HomeMy WebLinkAboutBLD92-0649 REROOF - BLD Permit / Conditions - 7/6/1992 w
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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 date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D W WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
po-mi.t No.BLD
MASON COUNTY '
BUILDING PERMIT APP: UCATION
PLEASE PRINT
7r1 Owner one�# At — (� �2 -
Site Address ?1 i IL ,
City St Zips—�'
Directions to Job Site
Owner Mailing Address `
Ci St Zip
Lien/Title Holder
Address
City St
ZiP,_
#2 Contractor Name Contractor Reg#
Address V=iration date
sty St Zip Phone
#3 If septic is located on project site, include records_
Connect to Septic?_ public Water Supply_ Well
(If residential, proof of potable water may be required)
44 Parcel NO. A (_ t = -501-
.;egal Desc=iptioaLLI
#5 Building guars S A
Footage: taxisLiaq/P�as�, 3 3
ist Pl / Znd Fl / 3 rd FI / Loft /
Basement / Deck / #bedroclms_L_ #bathrooms,[_
Garage / Carport _ / (Cir e: Attached or Detached?)
Other sq ft /
#b Use of building Describe work
1407 Type of Job: New Add Alt_ Repair �rDemolitioa
Woodstove_ Re-Roof L -' Bulkhead Other
T8 MOBILE g0i� IPTFOR %77-ON -
Model Year Make Model.
Length Widthh_ Serial No.
Bedrooms "Bathrooms Type of seat
;9 Any water on or adjacent to property: sal,twaca_ lake_
s asona_ no=�
--ve-- pond wetland � ��
No _ Tao I ecs vent Sysce= X 3 . 00
- -
3a ct Basins vent =a n$ X 3 . 00
' Bat�tlbs No. Boilers --
/Compressors
Showers
-- 0-3 HP --6 . 00
Sot Water Ht_ 3-15 3P
—LaUnd^y Washer 0L-
S - - 15-30 HP 6
. 00
.. 30-50 Hp
i o4€ Domains --��-
50 + Hp
Lati t Bas i Ti s No. unit:
-- �_
---- Air Handling Uni t
Dishwasher <� 10000 atm.
7. 50
Disposa.1 > 10000 c:tI. 7. 50_
Ur.�als other
Other
Snap Coolers _
Hoods _
Persli t Basic Fee 3,00 Fire Suppression _
Tamm PLDlMMM $ �Domes. Inc :S
Cnmmi. Incin_
Reloc/Repair
Mechaa; cal rai „T-oQ _ 6_00
Gas Outlets X 2.00 _
NO. Fuel Types -
_Fu.-a < 100R BTU 6. 0 Woodstove seo
� Other
Fur= >- 1001 BTU �_ —'-"'
Floor 6 . 00-- Pewit Basic Fee _
Heat Pumps TOTAL MEC33U ICAL
NOT2CS: TICS PMUCT BECM'CES NULL AND VO= IF WORK OR CONSTRUCTION AII1'SORSZO� IS NOT CD*'N® W== ISO DAYS, OR IF CONSTRUC=ON OR WORE:IS SDEPENDm OR ABANDONED FOR A p£RIOD OF 180 DAYS AT ANY=ME AFT...R WORE
IS COMMENC=
CWNSRS AFF=VIT
' rfRACZ= aF'FmnvlT
f CT"Cr1' Tf1AT t AM TTOM AR01 TIE REaIIREMEIITS Of TIE I CEMFT TIAT 1 All A aMME11TLT REGISTERED C=TRACTAR
CTStTRACTas REGISTRATTQI LAW RQl III.ZT AM AM MAUL! IN TIE STATE OF WASMUGTOI AND I AN AWARE Of TIE
Of TIE ►'IASOI ,==Ty ORD(NAM X REOIIREPIE)ITS FOR WIICA CRDIMAIICE REaIIIRE)ME#TS REGULATING TIE WORK FOR WNtGI
THIS PERMIT IS ISSUED AND THAT ALL WORK OOZE WILL BE IN D ANCE 1NEREitITI. THE PMIT IS ISSUED AMt ALL WORK MW WILL BE IN
NO CRAMMS SHALL BE Mae COMFORMANa fIRST TMERE M. NO ClIAlMGFS SHALL BE }u0E
u(TMOtIT MAIMING APPROVAL fROM TIE 8<)ILDING OEPART(IE)(T, WITHOUT FIRST 09TAIXING APPROVAL FROM THE BUILDING
OEPARTME)IT.
x OWNER �/'
0ATZ x sz
HATE
Re per=it to, Depar=ent Of General Services
426 PT. Cedes=/p.0. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
FOR OFFIC"; T Usz ONLY: Accepted `Jv-3 Dace : 7- �
Show following on the site plan
Lot Dimensions Flood Zones
Existiag Structures Fences
Strscture Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed :=rcvements Easements
Name of Flanking Street Scale:
Name of Froati.ag Street Date:
PLICANT To DRAW SITS.' PLAN BELOIlip
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PLICANT To DRAW TOPOGRAPHY PROFILE HELO
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•v.ZdZ 1Ai\i1Tjy4\ ,1n�, .[V�j r jL rV
FOIL Orncz U58 amLY
Cond No/d
F
Approval
Planning:
i
Building Plan Ra icw:
Occupancy Group:
Fire Marshall:
Other: I
tug
FF.EB .
IjSpecial Conditions: 11 OSite Z=pection
II II u 11
(! it OBilding Permit
II n ( II
II II u I
II pviolation Fee I II
I! Ij ljviolation Iavesti
II II gation Fee 1 II
I! N
I! 11 II Plan Check I 11
1! II Ij Plumbing- Fee ( if
11 11 IIMec:aaical Fee 1 (I
it 11 Nwoodscove Fee I II
1` 11 I1Buildiag stace Fee ( II
11gui' di=S Valuacion: II 11 TOTAL Il