The URL can be used to link to this page

Home My WebLink AboutBLD98-00574 Final Mobile Home - BLD Permit / Conditions - 12/18/2003 Inspection Line(360)<127-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (36(3)427 9670,ext.352 Mason County Bldg. 3426 W. Cedar P.O. Box 186 ' Shelton, WA 98584 12- IP14 RESIDENTIAL BUILDING PERMIT BLD98-00574 OWNER: MICHAEL OLSON RECEIVED: 6/11/1998 CONTRACTOR: LICENSE: EXP: ISSUED: 7/9/1998 SITE ADDRESS: 1261 NE COLLINS LAKE DR TAHUYA EXPIRES: 1/5/1999 PARCEL NUMBER: 223315100010 LEGAL DESCRIPTION: COLLINS LAKE#2 TRACT 10 PROJECT DESCRIPTION: DIRECTIONS TO SITE: MOBILE HOME BELFAIR TAHUYA RD TO COLLINS LAKE DR GO ALMOST ALL THE WAY AROUND THE LAKE SITE ON CORNER OF PINE TREE PL AND COLLINS LAKE DR General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: 5N Type of Use: MH Insp.Area: 1 No. of Bathrooms: 2 Occ. Group: R3 Lot Size:O Deck: 0 Type of Work: NEW Fire Dist.: 2 No.of Stories: 1 Occ. Load: 0 Building:924 0 Valuation: Building Height: 0 Occ. Status: Basement:0 Manufactured Home Information Setback Information Shoreline&Planning Information Make:FLEETWOC Length: 66 Ft. Front: N 50.0 Ft. Shoreline: 150.0 Ft. Water Body: Rear: S 150.0 Ft. Slope: Ft. SEPA?: No Model:SANDPOIN' Width: 14 Ft. Side 1: E 15.0 Ft. Shoreline Desig.: Year:78 Serial No.: 0689 Side 2: W 30.0 Ft. Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Building plan check' KW $175.00 47336 EH Plan Review KS $50.00 47642 Mobile home fee.... KS $175.00 47642 Building State Fee KS $4.50 47642 RLC Checklist Fee KS $44.00 47642 Total $448.50 ikEBLD98-00574 Please referto the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR BLD98-00574 CONDITIONS FOR BLD98-00574 1) Approved per dimensions and setbacks on submitted site plan, setback from lake is more than 150 feet. X w 2) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. Silt fencing must be installed and maintained until upland vegetation that has been reseeded or planted has become established. X 3) Proposed structure or any portion thereof greater than 30" in height from grade line, must maintain a minimum of 5' setback from all property lines, easements and 10'from all County and State Road right of ways. X 4) Structure must be setback 5' from all utijily and drainage easements, a total of 10'from each property line, or a variance must be obtained from the Building Department. X , 5) This applica .s ject to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036. X 6) The use, handling and storage of hazard_ours mat i Is or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X " 7) 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 stormwater 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 2 ,ef� Mason County road right of way, it is suggested to contact that office to review future planned work which may affect your project. X �L 8) Must provide ow out water diverted away from top of slope and fill area. Provide proper drainage measures to comply with requirement. X. 9) PURSUANT TO 1994 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING ODE VILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X BLD98-00574 Please referto the following pages for conditions of this permit. 