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Home My WebLink AboutBLD99-1893 Final Inspection of Office - BLD Application - 12/15/1999 M SUMLEVED IN L SES �D1 .�9 PERMIT NO.: MIS U MASON COUNTY ELLANEOUS PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 2-5269 Seattle 206 64-6968 APPLICAf�I,T INFORMATION CONTRACTOR INFORMATION Owner KoM pia*,�s f Contractor Name Wm&P4 �TokysoAl Mailing Address_QD ffoY S-70 Mailing Address Al Oex 4W City"EvlE w State WA Zip Code qfrWG City QEc.F�► — State Wi4 Zip Code fi Phone(A o ) 3.7s--Gcro Other Ph.( Ph.(?G(> )27S'-G734 Other Ph. Lien/Title Holder W",r G.--rsf fT4wm --I) Contractor Reg. # S"TEr*T Address a Cac x ll ar y'13fiN Expiration PARCEL INFORMATION-12 digit Tax Parcel No. (22 3/ / _/ 9 0-� to Fire District_ Legal Description S3 I 21 kI f ZIA1 Pw .6c. R apt sHe,¢^ nyr, "L `(dS Site Address(include street name and city (07t E. 3 ,:--rAt tA/A Directions to site: Sr T6 RIZ- 3 �/ S_M t S 01V ALA-IW Will timber be cut and sold in parcel preparation? (Yes/No)d_ Is your property within 200' of the following: Body of Water(Name) No Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New X Add Alt Repair Other Use of Building Describe proposed construction of omicc(6✓� ,4-0Nr-r rfaicnWa PcFTc�I� 159-9 40t1191ivF 7MS (AfrPsr- -Itw w,,Tri 414 /nrA-errrw aN ewAtc + .— i2FM~c, SHORELINE PROJECTS New Replacement Repair Expansion Bulkhead Material (concrete, rock, wood, etc.) Length Height A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF PERMIT. i 3 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-I certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a the Contractor Registration Law RCW 18.27 and am aware of the 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 ordinance requirements regulating the work for which this permit is issued will be done in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall 1 first obtaining approval. be made without first obtaining approval. i X 4"%,- "-- Date �-�� 9 X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by /' �'"'1L,L Dat cal Sumbmittal Amount Due 42= Receipt No DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Occ Grp Type of Const. Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee Other UFC Plan Review Fee Other i Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES PERMIT NO.: MASON COUNTY PLUMBIN6%MECHANICAL PERMIT APPLICATION X. 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 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner KoN -54a-asa►•/ Contractor Name - Mailing Address 37,6 C. GAecwko-i Mailing Address City. (t"vvc-ti State, WK- Zip Code qrS-44 City State Zip Code Phone 3( 40 ) 275 -40c 0 Otlie Ph.( h.( Other Ph.( Lieu/Title Holder v% CAA r Contractor Reg. # j Address SS EcTd,4 WA 8x" ,fion SEPTIC INFORMATION Codhect to New Septic Existing Septic X Connect to Sewer System Name of Sewer System v-r- PARCEL 2 0-0INFORMATION-12 >#Tax Parcel No. (2. 3 / / /� / 9 (0 Fire District Legal Description T'T�5 Site Address(Please include street name, street number and city) S7 / 6, 3-I+749 kror 3 cc-'N r*77 Directions to site .57'77t-re e2TC c zoSS I-Ag m 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 Htca,�►a /U Repair Other Use of Building C&1ne 6�-f►« k/la-rE Location of Fixturesnits 1st Floor 2nd Floor K Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric j Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpum Toilets Type of Unit No. of Units Fees Bath Basins Furnace i Bath Tubs Heatpumps �— Showers Vent Fans I Water Heater Propane Tank I Laundry Wsher Gas Outlets Sinks Wood/Gas/Pellet Stove Dishwasher Direct Vent? Other Other Other Other Base Fee `Base Fee TOTAL PLUMBING TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR A13ANDONED 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 conformance therewith. No changes shall be made without j approval. first obtaining approval. X Date (0 2 S' c9 i X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. APPEt�?1FIwI�.:::>::::>:L31~NIE#3..................... s_ ......... . Building Department eZ10-91 Occ Grou - Type Constr. —Ili Planning Department Other Other ............................................................ •:::!;::::;:;:jj.............. iiiiin:4:.i+i:::::i:iiiiiJJiiiii:3i i:: iii:iiiij;iv:>ii::i:i:i:::iiii?i'rii iiii:L i:�ii:ii:};i^:': •. ................................................................... ..,.........::v:::.y Nv:::::•:::::::::::::::::::::::::::::::::::::::::v.�:::::::::•::::::::::.�:::. ;..:...:::.....: iii:i:::is ii....ii........i:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::...:.:::::::::::::::::.::�:::::::::::::v:::::...:.n:.�..:� ............................................................................................ .. Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee { Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee • _ Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES