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HomeMy WebLinkAboutBLD94-0062 GARAGE - BLD Permit / Conditions - 2/18/1994 i i " 0 O 0 � 0, �o+ 0 z n - C o n � o � Q O � 00 CONCRETE MECHANICAL MOBILE HOME Footin:-F-Setback .> date by Ribbons date 06� by �'�3� Gas Piping date b Foundation Was 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 OTHER 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 r ©C G(2t b ,-tevhc.i2. ' T- r ` � eew,, Q 1g OQ D o � x n OD O 0- z n ° a O � - c N z 30 � Q � F o coa O � OQ � o o x 0 OO of z ° C) : � � = C Q N z —� O (� :3 (D 0 coQ 0-1 --q 00 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 You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK C/�" for re-inspection when corrections are made before continuing :Make corrections, items will be checked on next inspection ❑ OK to Departmentj� '`'J Date J 1 Inspector DO t410T REMOVE tHIS TAG Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 �L d PLEASE PRINT 0 #1 Owner f\c.,. rn e r Phone# Site Address E 6 3 C Va c r u, �)tr\C Fire District# t 1 City Y�e�}c�r� St t-0d� Zip` - Directions to Job Site 0.,U .c,+ 'U Owner Mailing Address V a3 L4-r e s P City `• -AA F 0-0 f'R St W R Zip Cq1RSs'4-k Lien/Title Holder �o u n Address 2-\ 1 r a P t' c5u City St LOP Zip 9-gS84 #2 Contractor Name J f'a S 0�S ��.t,S/ I Contractor Reg# Address 9 /6/ 2e,1-4&z r Expiration Date City 5'4 &4?40'0 St 00- Zip y Phone# 90 96 #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) #4 Parcel No. - 1 -0'7— Legal Description 0F #5 Building Square otage: (existing/proposed) 1 st FI tnCJ 0 2nd FI 0 / O 3rd FI O / a Loft / 0 Basement 0 / Deck A YO #bedrooms / 0 #bathrooms 4 Garage2 Carport_/ Cy (Circle ttache ' r Detached?) Other sq.ft. / #6 Use of building ,t g E d- GJ 0'e-,6 -"fly Describe work 42n Gc e -54a6 #7 Type of Job: New 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 � o -� ,22 00 "£8 (' Gt o° APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW s x« , PLOT PLAN ADDRESS S_ ! "C '/'�- PERMIT NO. 0 o = o PI D a o s LEGAL DESCRIPTION LOT BLK ADDITION "u SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION A"'D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. 0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' V I I I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. i NAME( 1 OF OWNERS) OF SITE R 3.WW CTURE(S) (PRINT) 9IGNATURE OF OWNER(5) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DATE DISTRICT AS NOTED SHELTON PRINTiN"s i Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other w= Bath Tubs No. lLiLs Fees , Showers 1 Furn BTU r Hot Water Htr 0 Heatpumps Laundry Washer Vent Systems Sinks 0 Spot Vent Fans rFloor Drains No. Boilers/Compressors Laundry Basins HP J Dishwasher No. Air Handling Units Disposal cfm# i`Urinals No. Fire Protection Systems Other 0 Auto. Fire Alarm Sys 50.00 G Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 G Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $ . Other 0 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 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 APPROV L FROM THE BUILDING THE BUILDING DEPARTMENT. DEPA I X OWNER n�cA 4 X BY,, DATE DATE FOR CIFFtCIAL USE ONLY:Acceptetl by: Date:' I DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold ,��nn 1 Approval Planning: !-Ll��1' ule el set e L JcJrv� I14 , i I , I c1 sr,J BLA Environmental Health: e Ci Ai h«!\A Building Plan Review &oT VA2iANCC io -im eiyc-ao 4 (3tN S V-rM KAle,N i SST RRC �5 Occupancy Group: ►'?'l-2 Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit t?j Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee 5 Other Other Building Valuation: /-7 TOTAL FEE (9G,SCE 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 Ir r_ APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW r