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HomeMy WebLinkAboutBLD98-1166 DECK - BLD Permit / Conditions - 12/31/1998 M> Vr t Qv %) x 0 00 c: ol :3 co rr > Z Z cz cn IM, 10 OD 01 -R OD 77 77 7M -77 - CONCRETE MECHANICAL MOBILE HOME Footings,-Setback^ -� date by Ribbons date - / `j by Gas Piping date b Foundation Walls date by date by Set Up BG/SLAB Insulation INSULATION date by Floors Final date by FRAMING date by date by date,3- t� by e.- ' 1 Walls FIRE DEPT. date b PLUMBING date by OTHER y Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date date by /o -♦�fi-cam /�,A � ' I� I 4r 71, 19 CO c ol cn T 10 Q- OC) 01 777 OD Ilk 4 'm 60 77 ell, 74 .7, a rz, 7W _Z? x OD ol Cn cn OCCR 77:7 IV 10 Q- OD Q CTI OD — � -77 Z -Y,V 0 fz a. iE PERMIT NO.: BLD l MASON COUNTY 'f BUILDING PERMIT APPLICATION a.I� 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner eel r` C S Contractor Name Cog 71 Mailing Address p 'O Mailing Addre s �` Sf City �&,e l�©�,. State Zip Code 1S City �, State _ Zip Code Phone %f Wit: Y32'��`fY Other Ph. Ph (6-l9q,1 Other Ph.( ) f`5��;# Lien/Title Holder ris •F �k Contractor R # &ECs t-c-*rj'T4 D.[a Address % 'f. 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. qzC01 Fire District A,Legal Description t- 4 Z 4 t 4 Site Address(Please include street name, street number and city) 771 W ko 1154A e N.ow w Directions to site t'owt -06L ,{ca+ _ � C ca "` `1 f � Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New L Add Alt Repair Other Use f Building Describe Work kew ik 11 c re ez it No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st oor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model 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. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The 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-1 certify that I am exempt from the requirements of the CONTRACTOF!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 the 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 a' roval. X Date X Date f l FOR OF FICIAL USE BEYOND T IS ObINTI Accepted by Date Submittal Amoun ue Receipt No. - L}EP/ RTiV(tNTAI..RV115 W `APPRgVEp _DE11111wD CJN»IT1C3N Glp $ Building Depjalment Occ Grou 1 Type Constr. - ��v 71 Planning Department Environmental Health Department Public Works Department i Fire Marshal Valuation $ :. :. -------------- ------------------ Building Permit Fee Site Inspection' Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) r> ::.< rf. f�`- TOTAL FEES . 1, :,,:ftysx,fcx+.4HFfl•':•;;�r.%i!l i f . FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No../ Name Jkc�s `F' �' k`� ���k4 PARCEL NUMBER YL� ! 0 t 2— Date ��11 �1 SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan_ Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Al 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 or within 100 feet of adjacent ro ert line. adjacent property lined >yv' E-adjacent property line to �31LA�iN t��c'Ca i I I (1iYC' 4 I I e' 4r y� I I , I I I adjacent ro ert line4 I 711 <—adjacent prope.rty line SAMPLE SITE PLAN SaCdEjr/zar Teo K t✓t property lined E-adjac�He ron1.fft..Gproper ty �lin e 30' r D &Pr[P L 60 r VACJ1hNT MAc :S o 3G T p,&R=LLLrLRAL 50 I � R I I \ I Lv c LL I � I t I I I I adjacent property lined i A"• \i <—adjacent ro ert'line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. if possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE dts+�r,cm to SrFruct't.�►�t dis't'ar.GG to Slops �-c¢ dis+a�cal. 1 l lE Signature Date