HomeMy WebLinkAboutBLD98-0106 Final Garage - BLD Permit / Conditions - 6/4/1998 7 U7 >
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CONCRETE MECHANICAL MOBILE HOME
Foctings-Setback date by Ribbons
date 3—31- ' $ by l Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
Walls FIRE DEPT.
date PLUMBING by date by date by
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
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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 FRAMING by date by date by
Walls FIRE DEPT.
date PLUMBING by date by date by
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
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CONCRETE MECHANICAL MOBILE HOME
Fo0ings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
dat,- by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date b
PLUMBING date by OTHER y
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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! Permit No. 01 D�
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670
(Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269)
PLEASE PRINT
#1 er Phone# &pfo
e Address N fl _ �JOltl'�,. Fire District# l g'
ity H s3s T— St l-0 A Zip cqq�
Directions to Job Site QR��— —�1��S�S1n i� �n t nee, L,.s�ge ,
Cc .
Owner Mailing Address N E IC5-7
City ;1 C St wry Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name �-E C��dS[+��(i on] UBI #,
Address aSb3 N EF Io--)*' Contractor Reg#QE,���Q t}
City C St Zip_ 0 p,. Phone# C 1� Expiration Date,".)b�/�" —I—Q",
#3 If septic is located on project site, include record&
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System
(If r idential, proof of potable water is required)
#4- arcel No.
L gal Description LIL>�-- yr-a g►.►t ,3 (.�}�e--
#5 Building Square Footage:` ��c. QaC. Mao h coo0
1 st FI 2nd FI 3rd FI Loft Basement
# Bedrooms # bathrooms Deck Other
Garage 5,�lg Tq Ek.,Carport (Circle: Attached o etached.
#6 Use of building l.� arra�tle Describe work
#7 Type of Job: New_ Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOM ORMATION
Model Year Mak Model
Length Wi Serial No.
# Bedrooms # Bathrooms Type of Heat
Purchase rice$
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
I
Show following on the site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Drainage Plan Wells
Septic Systems Easements
Proposed Improvements
Name of Side Street Indicate Directional by (N, S, E, W)
in relation to plot plan
Name of Fronting Street
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review �S�,.a,�� r�-1 yedl 1-4 54 x 10-�-_(�� .
17i+1/ Q• obrtiw Ok d1ZS LA 6S C6 SNza G —
a-i —
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit 3
�ZR 73 QZ- Plan Check Zcl 4`°
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee 3�
Other �� d°
Other
Other
Building Valuation: 73 QZ TOTAL FEE
Plumbing Fixtures ($3.45 each) Fee Mechanical Fixtures ($7.00 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bath Tubs No. Units 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. Fire Protection Systems
_Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 17.25 _ Auto Fire Sprink Sys 35.00
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 17.25
WORK IS SUSPENDED OR ABANDONED FORA PERIOD TOTAL MECHANICAL $
F 180 DAYS AT ANY TIME AFTER WORK IS COM-
ENCED. PROOF OF CONTINUATION OF WORK IS BY
FANS OF A PROGRESS INSPECTION.
'NERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
f 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
FOR OFFICIAL USE ONLY: Accepted by: Date: