HomeMy WebLinkAboutBLD97-0998 Final Garage - BLD Permit / Conditions - 11/19/1997 �_2V
Permit No. m
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670/1-800-562-5628
(Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269)
PLEASE PRINT
#1 ! r r�0�. (�'�+- a 65 Phone# 440 2- 7
'te Address A),6 371 ar/G G Fire District#
ity St zip lS8
Dire tion to Job Site - A f �/ a �' f
zJ ,&�It
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Owner Mailing Address sri�
City St Zip
Lien/Title Holder
Address
Clty 1 St Zip
#2 Contractor Name ��1- /Ly 6AAJ Contractor Reg# 5ALL-961tosear
Address 4PIP Expiration Date
City 14— St GJ,4r Zip Phone 6 -7
#3 If septic is located on project site, include records.
A)a Public Water Su I c Well �G
Connect to Septic? pp y/�
Connect to Sewer System? Pe) Name of System
(If residential, proof of potable water is required)
#4 Par I No. Z 2'5 O - 5 0 - D O L T
Legal Description Le+ ` cl (7L*- biosysx#0Le. t- �a1 �D UU Ply,-�S
P4P t"1251 , ('c40✓ , � VIA., sow C.-c�eJ-�� l��l,.
#5 Building Square Footage: �^
1st FI 2nd FI 1Z' 3rd FI Loft i'!5!r Basement
#Bedrooms #bathrooms Deck ,1f Other f�
Garage 1z
>5SF Carport �� (Circle:Attached or Detached?)
#6 Use of building 20• Describe work g✓ /d
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INF MATION
Model Year Make Model
Length Width Serial No.
#Bedrooms # Bathroo Type of Heat
Purchase ce$
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetland ke Marsh Saltwater Seasonal Runoff Other
Show following on the site plan
Lot Dimensions Fences
Existing Structures Driveways ,
Structure Setbacks Shorelines �J
Water Lines Topography
Drainage Plan Wells
Septic Systems Easements
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
t� -�►g -t'�i -P�S� t� ?S t
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S B I INSPE
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APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Uc-Dil-
Tvrof
Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
Showers Furn BTU
Hot Water Htr _ Heatpumps
_Laundry Washer _ Vent Systems
Sinks _ Spot Vent Fans
Floor Drains No. Boilers/Compressors
_Laundry Basins _ HP
Dishwasher No. Air Handling Units
_Disposal _ cfm#
Urinals No. Fire Protection Systems
Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 16.75 _ Auto Fire Sprink Sys 35.00
TOTAL PLUMBING $ No. Other
Gas Outlets
Wood, Gas, Pellet Stove
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 16.75
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. DEPA E
X OWNER X BY
DATE DATE 2— 1
FOR OFFICIAL:,USF ONLY:Accepted by: Date;
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
/y V%s✓/����'ti�.t.._ v-'C._Y'".Yi ljzi�% iff�"�I�.�t/l�^—i✓�,i '..1. ��+%',..C-e'i�-� �.�,'1 Wl.�"F.(�,ri
Environmental Health
OWNER/BUILDER TO ASSUME ALL
RESPONSIBILITY IF DRAINFIELD
AREA IS ENCUMBERED.
Building Plan Review & d �—��
t I�C pN h1 \� )
Occupancy Group:_ Type of Const: -:V—I)
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit �5 z 5
`� `✓ �`3�� Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee
OtherN(J. �L 775I. ll6
Other
Other
Building Valuation: TOTAL FEE
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CONCRETE ��x f�l ac gad MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
dat8 -/9- by Gas Piping date b
Foundation Walls date by Set Up
date l _/ by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by
PLUMBING Attic by OTHER
Groundwork date by
date b
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date / —/ � by + date by
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Building Permit #q7-oM MASON COUNTY
r
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location 371 jJ,4pty u m
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
!,-02L .#-A/ ,ter✓ '/T/:
:� GAS �"/✓YO ? ��T ROy/OG /�r�,$�"� f"7, � �.R G yi s
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You are hereby notified that the above corrections shall be made BEFO E
PROCEEDING WITH ANY FU13THER WORK
XCall for re-inspection when corrections are made before continuing
• Make corrections, items will be checked on next inspection
a OK to
Department
Date ! f� "' 7 Inspector '
DO NOT REMOVE ' IrHfIS WA G