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HomeMy WebLinkAboutBLD96-0570 Final Garage - BLD Permit / Conditions - 9/25/1998 r MASON COUNTY � � Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 B I,.J 1 1_ 0 1 N CA #�' t7 R m 1 11- FOR INSPECTIONS CALL 427-967O BE`f WFFN C'rim AND (lain 427- f262 HL 096--O57O PARCEL_ :2 23305O00277 PLAT a HAPLO V I V : BLK i L0 T : JOB ADDRESS : ME 181 LAKE DR iAHUYA OWNER : JERRY HANSON 275-0151 CONTRACTOR ; LEGAL . RAVEN LAITE TR. 271 .-xscsc.:.sa��.e�c:::s+�:x_�°�s:s.�- ram.-s.�...�:esy:ac.:�ee..zua� :`s:.• _.;s.:.�a::_^.xse;�v«€Y.sm:.-.ur-=ass.:.;-_.:Ica+m�:-.r.�-�r.��x:.:.x.-,�c.r CLASS OF WORK . . :NEW BFDA 0 .HA'TH : t3 �YPf All0001 6Y DA1F Rfki{?1 1YPF A11046T 81 BAIT Rff,F'PT "TYPE OF USE —, . :ACC: %TOR IES . . . . . . : 4 OCCUP . GROUP _ :7 St.DG . HEIGHT . . ! O .Oft PRM1 $ 213.50 To 18/12196 FftfAll FRCP f 26.00 TM 08112196 BFLIAIR. TYPE OF CONST . . :7 I= IREPIACES . . . . : 0 PTCK $ 189.41E TM 09112/96 BEIfAIR { OC'CUP , LOAD , . . . . 0 WOODSTOVES . . , 0 Pth t 39.010 TTI 08112106 Pf1FAIR I DWELL .UNITS . . . . r 0 PARKING SPAC'ESe 0 OCR f 4?.25 1M 0811219R 8fIIt~IR INSPECTION ARFA r 1 HOREL tN1 ? . . . . iN "IF t .58 IV ii811X11i6 BFifAiR T4TAla 194 6b dAtytAltORi 91144 SETBACKS - TOILETS . .. . . . . . . r . : 0 FUEL TYPES---.- BOILERS/COMP-. _.__ MOBILE HOME-- FRONT . . . 0 .Oft BATH BASINS . — . . a 0 r 0-3 HP , : 0 HEAR . . . . .Oft BATH TUBS . . . . . , < . a 0 3-- 115 HP : 0 MODEL : II SIDE ( 1 ) rrT . t S11C11,'ff~R.' . 0 FUPN < 1 OOK R'113 n 0 1 a -30 HP , : 0 M/1KF 'S I DE (2 ) 0 Of WATER 7A TEfi S . . . . : 0 F=URN = 100K BTI) a 0 30--50 1-4P , : 0 SHRt. INF ,, O ,Ofit ,LOT E WASHIf1My : 0 TURN - FLOOR . . . : 0 TrO+ HT' 0 YFAfT ARRA - �_.___._. ___ CIiFN SINKS . . . .. : 0 BEAT BUMP . . . . . . 1 0 LOT SIZE . . : FLOOR DRAINS . , .. . . a 0 VENT SYSTEMS , - . r 0 EVAT" COOL FRS : 0 I,FNGTH : 0 tali1LDINfl . . . : Osf DRINKING FOUNT . . . a 0 VENT VANS . . . . . . : 0 HOODS — . . . . . a 0 WIDTH . : 0 BASEMENT . . . 0 s f I_AUNDAY "FRAYS . . . > : 0 DOMES . I NC I N iO SER I All �- DECKS . . . . . , s Asf DISHWASHERS — . . . a 0 AIR HANDLING UNITS_... COMML . INCIN :0 GAR/C All F ; 7 I1Isf GARB DISPUSAI S . , 0 10000 afar . a 0 AFI OC/R1+PAIR : 0 AT/AT , :? URINALS , , . . . . . : 0 10000 ctm . : 0 OTHER UNITS . : 0 M I SC PI M F" I XTIJRf=S e 0 GAS OUT t.E"TS . • 0 nl�lac:ezc:vra�'..+R+:�a::^..suaa�.�^aa.rACxA.:`...:.rcfa::s;.Acsva9s.,:.:s^�^Ir.1*r :....ex..��R�r.m:rs�x:az^&tx.:r:c�F:�F.^n...a.rc:x=... -:...:»._-.•,... ;�,.n�:..._.;_.�y.�„]t..T,:.-'.^':aw:�awcu?ssea.rrxamsaw+ ..^,rLc:as ccaSkx':zvm.aseF:.:s,,,_aC-.C::.:sh1+;.s:s-,.Ie:m::��nars4;.--L:�G^ PAOdECT OESCR1PT10lIa6hRA6FtSNtiP1ST9RA6E �r��" cK• 1`104CT 1.00110041ST ROF OF "AV[? 