HomeMy WebLinkAboutBLD95-0139 Final Two Decks #14 - BLD Permit / Conditions - 3/3/1995 0 o ao- e
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RETE MECHANICAL MOBILE HOME
gs-Setback date by Ribbons
by Gas Piping date b
ation Walls date 6 Set Up
by INSULATION date by
AB Insulation Floors Final
date by
by date by FIRE DEPT.
ING Walls
by tlate by date by
BING OTHER
Attic
dwork date by
WALLBOARD NAILING
. date by it
by FINAL INSPECTION
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vt a 2�C ,T��ee4 /tto Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427 9670/1-800 562-5628 �1!
PLEASE PRINT
—Phone a75- 3�-i5f3 —
#1 Owner �0.C� g<Dt11eC5 Fire District#
Address C" l �. ES tt rob 1e t� r `SPA 4�a _ Zip
i 6
Directions to Job Site
Owner Mailing Address gt Zip
City
Lien/Title Holder
Address gt Zip
City
d Contractor Reg#C-oC oBLOOgJ E
#2 Contractor Name Expiration Date 'r! 9�-
Address P. CwM to Phone#
City me i
DCc�o.cL� �w
St ZIP
#3 It septic is located on project site, include records. Well
Connect to Septic? k Public Water Supply x
Connect to Sewer System? Name of System
(if residential, proof of potable water is required)
#4 celNo. IZ332 SD 00-05
egal Description Q-'e6 xO M
#5 Building Square Footage: (existing/proposed) 3rd FI / Loft /
1st FI / 2nd FI / #bathrooms---!—
Basement / Deck 4%_/ y�l p #bedrooms /
Garage / Carport / 'J` (Circle:Attached or Detached?)
Other sq.It. /
#6 Use of building
S dh l Describe work
#7 Type of Job: New k
Add Alt Repair.Other
#8 MOBILEIMANUFACTURED HOME INFORMATION
Model Year 95 Make L_bec 1�Model
Length 40• Width 27 Serial No.
#Bedrooms _#Bathrooms Z Type of Heat e I e�
Purchase Price $ 33 poa
#g Indicate by circling the applicable source if any water is on or adjacent to subject property: 1
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other /C(
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street FIndicate )
Name of Fronting Street
APPLICANT TO DRA SITE PLAN BELOW
YX$
�-C
NR Ip
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Ca-
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
Showers Furn BTU
yHot Water Htr _ Heatpumps
sundry Washer _ Vent Systems
Sinks Spot Vent Fans
Floor Drains No. Boilers/Compressors
_Laundry Basins _ \ HP
_Dishwasher No. 41 Handlina Units
_Disposal _ cfm#
Urinals NQ Fire Protection Systems
Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00
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-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $
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 BUILDING DEPARTMENT. DEPARTMENT
X OWNER X BY
DATE DATE 1- 31 - 95—
FOR OFFICIAL USE ONLY: Accepted by: l LJ Date: I �✓ S
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond, Hold
Approval
Planning:
mm�
Environmental Health: s, S-fNtw , �9
r
Building Plan Review
Occupancy Group: Type of Const
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check SU
Plumbing Fee&
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee 4/s
Other /6=�
Other
Building Valuation: TOTAL FEE