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HomeMy WebLinkAboutBLD92-1024 Convert Carport - BLD Permit / Conditions - 10/8/1992 MASC J NTY � PERMIT Mason C III 426 W. Cedar NULL & VOID BY EXFnRATION P.O. Box ron, Washington 98584 DATE BY col e ! t.1 1,.1 (! ! i .N d Its A N � R :t tl It 11*t ! � . •t�� i>*t © y;L-6 - I Co( . l�if OWNER IS CONCRfACTOR f1i1toll less (ANAl 1.400 L -top Gil Ail , 61 101 ii of N(il fi hl!)(, N6f,t.f N It f 1i Itpf. Atrt+ItNt Y 11Aft Mt ff,f 1101 ANitliNl dy iA(t Rflt II' I 1 t r}+ t 69 �_a4�..-- w�x..�--,ate .+,rr ,.,..�v.,......c-,sa �..r<w-_ _.... .r•-r sit) ill, 1 (iii f i I tti I'I t•1( I `, .. r:3 I'iCk i .'°� YN t � tt)1l1N,i� i f>!'i.i `i 4✓? t�I+lii11 f t!i ` ', 4'! �!'iM � oi) Iftigi;j I.' tf��;t 1 }'r'hi,41I41-1 :I'�ti4"f N �'.rff } 0.`+� � � 1#'441"i, iliLt I �r � i •.1{+)f4! I 1 1k f M (`tri..At .. .1,. V P �+i I.9 t.A 1 1!?N It t '•f.�1 ,. ; i � I f , •, 44i. 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I '• . q i+�+:,1 ii I `-1HWA'--f4t fr is it IiotlI'I I 1 14is 1114 1 1 t i)MINI I Ni IN 64 (Ml' !t:Alll' 0 1 1",It I1.t i-,o [i1 (1)00 11<1 ilo p(ifIv : ±rg Ilk I N141I 1 000 i. !iN 1 1 0 i'l m 11 :h I'}If;f M tltl'� t)tJ 4 t i 1 6t '� S'x•ilC>�za'.,^.r.A-ti"::a-rS-•�1eea.�.^.)C�msu:Cr.'C�]s.'32S:SS 1a+cGrR�.�.a.-�}5.`:.1Vd�t4aC4�sSI>Fa...,'i:'.7t'f::xr:WR'�'^eJ:r.SYe;m::'-GrFe'.`.�,�.:s:..x.St.<:-_.. :.:-.-w......M :..,.rvr--�••:rm.,..;r.A.c..r.\�`M.sit..x,.�.`we:..'x..._._.eA'e. lAs'bs:3eS..u .Y......:._.sts^.e•w.ucwx.G.»r#`f�9:vn�a+r.+c.T^�.�a�.uaae. PRNJEt( AIS1&1h11!)N�(}1NViRf ti1�11N� AIfA+:HfII LAKY+dfi( i!) IAMIfY NRbN, FRA.)f( I fA; A1i 0 >it114w A RIAVY If(1Ali 10 ifIt10N 11180 itf! +10 i,(H 0 'Alt .40VIk gN INt Right RP) liffoll 61 `u11 '! Illllt AIlo VOID1 )f MORI 0 441VIRII(II 9 0111 01110 V., Nfl{ l:t+NK011 + tl11N1N INO ow, +it, it !u#Ii.ffomits Oft Nilof I•, �II:NfNIiII! fist A N1R109 Ailt IM Ar(lR WA (SC lllfl ii, IVIOE (I 4f (ANf1ANA(iAN itf140t '1' A f'Ahfiffi _`+ (NSpHA)0 U11N1N 4Hf t*# GAY mfoll (INAI IN'mill++N No%f of R �tf.� NE fP1dt N111161N6 AN 6)1 JJcp1f( itp(iir, / J owl ED H A},IN1 f .. _.-... .. .. ........ .. .. 1. 1J CONCRETE ' MECHANICAL MOBILE HOME Footi,igs-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 PLUMBING Attic by OTHER Groundwork date by date by D W WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by c ICE " -- _ . --- tL ZT- ' - f . _ ram_ ._jj;�x_-.--- MASON COUNTY Permit NO.BLD BUILDING PERMIT APPLICATION PLEASE PRINT #1 Owner -�YY1 L S �_��_phone# �S - 7 y cI Site Address `'— City St Zip Directions to Job Site C n cl I-) , AA sw Owner Mailing Address City St Zip Lien/Title Holder Address 0-C City O St Zip #2 Contractor Name Contractor Reg# Address Expiration date City St Zip Phone #3 If septic is located on project site, include records. Connect to Septic?