The URL can be used to link to this page

Home My WebLink AboutBLD98-0757 Cancelled Storage - BLD Permit / Conditions - 10/3/2001 MASON COUNTY ` Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 E5 tJ 1 L. D I N 0 P E R M 1 T FOR INSPECTIONS CALL 427--96'T0 BETWEEN 5pm AND Bain 42.7-7262'ec� r t* BLD98-0757 PARCEL :223315100046 PLAT :COPLO DI V : E31_K. : JOB ADDRFSS : 150 NE HILLTOP P1 TAHUYA OWNER : LES 1 360-275-6181 CONTRAC'1 OR : ALPHA STIEFI BIJ I L D i NGS 875-- T760 � . LEGAL : COILINS LAKE 12 TRACT 46 QP► CLASS OF WORK , , :NEW RFDR : 0 .BATH : 0 I1YPE AMOUNT BY DALE RECEIPT TYPE AMOUNT 61 DATE AfCffPl TYPE OF USE . . . . >ACC STOP IF S . . . : . . . : 1 -�� ::_�:�-�. OCCUP . GROUP . . , :U1 BLDG . HE I GHT . : 0 .oft PICK 1 162..34 KW $6103198 47884 TYPE Of CONST . . r5N FIREPLACES — , 0fHCP t 50.00 KS 8$120/98 48014 k OCCUP . LOAD : � 0 WOODSTOVES> . . . . : 0 PANTY ?49.75 KS 09128198 A8074 k DWFL.L .UN 1 TS . . . . : 0 PARKING SPACES : 0 SHE t 4.50 KS 08121/98 48014 i I NSPFCT I ON AREA : 2 SHORF1. I N1=? . . . . :N 101AL: 469.59 VALU1".11ON: 1685? 1 -s:u:v::a:..:ru-s_rc.-e�ns�-��.'«z.-s:.^xz..x::. rs.:tr.:r_«r}=�sc�s�ac'=t�:zxz•:.--.x•Lz:s„�z�:.acz:x:=...z��:a+�—.:�s�rx•.n� M SETBACKS- - - ---- - -- TOILETS . . . . . . . . . . : 0 FUEL TYPES-__-_ .. ._._--- BOILERS/COMP -- -- MOBILE HOME-- FRONT . . .N 80 .0f1 BATH BASINS . — _- 0 0-3 HP . : 0 REAR . . . - S 94 .Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : SIDE ( 1 ) .E 48 .0f t SHOWERS . . . ; , . . . . : 0 FURN < 100K BTU : 0 15-30 LIP . : 0 --MAKE SIDE ( 2 ) .W 40 .Oft WAFER HEATERS . . . . : 0 FURN 3-100K BTU : 0 30-50 HP . , 0 SHRL I NF .N O . Oft (;LOTHFS WASHERS , 0 FUPN - FI-OOR . . . .. 0 50+ lip . r 0 YVAR - AREA - - - _- - - - KITCHEN SINKS . . . . z 0 HEAT PUMP . . . . . . : 0 LOT SILE< . . r FLOOR DRAINS , . . . . 0 VFNT SYSTEMS . . . : 0 FVAP COOLERS : 0 LENGTH : 0 BUILDING . . . : 05f DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0 BASEMENT . . i 0s'f LAUNDRY TRAYS . . . . ; 0 I)OMFS . I NC I N :O SERIAL # DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS- -- COMML . INCIN :O GAR/CARP :G 896sf GARB DISPOSALS . . . : 0 <:z 10000 c:fm . : 0 RE[OC /RCPAIR : 0 AT/DT , :D URINALS — . . . . . . . . 0 - 10000 cftn . : 0 OTHER UNITS . : 0 MISC PI_M FIXTURES : 0 GAS OUTLETS . : 0 Y1*SS2S'��:�.':.'x'^«�.2Z:`�A'S. ..^`...'33Y:S^C.,C�'R.']r3'.Y.T^...'S'. '..'•C59_^.`.R9Y�TC:SSC".+2::.8'�'-:•.^^_C'7lA.e DIKE.'rH.'39'.3^'!P^�S_Y.:Na'1"2�.�...:.Y."T ,....3,. SS::�X2".AIS�:.".x+'1'a.'.S"•.3.:L.��1".:.v'.�.G#S.'ai'3.-'�i.�'F',tiFS.r-'xR4t ` '..^S_:I�C�'�J:i1":£.�_... :: �..t•�.....C...�'S.:_:':t.1.^[�'SJ.4RY'L::'«T=:. PROJECT DFSC1rIPTI0N;S10R'AGE BUIt01NG/GARAGE. _Lc _6� PROJECT I,OCAIION:HWY 3 TO BFIFAIR TAHUYA 10 COLIINS I.AKE DRIVE 10 HILIIOP 10 ADDRESS 111IS PE@111 BECOMES NULL AND VOID IF WORK OF CONSTRUCTION AUTHORIZED IS 001 CONVINCED WITHIN 180 DAYS, OR if CONSTRUCTION OR WOAV 1S "11,JIFNDEU fOR R PFAIOD OF 180 DAYS AT ANY TIME AftElf-"19 1S CONVINCED. EVIDENCE OF CONTINVATIAN OF WORK IS A PROGRESS 111SPECTION WITHIN THE I18 DAY PERIOD, F;HAI INSPFCT00 MUST BE APPAOVED BfFORF BUILDING CAN BF OCCUPIED. OWNER OR AGE111: lil-Pkil- I a. :t j 4 ) CIMM 19 1: t CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date — L F G/� 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 c� by date by date by q io-13-fig �M/Z iC- J Building Permit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location This structure has been inspected by Mason County Building Department and the followingVIOLATION of Count Laws and Ordinances has been Y found: Items Listed below must be corrected to gain code compliance ' E: <(5— f` Tim zfe c�� ej 31 OY--?