 Occupancy Group: /K Type of Const: Fire Marshal: 1 1 Other: f Special Conditions: FEES Building Permit ( COS Plan Check `r Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee 1� Other Other Building Valuation: TOTAL FEE