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HomeMy WebLinkAboutBLD96-0382 Garage Final - BLD Permit / Conditions - 7/13/1999 Permit No.. M"ON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/PO.Box 186,Shelton,WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 er�F�Ar%,,v`�Q Phone# '— ite Address t 409;- 12 Fire District# City 1. S Z' Directions to J Site (go � 114 Sc t 1' Owner Mailing Address City St Zip r Lien/Title Holder Address t City St Zip #2 Contractor Name Contractor Reg#C Ll' 'Co WA ' Address Lion Date_ /3/ 9 City J_r '� St I 9A5 Phone# .�7— :rp 7 3� #3 If septic is located o pr 'ect site, include records. Connect to Septic? Public Water Supply Well Connect to Sewer ystem? Name of System (if residential, proof of potable water is required) 44 NFgal I No. Description"; Bid _ -5ad-4,V 4�km6bk�g 19 A&A t Te. 14- #5 Building Square Fodite: (existing pro ) 1st FI / 2nd FI / 3rd FI / Loft / Basement /' Deck / #bedrooms / #bathrooms / Garage �� / 3 ! Carport / (Circle:Attached or Detached?) Other sq.ft.-.Mi/�— #6 Use of building Y ' #7 Type of Job: New Add Alt. -Repair _ D #8 MOBILE/MANUFACTURED HOME INFORMATION APR O 5 19% Model Year a el Length i erial No. +CAI TH SERVICE #Bedrooms ms Type of Heat Purchase Price$ #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 Nr) ` Sitow following on the site plan Lot Dimensions ' Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan„ Topography Septic Systems Wells Propossd,improvements Easements Indicate Directions S, E, Name of Flanking Street � .�_ Name of Fronti�`ig Street in relation to plot plan APPLICANT TO DRAW SITE PIAN BELOW �fA0 a o Cr QJ® i APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW i Plumbing Fixtures Egg Mechanical Fixtures ($6 each) No.®_Toilets CIRCLE FUEL TYPE: Gas, Electric, d Bath Basins Heatpump,Other 0 Bath Tubs N.4, Units Fees �v Showers • i — Furn BTU Hot Water Htr — Heatpumps Laundry Washer — Vent Systems Sinks — Spot Vent Fans Floor Drains Ng, Boilers/Compressors Laundry Basins _ HP Dishwasher Ng,, Air Handling Units Disposal — cfm# Urinals NQ,, Fire Protection Systems Other — Auto. Fire Alarm Sys 50•00 a r — Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00 E TOTAL PLUMBING $ NQ, Other Gas Outlets — Wood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED-IS NOT COM- — MENCIRD?WITW 1010 DAYSOR IF CONSTRUCTION OR Permit Basic Fee 15.00 WORI(j&411.1180ik DORABANDONED FOR APERIOD TOTAL MECHANICAL $ OF 1DAY6 AT ANY TIC AFTER WORK IS COM- NIPIII;Y%L RlI OM OIF.CtNMUA7ION 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 AWAREOFTHEORDlIyANGEREfUIREMENTSREGU- 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 CHAN HALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING RO FROM THE BUILDING THE BUILDING DEPARTMENT. DEPAR ENT. r4 X OWNER X B DATE DATE 57 1941 .; Y.;•.,.:: •Yt , FP•::::::.:.s: ;ff,,::..:::.:, "^' .: :. ..«r.:.. :F:.L::;:tgit:..:: t:y.:..;;. .:. ... ;;..: `ri. .f..,. .5. .r:eG'i ,W.,:ar 'F tt.rl..'+.••<:::j : ................................... .. .. :..+..F' ::...rY c: .: : '..::.. :.r ri•.rr:•.:r::r.t3s<::::>:::::ii::i::i:';'i :n. :: , i.. »r::: ........ tr:::::rr:•,.;.f'.:Fi:: ,:".:ir: '+::>:: v :;t'S5:%': DEPARTMENTAL REVIEW FOR 'OFFICE USE ONLY Approved Cend.: Hold Planning: mY`ng 'f/10 OWNER/BUILDER TO ASSUME ALL Environmental Health: - RESPONSIBILITY IF DRAINFIELD AREA IS ENCUMBERED. lI Building Plan Review Occupancy Group:u,'1 Type of Const: -f- Fire Marshal: Other: Special Conditions: FEES - Building Permit !D S• S� Plan Check 4 Z, 2- Plumbing Fee Mechanical fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee 4 Other V Other Building Valuation: / �F8 TOTAL FEE MASON COUNTY PERMIT ASSISTANCE CENTER P.O. Box 186, Shelton, WA 98584 NOTIFICATION OF PERMIT CANCELLATION Date: 02/18/99 JOHNNY BLACK FORD LOOP ROAD ELMA WA Permit Number: BLD96-0382 Parcel Number: 619043200140 Project Description: GARAGE Upon review of our records, the Mason County Permit Assistance Center has identified that your building permit was ready to issue on 05/01/96. Permits are valid for 6 months once approved and at this time we are attempting to clear all unclaimed permits. If you intend to obtain this permit, you must ,make arrangements to do so within ten working days from the date of this letter. If we do not hear from you within ten days, we will cancel your permit and make arrangements for a building inspector to do a site visit. In the event that your project has been completed and a permit was never issued, you will be assessed penalties as allowed under Mason County Ordinance 37-96. If your project has been cancelled or if you intend to withdraw the permit, a plan review fee will be due for work that the Permit Assistance Center has already performed during the processing of your permit application. This fee is assessed pursuant to Section 107 of the Uniform Building Code. In addition, a parcel flag will be attached to your property until the fee has been paid. Please be advised that this parcel flag could prohibit future development or improvement of your property. Please call (360) 427-9670, ext. 354 to resolve this matter or if you believe you have received this notice in error. Thank you for your cooperation. Sincerely, L Fee Amount Due Kathy Soine, Clerical Assistant Mason County Permit Assistance Center PENDEXPR, rev: 01/15/99 i Page No. 1 CASE HISTORY FOR CASE NO.: BLD96-0382 JOHNNY BLACK W1980 FORD LOOP RD ELMA 12/01/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA010 Application received / / / / 04/09/96 �/�\ 04/09/96 KW BLDA100 Approved For Issuance / / / C' 05/01/- 9�� DONE KS 05/07/96 KS BLDB110 Structural Plan Review 04/10/96 / / 05/01/96 DONE WLC 05/01/96 WLC BLDB130 Planning Review 04/09/96 / / 04/10/96 DONE MMS 04/10/96 MMS BLDB134 RLC Checklist Review / / / / / / N/A 04/10/96 MMS BLD6135 Addressing 04/10/96 DONE GMM 04/10/96 GMM BLDB200 Environmental Health Review 05/01/96 / / 05/01/96 non-shoreline garage, no plumbing. JT DONE JWT 05/01/96 JWT .- ae -w•.+aec ®ate .s D V� C. 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