HomeMy WebLinkAboutBLD93-0152 RES - BLD Permit / Conditions - 11/10/1993 J o O
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CONCRETE MECHANICAL l; MOBILE HOME
Fochngs-Setback date ' _ /-` Ribbons
d.tte -` ' - by Gas Piping date b
oundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by
FRAMING date -_ by date by
f
�"';�- ��- �bye Walls � FIRE DEPT.
date
date date by
PLUMBING - y OTHER
Groundwork Attic
date by date byS
D.W.V. WALLBOARD NAILING
date w - by date by —l�, 77( � S
Water Line FINAL INSPECTION
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date y - _ y date by date by
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Permit No.BLD
MASON COUNTY
BUILDING PERMIT APPLICATION
PLEASE PR14e
#1 Owner L LlM P/-4e 11 Ll
Phone#
Site Address
City �A St tAf j� Zip
Directions to Job Site L.1en,&I JLOA 7- c) 4" 14 -P
V AA
D Z' -SiD
Owner Mailing Address P Z',,- 3 o
Cit St ra Zip
Lien/Title Holder 1A'1'1 /-el -1 T--
Address 9- 3 5 A c ,
City '/f -- / zip 'r C- S? U
St n
2 Contractor Name- Contractor Reg#
Address Expiration date
City St ZipPhone
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply_ Well
(If residential, proof of potable water may be required)
#4 Parcel No. da- 0 c� S J
Legal Description- � -] -F) (-) F ��or.Vi,,� 15/inri ITr-41 74 42 1-1c--i
#5 Building--SqUare Footage: (existing/proposed)
1st iq 2nd Fl 4C 3rd Fl Loft
Basement'-- Deck L10 7 #bedroom #bathrooms A
Garage -5-tO Carport (Circle: Attached or Detached?)
Other' sq ft
#6 Use of building _k et,, P,e < Describe work
#7 Type of Job: NewX_ Add_ Alt_ Repair Demolition_
Woodstove- Re-Roof_ Bulkhead. Other
8 MOBILE HOME rNFORMAT10fl-,
Model Year Make Model
Model
Length Width Serial No.
#Bedrooms #Bathrooms- Type of Heat
.�9 Any water 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 BELO
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r k /L/
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELO
?'-umbinc7 Fixtures ($2 each) Fes$ Fee
AND. Toilets � Vent Systems X 3 . 00 _
Bath Basins G Vent Fans X 3 . 00 _
Bath Tubs No. Boilers/Compressors
s Showers �3 0-3 HP 6 . 00
Hot Water Htr _ 3-15 HP 6. 00
Laundry Washer 13 15-30 HP 6. 00
Sinks :3 30-50 HP 6. 00
Floor Drains 50 + HP 6 . 00
Laundry Basins No. Air Handling 'Unit
/ Dishwasher <= 10000 cfm. 7. 50
Disposal > 10000 cfm. 7 . 50
Urinals Other
Other Evap Coolers
Hoods
Permit Basic Fee 3 . 00 Fire Suppression
TOTAL PLUMBING $ :36 Domes. Incin.
Comml . Incin.
Reloc/Repair 6 . 00
Mechanical Fixtures Gas Outlets X 2 .00
No. Fuel Types Woodstove segarate
Furn < 100K BTU 6. 00 Other
Furn >- 100K BTU 6. 00
Furn - Floor 6 . 00 Permit Basic Fee 10 . 00
Heat Pumps 6 . 00 TOTAL MECHANICAL $
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION-
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, 01 IF CONSTRUCTION OR WORK
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK
IS COMMENCED
r
OWNERS AFF=Vrr cot 7?JkC=R{S AFF=VIT
I CERTIFY THAT I AN EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT 1 AN A CURRENTLY REGISTERED CONTRACTOR
CONTRACTORS REGISTRATION LAY RCW 18.27 , AND AN AWARE IN THE STAEH OF WISHINGTON AND 1 AN AWARE OF THE
OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE R IREMENTS 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 MNFOR14ANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST 08TAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
DEPARTMENT. `f DEPARTMENT.
