HomeMy WebLinkAboutBLD92-1233 GARAGE - BLD Permit / Conditions - 10/15/1992 E v,a s z as 3> co C
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CONCRETE MECHANIC MOBILE HOME
Footings-Setbac
(Ir j, date by Ribbons
date ✓' " .1� �V by Gas Piping date b
Founda' Walls iris/ � � date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors ��JJ Final
date FRAMING by date X by date by
Walls FIRE DEPT.
date // X z by .0•<' date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D W WALLBOART�LING
date by date by
Water Line FINAL INSPECTION
date by date �Z by /0' , date by
_ 1 Z_
/,/'M` ct-/L S:Q�f /yc7
�/ice-
Perms= No.3LD
MASON CUUNTv
BUILDING PERMIT APPLICATION
PLEASE PRINT
1 C
if-S I ��J Phan
Site Address ? ".ZCI QAI'�
Ci tyT/�r-c 7r S t Zip
Directions to Job Sitep /` 7777 r
Owner Mailing Address
City St Zip
Lien/Title Holder
Address
City St Zip
C2 \1 Contractor Name--'-. . ez Contractor Reg#
Address Expiration date _
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 may be required)
i
Parcel
Legal Description
#5 Building Square Footage: (excnting/p=pa 'ed)
2st PI / 2nd 71 I 3rd PI'
/ Loft
Basement / Deck / #bedrooms�_ #batl ocros�_
Garage / Carport_/ (Circle: Attached or Detached?)
Other sq tt /
#S Use of building l ylc' Des;--.be work-/- -/2 e 1. 7117—
#7 Type of Job: New_ Add,_ Alt Repair Dem,olition_,
Wacdstove_ Re-Roof Bulkhead I Other
#8 MOBILE �iOt tNFnAr�n'T�'n�r
Model Year_. Make Model
Length Width_ Serial No.
#Bedrooms_____ #Bathrooms_____ Type of Heat —�
#9 Any water on or adjacent to property: s%asonal
twater lake
river pond wetland
_xt � SZ aac: ,00
NC . ='ci_ecs Vent Systems X 3 . 00
3a t h Basins Vent Fans X 3 . 0 0
Sat h 'TM,i^s ---_.--
No. Boilers/Compressors
Showers _
0-3
.c t Wa t_r Ht r � ---�-�-
3 -15 ?D - , 0
laund.^y Washer 15-3 0 ��
�0
Sinks 30-50 HP Floor Drai s --i- Q-
S0 + HP —5. 00
Laun�-y Basi:s No. Air Haadliag Uaf t
Dishwasher
<- 10000 cf=. --.-7 50
Disposal > 10000 cf-m. 7
---50-
L other
Other z`vap Coolers _
Hoods _
Perrlit Basic Fee 3 .00 Fire SuIInression
TOTAL PLabMIIJG $ Domes. Incin_
Comml. Incin.
Mechanica� Reloc/Repair 6 . 00
F ' YLuZes Gas Outlets X 2 .00
No . Fuel Types Wocdstove
separate
Fu.'r < 10 0 R BTU 6. 00 Other
-� >- 100K STU 6. 00_
Floor 6 . 00 Pe=it Basic Fee 10 , 00
Heat Pumas 6.00_ TOTAL bEG3ANICAL $
NOTICE: TRIS PBRDQ:' BECOMES NIILL AND VOID IF WORK OR CONSTRUCTION
AU=CR.IZ= IS NOT CDMMENCMD WI= 180 DAYS, OR IF CONSTRUCTION OR WORK
2S SIISPENDID OR ABANDONED FOR A PERIOD OP 180 DAYS AT AN=.fE AFTER WORR
LS CONDImqCID
awNmzs AFPmavrr clarrRac:aRs A Avr,•
1 CERTIFY TMAT I AN OcEWT FROM TMg REQJIRE"TS OF THE .I CERTIFY THAT I AN A CZAtRENTLT REGISTQM CONTRACTOR
CONTRACTORS REGISTRATION LAW RCI 18.Z7 , AMC AN AWARE
Of THE MASOI COAITY ORDI IN � STATE Of W1S71IMGTON AND I AM AWARE OF THE
THIS PUNIT IS ISSM ANO THANA LWWORK DOMe y� gLrt� �tNANCE REGRIIREMENTS REfiAATINC THE WR1( FOR WIICl1
CDIFORIIAMCE TNERENITH. NO CMAMGES SMALL SE MApE TW POW IS ISSUED ANO ALL wwK DONE WILL K IN
WITIKW FIRST TflE1RELiITM. M0 allNGES SMALL SE MADE
At)IING APPROVAL FROI T11E m1IlD1NG YITW= FIRST OQTAIAING APPROVAL FRM THE BUILDING
DEPARTMENT. r // 0EPARTMEIIT.