1AKF 6R IAKF DRIVE ACCR6SS tAKf 1`1191 N! 812 11AKE URIVf IRIS PEAMIT 61COMfS NUIT AND 1010 IF 1019 0R CONSTRUCTION AUTNIRIZED IS NOT CORNENCED WITHIN 180 DAIS, 01 If CENSTRUC1101 OR MORK 13 SUSPENDED F01 A PERIOD Of 180 DAYS AT ANY Tiff AFTER MARK IS C90111CF11. fVIDENLF Of CONTINUATION Of MORK IS A PR06AE5£ 11 PECTION MITUIN THE 18N DAY 1`11 0D. FIIAI ►NSPIC7100 MUST D � APPROVER Off'091 90IL11110 CAN 6F OCCNPIED, OMIIEA OR AuFNI BATE:. - 8tD_i9MT, rev: 4I,l�a'' T'tlMPLIANCE TO ATTACHED CONnITION.q `" CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date r - - by Gas Piping date b Foundation Walls date 2 - Z� $ by Set Up date Q —2V'94- by �� INSULATION date by BG/SLAB Insulation Floors / Final date by date by ✓ date by FRAMING L / Walls FIRE DEPT. date -6--! by date /-3— `�7 by l date by PLUMBING OTHER Groundwork Attic date b date (�� � ��� by L D.W.V. ) WALLBOARD NAILING date L�' 2-2- '�7 by 6 date by Water Line FINAL INSPECTION date ( by date by / /� date by I �r IOC-�c rf I1�.. 1 ni 1 ra h s c. c r a Q ✓� Y�x� jOs Ti/��suers Building Permit # MASON COUNTY BUILDING III 426 W. CEDkR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location Is I Iz-e, 'O/ 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 -61 i� Gti O0G7 �c Gy-r— c. �o,o�i d You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK -12'Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑OK to Department Date $ - Inspector ■ sov EosT ► MovV T 1 T ' slw Building Permit # MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 191 1 Dr 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-- 4r-j. CC-60 cIr 4-fe-IL-5 C- e- 1c. n G�� due-s 4 � � ' �� 1 � �� o14 You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK la Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to Department "3 jam, Date =3 j Inspector moo * N* *T MOOV THI T 'Rkom Page No. 2 CASE HISTORY FOR CASE NO.: BLD96-0570 JERRY HANSON NE181 LAKE DR TAHUYA 04/22/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By BLDB120 WSEC Compliance Review 07/17/96 / / 07/22/96 propance heated shop/garage DONE DC 09/05/96 TDH 9/6:will put a lock-out to 40degrees on garage system. Upstairs propane heat. R-19 floor, r-19 walls, R-30 ceiling, class 60 windows BLDB130 Planning Review 05/22/96 / / 05/28/96 DONE HRF 05/28/96 HRF BLDB134 RLC Checklist Review / / / / 05/28/96 Office Review: Site is not located DONE HRF 05/28/96 HRF within landslide hazard area and is away from shoreline. Applicant submitted an engineered foundation. BLDB135 Addressing / / / / 05/23/96 DONE GM 05/23/96 GMM BLDB200 Environmental Health Review 05/16/96 / / 05/22/96 need approved design. JT HOLD JWT 05/22/96 JWT BLDB200 Environmental Health Review 07/22/96 / / 07/23/96 still need approved design HOLD CAJ 07/23/96 CAJ BLDB200 Environmental Health Review 08/05/96 / / 08/05/96 DONE JWT O8/05/96 JWT BLDB210 Water Adequacy 05/16/96 / / 05/22/96 adequate. JT DONE JWT 05/22/96 JWT BLDCO50 Pre-site Inspection 06/18/96 06/18/96 06/18/96 slope setback is ok DONE LW 06/24/96 TLG BLDC125 Framing inspection 11/26/96 11/27/96 11/27/96 SHEAR WALL INSPECTION: PART LW 12/02/96 LAW BLOCK AND NAIL PANEL EDGES OK TO COVER WHEN DONE. BLDC135 Mechanical inspection 08/30/96 09/03/96 09/03/96 PART APPROVAL: PART LW 09/03/96 LAW 1. INSPECTION ON UNDER SLAB LPG DRAINS, THESE DRAINS ARE NOT TO BE CONNECTED TO THE DWV SYSTEM OR USED AS A WATER DRAIN. BLDC140 Fr/P1/Mc/Pen Inspection 