—e �i=Td�/L /Se {c'l.�s ►vi�,P G/�TS %' �s�` S� c�a e— �,�STi,►�c /97- /j'�4f TG Lv�LL /r✓s/�/)d/-cr�o••� ,�- A7- 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 Inspector . i? �/�r✓ moos NOVT MOOV T 1 TA ,� � 1 Building Permit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 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 You are hereby notified that the above corrections shall be made 3EFORE PROCEEDING WITH ANY FURTHER WORK Call for re-inspection when corrections are made before continuing lake corrections, items will be checked on next inspection '< to s is not a complete inspection Department 16C-10 Inspector % /-7 7 NOVT MOOV T 1 , TA ,��- Building Permit #/3LoO-FF z� I MA5-UN COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location C&�,�T/�'�E� 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 1 I I�O�S/ f1��,�SS !`ZS ll�il Cdn�D�Tldr✓ � � dz Oci?/1-i�� 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 Department �� Date �Z. z K-78' Inspector ■ jo0 1:0 OT Mo *V IrI41 'TA .. R • MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I -( I ONE Case No . : 6LD98-0757 For . LES CHR1STIANSON ' Page : i 1 ) Approved per d imens i ora-s and F,etbEacks on submitted site plan . X 2 ) Temporary erosion control measures must be implemerted to prevent water quality degradation of adjacent waters or wetlands . Sill fencing must be Installed and maintained unt ), l upland vegetation has become established . X 3 ) Proposed structure or any portion thereof greater than 30" 1n height from grade line , must maintain fa minimum of 5 ' setback from ali property lines , easements and 10 ' from / a l-1 County and State Read right: of ways . X 1 Th i s app 1 i cat i on 1 s sub i eat to Ruf for and landscap i nq requirements as estab i i shed und(-r Mason Co,unt�y Ordinance ' 1 .03 .036 . 5 ) 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 MarsPa I . X 6) Provisions for, surfaces/subsurface drainage control must be implemented with new construction or development on site and MU;;T NOT adversely impact adjacent parcels . Under, the requirements of Mason County Stormwater Ordinances , either private ditches and drains will meet requii-ements of the stormwater ordinance or prior approval will be granted to ose an existing utility and drainage easement dedicated for that specific purpose . For, further information regarding t It I s ordinance and the RFOU I REMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting, from a Mason County Road, Contact the Mason County Pubiic. 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 pro f ect . X - n, —--— -—————— —— ——— ——— ----————————— MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 7 ) Owner,/builder assumes ail responsibility it dt,ainf ield area is encumbered . X 8 ) Al I appf,oved plans are required to bo on- site for, ins eotion purposes If Inspection Is called for arid plans are not on site Approval WILL NOT be ranted . In addition, a Re- I nspect I on fee I n the amount of $42 .06 per hour, (rit I n imum I ?our ) wi 11 be char,ged and must he collected by this department prior to any further Inspections being performed or appro,,,,al granted . X 9) PURSUANT 10 1994rUNIFORM BUILDING CODE AIL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PtAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY , MASON COUNTY BUILDING DEPARTMENT PEQUIRES 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 CODF WILL 6F ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . 10 ) No Ocoupancy . This structure is limited 'to U- 1- use onlv . 'Any other use will be in violation of the Uniform Building Code and Mason County Regulations unless a "Chan,,je of Use" permit Is appr,oved . X_---,_ 11 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL. LOCAL CODES AND OBC REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERM ITTFD AND APPROVED CLASSIFICATION . ANY CHANGF OF USE OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION . CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE , X 12 ) Changes to approved bul Iding plans that effect romp lance to the 1991 Wash inqton Stat�:x Energy Code, 1991 Ventilation and Indoor Air Quality Code, the Uniform Building Code and/or Mason Count Rulations must be approved by Mason Counfy prior jo construct.ion� tg__.-- 13 ) CONSTRUCTION PROCESS TO BE FIEL0 %CORRECTED AS REOUIRFD PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE . x— ------------------------- 1 h h ES N,RISMANSON ALPHA ADDRESS 120 NE HILLTOP STEEL TAHUYA, WA. eases BUILDINGS PARCEL NO.: 223331-51_00046 1724 COTE SPREE? P.O. sm 859 ENWa AV4 WA 98M m _J TO ALPHAS8117PU 120.08' 0 49 N 4V M l" \ g ' LA ' i �: ulu:'oo 11/09/1998 13:07 360-825-3181 ALPHA PAGE 01 STEEL' ILDINGS 1724 Cole Street BU (206 825-7768 Enumclaw. WA 98022 INC 1-800-854-4410 Robert W. Smith 2 C �7 Hares � ,v �3�,�0 , , �•Cft fM 1 lJ L� Ci 5, d7 J r A/5o rleQf / s -T 'S W CK-e l��lU Q lU -nAk /'no v to N S lama 7-0 y� r r17y - CONSTRUCTION NOTES - DETAIL NO. 1* Page 1 of 2 1. STRUCTURAL DESIGN Code 1997 Uniform Building Code Loads Roof Dead Load 5 psf Roof Snow Load 15- psf Wind Load 80 mph Exposure B - Based on site information supplied by Alpha Steel Buildings Allowable Soil Bearing 1500 psf at Grade - All footings to be placed on firm undisturbed native soil, The soil is to be free of any material that will effect the soil bearing design pressure of 1500 psf at grade. Contact Engineer of Record if site conditions are different 2. MATERIALS AND CRITERIA Lumber Framing lumber Hem-Fir No,2 Fb = 850 psi. All lumber to be dry with a moisture content of 19 percent or less. Building posts to be Hem-Fir No-1 Fb = 950 psi. Door posts to be Hem-Fir No.2 Fb = 850 psi. Posts and splash boards to be treated in accordance with AWPA Standard C2- Treatment to be with waterborne preservative CCA with retention of 0.60 pounds per cubic foot. Roof Rafters see plans for grade. All framing lumber exposed to the weather to be treated or painted. Metal Wall Straps 1 -1/4" x .031 perforated high tensile painted steel strap. Straps to be rated for 50001b. average breaking strength. Manufacture Carlsons Systems. Ph. 253 922 2701 Wood Connectors Galvanized Simpson Strong-Tie Manufactured by Simpson. Bolts, Nuts, Galvanized ASTM A-307 with washers between bolt heads Lag Screws and nuts and wood. Nails GALVANIZED COMMON NAILS. Space nails 2-1/4" C!c i,iinimurn,tit3nnPr and Nic diiii if rquired to prevent wow, s0ittinq. 