HomeMy WebLinkAboutBLD98-0187 Cancelled Add Bedroom and Bath - BLD Permit / Conditions - 3/12/1998 :�o 71
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date `" 1 7— by I �� Ribbons
date —'I— by L Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date
aRAMING by date by date by
Walls FIRE DEPT.
date (.— 1'7- 7t by a date by
PLUMBING date to— / 7� by C ,i
Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date G- 17 by date 7- /.- 7X by
Water Line j FINAL INSPECTION
date by date by date by
�• S fZ ff S�� d�4—/WS /,, L eC i ene2,—S
2 G�S �4_ l ( c_ r !Ac T�c ail- dt 14 '� Z
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Building Permit # MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location 4t I jp&,rc I
This structure has been inspected by Mason County Building Department
and following VIOLATION of County Laws and Ordinances has been
n Items Listed below must be corrected to gain code compliance
(.sue G�Gc. " i e /cc.19, G,>, f
/ w. fo r- a i
G• �.�-►r r� e
tit
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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
❑ Make corrections, items will be checked on next inspection
;a OK to .ins c- L *r,,
❑ This is not a complete inspection Department AA,
Date (- 17 - Sy Inspector
DO NOT REMOVE THIS TAG
Permivhro.O( 091i 0111
MASON COUNTY T
BUILDING PERMIT APPLICATION
426 W.Cedar/P.O. Box 186, Shelton,WA 98584 427-9670
(Calling From:Seattle 464-6968, Belfair 275-4467, Elma 482-5269)
PLEASE PRINT
#1 er R ,�-r Q . Phone# A�U-f{�/�=1�'79�- '00- -
eiteAddress es of- D o I-A L Fie District#1, , ' w u ��A St W cam- Zip 85
Directions to Job Site S D p
CoZ0,/yt R - h L ;P,u .eF
Owner Mailing Address
City /.q 1z11!9 1�9 7- St ZIP
Hold �=
Address
City St Zip
#2 Contractor Name :a F' is UBI#
Address Contractor Reg#
City St Zip Phone# Expiration Date /__J
#3 if septic is located on project site, include records. _
Connect to Septic?_.X_Public Water Supply Well y
Connect to Sewer System? Name of System
(if residential, proof of potable water is required)
#4,<< rcel No 0 9- �- -���
egal Description 0d to of 5cc I? != el - OT-
#5 Building Square Footage:
1 st FI Z.14 2nd FI 3rd FI Loft Basement
# Bedrooms #bathrooms Ak / Deck Other
Garage 4— Carport (Circle:Attached etached.
#6 Use ilding Describe work Q�
1Q-
#7 Type of Job: New_ _Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No.
#Bedrooms #Bathrooms 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
d
Show following on the site plan
Lot Ditnensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Drainage Plan Wells
Septic Systems Easements
Proposed Improvements Indicate Directional b N, S, E,
Name of Side Street y
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLA ELOigI
�C5
I L:
l
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures (eaft Mechanical Fixtures G$6-715 eachl
No. Toilets CIRCLE FUEL TYPE: Ga Electric,
Bath Basins Heatpump, Other
Bath Tubs No. Units. Fees
_LShowers 5fpuA' BTU
—Hot Water Htr — Heatpumps
—Laundry Washer Vent Systems
—Sinks Spot Vent Fans
Floor Drains No. Boilers/Compressors
Laundry Basins — HP
Dishwasher No. Air Handling Units
—Disposal _ cfm#
Urinals No. Fire Protection Systems
Other — Auto. Fire Alarm Sys 50•00
7_zs — Fixed Fire Supp. Sys .00
Permit Basic Fee — Auto Fire Sprink Sys •
TOTAL PLUMBING No. Other
Gas Outlets
Wood, Gas, Pellet Stove .
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- — zr
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED_ . PROOF OF CONTINUATION 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 AWARE OFTHE ORDINANCE REQUIREMENTS REGU-
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 CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDINGARTMENT. DEPARTMENT. ,
X OWNER X BY
DATE DATE
z01 . x
i
6
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
g:
Environmental Health:
Building Plan Review :�
Occupancy>Group: n-3 Type of Const: - Z
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit s,
-1/0 609 Plan Check as
Plumbing FeeoS
Mechanical Fee Z zs
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee So
Other c So�2
Other _
Other
n
-Valuation: TOTAL FEE SBz.
L6T 1 1 1
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