04/18/97 04/21/97 04/21/97 CORRECTIONS: FPAT LW 04/22/97 LAW 1. SEAL ALL EXTERIOR PENETRATIONS IN,�`Q✓ UPPER LEVEL. L 2. STRAP ALL DOUBLE TOP PLATES THAT DO NOT LAP. COd Vt r 3. PROVIDE H CLIPS EVERY OTHER TRUSS. oM Z J��•'f�•�S 4. PLASTIC PIPE CAN NOT BE EXPOSED IN THE GARAGE AREA. w j Q 4t,_ �OpGrC� et. �5 ��a� Page No. 1 CASE HISTORY FOR CASE NO.: BLD96-0570 JERRY HANSON NE181 LAKE DR TAHUYA 04/22/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA010 Application received / / / / 05/16/96 07/26/96 SKM BLDA100 Approved For Issuance / / / / 08/05/96 DONE TW 08/06/96 TW BLDA500 (F) Issue building permit / / / / 08/12/96 DONE TW 08/12/96 TW BLDA600 File Possession / / / / 07/25/96 HAVE FILE FOR REVIEW , ON MY DESK. DONE SKM 08/01/96 SKM SENT BACK TO ENV 080196. SKM. BLDB110 Structural Plan Review 05/28/96 / / 07/31/96 need engineering stamp on calcs. Given HOLD LW 07/31/96 SKM to Christine to notify by letter Letter mailed out asking for engineering per buildings request. 6/24/96, CPH I placed file into Energy awaiting information. BLDB110 Structural Plan Review 07/10/96 / / 07/31/96 Received new sets of detailed DONE SKM 07/31/96 SKM information today with eng. stamps on them for review. ---------------------------------------- ------------------------------- REQUIRE ADDITIONAL INFORMATION TO COMPLETE REVIEW. 1. FLOOR FRAMING DETAIL SHOWING THE MATERIAL, SIZE, AND PLACEMENT. 2. PLACEMENT OF ANCHORING HARDWARE. 3. COMPLETE LATERAL ANALYSIS. SPOKE WITH FRANK DAVIDSOM (P.E.) 206 383-9447 HE WILL SUBMIT THE REQUESTED INFORMATION THE REVIEW WILL RESUME UPON RECIPTE. FILE IN HOLD BIN. SKM ---------------------------------------- ---------------------- STARTED RESUB REVIEW AND THERE ARE LATERAL QUESTIONS THAT DO NOT APPEAR TO HAVE BEEN ANSWERED, 1. LATERAL ON 2ND FLOOR RETURN AT THE 5-0/ 10/0 WINDOW SOUTH ELEVATION MESSAGE HAS BEEN 2. ENGINEER WILL CALL BACK WITH INFORMATION ON CHANGING UPPER RIGHT WINDOW ON PG. #7 OF THE SOUTH ELEVATION FOR LATERAL 7 ++++++++++++++++++++++++++++++++++++++++ +++++++++++++++++++++++++++ SPECIAL INSPECTION WILL BE REQUIRED FOR 4000PSI CONCRETE WALL. ++++++++++++++++++++++++++++++++ RECIEW COMPLETE....... MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P Ev H M I T C 01 N t.:) 1 -T' it C- N .13 Case No . - BLD96-05 70 for . JFRRY IIANS+ON Page , 1 1 ) Ther ure, handling and storage of hazardous matter i a I � or flammable and oombust- i b 1 e liquids In eexn.ess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal , 2 ) Proposed structure or any port ion thereof c1reater than 30" In he4ight from grades 1 ineo , must maintain a minimum of 5 ' setback from all property lines , easements and 10 ' from all County and State Read right of ways . 3 ) Approved peer site--plan . X jai I 4 ) Structure must be setback 5 ' from all utility and drainage easements a total of '10 ' re � each propeertYv I i rye, ^or a it i anee must be obta i neA from the fiu i �d i ng Department . X i-.