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I I Z r co CONCRETE MECHANICAL MANUFACTURED HOME y 91 Bate L'y ,. Cl) o_ Footings !Setbacks Gas Piping Ribbons 0 N Intanor Date By Interior-Date By Date By Z [xtedor Date By Exterior-Date By set-up 0 Point Load!Isolated Footings INSULATION Date By Z BG 1 SLAB INSULATION --Ipate By" Dato By FIRE DEPARTMENT < Foundation Walls Floors Date By TI Date By Data By DECKS 55 m FRAMING Walls Date By p Data By Data By PROPANE TANKS CAI PLUMBING vault Date By Date By OTHER Groundwork Attic Type: Date By Date By Date By D.W.v DRYWALL Type- DateInt Brace Wail Date By -a gY Date By FINAL INSPECTION 0� Water Line Fire Seperation r Date By Date By Date P /0"',cf:>F? By77? 0 Pass or Request Inspect. 0 Type of Insp. Fail Date Date Done By Comments v a 8 o' n 0 m El 0 Case Activity Listing 8/12/2008 8:05:38AM Case #: BLD96-01210 i� & D 'V 4r24t4ron S Assigned Done Activity Description Date 1 Date 2 Date Hold Disp To By updated updated By BLDA010 Application received 9/27/1996 None 9/27/1996 KW BLDB200 Environmental Health Review 9/27/1996 10/1/1996 None HOLD PSD 10/15/1996 DLS This is an internal remodel.There are complete septic records.they need to pump and/or inspect the tank.psd 10/10/96 The pumpers report was submitted and added to the tin bin.psd BLDB130 Planning Review 10/3/1996 10/3/1996 None DONE MMS 10/3/1996 MMS BLDB135 Addressing 10/1/1996 10/3/1996 None DONE GMM 10/3/1996 GMM BLDB138 Planning Pre-Review 10/3/1996 10/3/1996 None DONE MMS 10/3/1996 MMS BLDB110 Structural Plan Review 10/3/1996 10/11/1996 None DONE DH 10/11/1996 DWH BLDB120 WSEC Compliance Review 10/11/1996 10/14/1996 None DONE TDH 10/14/1996 TDH no changes...light switches only for partitioned walls. BLD13009 Fire Marshal Review 10/14/1996 10/15/1996 None DONE DLS 10/15/1996 DLS BLDB200 Environmental Health Review 10/15/1996 10/15/1996 None DONE PSD 10/15/1996 PSD See above.psd BLDA100 Approved For Issuance 10/15/1996 None DONE KS 10/16/1996 KS BLDA920 Miscellaneous action 10/22/1996 None DONE KS 10/22/1996 KS SENT TO BELFAIR TO BE ISSUED. I I Page 1 of 2 CaseActivity..rpt I Case Activity Listing 8/12/2008 8:05:38AM Case #: BLD96-01210 Assigned Done Activity Description Date 1 Date 2 Date 3 Hold Disp To By Updated Updated By BLDA500 (F)Issue building permit 10/22/1996 None DONE KS 10/22/1996 KS BLDA560 Permit cancelled 3/9/1999 None DONE KW 3/12/1999 KW Page 2 of 2 CaseActivity..rpt Permit No. MASON COUNTY BUILDING PERMIT APPLICATION fib' �V 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 04ter Address C1 E 4X .*gi4 15istrict# City _Zip 5��2 Directions to Job Site Owner Mailing Address, City St Zip_SAS Lien/Title Holder Address Clty St Zip #2 Contractor Name Contractor Reg# Address Expiration Date City ' St Zip Phone# #3 If septic is located on proj site, include records. Connect to Septic? Public Water Supply Weller/'� Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 Arcel NoX -al Description Ti2. 5 oP n P n #5 Building Square Foot (existing/proposed 1st FI / n FI / 3rd FI / Loft Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq. #6 Use of buildi �U ��— h G`�4`�5` Describe work �� #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFOBMAfflON te jnL 0 Model Year M Model tV1 RMLength Serial No. #Bedroo #Bathrooms Type of Heat SEP Z s Pu se Price$ ALTH SERVICES i #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 Al IZA Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography I 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 i 1 i i I 1 APPLICANT TO DRAW TOPOGR PHY PROFILE BELOW r E i � �y i Plumbing Fixtures ($3.25 each) Fee Mechanical Fixtures (S6.50 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, —Bath