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HomeMy WebLinkAboutBLD97-0762 GARAGE - BLD Permit / Conditions - 7/30/1997 z z '77 rn 71 0 C) 77 Ml-' 'St M �T- x 1-., ':.1 OD 0 C: of :3 cn (D 7 'Z, Z cn N) (D 10 OC) CYI K. OD 4S, Wi C^ SCREE E MECHANICAL MOBILE HOME recswg� Setback date by Ribbons date - 7-,j 7 by Gas Piping date b 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 Attic OTHER Groundwork date b date by y D te WALLBOARD NAILING date by date by Water Line FINAL INSPECTION - by date by date ' date by II N 7 M 2 Z, rn b c, OD ol ao ti ol 0 0- co Ol --- :�'-4 CONCRETE iL MOBILE HOME Footings-Setback by Ribbons date ,g date b Foundation Walls by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date FRAMING by date by date by Walls FIRE DEPT. date PLUMBING by date by date by Attic OTHER Groundwork date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by GARY YANDO,DIRECTOR �pN STA �P M o DEPARTMENT OF COMMUNITY DEVELOPMENT S N = PLANNING -SOLID WASTE - UTILITIES �o N Y oy BLDG. I • 411 N. 51 ST. • P.O. BOX 578 SHELTON,WA 98584 • (360) 427-9670 1864 DISCLAIIM[ER/WAIVER OF COUNTY LIABILITY:PERMITS ON EXISTING LEGAL LOTS OF RECORD, LAND DIVISION APPROVALS, SHORELINE PERMITS, VARIANCES, AND SPECIAL USE PERMITS: The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created by the Growth Management Hearings Board's Order of September 6, 1996, and in consideration of Mason County's willingness to proceed with processing of applications which might be affected by that Order, the undersigned property owner hereby agrees to waive any lawsuit, action, or claim for damages against Mason County which may arise out of Mason County's actions in acceptance, processing and/or issuance of such permits or approvals (hereinafter"permitting actions', which damages are attributable to the County's decision to take permitting actions despite the risk that changes to the County's development regulations might later make the County's permitting actions invalid. Date (Parcel No. or Legal Description) Property owners signature(Notarized) (or the County may accept the signature of the owner's authorized agent upon proper proof of authorization) ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL) STATE OF COUNTY OF On this day of , in the year , before me Notary Public, personally appeared personally known to me to be the person whose name is subscribed to this instrument, and acknowledged that he/she executed it. WITNESS my hand and official seal. -For County use only- Reviewed by applicant on (Date) Notary's signature Staff Initial: My Commission Expires: WASHINGTON ASSOCIATION OF BUILDING OFFICIALS CODE ADMINISTRATION BULLETIN 96-07 (November 25, 1996) FACTORY-BUILT, MASONRY AND CONCRETE FIREPLACE TESTING, CERTIFYING AND LABELING The State Building Code Council has adopted two state-wide amendments to the Uniform Building Code, which become effective January 1 , 1997, pertaining to testing, certifying and labeling of factory-built, masonry and concrete fireplaces. The state-wide amendments have resulted a number of questions some of which have been addressed in (Draft) SBCC State Building Code Interpretation Request 96-Nov 01. Source: For Additional Information: WSR 96--01-120 (Permanent Rules) State Building Code Council State Building Code Council (360) 586-0486 Effective January 1, 1997 (Draft) SBCC State Building Code Interpretation Request 96-Nov 01. srgTF.o� A U DEPARTMENT OF COMMUNITY DEVELOPMENT SN N 29 PLANNING -SOLID WASTE-UTILITIES �o N Y oy BLDG. I • 411 N. 5T1 St. e P.O. BOX 578 J SHELTON,WA 98584'• (360) 427-9670 1864 DISCLAIMER/WAIVER OF COUNTY LIABILITY: PERMITS ON EXISTING LEGAL LOTS OF RECORD, LAND DIVISION APPROVALS,SHORELINE PERMITS, VARIANCES, AND SPECIAL USE PERMITS: The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created by the Growth Management Hearings Board's Order of September 6, 