HomeMy WebLinkAboutBLD94-1214 Final Garage - BLD Permit / Conditions - 2/2/1995 Permit NZW9-lV q
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BUILDING PEI MIT APPLI AMON
426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670/1-800-562-5628 Th"k
PLEASE PRINT
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#1 Owner s /t/ 106AI, 404P ' 1 Phone# 7y,3
Site Address /7 Fire District
city ' St WIN Zip
Directions to ASlie 48
Owner Mailing Address 1(p�2 1 4,u IA �t,(
city LA 1i (Mod st-UIA_zip R 8 03
Lien/Title Ho er •
Address
City St zip
#2 Contractor Name S Contractor fieg# She �lfS+9�CZw
Address lee' SZ/ cu Expirationbate
city V.V rl St AJ 0 zip 9Lf'4 37 Phone# 74{3 -!5�
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System
(if residential, proof of potable water is required)
#4 P 1 -7- ago 5`/
I Description 4ff 1 v
_ 5cc o'Z-J� raid
#5 Building Square Footage: existing/proposed)
1 st FI �'�/ 2nd FI J /_ 3rd FI �— T— Loft— /
Basement Deck / / #bedroowa-- / #bathrooms /,—
Garage_ / 0 !Carport ��/ '�— (Circle:Attached or Detached?)
Other �— sq.ft. �-
#6 Us of building Describe work
I
#7 Type of Job: New _Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION [BEWROWROD
Model Year Make Model
Length Width Serial No. Au6 8
#Bedrooms #Bathrooms Type of Heat
Purchase Price$ XH SER
Y v
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
I . _ _
Show foUQwi On the site plan
1..
Lot Dimensions
Existing Structures Fences;
eructure Setbacks` Driveways
ater Lines Shorelines
Drainage Plan Topography
Septic Systems ` Wells
Proposed'Improv6ments Easements
InbiCate Directional by ,. �. W)
Name of_Flanking
$tn3et ' ' •` '
in relation to plot h.
Name of Fronting Street
APPLICANT TO DRAW SITE PLAN BELOW
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APPLICANT TO DRAW TOPOGRAPHY PROFILE ZELbV _ ,
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H�T.. A3p,
Plumbing,Fixtures($3 eachl Eeft Mnical Fixtures(, 6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump,Other -
Bath Tubs I& Units Fees
_Showers _ Furn BTU
_Hot Water Htr Heatpumps
_Laundry Washer _ Vent.-Systems
_Sinks _ Spot Vent Fans
_Floor Drains Ng, Boilers/Compressors
_Laundry Basins HP
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_Dishwasher Ng.. Air Handling Units
_Disposal _ cfm#
_Urinals NQ,, Fire Protection Systems
Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 Auto Fire Sptink Sys 25•0
TOTAL PLUMBING $ Na. Other
_ Gas Outlets
Wood, Gas, Pellet Stove
NOTICE: THIS PERMIT BECOMES NULL AND 'VOID IF
WORK OR CONSTRUCTION A COM-
MENCED WITHIN 10 DAYS OR IF -OR Permit-Basic Fee 15.00
WORK IS$US i--DORAB/ NOCNER APERIOD TOTAL MECHANICAL $
OF 180_10A]E'S.T IMY T _AF R—WjM-jS COM-
MENDED,PPNW--0FCONR1NUA10WOf)NORK IS BY
MEANS OF.A PROGRESS INSMAIM.
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 000NTY AMAWAREOFTHEORDINANCEREQUIIIEMENTSREGU-
ORDINANCE REQUIREMENTS FOR WHICH,TH1$,PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED:AND.THAT ALL WORK DO E WILL BE 1N AND ALL WORK DONE WILL BE #4 CONFORMANCE
CONFORMANCE THEREWITH.NO CHA ES SHALL BE THEREWITH.NO CHANGES SMALL^MADE WITHOUT
MADE WITHOUT FIRST OBTAINING AP ROVAL FROM FIRST OBTAINING APPROVAL F THE BUILDING
THE BUILDING D R ENT. DEPARTM
P r<1't"
X X BY
DATE_ DATE �3=
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DEPARTMENTAL REVIEW
-FOR OFFICE USE ONLY _. ..
Approved Cond. Hold
Approval
Planning:. 5-0 JL�: i C) RLC, C14 1411
Environmental Health:
• ICY
Building Plan Review
W
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing
Fe
e
Mechanical Fee
Wood/Gas/Pellet.Stove
Radon Monitor
Violation Fee ;
Site Inspection
Building State Fee �—
Other
Other
e ,
Buikfing Vaivatiort: 10.3 4 TOTAL FEE
HOME OF
i TOE •
Conr_ Suite B• 16521 Highway 99•Lynnwood,WA 98037-3161
POSTt Everolt(206)258-4'171 Puyallup(206)840-9552
t Administrative Headquarters(206)743-1555
�— FAX(206)742-1691 Toll Free 14M824-9552
aysa+� Contractor's Lic.if TOWNCPF099LT
Quality:Our Future Depends On It."
Site Plan
PLEASE CHECK:
0Property dimensions OSeptic and drainfield ❑Access to proposed building
OExisting buildings ❑Sewer lines Mot size
❑Proposed building OSetbacks of proposed and OElevation of property
❑Easements existing buildings ❑Bodies of water
❑Main road with name ❑Floorplan
Job name:D06a Id 4-T 11 1a 1PuJiS Job Site Address: F I'7357/{ Nk/S/ • S
Legal Description ��y✓► N1 a < '?g 5;y
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Owner has verified and approv the..lion of accessories,orientation of the building to th o ,and v ie items specified in paragraph
B of the contracture shown tois'drawing and vice versa. Customer signature:
office(white) production(canary) producion fpink) customer(9olden.od)
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date - 1 byA Gas Piping date by
Foundation Wails date setup
date by INSULATION date by
BG/SLAB insulation Final
dell by
date by
FRAMING date by Walls RE DEPT.
date by date date by
date by
PLUMBING a OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date by
Foundation Wails date byr setup
date by INSULATION date by
SGISLAB 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
date by date
Water Line FINAL INSPECTION
date by date by date by
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CONCRETE MECHANICAL MOBILE HOME
Foolings-Setback date by Ribbons
date by Caas.Piping date by
Foundation Walls date get Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by
FRAMING date FIRE DEPT.
Wal
date by
I PLUMBING dated OTHER
Groundwork
Attic
date date by
I D.W.V. WALLBOARD NAILING
I date by date by
Water Line FINAL INSPECTION
date by date Z,9Z/� date by
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MASON COUNTY
BUILDING ill 426 W. CPDr.R
SHELTON, WASHING
(206) 427-9670
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Job Location 17 35-V t y
This.structure has been insFected by Mason County Building QeWMnent
and the following VIOLATION of County Laws and Ordinances has been
found:
Items listed below must be corrected to gain code compliance
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You am hembyrfmdfled thatthe above correctlons shall be made BETE
EDING WITH ANY FURTHER WORK
all for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑OK to
Department AIcQ;
Date ,�1— /y1 Inspector ��