S OWNER l�
IIATB
8@tub pPr.t,J t to : Depastnent of General Services
426 W. Cedar/P.O. Boz 186, Shelton, WA 98584 427-9670/1-800-562-5628
POR OFpyC-AL CSE ONLY: Accented by:
Oace:
Show following the site plan
Lot Dimensions Flood Zones
Existing Structures Fencgs
S tr'sct•u e Setbacks Driveways
Water Lines Shorelines
Drainage ?tan Topography
Septic Systems Wells
Proposed Z=rovements Easements
Name of Flanking Street Scal
k Name of Fronting Street Date:
PL::= TO DRAW S=T PLAN BEL019
PLICANT To DRAW TOpOGR.APHY pRop= B
f
I
DEPARTMENTAL REVIEW
FO8 OFFICE U= mmY
�Coraved Ca" Nold
Approval
Plaaai:,q: '
Environmental Health:
i
1
Building Plan Review:
Occupancy Group :
Fire Marshall:
Other:
E►E�
11Special. Conditions: II IlSite —"
II Inspection
11 If I I
If 11 1113uilding Pe=it it
If
11 II' Violation Fee I II
II II if If
If 11 IlViolation Investigation Fee I II
II it I I
li II II Plan Check I II
II II If—
if 11 II Plumbing Fee I II
II II i;
II 11 IlMecbanical. Fee I 11
11 1' r r
it II Il Wands t ove Fee I II
II II I 1
1 II IlBuilding State.Fee I
IIHui'ding valuation: 111 1 �
11 TOTAL,I II
, l
W W N N N N N N N N -
:Jr A. W N F+ 0 OD J Of CT -P W
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W'
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JW
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' I i
-r _
.IN- .
I - w X:.� �k ° R:�tL., 'e •ter.,• 't�-r,'s� - � � ._ ____�
.G •
r •
1 t
;Date
� � �
� _
L ,
� ��
MASON CvUNTv
BLJIZDING PERMIT APPLICATION
PLEASE PRINT
i
i
J #1 Owner Phon '#
Site Address 0 171 *IC-1-1y
Ci St < Zip
Directions to Job Site � I'3
Owner Mailing Address ` = fl
City St Zip
Lien/Title Holder '
Address
City St Zip
#Z Contractor Name S A✓y-I C' �=�� t 3 '. � . w Contractor Reg#
Address Expiration date
City St Zip Phone
#3 If septic is located on project site, clude records.
Connect to Septic? Public Water upply Well
(If residential, proof of potable water may be required)
#4 Parcel No. 6y
I
Legal Description
i
#5 Building Square Footage: (existing/propo*ed)
1st Fl / Znd Fl / 3rd 171I, / Loft_„L_
Basement / Deck / #bedro�=s�_ #bathrooms_.,_
Garage,Q6 V1 5 A Carport / (Cir e: Attached or Detached?)
Other sq ft
#6 Use of building d Describe work
#7 Type of Job: New Add Alt Repair Demolition
Woodstove Re-Roof Bulkhead_--_,_ Other
#8 MOBILE HOME INFORMATTO
r Model Year Make Mosel
Length Width Serial No.