� 5 ) S4C i AI. I NSOPFCT 1 ON IS RF OU I RE D f'nR ('C)NCRFTF OF 4000F'S I AS RE G?i1 I RED BY -(HE i NG I NE is R THIS INSPECTION 1S 'TO BE PREFORMED BY A WASHINGTON STATE CERTIFIED MATERIALS TESTING LABORATORY AND RESULTS SUBMITTED 7*0 ')HE MASON COUNl Y BUILDING DFPT 13 ) All approved plans are r equ i red to be on-site for Inspection purposes . It inspection is. called for and plans are not on r> Ite+ Approval WILL NOT ties grante d . In addition , a Re- I nspeot i on f eo In the amount of $30 .06 per hour- (minimum 1 hour) will he char led and must be on l i e sited by th i t. department T,r I or to any further inspections being performed or, approval granted . J 7 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C) AND SI.FCT I ON 513 ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRF SSES PROVIDED IN SUCH A POSITION AS TO Bl� PLAINLY V i S I BI.F AND 1..EGiBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDIN( DEPARTMENT REQUIRES THAT THIS HE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPFCTiONS . A i RE I NSPECT I ON FEE , RASED ON RATES IN TABLF 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE MASON COUNTY Mason County Bldg. III 426 W. Cedar RO. Box 186 Shelton, Washington 98584 I NSPECT I A1C3 B ) The oorreotIon I Ist , aIotig with the I norgy Compliance Worksheet (when ml icable) is part of the plans and must remain attaohed thereto . It Is the r espone I k�i 1 i tyy of the ppp l i oant to make c9u recat i uns indicated on the I anf. f l om t ho correction 1 hat s . 0rsoe t e plans are marked APPROVED they may not be on ange of or altered without authorization from the Sul iding Official , the hermit holder iv, repon Bible to retain the rompiete approved set of Flans on site for the duration of the pro)e{,t . Failure to comply will result in failure of required building inspection;.- . Fvery pwrmi t shal ) expire by limitation and become null and void If the buildin or work Authorized by such perits i s not commenoe d av within 180 rls from the (into of �>sus m nce, car i f 'the bu i ld i nq or, wo+,k authorized key such permits is suspended or (abandoned at any time after the work is commenced for a period of 180 days . ��- , J 9 ) AL.1 . CONSTRUCT 1 ON MUST MEET OR FXCEED ALL LOCAL CODES AND UBr: REQUIREMENTS . 10) Changes to approved bui idinq plans that effect compi iaric.e 'to the 1991 Washington State Energy Code, 1991 Ventilation and Indoor Air Quallty Code, the Uniform. Building Code and/or Masan County..negu l at i ons must be approved by Masora County prior to construct i on��;�__ l 1 1 ) CONSTRUC`Y 1 ON PROCESS TO BE F I F I.D CORRECTED AS REQUIRED PFR MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE Date Checklist Prepared 7--��a MASON COUNTY BUILDING DEPARTMENT PLAN REVIEWER AND INSPECTOR CHECKLIST 1991 WSEC AND V&IAQ CODE COMPLIANCE2ed ``9�-��+ap Permit Number cko- 0570 Address NE I&I !—a 1« �''' "� Sq. Ft. 11q;k'9G Name on Permit+�A N!