19d nails to be 3-1/2" !ong - 20d nails to be 4" long. 13 LZ) A 797 Til vHdHh TBTE-5ZB-09E 8b:5T 866T/60/TT 11/09/1998 15: 49 360-825-3181 ALPHA PAGE 01 CONSTRUCTION NOTES - DETAIL NO. 1- Page 1 of 2 1. STRUCTURAL DESIGN Code 1997 Uniform Building Code Loads Roof Dead Load 5 psf Roof Snow Load 2�r psf Wind Load 80 mph Exposure B - Based on site information supplied by Alpha Steel Buildings Allowable Soil Bearing 1500 psf at Grade - All footings to be placed on firm undisturbed native soil. The soil is to be free of any material that will effect the soil bearing design pressure of 1500 psf at grade. Contact Engineer of Record if site conditions are different 2. MATERIALS AND CRITERIA Lumber Framing lumber Hem-Fir No.2 Fb _ 850 psi. All lumber to be dry with a moisture content of 19 percent or less. Building posts to be Hem-Fir NoA Fb = 950 psi. Door posts to be Hem-Fir No.2 Pb = 850 psi Posts and splash boards to be treated in accordance with AWPA Standard C2 Treatment to be with waterborne preservative CCA with retention of 0.60 pounds per cubic foot. Roof Rafters see plans for grade. All framing lumber exposed to the weather to be treated or painted, Metal Wall Straps 1-1/4" x 031 perforated high tensile painted steel strap. Straps to be rated for 50001b. average breaking strength. Manufacture Carlsons Systems. Ph_ 253 922 2701 Wood Connectors Galvanized Simpson Strong-Tie Manufactured by Simpson. Bolts, Nuts, Galvanized ASTM A-307 with washers between bolt heads Lag Screws and nuts and wood. Nails GALVANIZED COMMON NAILS Space nails 2 1/ c iMnimurn srannPr and pre drill if rquired to prevent WOO- ��c:`e spiittinq, lAd nails to be 3-112" !ong - 20d nails to be 4" long. z'�7s'7 11/09/1998 13: 07 360-825-3181 ALPHA PAGE 03 ��..M'v�Sr�E•F'Iyty :w:•n �:':. ':'.�•`"l".itb.,"�i.� y b y� .f �A, CONSTRUCTION NOTES -DETAIL NO. I - Page 2 of 2 Metal Roof Deck See Detail No. 5 for fastener size, location, spacing, and Metal Wall Siding blocking requirements. Concrete - Backfill & 2500 psi minimum 28 day strength. Footing Pad. 73 / 0 7s7 -;?1 FAX(425) 413314W LUMBER SPECIFICATIONS 10"S Sou+ 20'- .v0 "1/TPl 2 WAS FOKES •VOIR LOW 01JF%ATtOo( IWWASc - 1.15 • T t- -1::56 8 1- MU w 1- -22M � SITE SPECIE GaAw PADEL S) SP•CEO t••.0' G-C. T 2• -9546 B Z. 73" w 2- 2_26 <I TOP C110PM T ,• -%44 B 3- 10509 r '- �•_2i CL 1 2A 6 NF SS L- • m1WINC T •. -110d w 4- -;254 BOT1096 CHOWS: i L( 25 01•DL 1 5 01 DN lop CHOW - 10.3 PST 2x 5 W SS 1- 3 OL ON NOT Tom 0" 1.0 Phi LEF7 • 5236 I1:Q11 5208 Wm: TOIAL LOLD - 31.0 PSF 2>t a 1F STD/STUD l- • WADING "A aEWIV40 t5O- ;bN AINT 1 6.33 OF / 1.2.36 kF / 12.25 S?F TC WAN I'UFL111 -CPACIJG 28' GC. Ua1_ � 1-' JOTNl 5 B 33 OF / 12.06 W / -.2.25 SPT ec U47 PURLItl SPAc:mG t20' Oc. UON. OFT PJJIEL SPLICE NG IE. SADA T91JS5 WEGUWW ON EACH JOE OF POLE ail panel point 3pl i:es are located ODl 6 im FULL%)PMU AAO SEWEN TRUSSES LT Oulff& low TO 911R1l1 wAaw JFOIIOT30,m FOR et 1/5 tae panel length ./- 6' at LT ��p� ��AiV either en0 of the panel ind.cate0. T.{- �' I `�✓/) ~J _ except end Pa^e 1 S_ /f3"W J J I f Q 12 4"Qa a f2 �r1.7 a4.00 C- IL A C-314 3 C-3x/.3 `I rG C =m ,- ch i (i Y- I II G m m C-4ui1.9 C-2.5 6 C-541S1 C-414-3 CAXI1.9� = Nlilf9 LO m - i 26-00-L10 CDJO N TOT ?`16 1W. ln•s e5:an 0re0vec fro. c' er tnvw or Tr;n P-�.s 7n�s •>'t i Gil w.f. v��.Or.as r...►, v r o.wr arw a...rr.r�-...•+..r..r.r..� 1. Dm�b.�-•a b�s.rw CD TILE hq t�ar.i�rr.��r..ra...r.-d r•�..r.r�.r 2. Os*�..�to a:T r.r.Orr r r Lq.►r bAm rc •T01 �..r.r.`. z� ■.e..m a 12'-Cr oc _ Ql e 1 O.�.++••r..��cr r.r.rra.r.. i Y...aY....rl .N-a=v,no Mmson ons.orr. Q1 •r '...r+o—.