HomeMy WebLinkAboutBLD2004-01512 Repair - BLD Permit / Conditions - 9/16/2004 r
PERMIT NO..
MASON COUNTY APpL�CpT10N
�'cAL PERMIT
�+ A 98584
8���'MEV� 464 6968 C-)
PI-UM 186,Shelton,WA f � f
CedarlP.O.Box 482-5269 SeaoRMATIO� �'
426 W 360 275 446T Elma 360 TOR IN
360 427-9670 gelfair CONTRAC e �,,,,, ��4
SheltO° Contractor Nam ok zip Code
ATIO Mailing Address x �-
PPLICA T INFORM e rF City t"�SOt
lot-I~ , f .�,.y
a•��'fir
Owner zip Code Ph.
Mailing Address State Contractor R. 1=_I -►"�
it -�?� Expiration Name of
C Y ,-•,��� - -� er Systems
phone
der Connect to Sew
LienlTitle H ng Septic_—
Address i
Sept'c re District
SEPTIC INFORMATION-
Connect to New Fa
System
$elder Sy
12 digit Tax Parcel No. A
PARCEL INFORMATION- d city) w I
e street r�,4mbe an
Legal Qescription street named) ! o' Saltwater
d ress(Plese,include,� �, af;> Q Slopes or
Site A d, .fib' ie Stream
DirectlonS of Water (Name) unoff�
Body Seasonal R
erty within 200' of the following- Wetland_ ffk
Is your prop Ponder t .
RiverlCreek- � Use Of Building Closet
Lake— Other. Garage
Bluffs— _Alter epair Basement.: Floors Fuel Type: E
PE OF JOB New—Add 2nd (J UNITS
1st Floor p°,t ` MECHANICAL HeatpumP F
of FixtureslUnfts Natural Gas Nf units
Location Ow each) Fees LP e Of Unit
Number`of T �
G FIXTURES(Sh Furn� —�
pt.UMBIN No. of Fixtures
e of Fixture _� Heatpumps
T
Toilets .-:, � � Vent Fans �
-
Basins
Propane Tank
Bath Gas Outlets
Bath ubs � � WoodlGaslPellet Stove �
Showers Direct Vent?� R E C E I�
Water Heater �� � �
Laundry
Wisher
� � Other 1�J
TOTAL 4
*&WKR ST.
other---- Base Fee E TYPE OF F�
Other_ UMBING TH OR IF
f�U1RED pEPEN�ING ON
PL CED WITHIN 180 DAYSCED.
E RE COMMEN IS cOMNi EN
PLOT pLAN MAY B ORIZED IS NOT TER THE tNOehalf,represents that f
A FLOOR pLAN AND IF WORK OORRCA PER OD OF s o A Th owner or gen° and structures for review
N a
ES NULL O&R ABANDONED F SS INSPE the above described property
M17 BECOM OGRE access to re istered as'
THIS PER WORK IS SUSPENDED Y MEANS OF A P ason County currently g ordinan
CONST UcT10N ORK IS B Ioyees of M I certify that 1 am aware of the
UATION OF Wand grants emP is by signature below: AFFIDAV�S that I am and all v
PROOF OF CONTIN rnent of such CTOR' shington and this permit is issued made witl
rovided is accurate of the CONT� . to of W�
information P ro ect. Acknowledg uirements sting e work for which changes shall be m
of this P 1 the req contractor in the an a therewth. N0
inspection exempt from ordinance requirements onf
VIT 1 certrfy that I am 7 and am aware of the one in shall be e i s"
OWNER AFFIDA 18.2 that all work will bed 'vat• pate
RCW first obtaining first ainin FF
e istration Law ermit is issued andade without A
Contractor R g NO changes shall be m
requirements for which this P X
conformance therewith. I
approval. pate 'PHIS PAIN
USE BEYOND ReCe1pt NO--
X FOR OFFICIA punt Due
Submittal Arn S
I �fyplrlCl�I:
Accepted Y APB E:
r
It
artme _.._
Building Dep nt T e Constr.
OOi Grou artment
Planning pep :::...
other
Inspection
to
i n
s
P
ec
other Si
O
ew
fee
UFC p
lanR
eve
lan
Other
permit Fee
plan R
eview submittal
Plumbing
g Base Fee pre-Paid at
Mechanical&
Base Fee TOTAL FEES
WoodlGas/Pellet Stove Fee
Violation Fee
co 0) L �, O ,•V_-
CD
cc-3u tn0 c Z c •� N3 00
_L � '� C E O_
V j o cQ 7 O E 7 = •_� Q)
C p U L to 0 Ow O m F O L M
cu a) to a) N L Z = C E
C 0 >Q N > Z (0 2 I- O C OC L) c O O
O c0 > 3 i L C O Q W .0 O X O N
U ° ca) 3 aQ � W a) c Qc a) 0)
c o °) c � o a) w2 - W (D co o
L E o vi c c � Q � � E n
L U 'O to O L (� "O
0 0 U cu U a) O LL 2 O co a) Cl) V C
U C N O N — U) O O mo Q >,
� of6 ca) ZU o Qa)
cno ° yp` tLn 0 � _OW caa)) LO rn�
a) s cu to U O U L O O c to
cu U tp C a) cu Q to O 0 U O a)
j O C V O N Q) J CO � C — C
-O W O Q C W a U C O m co
� a) O Q N O Z Q C L
V L cu Q' O
CoCD c`a3Q Qo wQ � m �� ~ o
0 Q to of - D p a) '3 p 'v
� 00) Qco� c '� UW _E } O N
co -0a) 0 3 042 W � L ca °)'°' E cu
a) a) o c 0 0 2wu.i 0 c � o
o a) 0 LL _ 0 � H F' 0 a) cn o t °)
1 CD
a) 5 c y �w c Z GJ U 0) c y L to c) C-
a) 03 0 o cu 0 H � Q a r c ago) c Aa
c
c a) -0 o ° >, o OQU N o L 'N o
c = Z m U o a3 N
O c O c LL ~ Q y 0 c N cu O rn O
>Q 0 0 = c aa) O " w w U 7 V N 0 a) (D
> (n L a) (n O N (B L c
0C4 N o c oa a0i y °' c c� v~iw U 0 2 O_ 0 cCD o m 8
LL LL L) LO 0 O n a) w � c U a) y'<n E O
L O LCY)a� o y L U a) (� a) U Q to >� o c c
w � Z 4 a) 0)-C O Z J Z cu c >,— a) _OO aNi
0o IRT Oo o � c � o L WQQ D � � N � tn cu
F U 3 w o U_ - o >, � . co c a
(/wp a0 o aoi � � aa)) Cl) Qaa)) - ZQ y c > •c a) v)
Q m O m a) O 0 m V 0) O O w 2 Q. O O_ a) L L o 0
L o W 0U � Oc o3C
U V c o c N N u) Z> W c c c co a) co O 0
o o c Qco � gZ o 0 0 -0 E 0 c w
N O L U) a7 0 .Q W — U ccuu U cu L) >' o
00 toy O O U = Z = Z O_� Q -0 O -0 a)co L
� •o .� cu _ 3 � � Q c � c a) aoo a"i o a)
cu to L m L
�' >, D) a) 2pw ° a�i co o - L o E
� .� c O — +C•. � Z C O L O
O CO C O F— f� U O O a) vi
m m I-
O o c Z
o aS c a
c L � cug o mn o o 2 v) '0
o c U � . 0
'O O O ( CO 01 a) CL to to
E :E Z O cu a) y >,a) cu to
cu
0 -0 - ai > cu a) o QZ ooC C '90 -, �
c 0 c = Q = o-o a) cu c Eo o
>o c a � • nac) 0- �u .a 'D a) 0 �
� u) E 0O_N oa) Ea) C 0 = Q� E
73
°-,) mmcLn E � ZWWO _� � O � o � a) O) o
cu L C C O a) tB C r _0O (n F— y L o L -0 w .— w
to cu O Ca O O_ cu H W E O > O O O O
3 '� N co � E oc Q U) � � � � ocn cna) .o
O N E = 7 D O J W In CL0 — a)
c o O a) aci �:� QUU o 0 � �° c cu a) co
o Q S cnr- a F- O � o co o m
NF � cnFcn _ .L A-
U) p C rn Con-
c .�
rn 0 c .2 L N
0 0 cu w o io L Q' 2
o cc�a � a c � Q � aL> s � � c � o
ti co c Z Z cu
C L ca a) U o ,o Q' W to •E L to ±-- " cu
N O V 0 U L C a) U W. p 0 = U E ° s
to U '� m .Y) Q a) LL' �-- U --.� a) 'j Q' 0 a) C L N
0
U � � X 5 � � ccuu .NX Q � X H 3 yX Q � � X Q 0 0
0
v
c x
0
_ N
N M to tp J
m
f % /
kiE
k \ Co
E 0 0 CY)
0
\/ ) /
f § >
_0
o = »
—0
7f2
ca.
2 / \
27 =
c
\2 §
:3
�
0
� cu k
± & °
§ g0
\ / g t
k / [ \
8 \ / .0
\ � �
am 8
\« ® . /
= = 3
00 ƒ ) � \
\ CL /
@ _
72� w
= e k
f8 § 7
) \ f 2
8 E —k =/cn
0
/ # ° k
a
_0 ° ® p
a D I
/ r _
co )
§ from
2 k |
C;. :/ \
E #� �
\ kf�
k f \
0 \ . \
/ ? $ +
E / e
= o / E
m �� ) \ @
m = � =
_0 z
/ 3 / \ $ ' m
2aEf G
ƒ $ \ \ L ƒ
� E & \ o
zEL $ o
% S \ / o o
�
I