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Home My WebLink AboutBLD2007-00606 Final Storage - BLD Permit / Conditions - 9/18/2008 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, WA 98584 �60 RESIDENTIAL BUILDING PERMIT BLD2007-00606 OWNER: ALDEN EATON RECEIVED: 4/11/2007 CONTRACTOR: LICENSE: EXP.- ISSUED: 8/16/2007 SITE ADDRESS: 1500 NE HAVEN WY TAHUYA EXPIRES: 2/16/2008 PARCEL NUMBER: 223305000355 LEGAL DESCRIPTION: HAVEN LAKE TR 355 PROJECT DESCRIPTION: DIRECTIONS TO SITE: Storage/Garage with baths. UNHEATED STORAGE Belfair Tahuya Rd. to right on NE Haven Way to 1480. General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: 2 Occ. Group: U Lot Size: Deck: Type of Work: ACC Fire Dist.: No. of Stories: 1 Occ. Load: Building: Garage-Detached 1,872 Valuation: Building Height: 15 Occ. Status: Seasonal Basement: Manufactured Home Information etba k Information Shoreline& Planning Information Make: Length: Ft. (el W 110.0 Ft. Sh line: Ft. Water Body: E 20.0 Ft. S pe: Ft. SEPA?: No Model: Width: Ft. Shoreline Desig.: Not Applicable SS 20.0 Ft. Year: Serial No.: SN 50.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Hosebibs Ventilation Fan 2 Plan Check Fee KKK 4/11/2007 $418.44 S22007000 Lavatories 2 Planning Review Fee KKK 4/11/2007 $170.00 S22007000 Showers 2 EH Plan Review TW 5/4/2007 $35.00 S12007000 Water Closets (Toilets) 2 Building State Fee ARC 7/11/2007 $4.50 S12007000 Water Heaters 1 Building Permit Fee ARC 7/11/2007 $643.75 S12007000 Mechanical Fee ARC 7/11/2007 $16.00 S12007000 Mechanical Base Fee ARC 7/11/2007 $25.30 S12007000 Plumbing Fee ARC 7/11/2007 $53.90 512007000 CAAc / Plumbing Base Fee ARC 7/11/2007 $22.00 S12007000 EH Permit Revision TW 10/23/200 $35.00 612007000 Total $1,423.89 BLD2007-00606 Please refer to the following pages for conditions of this permit. 1 of 5 Inspection Line(360)127-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 solo Shelton,WA 98584 RESIDENTIAL BUILDING PERMIT BLD2007-00606 OWNER: ALDEN EATON RECEIVED: 4/11/2007 CONTRACTOR: LICENSE: EXP: ISSUED: 8/16/2007 SITE ADDRESS: 1500 NE HAVEN WY TAHUYA EXPIRES: /16/200 PARCEL_NUMBER: 223305000355 LEGAL DESCRIPTION: HAVEN LAKE TR 355 PROJECT DESCRIPTION: DIRECTIONS TO SITE: Storage/Garage with baths. UNHEATED STORAGE Belfair Tahuya Rd. to right on NE Haven Way to 1480. General Information Construction &Occupancy Information Square Footage Information No.of Bedrooms: Type of Constr.: VB Type of Use: SF Insp.Area: No.of Bathrooms: 2 Occ. Group: U Lot Size: Deck: Type of Work: ACC Fire Dist.: No.of Stories: 1 Occ. Load: Building: Garage-Detached 1,872 Valuation: Building Height: 15 Occ. Status: Seasonal Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: W 110.0 Ft. Shoreline: Ft. Water Body: SEPA?: No Model: Width: Ft. Rear: E 20.0 Ft. Slope: Ft. li orene es Shoreline Di Side 1: S 20.0 Ft. g•: Not Applicable Year: Serial No.: Side 2: N 50.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Hosebibs Ventilation Fan 2 Plan Check Fee KKK 4/11/2007 $418.44 S22007000 Lavatories 2 Planning Review Fee KKK 4/11/2007 $170.00 S22007000 Showers 2 EH Plan Review TW 5/4/2007 $35.00 S12007000 Water Closet:T (Toilets) 2 Building State Fee ARC 7/11/2007 $4.50 S12007000 Water Heaters 1 Building Permit Fee ARC 7/11/2007 $643.75 S12007000 Mechanical Fee ARC 7/11/2007 $16.00 S12007000 Mechanical Base Fee ARC 7/11/2007 $25.30 S12007000 Plumbing Fee ARC 7/11/2007 $53.90 S12007000 Plumbing Base Fee ARC 7/11/2007 $22.00 S12007000 Total $1,388.89 BLD2007-00606 Please refer to the following pages for conditions of this pennit. 1 of 5 CASE NOTES FOR BLD2007-00606 CONDITIONS FOR BLD2007-00606 1) The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150'from an approved access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where such road, connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X ?,L1 2) Approve,' per imensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X_ s 3) Water quali is not to be degraded to the detriment of the aquatic environment as a result of this project. X Prior to final approval, all upland areas disturbed or newl crested by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X _-i 5) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "Approved ite Plan"to ensure these structures are shown and meet the setback conditions listed. X !