Loading...
HomeMy WebLinkAboutCOM2002-00012 Final Cut 4 Windows Thru Masonry Wall - COM Permit / Conditions - 1/9/2003 , m /k22 / CD � q / / / -n /L) nmO ƒ CD m q o � / / / 0 / q r- / S ~ 0 0 _ D ° Cl)0 M m k C: � / ® - q � > d = Gs ® � z f / \ \ CD CD� � / 0 / k / \ \ s £ ° ƒ ƒ 0 © k ° a � O m m O m � ® \ ] E > z 9@ 9 2 o R < cn c% ' � . / a - e G O M 0 � Ea I Cl) 2 \ % ® O ° � Z CD 3 ° ® 3 M. r k ) % % / - > \ eae 0 EG ° ® # Io -u 0 / \ � � 0 � / / / / / \ co � � m .. .. / 9 / � \ > / ¢ \ > � cn A } \ ) � k Q \ ~ m 0 m � u Q g . . CD 7 C 0 CL > M -n :E / O 0 2 - 0 2 \ z O o (A / I f coCDCD § z0 � C I m ]_ $ / co / g ® 2 ¥ O Z ° 2 - / R ) 7 \ / & ko uK CL � /% / �� ƒ $ ƒ 6 / C � O nD w J2C am = 2 / Mcn Ft " � \ n m m CO0f @ q G X 7 m I = 3 _� f f § \ 2 ' ] 90 0 ƒ $ 0 O e 0 ° k 3 / \ 0 D c I 20 E 0002 a 2a c e ng � = 2 E 0 g o n § / J ƒ ] / / R � ? . C CC 3 - ff / � - CD \ \ s 0 / 0 . \ 7 x & G 3 2 = f 2 _ .. .. � _ m CD CD 0 E m � / O � \ / ƒ� - --CD � $ / � | � / . CDCD � $ E < C) \ % & / / % cngg2 ® » ° & o \ ` $ % e ce \ Ot /o ro # / / / $ \ i � 00 w K % @@ C) O O -0 w =r Z CD m o �- m C) `G (D Q- Oct n < c) Z0000 -icnD -o "o ^ O D 0 0 or 3 mp o ( m cnmD = roc m 3 Q - N D o m DCZj� ,� mcQ mcDi� m -D� m � � ° 3 �� 3 G) m `< 8 -� o q cn 0 � m m c 3 - m � = I � � 0 Q -im0 = -icnD CD Do a c � � I �coDm o <� - � 0 c �p ' n CD o 00Z Q0x � m oac r ��p o CD p � O�zC° m�m . fJ wmoa N = CD cr Z0 C/ C: m Z 0 o -nC mo �a m cr z n0� ; _ � � �o 0m - Cn w - ZO m W ' 0 � ( m0 m a(D O - Zm XQca o _c 0o m o cn O 2 2 W °� m a W c Q :3 CD ° r Q- m Er D � � M > - m -i m =3 � m p' < � = OXO � c (D < 2 G) r, , D � OmnO � z CD Cl) _. 0 o 00 o C: 0 D � r_r- � 000 0 CL � CD Q m �7 Q Q. o F- - Z z0 o � O x m °� � pO � Dm (D a 3 0 0 � 3 = O n m � cn a w m 0 0 Q OD -jD cD Q 0 m o W � _0 CT n � _. m 0 Q = CD 00cnzDpW � m -n (Dn X � O � Dz (� lu m -� jai c C) C� c 0 Q � o oO � Or � am o 0 Q n D y CD Oz Om ° O m c � MZSci: ZK "0 0-' CD 0 o c o- -- � 2m -Irks' o 3 - ? cmczncu < -i 3 o -� o z lJ �' CD 0 ` � 0 � m � � D ? � Z N �1 0 � 0 ? Z C) 000 < Q - 0 C Cn C CD m c � _ rm Q. o o o Cl) a m (n � Z - ZmD o - O -n O -n n (p mO � 0ZT ° 0 7 N Q N O c n Q 0 C) ai � � Dmr0 .=) a 0 > of o n m Z) XCm %00m � a a C. m m 0 o � r= zKrCO- z m No cc � I 0 c Q � 00cnmmc - - N CD o o Sn z OL � Z -uZ -n o � `1` Q o �� o m G) 0 W -a -a a m i W � m pn � mp �m CD -0 „ C m gn c � -� m00 £) � cn p 3 D m m r O x � � Z C = O rn �' Q m m � 1 CD z C) Z � mm (D C c� G) G) r m � �' Q O O r (Q O D 7 >' W Q M O -n m v v v m CD N j 0 o Q D a) V V v n c S. (n (D 7 p_ fl A (n CD D fA 3) 0 N _0 OL A J P iD C (D <D V )1 V O O rn r N O b b b W 3 (D J N h Q P � ((DD O CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Rbbbons date by Gas Piping date by 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 Attic OTHER Groundwork date by date by WALLBOARD NAILING D.W.V. date by date by FINAL INSPECTION Water Line date by date by % date by �—/.� 1,3 r FORM MUST BE COMPLETED IN INK D PLEASE PRESS HARDR "1 it MASON COUNTY u BUILDING PERMIT APPLICATIORB 0 4 20 416M`� 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467.Elma 360 82-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTO . ,,z s Owner n �I Contractor Name NC - Mailin Addr ss - Mailing Ad ess City ( K State Zip Code City Q A' Q - State LOA- Zip Code Phone( Other Ph.