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Home My WebLink AboutBLD294-1672 ADD - BLD Permit / Conditions - 11/30/1994 x n O_ Oo ° .__. ._ olCCl) z Q N z C CQ _< .p Q OD Ui 0 OD D � _ f91 C QJ r r 020 77 rj M _ - D --I CONCRETE h � >bc��- MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date y A Gas Piping date b Foundation Wa date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date j l`t-o!S by C date by FRAMING Walls FIRE DEPT. date PLUMBING by date }-!cr- "7 S `by W date by Attic OTHER date Groundwork b date �-1 y- 4 � L by C� y D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by CA AI i j 4..! -s i Cj lV �%!'- ro-A rZ F-/cc A Y L Se . # Z # 3 l��-L 00 = o' z cn z .o Q op � i �F I oQ � o __j 00o ol : z n On O � = C cn 5' ( � 4- 0Q � � MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 8584 (360) 427-9670 CORRECTION NOTICE Job Locations �� • This structure has been 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 gai code compliance S�.QZ a,e G'�u/.�' ,�Gicy You are hereby notified that the above corre tions shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to Department Date 3 Inspector DO NOT REMOV T W1 S TAG MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 8584 (206) 427-9670 CORRECTION, NOTICE Job Location E qu PAX4� CAI This structure has been 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 code compliance zo i l� A/c(.- To IA-Tub' 15Tf^1 n-tv j4eeILOV&Pc�eW Z . N - - o (T e C�9-s✓L Co N '�o�vs �a ILr9 PnJ c_ 3 (,eZ ( Ckt j fr d v >=/ao tZ �SG r You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection Department 113 ul E-r'> IAj L Date - !�3 -�% S— Inspector DO NOT REMOV THIS TAG MASON COUNTY BUILDING III 426 W. CE AR SHELTON, WASHINGTON 8584 (206) 427-9670 CORRECTION NOTICE Job Location (= . This structure has been inspected by Mason County Building Department and the following VIOLATION of County Lav is and Ordinances has been found: Items listed below must be corrected to gain code compliance You are h eby notified that the a ove rre ions shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make correptigns, items will be checked on next inspection ❑ OK toOtic/l Department Date Inspector DO 140T REMOV THIS G r Permit No. MA ON CO NTT c BUILDING PERMIT APPLICATION S�Ae2� 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562 5628 PLEASE PRINT #1 Own d �S (.y i 4,L j' P one# �c C z/ ` t#Adress Fire Distric ,�� A IZ Jc ,�. City k. L' St C,-)A Zip C/ 'q5�� =i Directions to Job Site o F ^s ^' `� n/ ce � — h 6q A2D Owner Mailing Address City - k P—Lc; St W�1 Zip S � Lien/Title Holder Address Clty /� St lt, A Zip & A #2 Contractor Name a.j Contractor Reg #A S i ct CrC,! I S`�r''� Address Expiration Date/ 3 City 't'c-„_) St t_��A Zi ce Phone# Liz C -I 3�Y #3 If septic is located on project site, include records. / ✓� Connect to Septic? ti Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) Aftel Description 10A rLK- w61-,,�- � #5 Building Square Footage: (existing/proposed) 1st FI 3 v& %0 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq.ft. / #6 Use of building 2-Q 12 c 0 r-I Describe work 2 S �- x , 2 ' #7 Type of Job: New 4- Add Alt Repai� Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length Width Serial No. # Bedrooms # Bathrooms Type of Heat Purchase Price $ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: y� River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other 6�� 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 -4 Proposed Improvements Easements Name of Flanking Street ap Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW �a �d fix' 4��S i . � _ G 9 � eJ ,u 4 5 � LA V b APPLICANT TO DRAW TOPOGRAPH FILE BELOW t Plumbing Fixtures ($3 eachl Fee Mech ical Fixtures each i No._Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heat pump, Other Bath Tubs No. Unija Feed Showers — Furn BTU Hot Water Htr _ Heatpumps Laundry Washer _ Vent Systems Sinks _ ,Spot Vent Fans _Floor C,rains 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 Fixed Fire Supp�. Sys 50.00 Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $ 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 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 AWARE OFTHE ORDINANCE REQUIREMENTS REGU- 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 DEPARTMENT. DEPARTMENT. X OWNER X BY e S' DATE / DATE PZ FOR OFFICIAL USE ONLY:Accepted by: Date: DEPARTMENTAL REVIEW s FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: j j� I Environmental Health: Building Plan Review DLJ Occupancy Group: — Type of Const: � Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check 7 ' Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor GoLje,., Z-3 o Sl Violation Fee Site Inspection Building State Fee Other / Other / Building Valuation: �' � 9 0 `1' TOTAL FEE