HomeMy WebLinkAboutBLD93-0335 Final Replace Bedroom - BLD Permit / Conditions - 9/27/1994 s. M jW
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback ate by Ribbons 4
date by Gas Piping date by
Foundation Wells date y Set UP .
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
.fa WellsFIRE DEPT.
I date by by date
PLUMBINGdat
PLUMB date e OTHER
Groundwork Attic
cite
dateby by
D.W.V. WALLBOARD NAILN Q date die by
Waterline FINAL INSPECTION
date by date by date by
�m �t K Ynd� c,�►k ��
Permit No. u�
rn MASON COUNTY
DING PERMIT APPLICATION
PL 0-h4DOTP,0,f� I,3-0t s2
#1 Owner Q H I L P F lA H L Phone# C 2 d�� 3 2 w - 2 3 0 7
Site Address N F— 110 PAm rti r & L-AkkE- rho.
C .tY„QQEw E.�ttTOM St W A Zip 9$ 3 12
Dirac@.#4ns to Job Site wesz 4PA4 BeAn- cdLar= L iko4a
40WOO R-IG1-4T k' THVea- P-064b
Tw*A 04 ILL GW-T 14T F,4LST 10Qt0C —J64 L( YL 1 00 va"s
Owner Mailing Address '7 So 1 b A dam' G
City S F-.4,-r Tc..f St UI Zip
Lien/Title Holder "' � N 0 9E P#41 c- Pr--H L-
Address -71 ,> 16 A-v4f- 6
City 5e. 4 T c L C St L✓r4 Zip
MO4 At0v.# Ko wF (LESr0-(LA7j0Ae
#2 Contractor Name A 2 c t4 t-FFiwa!` Contractor Reg# R0414 0 14&o g8 O 0
Address 1 R 3ct (crta AUIE E. Expiration date / 2-0 / qq-
city StUA4'Zip` V(1-2- Phone7-!LV:) 3z`► 6r 3q
#3 If septic is located on project site, include records.
Connect to Septic? *-/F-S Public Water Supply Well x
(If residential, proof of potable water may be required)
#4 Parcel No. LOT _ 34k p OW6 O 1 D1`I
Legal Description ^#&Tf46*- L_41e-v -7- A cTS
#5 Building Square Footage: (existing/proposed) (ZP-PLAc.t Ex'sz�,�6 Aed�Tio,v
ist Fl 312-w/ 2nd Fl 3 z*/ 3rd Fl / Loft /
Basement / Deck / #bedrooms—_ #bathroome I
Garage / Carport _ / (Circle: Attached or D'ebached?)
Other sq ft /
#6 Use. of building RS S 106 P- Describe work
WI SAG 064M A 61?A 1µ UVIA44 STO- -04
#7 Type of Job: New Add X Alt Repair_A_ Demolition
Woodstove Re-Roof 2 Bulkhead Other
#S MOBILSHOME INFORMATION
Model Year Make Model
Length Width Serial No.
#Bedrooms #Bathrooms Type of Heat
#9 Any water on or adjacent to property: saltwater lake x.
river pond wetland seasonal runoff
other
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences sA Z
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Scale:
Name-of Fronting `Street Date:
APPLICANT TO DRAW SITE PLAN BELO
377 '
G�
y-40 cL t3.
rc a
SIN
PLICANT TO DRAW TOPOGRAPHY PROFILE BELO
24-1 0-1S tt , 7- L7 _0
LAMA
1
Z4-
ri each) En
llo.�.�.Tb'�lete Vent Systems X 3 .00
Batt* Hie ni Vent Fans X -3-7906$Q
No. Boilers/Compressors
Bath Tubs 0-3 HP - .00
Showers
H 3-15 HP --�-�
ot Water Htr
15-30 HP —.-
i Laundry Washer --�-- 30-50 HP 6.00
_j_,S inks 50 + Hp 6.00
_LFloor Drains -
. Laundry Basins No. Air gandliag`Uait
Dishwasher <= 10000 cfm. 7JO-
Disposal > 10000 cfm. 40
Other.
Urinals - -- EVap Coolers- ' •
Other
Hoods
Fire Suppression
A/An Permit Basic Fee- � Domes. Incin.
