HomeMy WebLinkAboutBLD93-0606 Deck - BLD Permit / Conditions - 5/28/1993 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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P51 L.1 t N 5pm ( Ni) H n1 427-7262
BL093-0606 PARCL L : 4'20361400030 PLA [),I V: PL_K : L 0 f
1011 ADDRESS : W 2070 CLOQUALLUM . . . . . RD SHELTON
OWNER : TOM NUTT 426-0749
5IINTRACTOR ° OWNER IS CONTRACTOR
LEGAL : SE NE S OF CREEK El S1/2 E OF RD L S 611 ' W OF RD FS 19361:62
(. L ASS OF WORK . . : ADD BI DR : 0 Emil H P (TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPTI
tYPE OF USE . . . . : ACC STORIES . . . . . . . .. 0
DC CUP . GROUP . . . : ? BLDG . HEIGHT 0 . 011 STFE $ 4.50 FVC 05/28/93 32811
TYPE OF CONST . . : ? FIREPLACES . . . . . 0 PRMT $ 16.00 FVC 05/28/93 32811
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . . 0 PICK $ 15.00 FVC 05/28/93 32811
DWELL . UNITS . . . . : 0 PARKING SPACES : 0
INSPECTION AREA : 2 SHORELINE '? . . .. . : Y TOTAL: 35.50 VALULATION: 480
SETBACKS----------------- TOILETS . . . . . . . . . . : 0 FOOl I YI,f ''. 5011 FikR /COMP HURL 1 1 1-1O)MI' -
FRONT . . . E 5 . 0ft BATH BASINS . . . . . . : 0 . > . 0•-3 HP . : 0
REAR .. . . ,W 5 . 0ft BATH 'c.UBS . . . .. . .. . . : 0 3-15 HP . . 0 MODEL : ?
SIDE ( 1 ) . N 0 . 0ft SHOWER . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 --MAKE--- -
SIDE ( 2 ) . 5 O . Oft WATER HEATERS . . . . : 0 FURN ' =100K BTU : 0 30.--SO HP .. : 0 ?
SHRLINE . ? 0 . 0ft CLOTHES WASHERS . . : 0 FURN _- FLOOR . . . : 0 50+ HP . 0 -YEAR---
AREA ----------------- KIT'CHEN SINKS . . . . : 0 HEAT PUMP . . . . . : 0
LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : F4
BUILDING . . . . 0sf DRINKING FOUNT , . . . 0 VENT FANS . .. . . . . . 0 HOODS . . . . . . . _ 0 WIDTH . : 0
BASEMENT . . . : 0sf LAUNDRY rRAYS . . : . : 0 DOMES . INCIN : O
DECKS . . . . . . . 80sf DISHWASHERS . . . . . . . 0 AIR HANDLING UNITS---- COMML . INCIN : O
GAR/CARP : "? 0s ,f GARB DISPOSALS . . . : 0 < 10000 cfm. : 0 REL.00 /REPAIR : 0
AT-/DT . : ? URINALS . . . . . . . . . . . 0 > 10000 cfm , : 0 OTHER 11N1FS . : 0
MISC PL.M FIXTURES : 0 (;A5 OIl L-LF=TS , : 0
PROJECT 0ESCRIPTI0N:ADDIN6 DECK
PROJECT L0CAIION:0UT CL000ALLUM ROAD, TURN INTO 4TH RESIDENCE DRIVEWAY PAST MASON CITY SEWAGE. FOLLOW DRIVE ABOUT 708 OF PROPERTY LINE.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIJFn IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD
OF 181 DAYS AT ANY TIME AFTER WORK IS COMMENCED. EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 180 DAY PER100, FINAL INSPECTION MUST BE
APPROVED BEFORE BUILDING CAN BE OCCUPIED,
OWNER OR AGENT:_ _ DATE: 51 Z�/
BIO_PRMT, rev: 13131 91 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Case No . : BLD93-0606
For : TOM Null
Page : 1
1 ) The use , handling and storage≥ of hazardou niaterials or r.Lammable and c;ombu_tibI
liquids in excess of 10 gallons is not a] o' ed iithout the approval of the Mason
Firn M r;hal .
2 ) ;.,cture or any portion thereof greater than 30" in height from grade line ,
must maintain ammiinimHHm of 5 ' setback from all. property lines , easements and right of
3 ) IELY SELF SUPPORTING WITH NO LOAD BEARING ON MOBILE
HOME /�
Permit No.
4 MASON COUNTY
BUILDING PERMIT APPLICATION
PLEASE PRINT
#1 Owner T&yr O=L Phone#
Site Address iJ , _6-7t{ ClnC l e j I a., ,-. 2ejl Fire District #
City .3i- tá I k r St LL C. Zip
Directions to Job Site OI t'\
dri v
Owner Mailing Address SG.-nr as J- g-e
City St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name Jett , Contractor Reg#
Address Expiration date II
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 water is required)
#4 Parcel No. 4 a (DL, -_11 -
Legal Description
#5 Building Square Footage:
1st F1 2nd F1 3rd F1 Loft Basement
Deck_ #bedrooms #bathrooms Garage Carport
Garage/Carport: Attached or Detached
Other Free
#6 Use of building G (�'�i
c ibe work � to c �Ca _reck
e i1rc
Akrl AV,?.rho j 7 fridk ,
#7 Type of Job: New Add Alt Repair Demolition
Re-Roof Bulkhead Other
#8 MOBILE HOME INFORMATION
Model Year_ Make K11 Model
Length____ Width,_ Serial No. g L O i
#Bedrooms #Bathrooms 'L Type of Heat TleCAn enC e
#9 Any water on or adjacent to property: saltwater lake
river pond wetland seasonal runoff
other\/ LEn 6
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 Scale:
Name of Fronting Street Date:
APPLICANT TO DRAW SITE PLAN BELOW
LLt5 • �2�
MW
Z.�13 ,3O
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures Fee Mechanical Fixtures
No. Toilets Primary Heat Source (circle type)
Bath Basins Elect/heatpump/other
Bat
Showers NE FEE
Hot Water Htr Furn
Laundry Washer Heat Pumps
Sinks Vent Sys (Central)
Floor Drains Vent Fans (Spot/Whole)
Laundry Basins Boilers/Compressors
Dishwasher HP
Disposal Air Handling Unit
Urinals cfm.
Other Fire Protection Systems
Permit Basic Fee
TOTAL PLUMBING $
Gas Outlets.Hookups
Wood/Pellet/Gas Stove
Other
Permit Basic Fee
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 ANYTIME AFTER WORK
IS COMMENCED
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR
CONTRACTORS REGISTRATION LAW RCN 18.27 , AND AM AWARE IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH
THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
DEPARTMENT. DEPARTMENT.
X OWNER % X BY
DATE .5/5/ ?3 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: Li Date
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cord Hold
Approval
Planning:
Environmental Health: 0 ; Senhc lee,O'
Building Plan Review: 61� '51,'P
Occupancy Group:
Fire Marshal:
Other:
ii h FEES
liSpecial Conditions: II Ilsite Inspection I II
II II II II
II II IlBuilding Permit I II
II II I ii
II Ilviolation Fee I II
I) Iii liii I II
II Ilviolation Investigation Fee II
II II I II
II Il Plan Check I S OD II
II II I 1 I
II II II Plumbing Fee I II
II II I I
II II IlMechanical Fee I II
II II II II
II II IlWoodstove Fee I II
II II I U
II II IlBuilding State Fee
I �.≤o II
IlBuilding Valuation: gp
II II TOTAL! 55O II
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