��, T� 6) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure these structures meet the setback conditions listed. X � 7) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X 8) This par el is located in a smoke management zone. Please contact a fire warden at (360)427-9670 ext. 459 for further information. X 4- 9) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building DepartMentprior to any further inspections being performed or approvals granted. X - . 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 BLD2007-00606 Please refer to the following pages for oonditions of this permit. 2 of 5 11) 'The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or removaleapproved documents will result in failure of required building inspections. X s '1 This structure is approved as un-heated space. If at any time this building is to be used for anything other than what it is approved for, a change of use permit shall be applied for, reviewed and approved prior to the change. X ;= 13) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X - 14) The"approved"site plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved"site plan is not on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Depprtment prior to any further inspections being performed or approvals granted. X ti 15) Per 2003 IRC - SECTION 1609 -WIND LOADS - 1609.1 Applications. Buildings, structures and parts thereof shall be designed to withstand the minimurr. wind loads prescribed herein. Decreases in wind load shall not be made for the effect of shielding by other structures. Per FIGURE 1609 BASIC V4 IND SPEED (3-SECOND GUST)the wind speed for Mason County is 85 MPH. X- f' 16) Per 2003 IRC -SECTION R905- REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in accordance with the applicable provisions of this section and the manufacturer's installation instructions. X 17) Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2). X f This structure is limited to U-occupancy use only(private garages, carports, sheds, and agricultural buildings.) Any other use will be in violation of the international cods and Mason County Regulations unless a"Change of Use" permit is applied for, reviewed and approved. 19) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit r?#ocati n. BLD2007-00606 Please refer to the following pages for conditions of this permit. 3 of 5 20) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact •adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwatar ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which is proposed to be located within 25'of a Mason County road right of way, it is suggested to contact that office to review future planned work which may affect your project. ,, X 21) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance/or regulation, must be reviewed and approved by Mason County prior to construction. X _ 22) 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 hall be made prior to requesting additional inspections. X 23) All property lines shall be clearly identified at the time of foundation inspection. X 24) 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 Canty ordinances and building regulations. 25) 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 haveprever}ted action from being taken. No more than one extension may be granted. X 26) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, and.#lashing. Install metal connectors approved for contact with the new types of pressure treated material. X _ . ?�' 27) 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- 7- 982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. THIS SyF',UGTURE IS NOT FOR SLEEPING, STORAGE ONLY NOT FOR COMMERCIAL USE BLD2007-00606 Please referto the following pages for conditions of this permit. 4 of 5 This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at anytime after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of work is by means of a progress inspection.The owneror the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review And i tlon. OWNER OR AGENT: DATE: -A� ' BLD2007-00606 Please referto the following pages for conditions of this permit. 5 of 5 t CONCRETE r MECHANICAL MANUFACTURED HOME D oV Footings I Setbacks Date By Ribbons Z Gas Piping o Interia Daten.` ' By I O� Interior-Date By paw By - 0 Exteror Date �If�V By Exterior-Date B Set-LIP __�_. ___�.______.._..