Basins Heatpump, Other —B th Tubs lye. ni Fees —Sho ers _ Furn BTU —Hot War Htr Heatpumps —Laundry Washer Vent Systems —Sinks —� Spot Vent Fans —Floor Drains No. Boilers/Compressors —Laundry Basins ��� _ Hp —Dishwasher No. I=nn Units _Disposal Cfm —Urinals No. Fir Pr i n Systems —Other — Auto. Fir I larm Sys 50.00 Fixed Fire pp. Sys 50.00 Permit Basic Fee 16.25 — Auto Fire Sprin Sys 35.00 TOTAL PLUMBING $ No. Other } — Gas Outlets Wood, Gas, Pellet Sto 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 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 OBTAI ING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTM DEPARTMENT. X OWNER X BY DATE DATE FOR QFFICIAL c,sE tfLY:Acoepted by: Date: ` �- DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: V) l0 13 Environmental Health: J Building Plan Review Occupancy Group 4 Type of Constp-Vir Fire Marshal: Other: Special Conditions: gas FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: TOTAL FEE MASON COUNTY PERMIT ASSISTANCE CENTER Mason County Bldg.III 426 W.Cedar P.O.Box 186 Shelton,WA 98W (360) 427-9670 Belfair(360) 275-4467 Elma(360) 482-5269 Seattle (206) 464-6968 August 4, 1999 MASON COUNTY FIRE DIST. PO BOX 277 BELFAIR WA 98528 Re: Add Partitions (460 NE Old Belfair Hwy) Certificate of Occupancy To Whom it May Concern, It has come to the attention of Mason County Permit Assistance Center that the above reference permit has expired and has not been finalled or issued Certificate for Occupancy. Pursuant to the 1997 Uniform Bldg code, Section 109 . 1 Use and Occupancy. No building or structure shall be used or occupied, and no change in the existing occupancy classification of a building or structure or portion thereof shall be made until the building official has issued a certificate of occupancy thereof as provided herein. Issuance of a certificate of occupancy shall not be construed as an approval of violation of the provisions of this code or of other ordinances of the jurisdiction. Certificates presuming to give authority to violate or cancel provisions of this code or other ordinances of the jurisdiction shall not be valid. A fee of $42 . 00 will be charged by the Building Department to perform a final inspection on an expired permit. This fee is required to be paid prior to scheduling of the inspection. Please contact Phyllis Bunison (Ext. 355) to make the necessary arrangement to schedule an inspection for the purpose of obtaining a Certificate of Occupancy. Thank you for your cooperation, Tami Griffey Building Inspector III Code Enforcement (360) 427-9670 Ext . 356 * JOB M G ED CONSOLIDATED ENGINEERING OF C z SHEET NO. P.O. Box 2321 BREMERTON, WASHINGTON 98310 CALCULATED BY �S DATE (360) 479.5598 CHECKED BY DATE SCALE �a 2,>C G'- t3 La-Kt►y G� C�'i4 ' °lc, 16�f ►�a►1- Voss2-1 ES 6-1ti/1 C EILIN G 2�c(; -rap PL _ 2 � 6 sT�psLt6 ''�h VjA �- � 6d I•�a�4s B. BOUT, t4- ��9'c IN ft�LD U x G4JCi35{3� VN SLoclkED 14. EXPIRES, -- — 2 >C ( B aT'T -Sl t T( a 1,4 (/-JA L L e-c_-v N T -- - DRODN:T 7N 1 fSmgO SWN)705-1(P~j ti JOB-- m c- 7 �� I s M ( c CONSOLIDATED ENGINEERING - F.O. Box 2321 SHEET NO. OF �_�) BREMERTON, WASHINGTON 98310 CALCULATED BY TT DATE (360) 479.5598 CHECKED BY DATE SCALE -Trzus;5 E-5 2� FAA--T off' oc-c.v PAMC r 2�6 srya G� = 0, 75 tAJALL (TA 13lF:FT " `•" WA LL �a o I-E/FT = L12, x I axo7s �c (o N ��!►� G tzCQu��c�+ tiiT ; v5 2 sTvp s C% f 6 ";'c. US _ NAILS 7 % Eb,'-BLS 9� FITI,D ( iJN6LOc kETA) 7 13 , 5 L ig/�i CorlNL- "(-iori To Lon1G = US >� I-z ANc4ap- soLT S c.AN g t- (Z ES I S-r e T B Y Col T C) Ceo f l - w/l 6 d N A I L S rJ E 2- or-4 TPP PL LAp = 2K ( vg # zi6 4�x13, 5 �11Ff- S4�l o V PROWU M4 a(Sinale SAMs)Tay-1 IPadM)