1996` and in consideration of Mason County's willingness to proceed with processing of applications which might be affected by that Order,the undersigned property owner hereby agrees to waive any lawsuit, action, or claim for damages against Mason County which may arise out of Mason County's actions in acceptance, processing and/or issuance of such permits or approvals (hereinafter"permitting actions'),which damages are attributable to the County's decision to take permitting actions despite the risk that changes to the County's development regulations might later make the County's permitting actions invalid. Date (Parcel No. or Legal Description) Property owner's signature(Notarized) (or the County may accept the signature of the owner's authorized agent upon proper proof of authorization) ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL) NOV 15 1996 MASON GO.PLANNING DEPT. STATE OF COU NTY OF C ,/1 No Public On this day of t�JJ'ti0n the year����, before me L J�-11 �[ T personally appeared a Personally rsonall known to me to be the person whose name is � � ,y" /,� subscribed to this instrument, and acknowledged t1 t he/she executed it. WITNESS my hand and official seal. -For County use only- Reviewed by applicant on xc . r (Date) Notary's signature Staff Initial: My Commission Expires: 1 � �� �I�� �.� 0 PAMELA L. RITTER ` NOTARY PUBLIC N 0 V 1 3 1996 0 STATE OF WASHINGTON 0 My Commission Expires Feb.1,2000 0 W,SQN CO. PL-Q0 NG DEPI. Permit No. MASON COUNTY BUILDING PERMIT APPLICATION �� b 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 t Phone# 3,�c� y?�s 2 6 SS Site Address `re w Fire District# City ._ _ St Zip Directions to Job Site a61- .T,� 'T e L c- r 7 =e e -fz i . .T v ke Owner Mailing Address City St �« Zip_ � Lien/Title Holder lv Address City St Zip #2 Contractor Name L G4V 2* 19 VA) ei Contractor Reg # Z lS' 17�� Address -_360 f4 CJC"Q Expiration Date " 5 / L c9 City L.tiIh t lip St Zi Phone# -56c) Z 7 7 /C #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) G #4 PPaarcc I No. q ZO O�- 7 / LV egal Description 4 n? Z`� r� N� � /�� l �r C � f �:.� , Cxi #5 Building Square Foota e, 1st FI J ��i d FI G' 3rd FI Loft Basement # Bedrooms # bathrooms Deck Other Garage Carport (Circle:Attached orDetached. #6 Use of building f') Describe work #7 Type of Job: New Add Alt Repair eL g #8 MOBILE/MANUFACTURED HOME INFORMATION JUL 0 1 1S37 Model Year ke Mode n th �dth Serial No. =�rLTH ` �,� ��`'`# Bedroom # Bathrooms Type of Heat 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 Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Drainage Plan Wells Septic Systems Easements Proposed Improvements Name of Side Street Indicate Directional by (N, S, E, Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITf PLAN BELOW .5'0 ltAcA) r A D —5° M c� M �f lit AS BUILDING I SPECTOR HANGES SUBJECT T APPROVAL DDAT€ 70 _F0 ' M(.A) APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW U7 Ii ' C �o e f�, i Plumbing Fixtures ($3.35 each Fee Mechanical Fixtures ($6.75 eachl 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 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 16.75 — Auto Fire Sprink Sys 35.00 TOTAL PLUMBING $ No. Other 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 16.75 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 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 MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. . X OWNER X BY DATE DATE ZRIIA2 z ©ate: FOR OFFICIAL USE ONLY: Accepted by: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: 1/Cl Environmental Health: Building Plan Review&::�4 y /t L A& 6 -7�ZZY Occupancy Group: t� I Type of Const: '-vt -N Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check '7 Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Violation Fee Site Inspection Building State Fee Other EE �v Other Other Building Valuation: 144 TOTAL FEE