�_. v INSULATION Point Load i Isolated Footings Date By M BG 1 SLAB IN3l1LATION -------•----- Z Date By Data By FIRE DEPARTMENT Foundation Walls Floors Date By Date By Data By DECKS FRAMING—S'V 011f w Nabs r, Date By Date By Data y ' By?5.�" PROPANETANKS PLUMBING vault Date By Date By OTHER Groundwork Attic �^" Data y Type Data ,(/�7 By/�,>•�� Dt B ,�. Date 8y D.Wv DRYWALL Type: Date By Int Brace Wall Date By Wr Date By IIA,FINAL INSPECTION v Water Line Fire Separation y/ C PD Date By Date By Data�'—/g�� 8 m V Pass or Request Inspect. o Type of Ins Fail Date Date Dane By Comments c CD 0 �S -ZA—o 1-31 l_ a 0 9 XCF�O Lo �T SVto�-10N S = S -3o cl G 0 PLANNING PLANNING: ALL SETBACKS ARE MEASURED FROM THE FURTHEST PROJECTION OF THE BUILDING 75'lot side � 20.00 LOTS 355 AND 354 ARE BEING proposed BE COMBINED bui x 56' � building � b footprint o — shows —� i overhangs lot353 SO nntt `�c building o ° tax parcel# lot 22330 50 00353 haven way o lot 355 lot 354 0 O TAX PARCEL# TAX PARCEL N Z 22330 50 00355 ;; #22330 50 003 4 Q t:, Reserve A b storm water (V�I run-off path 00 haven lake trac 354 co O well LOT 354 ' S - 0 ` well radius e ao y; N s m -0 v house 2o Z —� y �m Z Z / t 7.34 fl M / 266.00 ft - i_. 65.25 fl O a , corncrsm k 75 ' lot side s, 20' a� 1 REVISED SITE PLAN FOR J PERM BLD2007.006M y� THE DPC LOT COMB FOR LOTS +—� 355&354 IS IN THE PROCESS OF HAVING LOT 353 ADDED AS OF 9.2"7 (� ..—.._.._.._.._.._.._........_..� U -� ! pRO�E� NN1NG M ! proposed i P O T 42 x 56 i — building p► NTY Oct)P ON SITE • j•� �-. s , - , ` - '' footprint 20' ON C�v REQ� EO S0 o shows Mp,$ IR AppRO cr, eaSeiriexit `" ' To ,0.p 4 ft. :,. ! overhangs E p1AN }ECG - t L� 4 bullding _ i_.._.._.._.._.._.._.._.._.._.._.i lot 352 CH / pater 1480 -' haven way / lot 355 lot 354 lot 353 ' tax parcel# / TAX PARCEL# TAX PARCEI 22330 50 00353 22330 50 00355 i #22330 50 0 35 1"=40 ' storm water run-off path N 100 haven lake trac 354 / LOT 354 well well radius house N --------------------- 17.34 ft O _I M � L 266.00 ft 65.25 ft O M PLAN PLOT REVISION CE ED DATE Ml�t L] WmDq - back)(0 PLANNING PLANNING: ALL SETBACKS ARE MEASURED FROM THE FURTHEST PROJECTION OF THE BUILDING ,___,=�ked with a steel post 75'lot side � zo.00 r LOTS 355 AND 354 ARE proposed BEING U buildinnggCOMBgINED xbui O b footprint M o — shows -- overhangs lot 353 exist,N' 50 1o.00n ,Q � building a tax parcel# lot 352 / 22330 50 00353 3 haven way o / lot 355 - lot 354 0 TAX PARCEL# TAX PARCEL N Z 22330 50 00355 #22330 50 003 4 Q � '- Reserve Z 0 b storm water / C o run-off path / M O 100 haven lake trac 354 s M Well LOT 354 Q O v 'gyp IM v well C8d1US T house a`' N W� N Z O rm ? / L 17.34 fl O M / � 266.00 I tt 65.2s n O M ` Request To Revise An Approved PlanojNl,Permit Number: BLD200 06 6 0 Name 4/A£ld 9,47oA Parcel Number ' _ - _- ( �Phone Number daytime ( S73 ) ,� , ;d 3 Project Address 1,5206Mailing Address �,�/�' ',7 �;�� y Gc/,y= Please provide a complete, detailed description of the proposed revisions to the approved plans: Cow �c✓L /o7 -3 S3 44--f - 7- H / • j 5 3-5- 35- AS 1'�?i��>A .�ii.��i�l NJ /i mod' f!'9f.,�/ � �.f'i/>/4 /C' �IL�E7r"►�+isy/ Are two sets of the revised plans or addendum indicating the changes included? .Yes ❑ No Are the approved site plans included? 1� Yes ❑ No Are the revisions clearly and accurately identified on the plans or addendum? ❑ Yes ❑ No Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes ❑ No If Yes, Has the engineer or architect approved this revision? ❑ Yes ❑ No Is a stamped and signed approval included with this request? ❑ Yes ❑ No (Note:No structural changes to a"designed"plan will be approved without the written consent of the engineer and/or architect of record.) Does the proposed revision modify the footprint or location of the structure? XYes ❑ No If Yes, Is a revised site plan,with all new setback dimensions included with this request? r �y, -:V,Yes ❑ No Additional Information: 011 __ Applicant's signature l — Date: �/ — 0� Office Use Only Received by: Date Sent Assigned To Approved By Date B Original Valuation: $ Additional Valuation: $ ❑ P Sq. Ft. x$ $ Sq. Ft. x$ $ ❑ E �2 Total New Valuation $ ❑ Additional Fees: -�__- Additional Planning Dept. $ Additional Plan Review $ Additional Conditions/Comments: Additional Building Permit $ Additional Plumbing $ Additional Mechanical $ Additional E. H. Dept. $; Other $ Total Amount Due: $ Amount To Be Paid Up-Front$ MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION1 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 cf)oc Shelton (360) 427-9670 • Belfair(360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION / CONTRACTOR INFORMATION Owner ?. /Y1. A OEA To.