HomeMy WebLinkAboutBLD93-0880 SFR - BLD Permit / Conditions - 3/28/1994 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar LTO
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i P.O. Box 186 Shelton, Washington 98584 Pe,'-
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setbacw/-, -, date 7 ` ,6 by Ribbons
date 5=S—`�'�' by 640rr.Iff— Gas Pip' g 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 G FIRE DEPT.
2 I
date by dates 7 ' J-�{l� by date by
PLUMBING OTHER
Attic
Groundwork date LT-SG(— F"GJ by 9 �jl�dLE� U. D
date by WALLBOARD NAILING —30
D.W.V.
date 7 by date by
Water Line FINAL INSPECTION
date by date / r5--, .y/ by date by
apt
FQl
I
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 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
1
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
- n9l>"� y, - 14..2 f-T�z ,mod
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 7�5�//17'
Department
Date �� Inspector
01044 NOT MO AV TH' 1' T A ,�
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MASOWCOUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(206) 427-9670
CORRECTION NOTICE
Job Location 73 o
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 bcorrected to gain code compliance
74
I le
/S ✓r nc
;t%oe07-,60 T C'zfi 0/ S'P,9cc- 19CCC-"5 Fe&r-- k)Ftllhedr 1&�o 1
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 7�4 Inspector r u. "f" f70�
■ jo« 4 NOT Mo *V TN1v& TA ,��
a-3 -3��
Permit No.
DEPARTMENTAL REVIEW OTC I/ MASON COUNTY
FOR OFFICE USE ONLY BUILDING PERMIT APPLICATION ,
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 cL�
Approved Hold PLEASE PRINT �
Approval �-V
f Planning: #1 Owner L � / 4't1 U(/
Phone# 91 7
Site Address IAI Fire District#
City O St ") fi Zip
Directions to Job Site �//i4y c, TK A;/ i Ox 7, K N L0 FT o W Al A/1y
Environmental Health: Owner Mailing Address F q0 % IE 14 GZe.
City & v jJ St C-✓ A Zip e
Lien/Title Holder
Address
Clty o �� St Zip
Building Plan Revievp L� � �� '� �QSfr7�C,lrc�s #2 Contractor Name �''! �� Cd ti 5-1 Contractor Reg# Z0'rJ��e Cy 700T
Address ,E 5 6 4�,/, D� Expiration Date
City 4 G' St A- Zip F� g1 Phone# / 7 y
Occupancy Group: Type of Const:
#3 If septic is located on project site, include records.
Fire Marshal: 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. 0z--F6 - 7 8 - o
Other: Legal Description l cvT / / f d
#5 Building Square Footage: (existing/proposed)
1st FI 's / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms_/ #bathrooms /
Special Conditions: FEES Garage 41 70/ Carport / (Circle:Attached or Detached?)
Building Permit -%o3,M Other sq. ft. /
Plan Check t (.50 #6 Use of building if&A Describe work �nl✓ 60 AS
Plumbing Fee �5
Mechanical Fee
Wood/Gas/Pellet Stove #7 Type of Job: Newx_ Add Alt Repair Other
Radon Monitor $ -Cq) #8 MOBILE/MANUFACTU D HOM INFORMATION
Violation Fee Model Year Ma Model
Length Width Serial No.
Site Inspection # Bedrooms # thro s Type of Heat
Building State Fee �,S Purchase Price$
Other
#9 Indicate by circling t e applicable sour a if any water is on or adjacent to subject property:
Other (o,p River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Building Valuation: TOTAL FEE
Show following on the site plan
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
Lot Dimensions Flood Zones
Existing Structures Fences •
Structure Setbacks Driveways No. Toilets CIRCLE FUEL TYPE: Gas Electric
Water Lines Shorelines
Drainage Plan Topography 9/ ;Bath Basins Heatpump, Other
Septic Systems Wells / Bath Tubs No. Units Fees
Proposed Improvements Easements
rectional by (N, S, E, W) l Showers _ Furn BTU
Name of Flanking Street Indicate DiName of Fronting Street in relation to plot plan
Hot Water Htr Heatpumps
APPLICANT TO DRAW SITE PLAN BELOW rLaundry Washer 3- Vent Systems nf 00
Sinks Spot Vent Fans
Floor Drains No. Boilers/Compressors
O Laundry Basins _ HP
i uQ / Dishwasher No. Air Handling Units
C —Disposal _ cfm#
Urinals No. Fire Protection Systems
—
Other Auto. Fire Alarm Sys 50�00
Q
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $__\ f No. Other
Gas Outlets
Wood, Gas, Pellet Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW 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- TOTAL MECHANICAL
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION.
�J OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
j\ 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-
tr I ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
IV 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 DEP TMENT.,,,Z4 DEPART E
X OWNER j X BY
DATE 7 DATE ✓/ U !
i
FOR OFFICIAL USE ONLY: Accepted by: Date:
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