HomeMy WebLinkAboutBLD94-0796 Cancelled Remodel - BLD Permit / Conditions - 6/1/1994 «
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date tr Ribbons
date by Gas Piping date by
Foundation Walls date by Set up
date by INSULATION date by
BGrAM Insulation Floors Final
date
by date by date by
FRAMING FIRE DEPT.
date Z_2 a by dated by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date 'Zby b,4,o date by
Water Liv FINAL INSPECTION
date by date by date by
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MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(206) 427-9670
Job Location
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
C11 � 4
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
❑Call for re-inspection when corrections are made before continuing
a Make corrections, items will be checked on next inspection
O,QK to f.7crQh
Departme<hLn
Date Inspector b2 z4
DO 'NOTIMIA0T- AC
_ Permit No.'
MASON COUNTY
BUILDING PEFOWITAPPLICATtON quo
426 W.Cedar/P.O. Box 186, Shehdn,WA 98584 427-9670/1-800-562-5628 � �n
PLEASE PRINT
#1 Owner U Phone#
ite Address- Fire District#
City St (AA Zip `� 5Z V
Directions to Job Site 3 -
s
Owner Mailing Address Z-
City St l
�
Lien/Title Holder
Address
city St •Zip
I
92 Contractor N e ntractortDate
#eiic ® 9 Nl
Address WO- 26X '"2 cl n /
City 5W4,,00X St zip-An "1. �lZZ—S'11
Fs
#3 If septic is located on project site, include records.
Connect to Septic?-->C Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
_
#4 Parcel No,12`Z 3 2 -� 01110
Legal Description
Square Foo e: (existing/proposed)
f2L
2nd FI / 3rd FI / Loft /
asemen Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq.ft. /
Use of i i
Describe work
I
I Type of Job: New Add Alt _Repair Other L`
MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model-1:TU1
Length Width
E #Bedrooms #Bat ms qoih6at
Purchase Price$
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
Show following on the site plan
Lot Dimensions Food Zones -
Existing Structures' Fences
Structure Setbacks Driveways
Water Lines f" Shorelines
Drainage Plan Topography
Septic Systems. Wells
Proposed Imprpvemer4s Easements
Name of Flanking Street Indicate Directional by (N, S, E, W) fa`
Name of Fronting Street in relation to plat plan
APPLICANT TO DRAW SITE PLAN BELOW
I -
APPLICANT TO DRAW TOPOGRAPW PROFILE BELOW -
! PlumbeEig Fixtures(S3 each) hanical Figures ($6 each) t~
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs NQ. Untts E
_Showers _ Furn BTU
_Hot Water Htr Heatpumps
Laundry Washer _ Vent Systems
_Sinks Spot Vent Fans
_Floor Drains NQ. Boilers/Compressors
_Laundry Basins _ HP
C _Dishwasher Ng*, Air Handling Units
_Disposal _ cfm#
_Urinals Niz. Fire Protection Systems
_Other Auto. Fire Alarm Sys 50.00
xed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 _ Fire Sprink Sys 25.00
TOTAL PLUMBING
_ Gas Outle
Wood, Gas, Stove
NOTICE': THIS Ell RECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOTCOM- _
MENCED WffM 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee •00
WORK ISS I OR ABANDONED FOP IA PERIOD TOTAL MECHANICAL $ oo
OF 190 DA AT A Y 'TME AFTER WORK IS COM-
MEK D, QN QN INU01911111 OF WORK IS BY
MEANS tNSPECI'ION.
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 WASHINGTOWAND I
RCW 18.21; _µ�AliA AWARE OF THE MASON COUNTY AMAWAREOFTHEORDINANCEREQUIRFMENTSREGU-
ORDINANCE BEM ENTS FOR WHICH THIS PER- LATING THE WORKFORWHICH THE PERMIT IS ISSUED
MIT IS IS AND THAT ALL WORK DONEVOLL BE IN AND ALL WORK DONE Wilt-BE IN-GONFORMANCE
CONFOR REWITH.NO CHANGES SHALL BE THEREWITH.N DE WITHOUT
MADE WI"_UT FIRST OBTAINING APPROVAL FROM FIRST OBT _ . III
THE BUILDING DEPARTMENT. DEP ->
X OWNER X BY _
DATE DAT
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DER�kRTMENTAL REVIEW
le0 OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review wLL
Occupancy Group: Type of Const:s-rQ
Fire Marshal:
Other:
FEES
Special Conditions:
Building Permit
Plan Check S eD
rvl t Plumbing Fee
Mechanical Fee f.00
Wood/GiWPellet Stove °O
Radon Monitor
Violation Fee
Site Inspection
Building State Fee y S�
Other y
Other IS.SC
Bullding Valuation: TOTAL FEE
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RES TIAL • COMMERCIAL 9 INDUSTRIAL • AGRICULTURAL
LLL
Design/Engineering Services • Complete Roof/Floor Systems
TACOMA FAX SEATTLE
847-2204 847-27 622-7199