TOTAL PLUMBING $
Conul.. Incin.
Reloc/Repair _ -Q- .
Gas Outlets X 2.00
in` C , ni��1 F.i Yture9
Woodstove ag2arate
No. Fuel Types Other
Furn < 100K BTU 0
Furn >= 100K BTU 6..00 Permit Basic Fee )
00
Purn - Floor — - TOTAL NSCSANICAL
Heat Pumps --�Q-
�TOTICS: THIS PEST BECKS NULL AND VOID IF WORK OR CONSTRUCTION-
WORK
AUTHORIZED IS NOT COWWCED WITHIN 180 YS, OR IF F 1S0 DAYS ATANYr� AFTER WORK
NSTRUCTION OR
IS SUSPENDED OR ABANDONED FOR A PERIOD OF
IS COMMENCED
OWNERS AFFIDAVIT COMRACTORS AFFIDAVIT
I CERTIFY THAT. AN A CURRENTLY REGISTERED CONTRACTOR
-I CERTIFY THAT I AN EXEMPT FROM THE REaIIREMENTS OF THE IN THE STATE Of WASH AND I AN AINIRE OF THE
CONTRACTORS REGISTRATION LAW RCN'1$Z7 , AND AM WHICHWARE ORDINANCE RECUIREMENTS REG"TING THE WORK FOR WHICH
OF THE NASON-COUNTY ORDINANCE"OIIREMEMTS FOR NIIICN THE PERMIT IS ISSUED AND ALL WORK DONE WILL Be IN
THIS PERMIT IS'IS$UED AND THAT ALL WORK DOME WILL BE IN CONFORMANCE T ITN. NO CHANGES SMALL BE MADE
CONFOWNAIICE tNEREWITN. NO CHANGES SHALL BE MADE WITHOUT FIRS At NG F THE BUILDING
WITHOUT FIRST"OBTAINING APPROVAL FROM THE BUILDINGDEPARTMENT.
DEPARTMENT..
% BY
2T ht u o.
X OWNER DATE
DATE
esmit to: Department of General Services
Return p. 427-9670/1-800-562-5628
42.6 W. Cedar/P.O.` Box 186, °Shelton, N1� . 9$584
_ Date:--
FOR OFFICIAL' US8 ONLY: Accepted by:
DEPARTMENTAL REVIEWFOR `
OFFICMDag ORMY
Approves..
COfld
Planaiag: ' 1^ Approval HOW
8nvironmeatal 8®alth:
M
Build ng Pl9= review:
Occupancy Group: '
Fire Marshall:
Other:
11special Conditions:
FEES
II 11 9,Site Inspection
II II 1 IL
II �I 11Building pest I {
II II Violation Fee {
Il �� Violation Investigation Fee I {
II
11Plan Ch.
eck I
II II 1{piumv�.ng Fee. { -
II -
it II -IlMechanical Fee
ii II 11Woodstove Fee
II it I I II
{ II -,{{Buildin
g State Fee
_IlBuilding Valuatio
1 I i II
TOTS,I II
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Mason County
Department of General Services SE P ' 7 12-4
Building III 426 W. Cedar
P.O. Box 186 IEAEERVI(;ES
Shelton, Washington 98584
Subject- Variance Regarding Job Location BLD93-0335
I wish to request a variance for item 1 of the failed final inspection done on 02/10/94. Item 1
stated "There appears to have been a misunderstanding on the correction for the guardrails.
The correction was not just on the center one, it also meant you were missing one. Provide
a guard rail between the living room and the stairway." For aesthetic reasons I wish a vari-
ance. I will call a week after mailing this request to get your determination and if you accept
the request, I am ready for another final inspection.
Below is a picture of the stairway.
Phillip F Pfuhl
P. O. Box 701
Bremerton, WA
98337
56" 30'
34"
20" r
THIS PARCEL
INCLUDES
P LANS, BLUE P RI NTS
OR. OVERSIZE
IMAGES
LARGEFORMAT
IMAGES HAVE BEEN. STORED IN
FILE CABINETS) UNDER
PARCEL NUMBER
PARCEL #�
CASE #� qe�j 0,3
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