HomeMy WebLinkAboutBLD94-0598 - BLD Permit / Conditions - 3/8/1993 (2) 4
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date 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 b Walls FIRE DEPT.
y date by date by
PLUMBING Groundwork Attic OTHER
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date - ` by 6:9Vndate by
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Permit No.
MASON COUNTY b�
J U L 2 1 1994
UIWING PERMIT APPLICATION qk\�
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT --
Phone#
#1 Owner � In
dress IZA4Fire District#
i
St Zip �-
Directions to Job Site
Owner Mailing Address
St Zip
City
Lien/Title Holder
Address
St Zip
Clty
#2 Contractor Name +� � ;z.�c '`,� `2� �=T�f''"' _Contractor Reg
d
Address`���\� y ��c `Rr� Expiration Date_ /_"?f /
City St *S s" Zip rt 3 Phone# %V\\ `, z C`2
#3 If septic is located on project site, include records.
Connect to Septic?_ Y _Public Water Supply x Well
Connect to Sewer System? Name of System_� 2
(If residential, proof of potable water is required)
#4�eega
l No.'- 72 1 J L
Description
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage Carport / (Circle- Attached r Detached?)
Other sq.ft. /
#6 Use of building C Describe work
#7 Type of Job: New Add Alt x Repair Other
#8 MOBILE/MANUFACTbi ED HO E INFORMATION
Model Year / Ma�4 e odel .c.,✓1
Length Width Serial No. „emu
# Bedrooms Bathr ms Z._ Type of Heat
Purchase Price$
#9 Indicate by circling the applic s rce if any water is on or adjacent to subject property:
River Pond Creek Stream/Keltlwd Lake Marsh Saltwater Seasonal Runoff Other YL_"'�-"��
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 i
Name of Flanking Street Indicate Directional by (N, S, E, W) j
Name of Fronting Street in relation to plot plan I
APPLICANT TO DRAW SITE PLAN BELOW
Ik- �
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
L��
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No.,�oilets CIRCLE FUEL TYPE: Gas, Electrc,
Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
Showers Furn BT
—Hot Water Htr — �: H eatpumps
—Laundry Washer — nt Systems
Sinks ,, — Spot Uent Fan
Floor Drains''. No. Boiler %Comdessora
—Laundry Basins — HP
—Dishwasher . Air H ndl- 'L11jQitS
—Disposal — cfm#
Urinals No. Fire Pr tection Sv
Other Auto Fire Alarm Sys 50.00
Fix d Fire Supp. Sys 50.00
Permit Basic Fee 15.00 — A o Fire Sprink Sys 25.00
TOTAL PLUMBING $ No. qLh ge r
— 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 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 �^-1--
DATE D E "
i
i
FOR OFFICIAL Accepted by:', Date:
a
DEPARTMENT. REVIEW
FOR OFFICE U = ONLY
Approved Cond. Hold
Approval
Planning:
is
Environmental Health:
OWNER/BUILDER TO ASSUME ALL
RESPONSIBILITY IF DRAINFIELD AREA
IS ENCUMBERED.
Building Plan Review O
Occupancy Group: ' /Y\-! Type of Const:_ Jjt
Fire Marshal: l�
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
0-,u,
Other
Building Valuation: o2 TOTAL FEE
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MASON COUNTY
BUILDING III 426 W. CE AR
SHELTON, WASHINGTON 8584
(206) 427-9670
CORRECTION NOTICE
Job Location ar 2-10
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
2 44
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
or re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
Department
Date A-Ol Inspector
Art
DOT REMOTHIS T
T ,
MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(206) 427-9670
CORR�ECTION NOTICE
Job Location -' -"Kj l (L, T
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
1)*S 00T VEOT-W6 U, "'tup
�..-
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
Xcall for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
Department)u
Date ` r yV1 Inspector � --��-
DO NOT REMOVE THIS TAG
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