HomeMy WebLinkAboutBLD2011-00853 DEMOLISH - BLD Permit / Conditions - 10/17/2011 O �
a / \ f a 0
\ \ \ & 7 % O m
q / 0 \ / q m
\ ` _ = I o ® e
? ƒ $ � m q / @
o E E g » \ \ n \ o e 0
§ � . .. 2 � m m m z
= g5
2 / I / $ Z a / f / / g
. r o < G o 3 « g o $
\ 7 \ 2 / \ Co \ \ \ ( D
. .. o
3 ƒ � � cn
� \ \ k \ / � / 0
m � \ § � \ / \ / ƒ > o
�
oo2m \ 2
oc0
\ 0-) �(aZ
\ = o / �
H 90 � 333 % O
/ / Q J / z \ _ / \ m / m
/ CD \ \ \ \ co M c 2
@ IE ƒ 0- mCl) � O
CD 2. a o o , %
\ / 2 � § / / 0 z 9
z 3 \ m 9
/ s -nms7 » / 2 c0
m . . o e (
\ / 0 � 0 / r 0 �
« Q # � 9 ? C
/ ` / 03 / / / \ 0 2 Z
\ O ® / ® \ / � \ §
f - Joo7 � 0
/ CD ) / \ / f�] r- S 2
o
� 3 . � � � / m
/ m > o m
J / � � � m / Q
& g = .
0 � > ®
q
CD Z
q m J o / \
\ ? 0 0')g / a
e e ca. @ O
f \ \ \ \ 9
\ & ± 0 ~ @ 2 m
ET 5' m m = > X
_ _ E = c =
Q o co c c ® ` $ . ■ \
] & & § o # ® G
m # / 0 / /
e 9 / cn
o . .. . ; g e
D > \
�
- \\� R =
. 0 m a
e ( 0 / x y � 0 §
2 @ m 3
/ ® ) 0 7 \ / / D 2
m 8 \ G / m ; m Cl) o 0 / CD
: n g .. ..
\ / / m .. 2 \ \ f CD
e ® g CD m %
CD0 ƒ \ / / co
- - 5 G CD CD 5 m
w we
a
i
0
3 n 3 S
1. (D cn
Z cfl
CDm o v �
v m' m
X N Qm 9 Xsw D X � 0 D X O Q —I XO X
cn D 3 00is (OD (D (D(Do 07
_a a v _�—„ j 0- ��(D O (D
z
-" 0 3 71w 0 p (n 3 - � � o � D �J CD O
-� 0o � 0 (fl(<° wm �C: t1 uwi � c = CD oom
7 (D — " ( -0 G —x CD o O _ 1' 00 (D
3 N CD p �' O N Cy CD w N r
G 00 (n (D < p_ (D O
O Q � CAD Q� O a O (D Q 0 0 (D
O D =w O X (U (D — (A p (n
C O (D = 0 `(n (nO
? r O O (n
-. 0 p p CD CD (n w 0 < (D .3-� w (D O a w
N in (D 3 O- Q (D O Ocu �. 3 (D
(O cr 0D < � � O (p � a3 0 � � w v � � (j p (Q
N (D 3_ 3 r 00 (� Q 07 w CD —' w (D
0 0)
N C C 3 O- r+ 3 (n -+. O O 3CD 0
CC] w (n
m v O O (n (n (in(n m -0 (D O (D O (n 00 L7 o
07 3 3 = c � -0 3 Q � (n 3 = 3
OG O C 7 -0s 7 w O O O (D ((DD Q- N M
O al
(D O
CD 0 N y � N p � O fn �, D � (D zr(D Q N• = n
(D
CD M a s N (D 3 -� Q N (D
(� Q 0 CD
-0 -0 (n n O (D CO C (° CD O � O 0o
(D 0 3 (D (D O O O C p = N (D
0.cQ O h Q O N 3 fV
O �-0 w 0 w W O 3 w Fr (D v
0mNo a) —,<
cQ-1 3 � �o °� Q (D * Z) 0 0
o ? �. 3 Owe CD � � � (n o om0" WO OON
av O r
CL M n (D 0 Q. p 30 O ? 00 O0 O N N Z
(Q > c N =. 0- CD � (D (D w upi � c 0 O O
Q 0 p (n (D _
m CD
' (o �CD � cn( p CD Z omn
u, cD N cn O 3 00 N. � 0 � 3 (D z to �
O O (0 3 00 w 0 (D 0 0 v !a' 3 C (CD w 0 w O
= � 3 O to (Q C (D 3 "�. 3 p- -O (�
_ w �.< W
3' N w (D C F `G l/ 3 Q < (D CD
(n a m (n < -1 O fy r? < w O (D (D
O O
N `2 (D O Q Q`G o 3 CD N _O (� 7 Q CD
yN N a .3N.. 0 (n Q 00C-n ma c, 0 O O
6 0, (n . c v-o (n O (On (D (�D Q O O
(D p' 0- -n �, 3 (D p Q N �3 (Q N w 0 -n
.-�• r
3 O (fl (D 03 O 0 07
M
=* _ 0 3 (D O (D (n (n (p O
cn
n
N (D 0 Cn n,
' 5' (n' 7 t
N -O 0 CL �_. (D 00 CD lD 0 C w
CD 7 (n (D w C) (D Cr D O
3 (n N N (p •p 3 O Q. p �• Q-
A N
� C � W 03 .3-F O. 0 (Q 7 3 0 y
tn. a CO Y (n CD 0
v CD 0 Q C7 , p 0 3 (D 3
CD 6 D O 3 (�
s m in- (n c o 0 0 �_ o
CD W >T 3
5--a CL � O � 0 .rNJ O woo
O O — w 0 (/�D .I7 (Oj 0 3
O O " 3 0 (n m cn l F 3 t.7 w O j -s
iZ N N c (Q (n - w
N Q. CD. � w 3 03 CD O
CD o' CD w (0 (D ((nn °' n cfl p
a 0OL O cr
3 -0 m o 0 — n
X o �• M.
j w 0
CD
(D CL _CD . p ° CD
3 0 0' 0 p =r D Q
n O Q 3 _ (nw
N Q _. Q 3 < <D w 0
N 0 v (D v ._� w lD (a O (D A w �
C N (D "" v (D N <
N CD CDco
cD F 0 3 CD 03
r
MASON COUNTY PERMIT NO
BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670• Belfair (360) 275-4467• Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR FORMATION
OwnerGRA�iE)`-rE t-AIJL-mr--N w k"— Company Name 5j r"—
i� A �- �Ac E® Mailin Address
Mailing Address �—
City S�E-'ra State Zip Code ' City CLXICO StatA Zip Code �W
Phone '24C Other Ph. Phone �- a Other h.
Lien/Title Holder Contractor Reg.,# _ i�iai�- p 3
E mail address E Mail Add ressle%�1 iNIS 1>0 4 % 4.'61` L-1' h0tW1
Drivers Lic.# DOB Drivers Lic.# W^VST W dtSZfici DOB 10--Zq'0O
SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION- 12 Digit Parcel No z.e;+Z- 2- C00C ir: Fire District
Legal Description t�Ai+ i� oT ° � _
Site Address(Please inc!&Lde street name,street number and city)
Directions to site 0 Y" -�-� � P-0 PkD _ 'j p''w" E
0044
L--AS crij C.el Zvi 1-j a 10 ttT
Will timber be cut and sold in parcel preparation?Yes No'
Is property within 200'of Saltwater, t,O Lake River/Creek Pond �' a
Wetland Seasonal Runoff-I" Strew Slopes or Bluffs > 151/6 V v
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes o
TYPE OF JOB -New Add Alt Repair O j 4, , TONAL [�
Use of Building Describe Work �' 1��
No. of Bedrooms_ No.of Bathrooms_Square
Jt�}. ,t � � a
3rd Floor Basement Deck Coverea vecK umer aq.n.
Garage -> Attached Detached Carport Attached Detached
t
MANUFACTURED HOME INFORMATION -Make Model Year
Length Width Serial No. No.of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ Replacement Unit? Yes/No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder,or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.
PROOF QF CONTINUATION QF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X C{ �—f Date: I o-- -7 i
Owner/O ers Representativ Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Buildinq Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing&Base Fee Planning Review Fee
Mechanical &Base fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation$ TOTAL FEES
00
o CONCRETE MECHANICAL MANUFACTURED HOME w C
No Date Footings BSotbactcs Gas Piping itlt&aona T`
O Intenof Date By interior"Date By Date By Z
00 Cn F_xtefkw Data B r11
y Exterior-Rake By set-up
�
INSULATlC1N
Point Load i Isolated Footings Dates By n
BG I SLAB INSULATION --�°.� Z
Date By Data By FIRE DEPARTMENT y
Foundation Wails Floors Date By ;0
r-
Date By Data By DECKS 0
FRAMING Walls Date By m
Date By Data By PROPANE TANKS
PLUMBING vault Dat� BY
Data BY _ OTHER
Groundwork Attic
Rake E3y Type„
Date B y Date By
D.W.V DRYWALL Type:
Int,Brace Wall
Rate B y 03
Date BY Date FINAL INSPECTION 0
v
m N
Water Lino Fire Seperatian o
Date By Date By Date By
Pass or Request Inspect. c
Type of Insp. Fail Date Date Done By Comments 00
. . iI AzovI oy .Iron
IN
O
0
O
Q
O
7
N
O
3
� (E
(D
3
N
(D
0