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HomeMy WebLinkAboutBLD94-1468 GARAGE - BLD Permit / Conditions - 10/2/1994 0 C) 00 C: of C/) (D Qn cn OC) C;l OD CONCRETE.4 nL_eS bC MECHANICAL MOBILE HOME Feefi =Setback date by Ribbons date f l-ZZ'Z^ `r,( by �/ Gas Piping date by Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date FRAMING by date by date by Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSP CT N date by date by date by OQ co O x 0 oD ol : z n ° (C) C O � = C cn z —� 5- * -< O n D (D 00- CYI � OD OQ N ca O x n OD O O ol : z � \ / O � o � = C Q N z :T0 � F on O D O � 00 NA,qi Permit No. MASON COUNTY k,Q � }' .et4 5e C-4 It W 1, BUILDING PERMIT APPLICATION C115- �w1u^' PeP-#"`� 426 W. Cedar/P.O. Box 186,Shelton, WA 98584 427-9670/1-800 562 5628 PLEASE PRINT #1 0 Ow 1F'Ktc k v1r- CL K d Phone# Yap-077aZ Ite Address W• q 3o DYN-u` tJ MCKI C , K� Fire District#_J(�_ City ��/1 el I '-O� St Fire P, Directions to Job Site Owner Mailing Address I G SZ. W!t qq S1E 13 City �-.0�U 1ti/W Cd e� St 14 Zip Lien/Title Holder Address City St Zip i #2 Contractor Name u I Contractor Reg #'T©tlSu�PFOq�LT� Address l W Expiration Date 6> City 6&dcU ( s� St UJ Ik Zip �fS b3� Phone#� #3 If septic is located on project site, include records. Connect to Septicly!- Public Water Supply_Well--- Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 P cel No.J4 7,C0� - 001;, egal Description �Q I Af So J 15,1r �1 d o� #5 Building Square Footage: (existing/proposed) 1st FI�/ 2nd FI Mft. / FI / LoftBasement / ? Deck #bedrooms / #bathroomsGarage 4>- / ,, —!2'* Carport (Circle:AttachedOther #6 Use of building 17 --wrC,"e A l�1�-�- -2 Describe work CO N O o-txe. GW R- #7 Type of Job: New Add Alt Repair e tt HOME INFORMATION WE --a #8 MOBILE/MANUFACTURED O Model Year Make Model St Length Width Serial No. GENE # Bedrooms # Bathrooms Type of Heat RAL SERVICES Purchase Price $ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other 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 Proposed Improvements Easements Name of Flanking Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other Bath Tubs No. UnAa 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 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $ No. 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 OF THE 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 CHANG SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING:rAPOVAL FROM FIRSTtOAINING APP VAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPAT. X OWNER X BYqq DATE DATE FOR OFFICIAL USE ONLY:Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: { Environmental Health: a Building Plan Review Occupancy Group: Type of Const: �- Fire Marshal: Other: Special Conditions: FEES Building Permit ${) Plan Check 3 (, Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: k� -I TOTAL FEE `�p, dD MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORRECTION NOTICE Job Location , L/3C) r ,pTgbf-j �oZ 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 I� 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 ❑ ake corrections,. items will be checked on next inspection Department v Date Inspector DO NOT REMOVE THIS TAG