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BLD94-0877 CARPORT - BLD Permit / Conditions - 7/11/1994
i i oQ � � o 0 cn " � O00O 0- z � ,< (D °C) Q O � = C z Q on 0 4 OD 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. PLUMBING y 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 /7 s �� L II OQ D � o o � � x0 0 ol : z op x� � - c cn ND z —� F ® n Z3 (D 0 � 0 � 00 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 date by date by FRAMING Walls FIRE DEPT. date by date b PLUMBING date by OTHER y Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by Q p0 O O Cn " � OO O 0- z � � (D On O � = C C) p:- z Q . O n D (D 00- � � 00 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 date by date by FRAMING Walls FIRE DEPT. date by date b PLUMBING date by OTHER y Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by Permit Nor'" ` Do MASON COUNTY JUN 1 4 04 BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628�VeQ LA #1 wn T > ►J Phone# � e Address_ Vv 141 � ©m l r1 �. e District# 16 City �P�. 4� Zipga6 � Directions to Job Site Vouc3w Owner Mailing Address City �( -can St Lien/Title Holder pm.)R_ Address IL Wn.�i 14 Ch1A City I�rc-% St ' Contractor Re #C�<'/��'Ti' f6d a�►1 #2 Contractor Name ,� r CAL g Address �� rx 1 y 1 t Expiration City -T G`c Ciy1/L� St C.v CA Zip LLB Phone# #3 If septic is located on project site, include records. Connect to Septic?_-,K_Public Water Supply Well Connect to Sewer System? Name of System k C-"L-5 (If residential, proof of potable water is required) #4 Parcel No. `f+kA"'9- - �L -' CG t©k Legal Description �[Q„ iQ- D a35� 6EE Sy 1 y4) #5 Building Square Footage: (existingkroposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedroom- / #bathrooms / Garage / Carp yX. / Circl Attached' r Detached?) Other s q• #6 Use of building 1'`'` �� Describe work �Oz1GC�7 #7 Type of Job: New �r__Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length Width Serial No. # Bedrooms # 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 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 I Plumbing_Fixtures ($3 eachl Fee Mechanical Fixtures ($6 each) No. Toilets ., CIRCLE FUEL TYPE: Gas, Electric, Heat um Other —Bath Basin P P Bath Tubs No. Units Fees Showers Furn BTU Hot Water H r Heatpumps —Laundry Was er — Vent Systems Sinks pot Vent Fans Floor Drains No. @oilers/Compressors Laundry Basins — i HP Dishwasher No. Air Handling Units 1 —Disposal c6# _Urinals No. Fi�e Protection Systems —Other — Au�. Fire Alarm Sys 50.00 Fixem Fire Supp. Sys 50.00 Permit Basic Fee 15.00 Auto a Sprink Sys 25.00 TOTAL PLUMBING $ No. Other Gas Outlets Wood, Gas, P41let 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 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 CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDIN THE BUILDING DEPARTMENT. DEPARTMENT. X OWNER X B �R'� DATE DATE r� `_ 1u FOR OFFICIAL USE ONLY:Accepted by. Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. , Hold Approval i Planning: a Environmental Health: OWNER/BUILDER TO ASSUME ALL RESPONSIBILITY IF DRAINFIELD AREA IS ENCUMBERED. Building Plan ReviewQ7 ( Occupancy Group: Type of Const: Fire Marshal: Other: ------------- Special Conditions: FEES ec Building Permit Plan Check ? a Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee F .: r Other Other - S Building Valuation: -- TOTAL FEE Ravised 07/12/93 PARCEL IDENTIFICATION irmit Number SWG9 - Subdivisionnq / (� installer's Name Assessor's Parcel No. Designer's Name cTM•ei..s-niQit r*uer> AS-BUILT DRAWING 16, 50'� 3 �J 7 e LeFh of AUTION: Minor adjustments to septic tank location and drainfield orientation made in the field by the installer are generally ac- •eptable to both the department and the designer, but could in certain cases compromise the viability of the system. It is the in- taller's responsibility to obtain prior written approval from either the health department or the designer before making any devi- tions from the design that affect system viability. Any deviations from the approved design must be shown above. AS-BUILT CHECKLIST Drainfield orientation LP Observation port location Undisturbed native soil and layout ❑ between trenches Cleanout location Trench/bed dimensions and North arrow critical distances within Manifold placement layout ❑ Scale of drawing shown (� Orifice placement on scale bar I D-Box/"T"/"L" location ElF( Lateral placement, with Additional Mound Information Septic tank/pump chamber distances to edge of bed location � Endslope width Location of wells, roads Location of buildings Overall fill dimensions MASON • BUILDING 111 • W. CEDAR SHELTON, WASHINGTON • 1 • ' . 1 t IF • • • NOTICE • • Location (0 This Structure has been inspected by Mason County Building Department • the following VIOLATION of County Laws , • Ordinances , • " " found: Items listed below must be corrected to gain code compliance fL:�iL�:��!_.� � '�•� J� __ �//mil' r��!�v � �.._' I� I O - , — - / / I . . / i/, _0-I� II «_� . 1 �! /�� r v X-led You are hereby notified that the above corrections shall be made BEFORE PROCFEEDING WITH ANY FURTHER WORK II or •e • • • .•e before continuing • Make corrections, items will be checked on next inspection ■ OK to Departmen ;� 1 ';ar+..,- f - i t rJ � ti r � 1 / i gs _ ro cn Y F-4 i 4 VU QN Yl ��`to �� �� �: ,•�� -,��, b �/, i Nl �? r, l n % -- - - ,h� �t a i i i i CA J HoQ-;6 ' N _ 101 i i i I j �4 t � � � M �® 7a -41 � N I 4 l _ M x �n TT r> �I 0 c v ry, v� M o g If L - � J ^ NCU V \J C O �. -U z -_ _' C#3 CO O D cn 06 M M m m ; C.J