HomeMy WebLinkAboutBLD92-0474 Final Garage Addition - BLD Permit / Conditions - 6/8/1992 at
c
_ y( O Q
v '
` ' OW O
� zs s o a ! 0`
-+ _ f '� _ -- arc• —T m
pp � ti za.
i s �°. Q
C)rl
00
g
CONCRETE MECHANICAL
Footings-Setback iz�- MOBILE HOME
date (.- IF' j by date by Ribbons
` e,�.
Foundation Walls Gas Piping date b
date by date by Set Up BG/SLAB Insulation INSULATION date by
date by Floors Final
FRAMING date by date by
date by Walls FIRE DEPT.
PLUMBING date by date by
Groundwork Attic OTHER
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date
date by
1
I
� o�K
MASON COUNTY
BUILDING PERMIT APPLICATION
PLEASE PRINT ,01v 0 47
+ _
#1 Owne Phone#
Site Address M46v nr.. City r� Zip 9.�5'9z
Owner Address City St Zip
Lien/Title Holder �A•�� -
Addres Ci ty,
Describe Work 14t1017161AI To
#2 Contractor Name —Contractor Reg#
Address - Expiration date
Ci ty St Zip � Phone
#3 If septic is located on project site, include records.
Connect to Septic? AA2 Public Water Supply Well i 'C
#4 Parcel No.
Legal Description
#5 Building Square Footage: l existing/proposed / N Loft ��/�/�
I s t FI N./� / ,YA 2nd Fl /yi1-/ NA 3 rd Fl
Basement �/ �� Deck / N/3 Garage d�z Carport
� /��
#bedrooms AvA/ NA #bathrooms 11A !LA 6`7
Other y2 sq ft
#6 Use of building "646
#7 Type of Job: New Add �--- Alt Repair Demolition
Plumbing Only Mechanical Only Woodstove Re-Roof
Bulkhead Other
#s Plumbing Fixtures Mechanical Fixtures_
No. Toilets No. Fuel Types No. Air Handling Units
Bathtubs Furn < 100K BTU <= 10000 cfm.
Showers Furn >= 100K BTU > 10000 cfm.
Bath basins Furn - Floor Others NE Heat Pumps Evap Coolers
Sink ffi�:-
Dishwasher Vent Systems Hoods
Hot Water Htr Vent Fans Domes. Incin.
Laundry Washer Boilers/Compressors Comml . Incin.
Floor Drains 0-3 HP Reloc/Repair
Other 3-15 HP Gas Outlets
15-30 HP Woodstove
30-50 HP Other
50 + HP
#9 MOBILEAH-ba& INFORMATION
Model a Make Model
Leng Width Serial No.
#Bedrooms #Bathrooms
#10 Any water on or adjaT��etland
property: saltwater lake
river pond seasonal runoff
other
•
MENEM
■ MEMO Itl�ll�// ■■■■■■■ Now
NONE MEi/i ■■■■■■■■ i MEN
NEON M ■■mono■■ /
MENEM MEN Ell
MEN M/ii//l//' / No
ii/i/�
�i///r / IS no M
//�/i/i/ NEON
/ti INN
o//i///i/i/�
n/��/�'//■■/ME ON t/i////i///�
/i 16s/i��1�■MEN Now/�//�/i��
/ ��///�///*//i///i///i//IMiii
MEN ONE a Mmm,wo
MENNEN MEMO
//■■//It// 0
MENEM no
/E//// ■■////iiii//m //MAN
MEso ME MEMO 0 MMM
No /ilk/it//i/i/ol■■/iiiii
0 ONE I// /ii//ice
1o/ ME 0 NONE //�/m////�
ME1o/ // //N/iE/i ll//am Elm OMEN
/ /ii�/iii■/E■/EI/ i■■//ON No INN MENEM
MEN MEN WE onin,mmmm
■////it/iN IN Emommomms
� 0/tliiiii/it NEON an
■///■1n//��i/ mommomomm
IC:/i/iC ::i:i// ////////
12 / ■■■//■//�
m/Gn N ////// �
n/// /L����r►ii�llttl/IBM/�//El�iiJ///// /
////
INN
now INN //
11/from/InI�i��///Sm go ME
NINONS/■/i/ Roof ME
am Imm Elm MEN
---- ---.
in MIZa /////�
///�1//��i/1 I-���111//IiIE
1//n///
/N/W'EI'S Ei■/1/1!J■/NSiMM/NNEN
anon= MINE ONE
///E/
Emiau/
//// ///"WIN C1'/1imouLlsiii(�I(1'ili�iliif�l>�/_/_/////
site
Directions • • •
FloodShow following on the site plan
Zone
iLot Dimensions
lExistin•
Structure •. Driveways
Shorelines-
DrainageI Plan Topography
Septic
proposed improvements Easements
Name of _ •
king Street
Name of •• •. Street
D.
HMO II MMIMIMMONSOON
SOMINIMMINOMME so
0 MENNEN No No
��������n������/��i
MENNEN MEN 'OMEN
■EN■ ■■■E■■■ME■■■■EME■E■:■om■■�■EN ■■�■■�
�iiiiiiii iiii :ii iiiii
MEN iiiiii/%�COMiiiiiiii
No mosommommummom
iiEii�: �NONSENSE MEN E ii�
MEMOMMINS MONSOON
MENOMONE OEM
Ems NEZE
SEEiiii�
ONE����
NONE i
sommosom��iiiiiiiiii�����0 0momomm ����
NEWSOME MENiiiipiiiiiiiii���
����00011111111111110100����� r •i
• NOTICE: THIS PERMIT BECOMES NULL AUTHORIZED IS NOT COMMENCE AND VOID IF WORK OR CONSTRUCTION
IS SUSPENDED OR D WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK
ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK
IS COMMENCED
OWNERS AFFIDAVIT
CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE
OF THETORS MISONREGISTRATION
ORDINANCE REQUIREMENTS D AN AWARE IN THE STATE OF WASHFOR WHICH I CERTIFY THAT 1 AM A
NGTONTANDREGIS�M AWARE OF THE
CONTRACTOR
THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AWARE ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH
THE PERMIT
CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE IS ISSUED. AND ALL WORK DONE WILL BE IN
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING CONFORMANCE THEREWITH. NO DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL GFROMES SHTHE BUILDALL BE ING
DEPARTMENT.
X OWNER 1A � ,si
DATE X BY
DATE
Return permit to; Department of General Services
426 DP. Cedar/P.O. Box 186, Shelton, WA
98584 427-9670/1-800-562-5628
FOR OFFICIAL USE ONLY: Accepted by:
--
DEPARTTMENTA, IR"JEEV1EW
FOR OFFICE USE ONLY
Approved Cond Hold
Planning: _ Approval
Environmental Health:
Building Plan Review:
Fire Marshall:
Other: