Loading...
HomeMy WebLinkAboutBLD96-0480 SHED - BLD Permit / Conditions - 5/24/1996 7; xi PS z Z it at x co 01, D cn s 's A an JW Ac cn Vv 10 00 C) s Ol OD Zd 73 CONCRETE MECHANICAL Footings-Setback MOBILE HOME date date by Ribbons by Piping Foundation Walls Gas Pip date b date by date by Set Up SU BG/SLAB Insulation IN LATION date by date by Floors Final 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 by date by 0 C� IQ, Z,2 Z,> B Z < W 7' C43 Q ILI x 0D c: ol cf) :37 Z X zn 7V X 7" :37 0, 7J ID > -zl Z Zl 100- 71 co C) Ol 00 Z.T -=Zlr It: 71 .- pQ o o p Xb °l cn J 10 Q Cr OD �e ,l• z f Permit MASON COUNTY $© BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 42 9670/1-800-562-5628 PLEASE PRINT #1 6wn r '� Ph ne# ite Address — r i Fire District# City St - "Z I Directions to Job Site Owner Mailing Address City St Zip Lien/Title Holder Address Clty y St Zip #2 Contractor Name o0tractor Reg Address i 'on Date City St Zip j# # If septic is located on project site include records. 3 P P J � Connect to Septic? Public Water Su Well y A110<;p Connect to Sewer S stem? N e of System 6 Y (If residential, proof of potable er is required) �1� #4 arcel No.Legal Description ` - I #5 Building Square Footage: (existing/proposed) I{ 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage Carport Carport / (Circle:Attached or Detached?) Other sq.ft. / R I #6 Use of building Describe work t #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year ,;Make Model Length Wi h Serial No. # Bedrooms # Bathrooms Type of He Purchase Price #9 Indicate by circling the applicable source if any water is on or adjacent t subject property: River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other 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 Name of Flanking Street yN, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW r, i APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3.25 each Fee M nic I Fixtures $6.50 each No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other Bath Tubs No nits Fees Showers Furn I _Hot Water Htr _ Heat ps _Laundry Washer _ ent Systems _Sinks Spot Vent Fans ®Floor Drains No. Boilers/Compressors Laundry Basins _ HP _Dishwasher No. Air Handling Units _Disposal cfm# _Urinals Fire Protection Systems Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 16.25 _ Auto Fire Sprink Sys 35.00 TOTAL P MBING $ 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 16.25 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 CONTRA('TORS 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 OFTHEORDINANCEREQUIREMENTSREGU- 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 AL' WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREW ITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING,EPARTMENT: DEPART ENT. X OWNER r X BY DATE - DATE ,n FOR OFICtAL USE ONLY:AetOt DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: fw 4/3u Environmental Health: �I Building Plan Review wLc Occupancy Group: Q- 2 Type of Const: .5 Fire Marshal: Other: Special Conditions: FEES Building Permit S�. 2 n =t, ?2$ Plan Check a0- C. Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee t{. Other Other --� Building Valuation: TOTAL FEED