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Home My WebLink AboutBLD93-1573 Final SFR with Basement and Deck - BLD Permit / Conditions - 9/29/1993 J F 71[ - 77 3 OQ x x: ¢ 00 O O cn 0 Q- (P 0 CL- _ MMO Q. s s s a 1 00 J'• T CONCRETE MECHANICAL MOBILE HOME Footings-Setback date�� date f� �y—2 i21_ Ribbons date 2 by Gas Piping date b Foundation Walls date by Set Up date `> INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING . Walls _ ., i FIRE DEPT. date k— bq� �! date I by date by PLUMBING Attic OTHER k-- Groundwork date by Q date by WALLBOARD NAILING S 7 4 D.W.V. e.v. ` ¢ date �'� b / er `l/ FINAL INSPECTION Wat date by date Lpy i date by 1 A4 : 7 �.• x O co °' � Z - : _ N Z • _ _ , � -Y - - _ _- � COD 00 C 00 e I it q CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by w 1-I'Ji Permit No'D c;Ep 2 g 19-3 MASON COUNTY V�GE.9 UILDING PERMIT APPLICATION L NT SER edar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 #1 Owner ye-4- Phone# Site Address Fire District# City e- 11&4 St Zip Directions to Job Site Ce-, mac./, env- Tc'3 IX 72S ' ter/6,t/ Owner Mailing Address City ,!/b.¢,! St e--J4 Zip 78:5w. Lien/Title Holder 40.4 1 2 A Address Clty St Zip #2 Contractor Name tDA A=i -L Contractor Reg# Address Expiration Date City St Zip Phone# #3 If septic is located on project site, include records. Connect to Septic?_,&_Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) rParcel No_ 22-3 - -52D - - Legal Description ,.Cum T'' 0, l {17Y`1° 4 P S4 S3 � J1 � STS q� #5 Building Square Footage: (existing/proposed) 1 st FI / 2nd FI / 3rd FI / Loft / Basement/ Deck 42:2Z / #bedrooms #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq. ft. / #6 Use of building Sr.cc'crI tQ - Describe work #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 (saitwateD Seasonal Runoff Other 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 Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW — i ray .,9 i A fp,K[ APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW tt3.ca �Y<o� Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. 2. Toilets CIRCLE FUEL TYPE(Gas, lectric, 2 Bath Basins Heatpump, Other Bath Tubs No. link Fees Showers Furn / aCSbBTU 2 Hot Water Htr _ Heatpumps 1 Laundry Washer Vent Systems Sinks 4 K Spot Vent Fans _Floor Drains No. Boilers/Com rem _Laundry Basins HP / Dishwasher ,J No. Air Handling Units _Disposal cfm# _Urinals No. 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 / /Wo—RDGas, 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 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 OF THE 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 FOR OFFICIAL US:E ONLY.Accepted by: Date:' DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: �� 7 Environmental Health: Building Plan Review Occupancy Group: K-3 Type of Const: 5--fli Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check ,L1S Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove 2-5 Radon Monitor •Orb, Violation Fee Site Inspection Building State Fee 4.50 Other Other q� Building Valuation: Z" f TOTAL FEE Permit No.�3 f MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584.427-9670 PLEASE PRINT #1 Owner �j/GC G��C��/�' c�L Phone# Site Address ef—, Z.� -_-2 ,3Y R�- City 4>"e1A0.'CL St Zip Directions to Job Site Owner Mailing Address City St Zip Lien/Title Holder Address City St Zip #2 Contractor Name Contractor Reg. # Address Expiration date City St Zip Phone #3 Parcel Legal Description #4 Use of building Describe work #5 Type of Job: New Add Alt Repair Plumbing Fixtures ($3 each) Fee Cz� Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, r Bath Basins Heatpump, Other f Bath Tubs No. link Fees Showers Furn 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.. Other _Other Gas Outlets Wood, Gas, Pellet Stove Permit Basic Fee 15.00 TOTAL PLUMBING $ Permit Basic Fee 15.00 TOTAL MECHANICAL $ NOTICE: This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction or work is suspended or abandoned for a period of 180 days at any time after work is commenced. Proof of continuation of work is by means of a progress inspection. NOTE: If this permit application includes the placement of a fuel tank, heat pump or other unit to be located outside of the existing structures, a plot plan MUST be submitted as required below: Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems, Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRAC- THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE AWARE OFTHE MASON COUNTYORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE SHALL BE MADE WITHOUT FIRSTOBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. X OWNER _ X BY DATE DATE Return permit to: Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670/1-800-562-5628 FOR OFFICIAL USE ONLY: Accepted by:', Oates Receipt No. Referred To DEPARTMENTAL REVIEW Proposal Proposal FOR OFFICIAL USE ONLY Approved Denied Planning: Building: Fire Marshal: I I- t I I - � - -- I } , I 1 RJ I( i II I 1 • _. - .�I � ,,..,� III �� . -- - - , � , /� �' I k I I ' I ! ff ' I � ' I I I I y II -I- I I, L + I ( 1 f ' i I Ir VIK kil- 0 7 I I l I I t I i � ! I � I i i 1 I I