HomeMy WebLinkAboutBLD93-0535 RES - BLD Permit / Conditions - 5/6/1993 m O a0
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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 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
date by date by date by
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Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
PLEASE PRINT
S h �? (.J .c� c�t Phone# �
#1 Owner � T—
Site Address \ j.l L Fire District #
City St Zip
Directions to Job Site '71&ern Af,T' OF2r : D etv7a�12�7 H4
F
,,-) 1 o r e 5 tic, ' A0
Owner Mailing Address
City —St_d1 —Zip Cl 'sa
Lien/Title Holder 1
Address J G70 1 40tk
City ( =` St
11 73-y/ O flop
�
#2 Contractor Name � 11 —Contractor Reg#
Address Expiration date
City c,IVPA0TA Stt��$ Zip 9rr Phone - '73 " 13 171
#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. cad f7Y-- oc000
Legal Description t'
#5 Building Square Footage:
1st F1 :<< 2nd Fl G 3rd Fl t Loft Basement
Deck_.,- #bedrooms _ #bathrooms ''. Garage ,tom" Carport . '
Garage/Carport: Attached or Detached
Other
#6 Use of building -ems I /1 c e Describe works
#7 Type of Job: New V" Add Alt Repair Demolition
Re-Roof Bulkhead Other
#8 MOBILE HOME INFORMATION 1
Model Year Make rylQ CA-/1 v\E, Model0, f'Y-)Ore
Length_j�/ Width_ Serial No.
#Bedrooms_ #Bathrooms Type of Heat_ A�
#9 Any water on or adjacent to property: saltwater lake
river pond wetland seasonal runoff
other— r
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
PE2pp e.d-Improvements Easements
Name o Flankina -S-treet Scale:
Name of Fronting Street Date:
APPLICANT TO DRAW SITE PLAN BELOW
t
� o
t
—APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
ambing Fixtures Fee Mechanical Fixtures
o. `�)- Toilets Primary Heat Source (circle type)
Bat Basins Elect/heatpump/other
Bath Tugs
Showers \ NO. _ FEE
l�Hot Water ktr 4—Furn
f Laundry Washe�� Heat Pumps
Sinks Vent Sys (Central)
Floor Drains Vent Fans (Spot/Whole)
Laundry Basins Boilers/Compressors
Dishwasher HP
L` Disposal Air Handling Unit
Urinals ��' cfm.
' Other o✓ Fire Protection Systems
Permit B tic Fee
TAL PLUMBING $ ��
Other
�Outlets .Hookups
Wood PelletGas Stov
(2 =. ... -
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 RCW 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. t` DEPARTMENT.
s^
X OWNER X BY
DATE 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 OF?JCTA1, U$E ONLY Accepted blr bate
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond Hold
Approval
Planning: llnnnn
Environmental Health:
Bui ding Plan Review:
Occupancy Group:
Fire Marshal:
Other:
FEES
llspecial Conditions : II IlSite Inspection
II II
II II IlBuilding Permit
II II llviolation Fee I
II II 1
II it 11Violation Investigation Fee I I
II 11 I' 'I
II 11 IlPlan Check I II
II 11 1' 'I
II 11 11 Plumbing Fee I it
II 11 1' y
II 11 11Mechanical Fee I II
11 11 1' 'I
II 11 I1Woodstove Fee I II
II 11 I I
II 11 IlBuilding State Fee I
IlBuilding Valuation: 11 11 TOTAL I .o q.,�t) 11
l �I