HomeMy WebLinkAboutBLD93-1381 Roof Rebuild - BLD Permit / Conditions - 4/4/1994 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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CONCRETE j ,i MECHANICAL MOBILE HOME
Foobn_qs-Setback \ 1 date by Ribbons
date by Gas Piping date b
FounclOorMalls date by Set Up
d6te by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
10
] �� Walls FIRE DEPT.
date
date -ry ? by L O date by
PLU G OTHER
Groundwork Attic
date b date by
D.W.V. WALLBOARD_NAILING.,
date by date �_C� by
Water Line FINAL INSPECTION
date by date f�_C� by date by
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MASON COUNTY
Mason County Bldg, III 426 W. Cedar
RO. Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL MOBILE HOME
Footinqs-Setback date by Ribbons
date by Gas Piping date by
Foundation Walls date by Set Up
&Lte by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by
PLUMBING date by 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
�U -1 h iS h/vu�h P.f'!P�-��� , �0 r A�1 tt o
MASON COUNTY k'9 �� GUYED
BUILDING PERMIT APPLICATIO
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-56JUG 3 0 1993
PLEASE PRINT
S� �4 NDi2 �v s h�o vs� o�.v,67,0 BY/ S
#1 Owner 0/o Cd s.-c- o F o G yhl.D/ 11 Phone#
Site Address E 7 Ss—o 11w S/ /O 6 Fire District#
City UHio</ St zip 9 Vs_y Z-
Directions to Job Site "W/ AS% D f
O�C/ /`/ Gv �-Z
Owner Mailing Address P O !3D )C / Z/ Z 6
City Se.9 TTL 6 St w zip 7YI10 Z-
Lien/Title Holder
Address
City St zip
#2 Contractor Name 62,f,�� Contractor Reg#
Address Expiration Date
City St Zip Phone#
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well X
Connect to Sewer System? Name of System S r PT/C i/,ylz v D/lA/-'t/ "'=/E� o
(If residential, proof of potable water is required)
#4 Parcel No.3 2 Z 33 -_ 54 5t - 6 0000
Legal Description 4v //Z ly�i E %z e-,0 �/T •C o T 1 — -5 33� 7-22Al < .3 w- w• A!.
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq. ft. / 9� ^ 0.5 6DWW*CVtJJ4-
neY un�Jt� aldg.
#6 Use of building tilf�•t!/}l "�-i1 S f-lo y.S t^ Describe work 49 E .By/G 0
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION Pao ts
Model Year Make Model a5,O-D F(EX-4- Fee
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 Indicate Directional by (N, S, E, W)
Name of Flanking Street in relation to lot Ian
Name of Fronting Street p p
I
APPLICANT TO DRAW SITE PLAN BELOW
I,I
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each,
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
Sh ers Furn BTU
_Hot Wat tr Heatpumps
Laundry Wash 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 $ tether
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 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 BUILDI ART DEPARTMENT.
X OWN X BY
DATE DATE
I
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
�/1AU{ S�l1tn aU�S f-or t t5-zr��' 1"l '�
Building Plan Review
Occupancy GrIp:-J9.14 Type of Const: St-)
Fire Marshal:
Other:
GV
Special Conditions: FEES ,
Building Permit
Plan Check a.
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: g f. 0°`to TOTALFEE 79 0
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