HomeMy WebLinkAboutBLD93-0347 GARAGE - BLD Permit / Conditions - 4/12/1993 5
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Waft date by Set Up
date by INSULATION date b
BG/SLAB Insulation y
date by Floors Final
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 by
date by
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Permit No.
MASON COUI=
BUILDING PERMIT APPLICATION
PLEASE PRINT - f
1 Owner �` 1 -T0 0 R At R AJ -4 l utt-- Phone# -"
Site Address JJ � ( A T')w 17nn M1 Fire District #
City_ St l%t '�� T_Zip -.
Directions to Job Site
z �
S ®/-1
Owner MailingAddress4 t
City 1�. -1�- St Zip
Lien/Title Holder J97zLJf )dX-
Address '
City St Zip
#2 Contractor Name 1—r Contractor Reg#//V 47n�
Address r a LWli4D Expiration date /
City St��Zip
Phone - 6-S� .J l
, 3 If septic is located on project site, include records .
Connect to Septic? Public Water Supply Well
(If residential, proof of potable water is required)
�)o 6 F /
74 Parcel No. -7-7-
Legal Description l /2 S 11
Lis Building Square Footage:
1st F1 2nd F1 3rd Fl Loft Basement
Deck #bedrooms #bathrooms Garage Carport
Garage/Carport: Attached o Detache
Other
ro Use of building a.— ) Z- e17A-'Des r be work 7�7,07/29� (3,6
L-__
r7 Type of Job: New Add Alt Repair Demolition
Re-Roof Bulkhead Other
3n//�MOBILE HOME INFORMATION
Model Year Make Model
Length Width Serial No.
#Bedrooms #Bathrooms Type of Heat
/L)U
3 Any water on or adjacent to property: saltwater lake
river pond wetland 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 Scale:
Name of Fronting Street Date:
=APPLICANT TO DRAW SITE PLAN BELOW
C r.f'O e-- w<,3
`.J
Dr rS, Ct
kPPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
2.�r� 0oL
k
Plumbing Fixtures Fee Mechanical Fixtures
No. Toilets Primary Heat Source (circle type)
Bath Basins Elect/heatpump/other
Bath Tubs
Showers N0. FEE
Hot Water Htr Furn
Laundry Washer Heat Pumps
Sinks Vent Sys (Central)
Floor Drains Vent Fans (Spot/Whole)
Laundry Basins Boilers/Compressors
Dishwasher HP
Disposal Air Handling Unit
Urinals cfm.
Other Fire Protection Systems
Permit Basic Fee
TOTAL PLUMBING $
Other
Gas Outlets .Hookups
Wood/Pellet/Gas Stove
Other
Permit Basic Fee
TOTAL MECHANICAL $
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK
IS COMMENCED
OwZTERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR
CONTRACTORS REGISTRATION LAW RCW 18.27 , AND AM AWARE IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH
THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST NING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
DEPARTMENT.Z DEPARTMENT.
X OWNE X BY
DATE DATE
return permit to: Department of General Services
x26 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
FpR OF�ICFAL L5� QNLY Accegted bate ,
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond Hold
Approval
Planning:
Environmental Health: `
Building Plan Review:
r>
Occupancy Group:
Fire Marshal:
Other:
iFEES
lSpecial Conditions: II llsite Inspection I II
II II C 'I
11 II IIBuilding Permit S
II II I' ' _
II_ za
II Violation Fee I II
II 11 I I
11 II IlViolation Investigation Fee 1 II
II Il II � 'I
II II 11Plan Check IZ II
II II I' it
II 11 II Plumbing Fee I II
II 11 1 I
II 11 11Mechanical Fee I II
II 11 1 I
II 11 IlWoodstove Fee I II
II 11
II 11 111Building State Fee
I' '1 1 i
building Valuation: 11 11 TOTALI l' ---JI
MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(206) 427-9670
CORRECTION� NOTICE
Job Location L,),J �lS O c o ► -J
0 3�/7 QL07 -- «6, C ab I
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
l CLv�CU rn.9
�;-
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
❑ OKto
Department
Date 1 /6—*/ Inspector
D OT REMOV THIS1AG
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