( Ph.(�)ZW673 Other Ph.0 Lien/Title Holder Contractor Reg. # ,STe Address Expiration 'SEPTIC/WATER SYSTEM INFORMATION-Connec to New Septic Existing Septic Connect to Sewer System Name of Sewer System _ Well Water System Name of Water Syste PARCEL INFORMATION-1 digit Ta Parcel No. / 44 L/ 001 Fire Distric Legal Description !TR Site Address(Please include street name, street number and cit 7— 1 Directions to site All tlmbe.r be cut and sold in parcel preparation? (Yes/No)/V Is your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building IBC Describe Work '1- /! No. of Bedrooms No. of Bathrooms SQUARE F TAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model 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. 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-1 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 conform ith. No changes shall be made without approval. first obta' ' app val. X Date X Date Z o 2- FOR OFFICIAL USE BEYOND THIS POINT Accepted by Da _(--ZL Submittal Amount Due Receipt No. ::E;.:. .<::: . APPRQVEfl :> ; :<<:>:>:.....I P kRTM :.:: i '.REVI ::::::::::::: »>»::>::;»::>»:: :::: .; .>:.:. : : . :"".::::::..... ._................ Building Department e G Occ Group Type Constr. R-t c Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ XX Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES PERMIT NO.: BLD MASON COUNTY BUILDING PERMIT APPtICATION O� 426 W.Cedar/P.O.Box 186,Shelton,WA 98684 Shelton 360 427-9670 Belfair 360 275-4467.Elma 360 482-5269 Seattle 206 464-6968 AFPLICA TAFORMATkON CONTRACTOR INF RMATION Owner 00 In ld. Contractor Name �klni,7S n —OV C Mailin Addr ss . 0 o x Mailin Address P. Ca ox `� City. • I A•I "It State_L LZip Code 5' City F f A►t� State r4 Zip Code Phone( Other Ph.( Ph her Ph.( x Lien/Title Holder Contractor Reg. # 5� Address Expiration 6. SEPTIC/WATER SYSTEM INFORMATION-Connec to New Septic Existing Septic Connect to Sewer System Name of Sewer System _ Well Water System Name of Water Syste i i f PARCEL INFORMATION-12digitTa4 Parcel No. / 41 Fire Distric i Legal Description �r +� Site Address(Please include street name, street number and city f 1p Directions o site »h L4 t,4 r 111 timber be cut and sold in parcel preparation? (Yes/No)/U i Is your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building ► C Describe Work % "+ u No. of Bedrooms No. of Bathrooms SQUARE F OTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) I_ Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF j 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-]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 conform a ith. No changes shall be made;without approval. first o app Val. bta' X Date X Date Z J- FOR OFFICIAL USE BEYOND THIS POINT I Accepted by -e .� Da ` _ ,L Submittal Amount Due Receipt No. ....................................................................................................... . ... ........._.._................................................................................................................................... ?EP#RTM N74.::R*V.1� �4PPRQVE#� D f iEp. t ND:IT ? i t >::' .... .... .... .... ....... ..... ....._.__ _ _ _... Building Department - e c Occ GroupType Constr. I'� �'I 1 .r � ��� � � • Jul Planning Department a ,� r Environmental Health Department Public Works Department Fire Marshal Valuation $ :.iii:. .:::.i:. i::::::.:::':::::^isv':•i'.::iiiiii:.ii}iiii}i:.iiiiiiii:.?i}i}iiii:�i:.i:.i::•i:::+:^:::::ii:.......:'.::::.:::::.iiiJ E :i:::.:::::::':::::':::::'iiiii. ;;;;:::":'ii::<n»:a;::a;..................:.....::.iiiii::::d:t:i}i::i::i:a:i: :.ii::.:i:.:�>::<Y:iii::::t:::::5?:{ .....................................................................................:.........:.....:.............:.....:.:.:. :::........................:..... ......::::::..�.: Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES PERMIT NO.:rBL� MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 2754467 Elma 360 482-5269 Seattle 206 464-6968 .. APPLICANTK1fORMAT ON CONTRACTOR INFORMATION Owner 6 f1 vz Contractor Name e 1t Suq=yC Mailino Address ox q E516 Mailing Ad ess U flx City 1111k I rC State�.1-Zip Code S! City e ,4 State fl} Zip Code Phone( Other Ph.( Ph.(,3k d )2-75 67,1 Other Ph.C_ Lien/Title Holder Contractor Reg. # S-t C jD 1i N 19VLLO Address Expiration��/�/ � SEPTIC/WATER SYSTEM INFORMATION-Connec to New Septic Existing Septic Connect to Sewer System Name of Sewer System P f /1 Well Water System Name of Water Syste PARCEL INFORMATION-12 digit Ta Parcel No. /�_/ Ott Fire Distric 2- 1 Legal Description ✓ .;C: Site Address(Please include street name, street number and ci Z.31 10 Directions o site 041 NW4 -3 w L ' (n - ' III timber be cut and sold in parcel preparation? (Yes/No)AJ Is your property within 200'of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs 1TYPE OF JOB New Add Alt Repair Other Use of Building JC Describe Work C N t 'vt u ti l.0/' No. of Bedrooms No. of Bathrooms SQUARE F OTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model 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. f NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR* 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-I 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 one in conform ith. No changes shall be made without approval. first obta' ` g appr val. X Date X Date Z Z FOR OFFICIAL USE BEYOND THIS POINT Accepted by Da " --�-Submittal Amount Due Receipt No. n V ND ETA RE f ) Ti ON Ct►pIM Building Department C Occ GroupType Constr. ti!� k�1�� I r 1 C �E L�C VqW v\� Planning Department Environmental Health Department Public Works Department i Fire Marshal Valuation $ FEES . ........... .. . .. _ ...... . _ ....... W . .: Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee . Plumbing & Base Fee Public Works Review Fee , Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal :•:yj.`:A:•:t::<i:t}:>•:i:::e•:s•:•:•wr�:y•:n:y.{�.:,a',::<a:.>}•K}s:«:•'t:::•:'x...:r�;:.t>c::M ��a•: : :+:7r'.�rSi2.:.',.:.k:,i+:.r...,:.r•.,t...r...r•vr•y:'+•.;r''rdfiH:••>::.r>r:•;r::•r•.rr:::.»:.r:.;:.r:.r:.::::;.:;.r:.: TOTAL FEES ........ ...., y. ••'y�f•.. ::::td: •r.$x;;::':;: