HomeMy WebLinkAboutBLD2001-00427 REMOVE DAMAGED FIREPLACE - BLD Permit / Conditions - 5/29/2001 C7
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CONCRETE MECHANICAL MOBILE HOME
� Ribbons t
Footings-Setback date date
date Gas�9 Set Up
Foundation Walls date date by
date by INSULATION Final
BG/SLAB Insulation Floors date by
date date FIRE DEPT.
FRAMI G Walls date by
date `7" Zd0 by date p by OTHER
PLUMBING Attic
Groundwork date by
date b WALLBOARD NAILING
D.W.V. date by
date by FINAL INSPECTION
Water Line date by date by _
date by
?- zaol r�gMi�
4-17- is�6�T� A Eq
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PERMIT NO.: BLD MASON COUNTY
BUILDING PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA, 98584
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482. 69 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACT 3R INFORMATION
Owner Contractor N me-_Sg1-A F. 6,ye)Ac ��
Mailing Add,ress—M Mailing Addr ss
City^, State ftl, Zip Code �85` � City State Zip Code
Phone Other Ph.(� Ph , A 7 Other Ph.(_�
Lien/Title Holder Contractor R�, g. #
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic -Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. / / jy4eff&2 Fire District
Legal Description n UJ00diaAd__
Site Address(Please includes;eetname, street number and city)
Directions to site
Will ti ber be cut and sold in parcel preparation? (Yes/No) kt,%^ '
Is your property within 200' of the following: Body of Water(Name) '' Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe Work
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attach 'd Detached
MOBILE HOME INFORMATION-Make Model Model Year
Length Width Serial No. No. Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ Replacement Unit ?(Yes/No)
Installer Name Certificatio No.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTH IZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYE AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. T rile owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-[certify that I am exempt from the requirements of the CONTRACTO '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 th al 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 regulating 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 approval.
X l Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by {^- f: ' r r Date Submittal Amount Due_4X56 " Receipt No.
DPARTMEAITPc1..,RVI W APPROVED pEN1EU CONDIT1fDN COO, 5 '
Building Depart
mmen ! `
t
Occ Group e Constr.
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $
FEES
Building Permit Fee �5 Site Inspection
Plan Review Fee Q3 EH Review Fee
Planning ReviewFee '
Plumbing&Base Fee g
Mechanical&Base Fee Other
oo Gas/Pellet Stove Fee CO State Fee fro
Violation Fee Pre-Paid at Sub' ittal ( 03 )
TOTAL FEES
FORM MUST BE COMPLETED IN INK i PERMIT NO.:
PLEASE PRESS HARD . MASON COUNTY
PLUMBING/MECHANICAL PERM T APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482 269 Seattle 206 464-6968
APPLICANT INFORMATION ,� CONTRACT R INFORMATION
Owner i, Contractor Name
Mailing Address ��� =- A 4h '4p, Mailing Addr ass
City �I.� ,tip State wA, Zip Code d City State Zip Code
Phone(_ xa °Z3 Other Ph.( ) Ph.(__� Other Ph.(_�
Lien/Title Holder Contractor g. #
Address Expiration / /
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System�Name
Sewer System
PARCEL INFORMATION-12 digit Tax Parcel No. fZ / �` / C1CZ?10 Fire District
Legal Description
Site Address(Please include street name, street number and city)
Directions to site
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal RL noft_Stream Slopes or
Bluffs
CE OF JOB New Add Alt Repair Other Us of Building
ation of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHAINIICAL UNITS Fuel Type: Electric
Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump
Toilets Type of nit No. of Units Fees
Bath Basins Furnace
Bath Tubs Heatpu ps
Showers Vent Fa s
Water Heater Propan Tank
Laundry Wsher G Ou Its
Sinks o as/Pellet Stove
Dishwasher Direct Vent?
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.
F�nformation
PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTH RIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
N WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAY AT ANY TIME AFTER THE WORK IS COMMENCED.
NTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
ovided is accurate and grants employees of Mason County access to th .above described property and structures for review and
his project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACT '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 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 gulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done i conformance therewith. No changes shall be made without
approval. first obtaining pproval.
Date X Date
FOR OFFICIAL. USE BEYOND HIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTNEEIV' �li:.REVIEVV <: APPR(]VED >D1"Nlf"F3
CONDITION L7.C?ES
Building Department
Occ Grou T e Constr.
Planning Department
Other
Other
77777
Permit Fee Site Inspection
Plan Review Fee UFC Plan Review ee
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Subm al
TOTAL FEES
Violation Fee
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITI1 INFORMATION
Case No.
Name V l L t�l if znlff-0 11� PARCEL NUMBER Date
SHOW THE FOLLOWING ON SITE PLAN Show Dire ion by indicationg N, S, E, W in relation to the
site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System
DRAW SITE PLAN BELOW include adjacent properties if on shoreline ot within 100 feet of adjacent property line.
adjacent property line- I I Fadjacent property line
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adjacent property line- I I <—adjacent property line
SAMPLE SITE PLAN
adjacent property line--) 3io� T� E-adjacent property line
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Crieav' Home i CiLLaeti
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adjacent property lined ; Ate. ; E-adjacent ro ert y line
TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, is and fills. If possible include height and the
degree of slopes. See sample topography profile.)
SAMPLE TOPOGRAPHY PROFILE
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Signature