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Home My WebLink AboutBLD95-1610 CARPORT - BLD Permit / Conditions - 11/14/1995 > Z Z ",� Y� 77 e > > > Z Z > 13 71 L.7 7N > St Z z 717 -1 00 = � -7 0 CC) C: S 01 :3 Cf) :37 Z .6k. IS, < < .�� z Ass > z cn :)7 0, UT r -F S, XD Tr) s cn co 4�1 > < j Z 5 > tr_- zm CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date by Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by FRAMING date by date by date by Walls FIRE DEPT. PLUMBING date by OTHER date by Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by td ate by Water Line 7e /,o PECTION date by _ 5�4, by by 12-z9-4 s �� 1'511aclIe t) e0RQCC-7-1 TicE z T 7� :1 Z 'T T 77 D; 7 S.x Z x 71 a 7: 0 00 ol > ZC 17 1-. 7 F z Z -0 Q- Z> 000 CYI > 00 z z rr— < rf Z pa; a` -p Q 00 Q C z N � Q 0 -s Permit I lo. MASON COUNTY Q BUILDING PERMIT APP ICATION BU � �9 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 4 7-9670/1-800-562-5628 PLEASE PRINT _ ite Address C— // a_ G� Fire District# City —� o St Z. Directions to _Job Site ,Z`i� � - c "�� J Owner Mailing Address St Zip City Lien/Title Holder Address Clty Sty—Zip #2 Contractor Name Contractor Reg# Address E 'ration Date / / City %1WJSt Zil one# #3 If septic located on project site, i clude records. Connect to tic? Public W r Supply Well �� stem? Nam f System Connect to Sewe (If residential, proof o table water is requ d) N, #4 (Legal el No. Description #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI Basement / meek--- �#bedrooms / #bathrooms / Garage / Carport : i_ _(Circle:Atta hed or Detached?) Other sq.ft. / #6 Use of building Oa�Lo Describe work #7 Type of Job: New_ Add Alt Repa r Other #8 MOBIL ANUFACTURED HOME INFORMATI Model Year M ke Model Length idth rial No. # Bedrooms Bathrooms Type of Heat Purchase Price $ Indicate b circling the applicable source if any water is on or adjacent to subject property: #9 Y 9 pp 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 Name of Flanking Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW C w-po� Cz . ,..! i a APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW F Plumbina Fixtures ($3 eachl Fee Mechanical Fixtures 6 each No. Toilets CIR LE FUEL TYPE: Gas, Electric, _Bath Basins He ump, Other _Bath Tubs No. Units Fees _Sh rs _ Furn:o-' BTU Hot Water 0eatpumps _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 ixed Fire Supp. Sys 50.00 Permi asic Fee 15.00 Aut ire Sprink Sys 25.00 TAL PLUMBING $ No. Other Gas Outlets Wood, Gas, Pelle tove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Pe it Basic Fee 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ 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 AWAREOFTHEORDINANCEREQUIREMENTSREGU- 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 EPARTME . DEPARTMENT. X OWNER X BY DATE — DATE FOR OFFICIAL USE ONLY:Accepted by: Date: DEPARTMENTAL REVIEW ' FOR OFFICE USE ONLY A pproved Cond. Hold Approval Planning: Environmental Health: Building Plan Review 7/�f5 Occupancy Group: Type of Const: Fire Marshal: T Other: Special Conditions: FEES Building Permit � o Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee 4 L" Other Other Building Valuation: / zc ' TOTAL FEE