✓ Company Name Mailing Address.�� Mailing Address City 1�„ ,C I. �/ StateAj n Zip Code�-Q� 2 a City State Zip Code Phone 2 'L - a `;- ?o�3 Other Ph. Phone Other Ph. Lien/Title Holder - /�'?• C • Contractor Reg. # Exp. E mail address E Mail Address Drivers Lic.# EA7b,,),4ffl y/qa DOB `/-a - Drivers Lic. # DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic >4:� Existing Septic Connect t Water System Name of Water System-&-d"S :ZX: T 4::'T C «Q s Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description A Site Address (Please include street name, street number and city))!,Iel �yerj Directions to site O A/ A hJ Will timber be cut and sold in parcel preparation? es o Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs>1 5% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New>�_Add Alt Repair Other PRIMARY RESIDENCE ❑ SEA ONAL Use of Building Z'rQ0Age 4—711IDescrib/e�Work 7Ec.,c_;_ No. of Bedrooms— No. of Bathrooms Square Footage- 1st Floor 2nd Floor i 3rd Floor Basement Deck Covered Deck Other Sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price$ Replacement Unit? Yes/ No Installer Name Certification No. 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 iegal representative,or the contractor. I further declare that I am entitled to receive this permit and to do the work as proposed in the applicaticn. I declare that I have obtained the permission from all the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure 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 OFAPR GR S INSPEC ION.INACTIVITY OF THIS PERMITAPPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Date: Owne wners Representativ Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date ` - DEPARTMENTAL REVIEW APPROVED DENIED NOTES j Building Department Planning Department P r Environmental Health Department G \ Fire Marshal FEES BuildingPermit Fee G 3• Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee 75.9,&- Planning Review Fee Mechanical & Base fee , 3� Other Wood /Gas/ Pellet Stove Fee State Fee Violation Fee No EUF• Pre-Paid at Submittal Valuation $ 41, TOTAL FEES MASON COUNTY PERMIT NO. PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar• P.O. Box 186, Shelton,WA 98584 Shelton (360) 427-9670•Belfair(360) 275-4467• Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Z r77. C • oe 016 ICALad Company Name Mailing Addres r Mailing Address City 66 uQ _StatejVp Zip Code 3 City Mate Zip Code Phonea53 , and'T 3053 Other Ph. Phone ' Other Rh. Lien/Title Holder �`• /n• �' • ContractoC Re E mail address E Mail%11dres Drivers Lic.#;r^Tc,,J AQ 4 f 9 T 9 DOB —a� — `' Drivers W # D. B SEPTIC INFORMATION - Connect to New Septic_,_ Existingl9eptic Connect to Sewer System Name of Sewer System PARCEL INFORMATION - 12 Di it Parcel No. i is ict Legal Description ^Q*F1J X,A Site Address (Please include street name, street number and city) Directions to site J '� •%= O. .F. RAIeV ji ;SQ Z 29�O " Is property within 200'of Sa twater Lake River/Creek' ' # Pond Wetland Seasonal Runoff—Stream—Slopes or Bluffs > 15% TYPE OF JOB - New Add Alt Repair Other Use of Building Location of Fixtures/Units - 1st Floor 2nd Floor Basement Garage ��^ Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric_ Natural Gas_ Heat Pump_ Toilets 49PL Type of Unit ^No. of Units Fees Bathroom Sink 4c Z Furnace Bath Tubs Heatpumps Showers — - Spot Vent Fan 2. Water Heater — Propane Tank Clothes Washer Gas Outlets Kithen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL 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 the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is required from any easement holder or any other parry in interest regarding this application or the work proposed in the application,I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date:Z= 9-69o07 caner wners epresentative Contractor (indicate which one) /' FOR OFFICIAL USE BEYO D THIS POINT Accepted by6 Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group—Type Constr.- Planning Constr.- Planning Department Environmental Health Department FEES Plumbing & Base Fee Site Inspection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES