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Home My WebLink AboutBLD98-00284 Final SFR and Garage - BLD Permit / Conditions - 4/23/1999 77, '17 77 z IZZ .71 D > z z Z Z Z `:i, "I z roc CJ) 00 co ol < < - -, --T' - - - li - im mm z z > ir S cn :T 0, co 01 OD Z 4, z z - t,-(N > jk 71 CONCRETE MECHANICAL MOBILE HOME Footirrgs-Setba k date by Ribbons date -�'— 0 by , Gas Piping date by Foundation Walls date by Set Up date S 6 ` iF' by INSULATION I date by BG/SLAB Insulation Final - Floors � date �'Z ice; by - date by , date by FRAMING Walls — FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION i date by date _L/ _1:78 by � date by -- o r.z z < < 74 S cn CQ Tv a, z 0 CJ) X OD c Z r - s ol :3 cn < Z, o�CL z 0 < C/) �D S Z— Z-1 .w Z_ 10 Iz 3� OC) Q:77 < Ol OD e: 7. x > S <M > < > D MI < 7: >Z zm z < + 0 z z z =L z IT 7=- 7L"7 71 za,:7 M, -1 -1 2E AP - z < -n m 0 C) 0 < - < <771 M z 00 C/) > X< m !z - z >> =zx > 7n. =7 Z: Z>— 00 CYI z 00 < 7: tt ZI LO 5 =7 yr Z� -+I:z, 7E;<7- 15 Permit No. pcygw?'9 MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 ner W i r1 4/lIe_l ►-) Phone# '�(o(O ite Address_ ia,0 15' �1 AAYA(J C4 P-6f Fire District# City UVAf o Y� (�- St �.l_..r-i• Zip a?5-q z Directions to Job Site �vcm I C� CIO r t qht yn _kVd�i C a�{ YOa ct �.l (L t r-" U n F ric l�lcu-A klV'-A4 b r-l V P, Owner Mailing Address -O- F5dX c 8 3 City J �VAj 01r1 St �� Zip G�S9 2 Lien/Title Holder E6W '+h G Address P•d- �X 5n) Clty ( ,lei Ur St zipJq Z Y ItlaL� � 1P er#2 Contractor Name T ha�l33�� Address P 0• F3 O X Expiration Date + / City ,1.-noo St y _ ZipCA'3-2 1G Phone# I g5Q #3 If septic is located on project site, include records. Connect to Septic? x Public Water Supply )!� Well Connect to Sewer System? Name of System (if residential, proof of potable water is required) Parcel No.4ZI14 - 44 - cbaO I Legal Description Lot I (Shoy k Ptai- +2045 '50C-H10 n — -�nS L -fo- -I4 D�'�'/Z -12 L #5 Building Square Footage: (existing/proposed) 1st FI lzw/ 2nd FI / 3rd FI / Loft / Basement &-�)d / Deck / #bedrooms �- / #bathrooms 3 / Garage (.cQQ / Carport / (Circle:Attached or Detached?) Other sq. ft. / y_ #6 Use of building ty�< YYZ� ��► WpC,( _Oc Describe work L� �C` #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 Saltwater Seasonal Runoff Other i 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 Indicate Directional b N, S, E, W Name of Flanking Street Name of Fronting Street p in relation t y lot plan ) APPLICANT TO DRAW SITE PLAN BELOW F APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW 1 i CVe j C- *C(( ,,,u_a& So 'cIY�P hve (� u i i i Plumbing_Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) k i No. 3 Toilets CIRCLE FUEL TYPE�Electric, 3 Bath Basins Heatpump, Other Z Bath Tubs No. Uak Fees Z Showers Furn 10 KIN BTU F Hot Water Htr — Heatpumps Laundry Washer — Vent Systems Sinks Spot Vent Fans Floor Drains No. Boilers/Compressors r Laundry Basins _ HP I 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 15.00 Auto Fire Sprink Sys 25.00 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 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD 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. DEPART , ENT X OWNER X,BY DATE D E 3 (3L k { to a OFFICIAL US ONLY,Accepted by: ' bate: i a DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: D G�ifi�a�C � ,byD,pa��• r i Environmental Health: I Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other J Other Building Valuation: TOTAL FEE DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review J'Clyl `f a 7(V Occupancy Group:�'� Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Z/y 50 s7v Z 4,12 r 6!O Plan Check Z zs lG O Gay 60 _ �� Plumbing Fee S ss Mechanical Fee as Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee r' Other Other 12LL 8GS• Building Valuation: TOTAL FEE , .7 "J Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each. No. J� Toilets CIRCLE FUEL TYPE Electric, .3 Bath Basins Heatpump, Other Z Bath Tubs No. ak Fees Z Showers Furn 10 KVl/ 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 zS _ Fixed Fire Supp. Sys 50.00 Permit Basic Fee _ Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $ ca5 SS 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 15.00 1 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $ 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. DEPITX OWNER X BYDATE p (3L ( CT17? t= >r t7F1"I�CEAL ll ONLY: Arepted by: E)ate: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee OtherF+ s� Other [Building Valuation: TOTAL FEE Plumbing Fixtures ($3 eachl Fee Mechanical Fixtures ($6 each No. 3 Toilets CIRCLE FUEL TYPE X:n�Electric, 3 Bath Basins Heatpump, Other 2- Bath Tubs No. Unk Fees 2 Showers Furn 10 KID BTU Hot Water Htr Heatpumps Laundry Washer Vent Systems Sinks Spot Vent Fans "Floor Drains No. Boilers/Compressors Laundry Basins HP 3 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 15.00 Auto Fire Sprink Sys 25.00 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 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $ 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 REGIS ERED 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 REQUIREMENT REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS I SUED 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. DEPART ENT X OWNER X.BY C � DATE p E FQR OFFICIAL USE ONLY:Accepted by: Date: Building Permit # ' = MASON COUNTY BUILDING 111 426 W. CEDAR �- (� lance 1 ( rn�-P SHELTON, WASHINGTON 98584 (360) 427-9670 �( CORRECTION NOTICE Job Location f2 --,> )K( 'C1"�/ This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be rrect to gain code compliance A -< S14C--Z-r 7— You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ This is not a complete nspection Department Date . Inspector DO NOT REMOVE THIS TAG �J 1 t 1 II 1 II 1 1 _ D I VEWA �- i \ mrGDnm 1 � - o0-oo � �- moo z o cn nr-rnoh— �- -p N y oa 1 Z Arl 1 o; Fri m v m �- z c� �7 = D m z 1 � 1 \C T1Dm0D0n C) D co Z Z —I OD m (n 1 1 =p Z > 11 r- F— M �< �' D Z � Z*z - _ No 0 1 N W 1 � i 1 1 i 1 1