�-Qt-A) Sey-Yy q 36vcc Contractor/Phone# Compliance Method: Prescriptive __L_ (Option) ( ) Component ( ) Systems Analysis 0rrrE'1e Fv C=6-S Date FOUNDATION Insp. Rev. ( ) (Ext.foundation down to frostline/slab bottom;or interior 24"top of slab&horizontal. Radiant under entire.) ( ) - elow g x - 1107 twvmr tmr'--t7l ( ) ( ) Crawlspace ventilation: f� (1 sq.ft. 1b FA/150 sq.ft.floor area 7tte d) ( ) �►) �) Standard J ( ) Intermediate ( ) Advanced ( ) ( ) Woodstoves and/or fireplaces: (6 sq.inches combustion air supply duct with damper direct to firebox.) Standard air seal: (Bottom plate/subfloor,rim joist/mudsill,window/door frames,penetrations condition to non-condition.) Attic ventilation (1 sq.ft. 1�A/150 sq.ft.ceiling area) ( (�8 SU= 7,(0Jc 1� Or /1 Q 3 15 ( ) (`0 ) Spot exhaust fans: (4"exhaust-bath/laundry 50 cfm @.25 WG;kitchen 100 cfm @.25 WG."'Vented out with dampers. Fresh air ventilation: Available to all habitable rooms. Installed and operational. (Integrated forced air,windows,wall ports.) 0 '- ( Whole house exhaust Cfm(Intermittent system manual&auto controls/sone less than or=to 1.5 at.I WG) " INSULATION Attic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,extend 12"above loose fill or 6' above batt insulation) ( ) ) Mechanical ventilation ducts R-4(Exhaust in unconditioned space&supply in conditioned space.) ( ) Wall insulation(above grade) R-� ce(Batts face stapled) Ctrade-o )je v� coo ` ( ) Wall insulation(below grade-interior) R- (Batts fa stapled) 2C/'7V>-1 G(Gi�✓�/) Vapor retarders on walls (Faced batt,or 4 mil poly or perm.paint.-circle one) Rim Joist(Insulated with vapor retarder-rigid foam and caulked or 4 mil poly.) ( ) Vaulted ceiling insulation R- (Vapor retarder& V airspace) FINAL Floor insula%L' 10�ncal (Substantial contact w/surface,supports less than or=to 24"OC,not blocking vents.) Ventilation (spot,whole house,fresh air to all habitable rooms. If integrated system,certification by installer is required.) I HVAC ducts in unconditioned areas R-8 (Joints sealed;mechanically fastened with a minimum of 3 fasteners.) Pipe insulation R-3 (Hot and cold lines in unconditioned areas-service or recirc.see Table 5-12). ( ) �►) SHW heaters: (NAECA label,separate power or gas shut-off,on R-10 pad if electric in unconditioned or on concrete.) Heating system type: �e Pro Pa-n e— CA/r'6S'e f— �oyp la-,-L A(o7) 22e v1ye,� Radon monitor on site with instructions.No. - Supplied by MCBD ( ) ) Thermostat: (Heat range 55-75;AC 70-85;both 55-85. Backup heat controls(lockout)prevent simultaneous operation of primary system.) ( ) ( ) Solid fuel appls.: (Glass/metal tight-fitting doors;dir.comb.air source,or 4"dia.dampered,indir.source for existing const.) ( ) ( ) Ground Cover: (6 mil black polyethylene or approved equal lapped 12"at joints,extending to foundation wall.) ( ) '(-1) Penetrations(All exterior wall and ceiling penetrations sealed to drywall-plumbing,exposed beams,wall receptacles,fans,recessed lights.) Ceiling Insulation R- -50 (Insulate&weatherstrip access,baffle to prevent spillover-no cardboard) ( ) �) Vapor retarder paint if a vapor retarder was not installed when insulation was installed. GLAZING Plan Reviewer-Fill out this glazing section or attach a window schedule to this checklist. Impector- Verify window information during field inspections. Include skylights, glass doors