HomeMy WebLinkAboutBLD92-1164 Garage - BLD Permit / Conditions - 10/29/1992 r i
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CONCRETE D MECHANICAL MOBILE HOME
Footings-Setbck i
, date by Ribbons
date r by ' Gas Piping date b
Foundation WTI date by Set Up
date 11 c 'Lby INSULATION date by
BG/SLAB Insulation Floors Final
date by
FRAMING date by date by
date by Walls FIRE DEPT.
PLUMBING date by OTHER date by
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls y
date by Set Up
date by
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 by
date by
BUILDLN G PERMIT APPLICATION
PLEASE PRINT
v�
J #1 Owner :_ 1,1i C G P- A U A t Phone#
Site Address
City St Zip
Directions to Job Site 0 l if 1 l ,e,-,
Owner Maili,�g Address
City CT: f ? -- -St Zip Im!
Lien/Title Holder
Address
City St Zip
#2 Contractor Name �� L �` Contractor Reg#
Address E=iration date I /
City St Zip Phone
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
(If residential, proof of potable crater may be required)
#4 Parcel No. l 57e'-�Z�5 '
Legal Descriptioa_!L7 "tZ:Z e-"K.�
i
#5 Building Square Footage: (existing/proposed)
Ist FI-�: / Sim 2_nd 71 / 3rd Fl / Loft /
Basement /. Deck / #bedrooms_�_ #bathrooms_ _
Garage / Carport / (Circle: Attached or Detached?)
j Other sq ft /
#6 Use of building �/ �A "--� Describe work x
r 7 4
#7 Type of Job: New Add Alt Repair Demolition
Woodstove Re-Roof Bulkhead Other
#8 MOBILE HOME ZNFORMTION
Model Year Make Model
Length_ Width Serial No.
#Bedrooms #Bathrooms Type of Heat
#9 Any water on or adjacent to property: saltwater lake
river pond wetland seasonal runoff
other
-NO/� =a JG 3C ; Ica
T�i-,�tS wOD
Sash -- vent SysteMs X 3 . 00 _
3as�ns
Sat ;bs venc Fans X 3 . 00
Showers No. Boil ers/Ccacpressors
Pict 'pater Ht
0-3 -- 5 02.
Laund.^,r Washer r 3 -15 p
15-3 0 �a
Sinks _
Floor Drains
30-50 HP 6 . 00
Laundry Basins 50 + Hp 5Q0No. Air
Dishwasher aamdlin3 Unit
Disposal — �= 10000 cf=. 7 . 50_
Urinals
10000 cfm. 7 5
Other Other
Evap Coolers _
Permit Basic Fee Hoods
-- Q-TOTAL PLUbmING Fire Suppression
$
Domes. Inciz.
Comml. Incin.
Mechanica1Fj Reloc/Repair
Ytur�a
Gas Outlets X 2.00 No. Fuel Types --_
—Fu= < 100K BTU U 6, 00 Wocdstove oara
-- -—Fu
� >- 10 0 K BTU —.�0.0 Other
ern Floor — 5. 00- Permit Basic Fee
Beat Pumps -- 6. 00_ TOTAL mECBA=CAL �-
S_
NOTICE: THIS PERMIT BECOMES NULL AND A VOID IF WORK OR CONSTRUCTION
DTHOR22;ED IS NOT CON�SENCED WITg�J 180 DAYS, OR IF CONSTRUCTION OR WORK
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK
IS CON HENCM
E
s aFgmnvrr
'Rs AFFII]AVIT
IFY THAT I AN ExEWT FROM THE REOUIREMEMTS Of THE CTORS REGISTRATION LAW RCW 18.2T , ANp AM AWARE .I CERTIFY THAT I AN A CURRENTLY REGISTERED CONTRACTOR
MASON COUNTY ORDINANCE REQUIREMENTS FOR {MICR IN THE STATE Of WASHINGTON AND I AN AWARE Of THE
RMIT IS ISSUED AMC THAT ALL WORK DONE WILL BE IN ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH
ANCE THERELIITH. NO CHANGES SHALL BE MADE THE PERMIT IS ISSUED AND ALL WORK OOZE WILL BE IN
FIRST OBTAINING APPROVAL FROI THE BUtLDING CONFORIUMM TttERE1JtTH' NOCHANGESSHALL BE MADE
NT. WITHOlT FIRST OBTAINING APPROVAL FROM THE BuILOtNG
. DEPARTMENT.
IZ ]C $Y
nATFF
8etu2Zt permit to: Department of General Services
426 W. Cedar/p.0. Box 186, Shelton, NA 98584 427-9670/1-800-562-5628
FOR OFFICZAL 1?$E ONLY: Accepted by: Date:
Show following on the site plan
i' Lot Dimensions Flood Zones'
Existing St--uctures Fences
Strsct,.:re Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Scale:
Name of Fronting Street Date:
PLICANT TO DRAW SITE PLAN BELO
PLICANT TO DRAW TOPOGRAPHY PROFILE B8L0
I
`i
DEPARTNUENTAL REVIEW
FOR OFFIc$ USE ONLY
Approved Cand Hotd
Approval
1 yw
Environmental
Building Plan Review,
Occupancy Group:
Fire Marshall:
Other:
tats�c
IlSpecial Conditions: 11 IlSite Inspection 1 --
II U IlBuilding Pexmit
II it i �
II 11 IlViolation Fee I II
II II I I
II II IlViolation investigation Fee i II
II !I I 1
II II II Plan Check
II 11 II Plumbing Fee
I! II I 1
II 11 IlMechanical. Fee I ni II
II 11 11 I �1
II 11 IlWoodstove Fee I
I` 11 IlBuilding State.Fee ( II
1 I 11Buildiag V 1
aluation: 11 11 TOTAL
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i ` Il