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Home My WebLink AboutBLD97-0778 GARAGE AND CARPORT - BLD Permit / Conditions - 8/21/1998 > :D n IV > z z 77- x is OD c of < < > z z z zz.- cn CTA z 0 0 10 Q. 00 Ol OD < > Ul 7; z 7r t CONCRETE A070,V0 MECHANICAL MOBILE HOME Footin s Setback date by Ribbons date -3-9$ by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by FRAMING date by date by date by Walls FIRE DEPT. PLUMBING date by date by Groundwork Attic OTHER date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date�. Z Z x` by date by J C � T ZrI T T iN z Z T T z QC al '77 e+ cv x ISM = OD ol :3 Iz I k1p :3 (P pb, Sn N) 14 4t, 37 z 71 10 Q- nL OC) 01 .. 00 ID 0< 0 n 7Z rl vs It, C ii z 0 z Q� �7 M. <� •'D —o 2 0 1 -7 --i 7:;Z -- 0 r�n 0 Z> Z I`) -<;- -M IP) 1+ S.J. 0 71 C.)10 ol :5 C"=Oz C/) ::37 X< n 1tk7 w 0 0 7-z cn :)7 0, M—z-- T Q -00- 000 2! O'l co Z"D Z� 0 z— m 7 Permit No. Ot y$.07 MASON COUNTY' $!� BUILDING PERMIT APPLICATION 426 W.Cedar/P.O. Box 186, Shelton,WA 98584 427-9670/1-800-562-5628 (Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269) PLEASE PRINT #1 owner C 1.t F F K i N 6 Phone# Site Address / $-O W 17A�a Al iu0 h�1 Cam- Fire District# G city ,4tlj•�i dN St �./'�?- zip �S Fe-1 Directions to Job Site Gv /Z7-# N 11 I , 161 7-- % AI F7 DlU D h' 6D,UISCi�GiYS �i�ri�. ,v�7 iyR Ai i 70 �dIAM/�CfO CAR Cu ,47- ,ENS). f�51�7i NCi' t s DM /UORT# 1-- 57 <19f- Dr Lfr2C�+r owner Mailing Address 4'I' City St Zip Lien/Title Holder Address city St Zip #2 Contractor Name Contractor Reg# Address Expiration Date City St Zip Phone# #3 If septic is located on project site, include records. Connect to Septic?*,_Public Water Supply Well /=S Connect to Sewer System?L!/(L Name of System (If residential, proof of potable water is required) #4 Parcel No.'{A O p - 72 - Legal Description %R /02 a� S'J1Z P1C /S/1100 #5 Building Square Footage: 1st A 2nd FI 3rd FI Loft Basement # Bedrooms #bathrooms Deck Other Garage Cf� Carport a O (Circl�Attachedr Detached?) #6 Use of building �a'�aG� / �/f0� �- eA2�OiZ( Describe work #7 Type of Job: New Adder Alt Repair Other. #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Installer Name: Length Width Serial No. Certification Number: # Bedrooms #Bathrooms Type of Heat Purchase Price$ WATER ON OR WITHIN Z00' OF THE PROPERTY ( ]SALT [ ]RIVER/CREEK [ ]POND [ ]LAKE [ ]WETLAND NAME OF BODY OF WATER _Slopes/Bluffs r iYFS [ NO Show following on the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines V" Water Lines Topography Drainage Plan Wells Septic Systems Easements Proposed Improvements 5 Name of Side Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW r�^!e �- G U 1 oa r IN f C 1 2L l£ �1 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW �f�✓ GARs�/�yska�-ca/7,�t�1T , Plumbing Fixtures , Fee Mechanical Fixtures _ No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other _Bath Tubs No. Units Fees Showers _ Furn BTU Hot Water Htr _ Heatpumps _Laundry Washer _ Vent Systems Sinks _ Spot Vent Fans Floor Drains No. Boilers/Compressors _Laundry Basins _ HP _Dishwasher No. Air Handling Units _Disposal _ cfm# Urinals No. Fire Protection Systems Other _ Auto. Fire Alarm Sys Fixed Fire Supp. Sys Permit Basic Fee _ Auto Fire Sprink Sys TOTAL PLUMBING $ No. Other Gas Outlets Wood, Gas, Pellet Stove Propane Tank 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 WORK IS SUSPENDED OR ABANDONED FORA 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 K MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING. f THE BUILDING DEPARTMENT. DEPARTMENT. X OWNER X BY DATE DATE rt 3y yy ' ibhbFF16IA1L USE ONLY:Accepted by: Receipt No. t Q� Amount 7checid . DEPARTMENTAL REVIEW Cash Check # FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Fee Calculations: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee j Wood/Gas/Pellet Stove Violation Fee i Site Inspection Building State Fee UFC Plan Review Other -� 1, e ,�( J _2:50 00 Other Building Valuation: TOTAL FEE Show following on the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Drainage Plan Wells Septic Systems Easements 5 Proposed Improvements Indicate Directional by (N, S, E, W) Name of Side Street in relation to plot plan Name of Fronting Street APPLICANT TO DRAW SITE PLAN BELOW `� p�7c rnF1f-a(I1 - i cab f sw -- 4(j o i i SSG - oN✓f � - 1 N ?AADMINC PL, APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW f f✓ G AilAGF�SsIt+'o-n4,2,W7 E�riSTin�(r �-/arid r- - - - -- i � t a e w w w W X 9u V C Y � N v t��► _.____-� � � i_ � ......�........�.....,..,....._.,....�. — ....�,..a.,.�,............._..._. _ __ __ n b � � i 2 _ � 't� j i t� � i � � i � \ 11 { j v h j -- �, { � c6 x � �� --- --r.�.,....a,.,e.�.�....��.. � � { 0 1 � y i j '{n-1 j i , C � � � � � +: 4' � { C� N ---r----------- f "" `� w � � b � i� � � � �' t n � ..� w � T j � o � , +� ,,� i i1 ,� j ^� � � ii 1 � i � � �e o C �:' ! � b '� � � 1 � i � p � e i "C rn y� � l,r � c+ � t V Xd �' �, `�' t i , � � i z _ ��-- - - i �`1 I D � � � � �� { =� � � � 1 1t ) I� z n � � � � I � � � � � � ! �, � p � ') � � � ° � � a a o '�i 1� � � Q � '" ` �1 a �� ' �� a :� r i �� ' t./ � Y �__ `�� 1 Q a � (- �� r I� • ■�i ■�ii �i ism - ■wl . u■...i_r..r�. i.wuw .�.rr�ww�r MM INS 11111111 00111111��_ ■al : ...�.... .,r...... . wil_....__3k jj�� to oil il I WA FA 51 ■�■■■i � ON iffm■ ■.III ■■■■�It i� I■1111■r�//.■■.■�i �•�__► �� ■ it ` 11F ON.. .�..�..._ ! 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