2 of 3 101' THE FOUN[DATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. THIS INCLUDES ANY DECKS OR PORCHES. XrJ 11) The approved plot plan is required to be on-site for inspection purposes. If inspection is called for and plot plan is not on site, Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of$42.00 per hour (mminii u ur)will be charged and must be collected by this department prior to any further inspections being performed or approval granted. X e 12) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CH GE O SE OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x _2- 13) 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 signed off(approved) by the inspector in the prescribed order, I understand that reinspection fees and an hourly investigation fee pursuant to the 1994 UBC, Table 3A will be assessed in addition to my original permit fees to resolve any questionable practices or problems that have been discovered. I further understand that tbiajavasligation will be scheduled as time allows. Until resol ion /all problems no occupancy(Final Inspection)will be granted for the residenc WNE NTRACTOR(indicate which) Signature X 14) All mobile/manufactured home landings or decks must be freestanding (self supporting). The largest landing or deck permitted without drawings or a building permit is 120 sq ft or less AND MUST be under 30" in height from surrounding grade. NO second story decks, or decks above 30" can be built without a permit. Any landing or deck that is 3 " or r�er� in height from walking surface to finish grade requires a Permit. Any landing or deck that has 4 or more risers requires a handrail. X r �_�-- 15) Placemen of struc re must comply with standards setforth per 1994 UBC Chapter 18 regarding descending and/or ascending slopes. X 16) CONSTRUCTION PROCESS TO IELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE.x � 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 any time 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. OWN ER OR AGENT: DATE: BLD98-00574 Please refer to the following pages for conditions of this permit. 3 of 3 Q - 'r CONCRETE MECHANICAL MANUFACTURED HOME.90 ' C) Footings / Setbacks Date By Ribbons � Date By Gas Piping Date B y Foundation Walls Date B y Set-up Date By INSULATION Date `'-ZG y B G 1 Slab Insulation Floors Final Date By Date By Date Z- 18'-cOBy J FRAMING Walls FIR19 DEPT Date By Date By Date By PLUMBING Attic OTHER Groundwork Date By Date By WALLBOARD NAILING D.W.V. Date By Date By FINAL INSPECTION Water Line Date By Date By `° ' EEO m Date By CD 0 a 1 8 0 r r o M d o � El Ul x Z r 0 a ` I 'WASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 UA I i t_. D f N C4 P >- FA f\4 1 -1 FOR INSPECTIONS CAIA 427--96 70 BETWEEN 5pm ANO Cram 427-72.62 BLD98--0574 PARCFL :PP114+100010 r PI.^T :(,'0PL0 DI 'J : BLK �T N JOB ADDPESS : 1261 NE COL.L INS LAKE" DR `1, TAIIUYA pEFiM ��p�RAT10 OWNER : ALICE DRESSEN 360-275-9142 OVD CONTRACTOR - 14ULL ��yUl BY LEGAL : COLLINS LAITE 12 TRACI 11 CI.ASS OF W9RK . . :NE"W PEDRr 3 ,bATH : 2 (TYPE AVOUNT 81 DALE RECf1PT TYPE A10UNT 3" DAic RECEIPT TYPE OF USE . . . . s14€H STORIES . . . . . . .1v4 OCCUP . GROUP . . . :R3 B DG . HE i GHT . , :`t', 0 .0f 1. jP1 CK s 175.60 KN d61 t 1196 17336 TYPE OF ':ONST . . :5N F I REPLACES . . . ;:� 0 ENCP 1 51.00 1(5 A1169140 47642 OCCIIP . LOAD . . . . : 0 WOODSTOVES . . . . . 0 LtTc� f 175.00 KS 01/19198 47641 DWELL. .UNITS . . 0 PARKING SPACFF'. : 0 1 4.60 KS ON69l98 47642 INSPE:.CTION AREA : 1 SHORE L. 1 NE'7 , . . . :N, . ! 44.00 KS 11119148 17642 �161A:: 44R.51 MALOLAT101I, 599g.;.CST%;`�:aR^rxm�tatasrt�.:iG-xS00•Taa'�K�...„'�s^.�:r.L^- xxr.:..Sza.mC�m�ax>3••::.^3ts=:�:r.-�xrcbcrtn^ccxC-".'7:ar:i:� '' SETBACKS TOILETS . . . . . . . . . . 0 F1.IEL TYPES- ____._-._-- BOILERS/COMP-- - MOBILE HO1AF- rRON; . . .N 540 .0rt BATH BASINS . . . . . . 0 0 .3 IEP . . 0 REAR . . . .S 150 ,.Oft BATH TUBS . . . . . . . . . 0 3 -15 HP . r 0 MODE I.. s FLEE I-WOOD SIDEI 'I f .E= 15 'Oft SHOWERS . . . . . . . . . . 0 FI.1RN < 1001( BTU - 0 1ti :30 HP . - 0 - MAKr .. . - S I DE 12 1 .W 30 .Oft WATER HEATERS . . �� N FURN —1 OOK BTUs 0 30 -50 lip . r 0 SANDPO I NT SHRL I NE .S 150 .Oft CLOTHES, WASHERS : . e 0 FUPN -. FLOOR . . . r ill 504. Tip < : 0 -YI`All AREA _._.____.___..