HomeMy WebLinkAboutBLD93-1189 Pole Bldg - BLD Permit / Conditions - 8/20/1993 —_�
MASON COUNTY � y
Mason County Bldg. III 426 W. Cedar
` P.O, Box 186 Shelton, Washington 98584
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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 date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork
� date by date by
WALLBOARD NAILING
D.W.V. f
date by date by
Water Line FINAL INSPECTION
date by date y j� by date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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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 date by date by
FRAMING Walls FIRE DEPT.
date by date date by
PLUMBING Attic
OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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Permit No.I$L10q -I l `6
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 Owner 00AV cq P SS Phone# y a 6 - 44 1 q-5'-
Site Address Fire District#
City ShC-kTLw St WA-- Zip QSSS Y
Directions to Job Site WeiT du 6 efaa)e 6 XA !c
�Riue w4�C M-2 4.. �K• S, �lP o� Ra.*o,
-T
Owner Mailing Address 840:;- 1 L"A.✓ek
City �S#,,5Lroy St w$• Zip ?R5�y5'
Lien/Title Holder 44499 Vt Clesn Cis J 7-t 7-L1_=
Address
Clty St Zip
#2 Contractor Name L,L. U/4 D.S, Sect v C-'+1--1 4.AX-'5 _i <. Contractor Reg #,W, PvS-T
Address 5-0/3A-C f'c� �w,� �s � # !7 Expiration Date
City St WA- Zip QS z-y Phone# 20 6) Yo2,6 -016 I
#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. q,,2 o I - 31 - oo a
Legal Description sP tk- /31 9 40-F Z
#5 Building Square Footage: (ewisli 'proposed)
1 st FI 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle: Attached or Detached?)
Other STOA 46-e 6c,06 < sq. ft. Z-f o C /
#6 Use of building � tc.y� .e �-� �y �rrK1� sr� �.�' Describe work P057-
#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 cir ' 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
LoT l S �4�'`,
I
Plumbing Fixtures ($3 eacbj Fig Mechanical Fixtures ($6 each)
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. Units Fees
_Showers Furn BTU
Hot Water Htr _ Heatpumps
_Laundry Washer Vent Systems
_Sinks Spot Vent Fans
_Floor Drains No. Boilers/Compressors
_Laundry Basins HP
_Dishwasher No. Air Handling Units
_Disposal _ cfm#
_Urinals No. Fire Protection Systems
Other Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ No. Other
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
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.
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 OBTAJNING AP OVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTME Tr, (-
X OWNER X BY r
DATE DAT
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
ohms '�
Environmental Health:
Building Plan Review . Pe(L tryk-� SPPc s
Occupancy Group: M-7 Type of Const:
Fire Marshal:
Other:
Special Conditions: __ FEES
Building Permit 2
Plan Check g�,
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee 5�
Other
Other
Building Valuation: ! JfCJq�" TOTAL FEE
Himlie C R E E K F R 0 N T
Realty, Inc. 5 A C R E S
PRICE: $29 , 900
TERMS: $10 , 000 down, 10 year term, 9 . 5% interest, or $26 , 500 cash
LEGAL: SP# 1319 Lot 2
PARCEL # 42018 31 90020 TAXES: $184 . 64 1992
DESCRIPTION: Approximately 600 ' creekfront. Heavily wooded, fully fenced,
excellent soil, surveyed. Wells in area approxiamtely 75 ' .
DIRECTIONS: Follow Railroad Avenue. west to Dayton Matlock Rd. Turn left
on Highland Rd, approximately 1/2 mile to property on left.
STITES PROPERTY LISTED BY KEITH
E
N�.rJ.p'IO' NE COQ..NE%l.NE'/t, SW/•L•
338'95 / ,1 F'OUNOTE201�P EL(w•W'M_
/ rr N. , .TO E.
. L_EGEND
0-9ET is;� I FZON BAI2.
d I O T F VI/YELL-OW GAP
Fir =SOIL LOG
O N TEST
.�Y�yp 9o9•.7a'03"E � Sd.
UNNA/ jl
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tir HOLMAN & ASSOC.
Z N 82••`p'S4 _ Professional Land Surveyors
(206)426.2990
information contained herein has been obtained from the seller or such other
rces as we may detLm reliable, however we do not guarantee its accuracy. If
property corners or lines have been flagged they have been done so with the
information available at the time. We encourage purchasers to verify this
112tinformation as we are not licensed surveyors.
EOUAL HOUSING 920 Railroad Avenue, P.O. Box 729, Shelton, Washington 98584 (206)426-2646 FAX 426-2698
OPPORTUNITY REALTOR`
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