and all other glazing on this form. Use rough opening area for calculations. Date Size Quantity Area S . Ft. U-Value Manufacturer Rev. 30 `' o Total glazing area: / a Total conditioned area: Percentage glazing: —r�� Verified: DOORS Plan Reviewer-List opaque doors by type(solid core,insulated,etc.)quantity,U-value,and manufacturer. Spector- Verify door information during field inspection. Date Type/Quantity U-Value Manufacturer Rev. Insp. (a x 10 S ec-+l on Ci ooY' . (00 door .3p�o 0 . 4D lsfea° 0-. &0 2 - q X t7 Sec-h-o n C(ooy:s' 100 O✓ .4/o o✓ %5s �'ng �'� oor ' `fU cf'ioh dav5 nt � r d in /ate �,J e�th Signature of Building Inspector: Date of Final Inspection: Permit No. MASON COUNTY 4D BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 &wfelr d- e- ayl5O✓" Phone# 2 r7SKM Mto Address E T�riVt:� Fire District# ity TA� St�Zip 0�Sdd� Directions to Job Site i,& , ✓e n G�.F Q.� L.r,F� Q cr> s �a.Ee Nf l E.Z / e,Ee ae Owner Mailing Address F_ City St_L6+_Zip Lien/Title Holder 0 Address Clty. St Zip #2 Contractor Name e( Contractor Reg# Address Expiration Date City St Zip Phone# #3 If septic is located on project site, include records. as , Connect to Septic? t/Public Water Supply Well v Connect to Sewer System? Name of System (If residential, proof of potable water is required) 0J #4 cel No�>D3 Legal Description #5 Building Square Footage: (existing/proposed) 1st A /i/yd' 2nd FI / 3rd FI / Loft / Basement Deck / #bedrooms / #bathrooms Garage(3Q.ss-p4e_ �Carport / (Circle:Attached or Detached?) Other sq. ft. / #6 Use of building ���22/�9 P_ � i© ,, 6.t14A-e 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$ #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 ( SS Lo%- ( �) 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 r APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW T_ joy - �XG t V Plumbing Fixtures ($3.25 each) Fee Mechanical Fixtures ($6.50 each) No.LToilets ZS CIRCLE FUEL TYPE: 09Electric, Bath Basins zs Heatpump, Other Bath Tubs 325 No. Units Alr&_elo Fees _Showers Furn BTU U tc e- LHot Water Htr 3 z S Heatpumps ` s _Laundry Washer _ _ Vent Systems Sinks Spot Vent Fans _'2 CO Floor Drains No. Boilers/Compressors _Laundry Basins _ HP Dishwasher No. Air Handling Units _Disposal _ cfm# Urinals ll No. Fire Protection Systems Z Other 'e*'4 . _ _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 16.25 _ Auto Fire Sprink Sys 35.00 TOTAL PLUMBING $ 1 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 16.25 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 BUILDIN PARTMENT. DEPARTMENT. X OWNER �+ J X BY DATE - 7[v DATE FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Slt� Z c-AbT 4-)117+1 -J L,44 USL4()C 14 ZACCD Aff-4 R� /�►'�Ll��f ��t1,[7'tL�1� 2N CC7�tN C.`�A �b(1ND�YT'�� I � Environmental Health: Building Plan Review 8-r�Lc Occupancy Group: Type of Const: Fire Marshal: Other: c Special Conditions., i,F ec �a 1 SN cw FEES S c �� � � :!YQQQ f2sS C'ai,.r.,�-tc Building Permit Plan Check 110 Plumbing Fee 9 on Mechanical Fee IYZZ5 Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: / 3zlyq TOTAL FEE