___.._._-. _ KITCHEN SINKS . . , . a 0 HEAT PUMP . . . . . . . 0 -713 LOT S17_E . , r FLOOR DRAINS . . . . . . 0 14NT SYSTE'MS . . , : 0 EVAP COOLERS ; 0 LFNGTI1t66 BUILDING . . . s a29sf DRINKING FOUNT - -. �® VFNT FANS.; . . . . . . a 0 HOODS . . . . . . . . 0 WIDTH . r1A BASEMENT . 0 s f LAUNDRY TRAYS . . . . F c DOMES . I NG I N :O !'F R I At DECKS . . . . . . s 09f DISHWASHERS . . . 0 AIR HANDLING UNITS - COMML_ . I NC I N :P1889 GAR/CARP :? Osf GARS DISPOSALS . > . r 0 <- 10000 otm . : 0 RELOC/REPAIR : 0 AT/DT . :7 URINALS . , . . . . . . . . . 0 :> 10000 ofm . : 0 OTHER UNITS . : 0 MI SC PLM F I XIORF`3 : 0 GAS OUTLETS . : N ._::�. :•.ttc.�.a•,.x-„.�:vaam�:r^.z:r:<rsc�+xrxs�c.�^em..ec.c<�-sr�-+cs�..•�•�:.s��:.;rm:;a:�,^.mns+.xs,mgsr-.n_•:,�F:�:s�ex:._.�:mzxs;r..zaaa.:::u:a-wa�za.r s+z.:Baerseas+eea�e.•�m'ee:...�xsumzrs�m:J.aar•u�ayst.�:.as.:bt:�rrxvxvac. .�v�_::.r:_. .:� AR9tECT DESCRIPTION I10611F 401f DROJFCI I.00ATIONcBELfAl1 TANUYA 10 TO 011103 IAY1 OR CO AtNOST Alt THE MAY kkt1100 THE IAKI SITE ON CORNER Of PINE TREE`pt AND COLtiNS !AXE OR THIS PERNIT BECONFS Nutt AND 'VOID IF 1411 OR CONSTRUCTION AUTHORIZED IS NOT CON011CF.1 W1TRIq 180 DAYS Of If CONSTRUCTION OR WORK IS SUSPENDED FOR A PER100 OF ISO DAYS AT ANY TINE AfTER WUAK IS CONNFNCEO. F410FOCE OF CONTINUATION Of 1019 IS A 1`908RESS INSPECTION WITHIN THE I86 DAY PERIOD, FINAL INSPECTION Oil-] of APPROVED REFOItf BultfllIG CAN BE OCCUPIED, n ;, k Vt GWNER 01 PUNT, OA1F_ 8tD_PRNT, rev: 03131/11 COMPL f ANCE TO ATTACHED CONDITIONS IS REQUIRED -- 1 MASON O COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F, EF Rran I 'T C " NUl I -r 10rJ :7, Case No BLD98-0574 F ryr c lit. I C:E DRCSSEN Pages 1 f 1 ) 4 _pro�+ed per dimensions, and cetbackr on !submitted site p ► an , setback from lake + � m rN t an 150 feet , X 2 ) Tempor ary eras I can c ontr o I measured thus t be Imp I emented to prevent water qua l i t v do,c�radat i on of adjacent wafters or wetlands . Silt fencin must be installed and ma i nta i rie*d until up i an(.l vigeetat i t r} l teat has been reseedel or p i e,nl:ert has beecomcb established , X 3 ) Proposed structures or any port ton thereof greater than 30" ire height from grHdr- Iinc , must maintain a minimum of 5 ' setback from a l i property i i nes, easements and 10' f rc m ail Qourity and State !Road right of ways . X___v :�''.r__ 4 ) Str ucture muvt be setback 5 ' fr•()ati a I I u't i I i ty and di'u i na(le e.4 3ements:, a total of 10' from each property i i ner, or a variance mitst be obtained from the Building Depsrtinerat: . 5) This appii (.ation is .tubiect to Buffesr, and Landscaping requirements as estab1l :she+d under Mason County Ordinance 1 .03 .036 . ._,,..,.._.,rev_.__.__...__.,_.�__._._._._._._.._._.._...... G } The use, hand l i nft and stor age of hazardous materials car f I amiriabi a rand combust i bl e I I qu i ds7 I n excess of 10 ga I I orrs I s not at lowed without the approval of the Mason count Y Fire Marshal . X 7 ) Provisions for si.irface/ subsurfi-ace drainages control must be implemented with near c.un�4t root i on or, deAve I opmeant on s I tea and. MUST NOT adverse ly I mpcact ad.1 acent parse I . Under the reclu t reiriefjt s of Mason County Stormwrater Ordinance, e% i Cher pr i v+ate ditches ai#d drains wi i i meet requirements (if -the stormwate»r ordinance or prior approval wi t l t>'e� granted to use an existing utiIlty and Lira. iriagg.e easement dedicated for that specific purpose . For further informtation regardInq tits - ordinance and the REQUIREMENT to _ K MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 obtain an ACCESS PERMIT for the iostal l sat i on/ construction of a driveway or �a(:.