X OWNER �'r��+-^- � � X BY
DATE L - <; - ? DATE
Return permit to: Department of General Servic' s
426 W. Cedar/P.O. Box 186, Shelton, PIA 98584 427-9670/1-800-562-5628
FOR OFFICIAL USE ONLY: Accepted b :
p y Date:
DEPARTWNTAL REVIEW
FOR OFFICE USE ONLY
—T
Approved Cond Hold
Approval
Planning:
Environmental Health: -� a.�7)a
Building Plan Review:
1T
Occupancy Group: �L
Fire Marshall :
Other:
FEES
IlSpecial Conditions : II IlSite Inspection I II
II II (
II II IlBuilding Permit
II II i I
Il it Ilviolation Fee I II
II 11 I I
Ij it jjviolation Investigation Fee
II II I' ' ----jj
II jj IjPlan Check
II Il
II- 11 II Plumbing Fee
li II
II 11 I1Mechanical Fee 1 / 11
II II i
Il 11 Ilwaadstove Fee i Ij
II II I I
II 11 IlBuilding State Fee I II
IlBuilding Valuation: III II TOTALIlI
ce
MASON COUNTY
BUILDING III 426 W. C DAR
SHELTON, WASHINGTO 98584
(206) 427-9670
CORRECTION NOTICE
Job Location k",0-5 V-rrr/ G 'sue
Z/f 13C,e2
This structure has been inspected by Mason ounty Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: j,� �, ', ���� � �� 7e 0 �5
Items listed below must be corrected to ga�� code compliance
N A5-o,65o
30 �D() ba 111�e - 1A1sPCC r/0 ,V FIE itf Og)C
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 Inspector
DO140T REMOVltHIS TAG
MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(206) 427-9670
CORRECTION NOTICE
Job Location
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
.,
/Ae'
�Z&'o sae-
w
You are hereby notified that the above correc ions 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
❑ OK to
`�.
Department
Date S� /✓? �� Inspector 04--5
DO NOT REMOV IS TAG
<4
MASON COUNTY
BUILDING III 426 W. CE AR
SHELTON, WASHINGTO 98584
(206) 427-9670
CORRECTIO NOTICE
Job Location 1,12 ae"9 4`
This structure has been inspected by Mason ounty Building Department
and the following VIOLATION of County La s and Ordinances has been
found:
Items listed below must be corrected to gain code compliance
�C Aml
/•1riv /fir/ 0�•� o,� SG ,� =,r� ,�d � o<<J
SAL A (P u toD t�/1 ✓ /(� /�/ ,�.`//5,? r��iZ'S ���rr.4l/s'oX•
• D USA f�o,�ir��i2 �i� ems.
�2DUl�✓� %2 CAP
mac Tk 7-gA1 as .70 7—,4"74 � �3/.c�G
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
❑ OK to
Department
Date /-,--z —1 Inspector
DO N()T REMOV THIS TAG
MASON COUNTY
BUILDING 111 426 W. C DAR
SHELTON WASHINGTON 98584
(206) 427-9670
CORRECTION� NOTICE
Job Location
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 ga code compliance
12
A
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fb �5 De'7f'
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
❑ OK to
Department
Date Inspector
DO NOT REMOVE THIS TAG
MASON COUNTY
j BUILDING 111 426 W. CE; AR
SHELTON, WASH INGTON1�8584
(206) 427-9670
CORRECTION NOTICE
Job Location
This structure has been inspected by Mason County Building Department
w
and the following VIOLATION of County La s and Ordinances has been
found:
Items listed below must be corrected to gain code compliance
729
IS
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
=a'ke
lfor re-inspection when corrections are made before continuing
corrections, items will be checked on next inspection
❑ OK to
Department
Date z 4 Inspector
DO N()T REMOV HIS TA
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