+ a•++....a S. 0mv a..a.,e w-o..1.d u.0..a mftas..a..m ..-ML "TE_ 9�Z!-/19% �M�„+„r,.�0ia 0-ft-r r.�..M .twit'•.-o..A..:-1— ,.r.rr+r r...Ww F. Dr q.�.ws/W asr+•q r r a.BW W ah.—Sits.r�.....a m DES 6T: W f r�r,.rrf..•�r��+..�....r...r..r. .�s.v. UN .•ram..r.r./.....,s...r.r..r r.r rr.�r..a.•.+n• ]. hey.s..r..e.rw a,r.y-n on►O.d- yr 6-W rrr Y t m Pb dw AW lam d♦.•w...-rd a fs ciy 4ri dries-e r.R fwr�.r� .-I $�] 471808 - .ar.�•.r r awr..�ar��a..�...r•..r 9. OG*o./�Lal.�..d alre n.rats •...r.-.�►arr.w rr•..r,r.r war.. T O-:..►r.r/sq,-d...a td v.w�na.-.w,..c.t.a a�+.a•d.a rr r.d•-.Ir.r.wu....r..r..r...a.rr r aw 4A 62::. y,.,�..��....�..r1r-t.�..r......s.►r.....r.. 1 .Th-C.,.�Mn SWM-air n.nbcr.e ar Wo oa4.-CN'.V. wa.r•r a...rr w�.�....�...•.�.. r�wo'i•r+O••a•..1 a�. aatan.l i•ur. =s wwrr r•;��. PERMIT NO : BLD tJ� 5 7 MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner L-r e —16,715T/I hi(SUAl Contractor Name �L Mailing Address /7,,1 .c%L` /P70 Mailincg.Address � . U , / r City A►f/.Y,r' State, „4 Zip Code f!� City '.AAj Stated, Zip Code�12. ,Phone( ?LO) ;L� . i Other Ph.( Ph. G 6 ) -Other Ph.(� Lien/Title Holder Contractor Reg. # Address r..-� Expiration `7 / 13 / SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic —Connect to Sewer System Name of Sewer System We Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. / / Fire District Legal Description r. i r 1'l IN 3 '? i Site Address(Please include street name, street number and city) d 7 Directions to site Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water(Name) Vel Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building C e� Describe Work D,i � No. of Bedrooms.4l'- No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Garage Carport Other sq. ft. i MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Pri e Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaynin,' pproval. e X Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date ubmittal Amount Due 70 L Receipt No.�6//, QEP�lRT NTAI»'RE EW :APPR ....D NIEI i N ?11'1ON� atw� .... ........ ........ _ . . Building Department 8-9 Occ Group —f Type Constr.cSI`,J W ST Ccnrp tT� a S Planning Department Environmental Health Department Public Works Department Fire Marshal �Sb� ►g _42. Valuation $ c 9 Z- _.__ --- .. ....... .... ............................ ......... Building Permit Fee ¢,.+ S. ? Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other sT'- Fc c y•�° Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( 1 C z . 3 y ) :::::::.::::....::::::....:......................... ............ TOT AL FEES FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. Name L,CS C-A7,5T/IAJS0•J PARCEL NUMBER ,1,1-433/ T/01JOV4�; Date 1— 7,1—, ,8 SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property lliinQe4 I I Fadjacent property line Irf►I I I ll I I I � I I VAvAt-�, I I n n I I I 1 ' I I I I I I I I I I I I I I i I I I I I I I I I I I I I I I I I I I I I I I I I adjacent property line- ' I Fadjacent property line SAMPLE SITE PLAN adjar�nt property lined 32-0' _ _ 4i f-ddjacent property line D 30' rRESefivE gel c fiF f"P-1- Cj L ss 1 , 60' I R I VAGn.iT I T CsArtAC-E \ I 3o I OM1ofo3CD I �\ T A"=LLLTLLRAL $O I 1 I I \\ I I � I I I /D0 I I � c.+_.aLL I I I I I I I � /00' I I L.��GLL I i � I adjacent property line-� Fadjacent ro ert' line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE dtSt�ncm to ructL�Y� dib't'�r+LG to Siopm f-c¢ di.c+anam Sign re Date