�r S Public Water Supply Well (If residential, proof of potable water may be required) #4 Parcel No. - Legal Description #5 Building Squat Footage: (existing/proposed) 1st Fl b 2nd Fl A 3rd Fl Loft Basement tJn DeckZ�0 /y%� #bedrooms #bathrooms Garage Carport I / C7 (Circle: _ tached r Detached?) Other n,.�r7_ sq f t / #6 Use o Describe work i #7 Type of Job: New Add Alt Repair Demolition Woodstove Re-Roof Bulkhead Other #8 MOBILE HOME INFORMATION Model Year Make Model Length_ Width Serial No. #Bedrooms #Bathrooms Type of Heat #9 Any water on or adjacent to property: saltwater lake river pond retland 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 Scale: i Name of Fronting Street Date: APPLICANT TO DRAW SITE PLAN BELO �dn T S APPLICANT TO DRAW TOPOGRAPHY PROFILE BELO PlurIbina Fixtures ($2 each) P- Fee No.--i-Toilets �2-0U Vent Systems X 3 . 00 Bath Basins Vent Fans X 3 . 00 Bath Tubs No. Boilers/Compressors Showers 0-3 HP . 00 Hot Water Htr 3 -15 HP 5 . 00 —Laundry Washer 15-30 HP IS inks 2.no 3 0-5 0 HP 6 . 00 Floor Drains 50 + HP �o —LaundryBasins No. Air Handling Unit Dishwasher <= 10000 cfm. _ Disposal > 10000 cfm. 7 . 50 Urinals Other Other wrap Coolers Hoods Permit Basic Fee 3 .00 Fire Suppression TOTAL PLIIMBING $ 7� D(� Domes . Incin. Comml. Incin. Reloc/Repair 6 . 00 Mechanical Fixtures Gas Outlets X 2 .00 No. Fuel Types _L_Woodstove segarate Furn < 100K BTU 6 . 00 Other Fern >- 10 0 K BTU —6 . 00 Furn - Floor 6 . 00 Permit Basic Fee 10 . 00 Heat Pumps 6 . 00 TOTAL XECEANICAL $ NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION. AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCE OWNERS AFFZnAVrr CONTRACTORS AFT=V= I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AN A CURRENTLY REGISTERED CONTRACTOR CONTRACTORS REGISTRATION LAY RCW 13.27 , AND AM AMARE IN THE STATE OF WASHINGTON AND I AN AWARE OF THE OF THE MASON COUNTY ORDINANCE REQUIRE?MEMS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CdMFORMANCE THEREWITH. NO CHANGES SMALL BE MADE CONFORKUa THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. �� / DEPARTMENT. � Z OWNER � Z BY Return permit to: Department of General Services 426 DP. Cedar/P.O. Box 186, Shelton, DMA 98584 427-9670/1-800-562-5628 FOR OFFICIAL USE ONLY: Accepted by: J F Date:4 12- S It I II f v- I ni0i II II =uo:O2nT2n burp T tng u gag aap:IS bUTpTtngll II II I I II II II Iaa2 BACZSPOOMII II jI I II II II I aa3 TEDTU'egD9 III II jI l� 'I II (I gag BuTq'Tdu II iI xOauD UTTdu II it jI ! aag UOTZVBT2satxl UOTZPTOTAII ii p I. 'I II II II I aag UOTzpTOTAII ll {f f I it 1I II � - ZT=ad bUTPTTngll a II II I uoTzoadsli azTSII II :SMOTZTPUCO TrToadSll Sego : TTfis=�4 a=Td — : dnos� IoUdnoop C' :PwTaag ZvTd B=TPTTnH S" :B=Tua2Td I VAQJWV PION PuoJ PQADJWy AA ��7 ,A ZZHQ rS-SII SJTIdrIOT 80d 7