HomeMy WebLinkAboutMIS99-0288 - MIS Permit / Conditions - 5/28/1999 >
77
Z Z
Ult VY4 �7
Z, .1Z
A-1
Cf)
x
t OD c
Z
U)
30
cn
Ol OD C)
OD
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date b Set Up
date by INSULATION date
BG/SLAB Insulation Floors Final by
date by
FRAMING date by date by
date by Walls FIRE DEPT.
PLUMBING date by date by
Groundwork
Attic OTHER
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date
(7 ' 2 — 77 by �_/ date by
Qa
m m C
> Z
r- rn
c z
r" :V
> 3:
OD c
ol
rn - --q
:7 0,
mi
co
C'n
(D
> 100-
op C)
Ol
00
CII) z z
rm 1)
-4
Building Permit #MISW e,�9-r- MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTO 98584
(360) 427-9670
CORkECTION NOTiCE
Job Location 4"vio lC-61, (_�4y
This structure has b en inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items Listed below must be corrected to gain ode compliance
You are hereby notified that the above cc rrections shall be made
BEFORE PROCEEDING WITH ANY FURT ER WORK
❑ Call for re-inspection when corrections are made before contin Ang
❑ Make corrections, items will be checked on next inspection
❑ OK to
❑ This is not a complete inspection Departmenif�'i�'''�
Date �— �y� Inspector -46 E ;?jv REMOVTHIS TAG
DO RIOT
FORK MUST BE COMPLETED IN INt� PERMIT NO./)�
PLEASE PRESS HARD MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WP 98584
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482 269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner J_e_otitttJ C>l c Contractor Name G 1�40 :v 1-,
Mailing Address 7-0 h F31 eu:ns Mailing Add ss ;c(,-, r. w�S
City 1 f;Iyf c"i State WA Zip Code c '>f',-'f City b 1, ►r, `c, State tL; 1 ip Code 17( ct
Phone 3 0 4 32- Other Ph.( Ph.(36 c• Other Ph.(
Lien/Title Holder Contractor g. #
Address Expiration �� / &3 /2.&i-)v
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer S tem Name of
Sewer System
PARCEL INFORMATION-12 digit Tax Parcel No. LIZ&I z / / G0 00 S Fire District
Legal Description Ski (e 4 c,Le ,f fe 4-f a S
Site Address(Please include street name, street number and city) ZcJ Eli Shy t
Directions to site r _ 7-e� f , r _ <= OV C
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other -Use of Building
Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet
EEI
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump
Toilets Type of Unit No. of Units Fees
Bath Basins Furnace
Bath Tubs Heatpum s
Showers Vent Fan
Water Heater Propane Tank
Laundry Wsher Gas Outlets I
Sinks Wood/G s/Pellet Stove I
Dishwasher Direct ent? I__
Other Other
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WO IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's be alf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and s ructures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements rei lulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining ar proval.
X Date X '-caul.-- Date.!;
FOR OFFICIAL ff BEYOND THIS /POINT
Accepted by Date i,,d-6(0— Submittal Amount Due t o1 _Receipt N
AEPf##tiTMENTA€ #i1wY[. GOfttD TION C.O. 5
Building Department
Occ Group Type Constr.
Planning Department
Other
Other
Permit Fee Site Inspection J
Plan Review Fee UFC Plan Review Fe
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( )
Violation Fee TOTAL FEES