#Bedrooms #Bathrooms Type of Heal
� C
Any water on or adjacent to property: saltwater lake
river_ pond wetland seasonal runoff
other
mac
-No "oy`ers vent Systems X 3 . 00
Sat= 3as irs Vent Fans X 3 . 0 0
.�3at `�`i"S No. Boilers/Compressors
Showers
--- 0- 1 --?� 6 . 00
ict Wacer Htr 3 -IS HP
Laud.--y W her 6 ' r�
Sinks
15-30 3P
--� -�0 -
30-50 HP 6. 00
Floor Drains 50 + 'HP
Laundry Basins --6. 00—
No. Air Handling trait
Dishwasher __ <= 10000 cfm. 7. 50
Disposal � 10000 cfm_
Urinals — -
7. 50
Other
Other Evap Coolers
Hoods _
Permit Basic Fee -3 . QQ Fire Suppression
TOTAL PLMMING $ --
Domes. Incin.
COIlttnl. Incin.
Reloc/Repair 6 . 00 �
Mechanical Fixtures No . Peel Types Gas Outlets X 2 .00
9 a
Furn < I0 0 FC BTU 6 . 0 Q Woodstove rats_ —Other
Fu= >= 100K BTU —6100_
=n - Floor - 6, 00_ permit Basic Fee
Heat Pumps _ TOTAL XECMwICAL $
NOTICE: THIS PERMIT HEM NULL AND VOID IF WORK OR CONSTRUCTI N
AU17HOR= IS NOT COMMENCED WITHIN ISO DAYS, OR IF CONSTRUCTION OR WORIZ IS -USPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYT=.IE AFTER WORK
IS C1Xe1ENC=
OWNERS AFFZ=VIT 0 TRAC70RS AFFIDAVIT
I CERTIFY THAT I AN EXEMpT FRCX THE REWIRENEM Ci THE
CONTRACTORS REGISTRATION LAW RCW 1E.27 , ANO AN AWARE t CERTIFY THAT I AM A CURtREMTIT REGISTERED CONTRACTdt
Of THE %ASd1 =p TY ORDt IN TIME STATE Of W ASHINGTON AND I AN AWARE OF THE
THIS PERMIT IS ISSUED AND THAT ALL WORKOM WILL BE I N OROIMANCg REOUIREMEMTS REGULATING THE WORK FOR WHICH
CONFORHANCc THEREWITH. NO CHANGES SMALL SE KQE THE PERMIT IS ISSUED APO ALL WORK OONE WILL BE IN
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING CONFORMANCE THEREWITH. NO CHANGES SHALL SE MAOE
DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROH THE BIIILOIMG
DEPARTMENT.
X OWNE
DATE X BY
: DATE
426uDP� Cedar/Pt D
O. Hoz186, �Sh General
Shelton, A�9858�iCe3 _
427-9670/1-800 562-5628
ZM FOR OP?ICIAL USE ONLY: Accepted by: Date:
Show following on the site plan j
i
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells �
Proposed Z=ravemmts Easements
Name of Flanking Street Scat '
Name of Fronting Street Date•
PLICANT TO DRAW SITE PLAN BELO
DA}ito vI 4 IC PC4
r,C:L
,y U
a 1
'leD
PLICANT To DRAW TQPOGRAPHY PROFIT,$ BELO
DEPA.RTiME,NTAL REVIEW
FOR OFFICE ME WLY
Approved Cond HOW
Approvat
Planning:
fiaviraameatal Health:
t�.e
Building Plan Review:
161�
Occupancy Group:
Fire Marshall:
other:
•
IISPecial Conditions:
11 (( Ilsite Inspection I II
'I
11 II 11BUilding Permit
IIL II I� ►!
I! 11 I(violation Fee I II
II _Li I;FR
II NER 11 QViolation Investigation Fee I II
II kjJ �. ---.
11 IlPlan Check I
11 11 IF -;1
lI 11 IlPlumbing Fee I II
II 11 I. 'I
II 11 IlMechanical Fee I II
II Il I 'I
II 11 IlWoodstove Fee
it I II
II II liBul
I, 11 II lding State.Fee
I 1 1
IlBuilding valuation 2,7 '____ II II TOTA4
( — 0-0
11