-cess connecting rrom a Mason CountX Road, contact the mason ciountv Pubi io works Department Frior to construction at Ext 4.30 . For, any const r uct I on which I s rop o�;ed 'to tie ct looatd within -?5 , o so r a Man County road right of way , It is suggested �Q contract that off Ice to review future planned work which may affect yotir project X....... ... 8 ) Must puovide 0'o-wrispolit water divertod away from top (:)f slope and 'fill arefl , Provide proper, ,drainage mea,,,.urs-e to comply with requ I rement 9) PLIP'StIANT TO 1994 rINJFORM BtJII,0ING CODE , Ai.. _ SITES MUST HAVE APPPOVFD NUMBERS Oil ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE S"TREET OR ROAD FRONTING THF PROPERTY . MA;GIN COUNTY BUILDING DEPARTMFNT REOUIRES THAT THIS BE COMPLETED PRIOR TO CALL: iNr3 FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BA,1;ED ON RATES IN TABI_ F 3A Or THE 1994 UNIFORM EAU IL,I)ING CODE WILL flu- AS1,;FSSFr.) IF' OWNER/CONTRACTOR FAILI) TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . 10) TfIE FOUNDATION SYSJFM !7,11AII. BE PLAUD ON UNDISTURBED, NATIVF SOIL.. . THIS INCt-U14S ANY DECKS OR PORCHES , X 11 ) The appr overt p I of p I an I s 'recite I red to be oii i te. 't of I ",speoi I on �urposev; . I f o,Inspetion is called for, and plot plan Is not on site .. Approval ILL NOT be granted . 11-1 addition , a Re- Inspeotion -fee in the amount (if $42 .00 per, hour (minimum I hotir ) will tto charged anti must be collect-,d by this departmont prior,. to any further lnspeotioni� b,EJnq performed or approval granted . X 12 ) AIL CONSTRUCTION MUST MEET OR EXCFFT) AL I_ LOCAL COU* `:' AND 1.18C RFOUIREMENTS AND OVICUPANCY IS LIMITFD TO THE PER14ITTED AND APPROVED CLASSIFICATION , ANY CHANGE OF USIE OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION . CHANGE or usr MUST BE APPROVED PRIOR TO CHANGE . X 13) REOUIRED INSPECTION'S' (foot i.nq to paur , - Set--Up ln:;pest ionprltar to ------------ MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 skirt In , Ina [ tnspection- e prior to occupancy ) . I have recived a c y of 't InformaTi .n and Gtiideline,,-Mot)iie/Mancifactured Housing Instal lations" i Nandout lui detailed descriptions of all required inspections onmymobile/manufactured home o Installatin , e hereby assume all rsponsibility f(, the e scheduling of thes,'e required Inspections . It these required Inspections are not requested, Inspected and signed off ( approved ), by the Inspector In the presorlbed order , I understand that relnspecti6n fees and an hourly Investigation fee pursuant to the 1994 USC, Table 3A will be assessed in addition to my original permit foes to rftrolve an questionable practices or problems that have been discovered . I further understand that this investigation will be !ache duled as time allows , Until resolution of any/all problems no occupancy ( Final Inspection ) will be grditted for the residerece . OWNER/CONTRACTOR ( Indicate which ) Signature X,_,. 14 ) All mobile/manufactured home landings or, decks must be freestanding ( self supporting) . The largest landing or deck permitled without drawings or a building permit Is 120 Clq ft or less AND MUST be under 30" in height from surrounding grade . NO second stork decks ,or decks at,ove 30" can be bui It without. a permit . Any landing or dook that Is 30 or more in height from walking surface to finish grade requires a Permit , Any landing or decl. that has 4 or more risers reqitire,., a handraj I X- Ir5 ) Placement of strur.,ture must compiv with standard; per 1994 UBG Chapter 18 regarding descending and/or ascending slopes , X..—'--. 16) CONSTRUCTION PROCESS TO BE, FIFIJ) CORRECTED AS RED QUIRFU PER MASON COUNTY BU I I D I NC DEPARTMENT ANO UNIFORM BUILDING CODE Case Activity Listing 5/29/2003 8:58:31AM T I D E M A R K Case #: BLD98-00574 COMPUTER SYSTEMS, INC. Assigned Done Activity Description Date I Date 2 Date 3 Hold Disp To By Updated l;pdated BN- BLDA910 Meeting 921 1999 None KKK 9/21/1999 KKK Kari checking not Trish BLDC250 Permit Extension 9/21/1999 9/21/1999 None DONE BJW 9/21/1999 BJW Alice Dressen called requesting a 6 month extension.They plan to start work within a couple of months.bjw BLDC100 Inspec 12/8/1999 12/8/1999 12/8/1999 None DONE an 12/15/1999 TFR went to site talked to occupant,he produced building permit#bld9800574 for 1261 collins lake dr. name on permit was dressen,occupant says he is in the process of buying unit from owner,has water has propane heat uses generator to pump sewer into tank and thus drainfield,he states he is in contract with PUDto get power lateral ran to unit,told him he must call soon for set-up inspection. BLDA560 Permit Cancelled 10/3/2001 None DONE 10/17/2001 KLW Page 2 of 2 casenctivi' Pig$ Permit No. ! / MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670 (Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269) PLEAS V<T #1 Owner 441 IFC e Dres e _ Phone# 3b0 -275- V V Site Address ,,.� . Fire District#C2 City I a k U II St LAic . zip gs.Sf$ Directions to Job Site �e1�� 1 CoIfi�S ✓2d 4o rsec+i e-P vie I ✓'2 e PIC<Ce 0� (5 Dt� / a k e S ( Q 0Y1 n -P- e e. ' I o Owner Mailing Address P.O. (3ox go City TokA4, St WC' zip ISS-9i? Lien/Title Holder 0 L' , f'r e e 4- Address City St Zip #2 Contractor NameX �r,. �(.UNc-rZ -kUBI # Address — A A Contractor Reg # City St Zip Phone#k Expiration Date_/ / #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply G Well�� / Connect to Sewer System? Name of System `T=/2i►�•`T /UU/►c�� 9/�-0?��g0 (If ti I, proof of potable water is required) #4 arcel No, 3 1 Legal Description C p Iiks kt 417.2 Try cl' 10 #5 Building Square Footage: 1st FI 9 0'y 2nd FI Al H 3rd FI w 4 Loft ly A Basement iU i4 # Bedrooms 3 # bathrooms ),- Deck Other Garage N-,,,.e Carport Nc n-e (Circle:Attached or Detached?) #6 Use of building rep S i C[e h c z Describe work /2Z d A/mF o ti i? 1�T #7 Type of Job: New Add Alt Repair Other ,6ii► #8 MOBILE/MANUFACTURED HOME INFORMATION T 0 � 5 @ R TModel Year 7 MakeFTRefwc d ModelS,:�.rl o, D Length (�Width Serial No. f)(o� FAN I Q Type k# Bedrooms j # Bathrooms �2 T yp of Heat Forced A kr Purchase Price$ 5900, PERM114SUST4NCE CENTE Y #9 Indicate by circling the applicable source i y water is on or adjacent to subject property: River Pond Creek Stream Wetlan Marsh Saltwater Seasonal Runoff Other&asohal lake �*ckwa�cr Show following on the site plan Lot Dimensions Fences Existing Structures Driveways , Structure Setbacks Shorelines Water Lines Topography Drainage Plan Wells Septic Systems Easements 4 Proposed Improvements Name of Side Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW Ink 5o ,- p APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW w, 6e Plumbing Fixtures ($3.45 eachl Fee Mechanical Fixtures ($7.00 each No._Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other \_Bath Tubs No. Units Fees Showers Furn BTU ;Hot Water Htr _ Heatpumps aundry Washer \ Vent Systems nks \ Spot Vent Fans _Flo r Drains to Boilers/Compressors _Laun ry Basins _ HP Dishwa her No. Air Handling Units _Disposal c # _Urinals No. Fire rotection Systems Other _ Auto\Pellet s 50.00 Fixedys 50.00 Permit Basic Fee 17.25 _ Autoinks 35.00 TOTAL PLUMBING $ No. Othe Gas WooSt e 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 17.25 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^ P X BY DATE U 0 -C,y DATE iFOR OFFICIAL USE ONLY: Accepted by: Date: -P L41 DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: r - a ,US L Environmental Health: Building Plan Review P 2Q rzov unA> b X (,-toni I!;- 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 i