HomeMy WebLinkAboutBLD92-0977 Boat Ramp Repair - BLD Permit / Conditions - 9/18/1992 MASON COUNTY PERMIT
Mason County Bldg. III 426 W. Cedar
NULL V ID BY EXPIRATION
ZA
P.O. Box 186 Shelton, Washington 98584 DATE /G'.Zy 9'� DY
d� 1. i d 1 M 1 N•',i tl . p � � N.p A�'8 1 � , , . �! ,' J ,1 t, = s';
NCOg7 11977 {'raf<f t i t.'.' ;.'f;Y)}i to 4 f'I AT ' UNi,1 N =
t!; It.tt Ir ANION HOAT If AMP f KIt.N41ON 53h 4e'I lob1lf
f IiPl ; !, ni Ifft. OWNER IS CONINACIAft
1 t f_ri' 1#101 0001 EAIAI E4110 : lop I'll BIN: Al EAy: N ON of If It f5 M641 of i1'141
.ccv•,. -.,'xs✓:c:,r•+s.:.::�:�-am:^�i:«zasa�,•.:�•axa.�aamarcs-c.:�y.:..:.: _:-:: -.,:::--..rra< ^-:,r.-ae�r---::r',c�:+<x.�^r,.a-r,�szx s+.,.,
I ,
+ i t+'.', f+i Iifil•F f'I l 1tl.ill+ f; It let {; c) Ilm A11011Nl of PAfi REMPI IIAIE Rf(iIP!
i Y I'F i)f ►I ;I: � (3 I H �,1'11(, f t �, t! ��. .�:.: .��.,: :�- >-�,���—._>m.�.�.,�- .. ...... ......�__-�,,,.�,_�<.•�.><.•�,P��,�,.�:�����
itt f "f,ti• Iil: flij I:i {11: . lii. k f�ii i 4) l i �PRNT � n8 .P p•11 4d(tK '!:' 11+'tt;
i ,I.i tft �fi4`, I t I I t III Al I ', 41 IP1(f it ff.it 04 lit a,' ;i !tr•
a-',i ;111' i`xfitt �t vt ;el
f'At" I. i Not 1'lt1 r 0 ! f
f (!.1A! �R !t6 bAtlRlAi18N� 7It8�
�9 '�.iAtK'.tt{I• -ayY'.LCX�V6'OC4.""9f<7 I:R�T.s'. T .�...�..^- :^�r,:'��.i�.IY�S.�`�'::'�e["-�:<Z�'.::-S�S>LC<P^.<'<2'St'LR�-0�KttfRt�6C!].T^S,w�K
t f it'.t f I fl I I I I W 1 I)t i l `(I't It1) 1 1 1 1:1; /1 ffl<ft' f4nH I I I ffffMl
O �n c Ili- rf
M { t ,+ts I li i III°' 0 c T 1-• lit' N MnRfl 1
IINN i N4lt. tt I tj 49 ( ', 10 111` e.z (ifir 1
l I'. y'Y f iif\ 1 I It Fii :1 i i I,'• Oh i 11kh1 I s!v,r. It f ll «9 ith h0 flf' 0
IIt; I I,:i d'f it I n I Ilf LJ1i',lil 1 N 4ItItN t I (IC)i ci ,cif i1F' N f'( f�fi
rt}ik A } i I f III N i N N fit r1 I 1`1f1.,1' a;
w'ik If I f'?' 4) vt 141 ', , 1 1 M 6t f 1/tti' 1 (rff l 1 1", 4, i 1 idlf i I t;
I Nf f 11 1 f!11IA 1 0 VI III i rtl'J I . 0 Iiir1)to, !} 1111) t It 69
"91 A i 49, I I 1UNifi: e f I%r; ( t9 Imml, 11 tNf I IJ v) I I !{I If
lit 1 1 4)." I I? i ,lli_Iti` ?i+ i, !) Yi I l HM401. I No IIt4 I I 1 11mmI I id1 114 0
1cf;( i l' If I ',1'ff".rcl 1 0000 f 1fli, ' 0 1;1 111r /Irl PA I1; M9
i 41it) ifn N if l lit fr 11141 1 ', �f
:�.sxr�rvr..�'- __-._va..rn-rssakrx.-,mca..-�•_r-�e�acmaa^.:z;gym:awe,�:s.s;.x-s=-.=-�.r.:<a::Y_s,�-ra�a al=--.r�.-:.a...ra_-:<s-x+,�.:::szs�-.>n<sc�.r.sm,..:-.-x:.�::sas+,•nrac�:�w.. .:c:�:,mjr_:-s+,c�+aos..�.uacn>D.ar,:usas¢mr--�os�m+..--.,u.z..
PROJEt'1 Of�,t<R1Pit9N;Rr�AT RAN RfvAfk
PRbJEt:T t011110;4IIY lib 10 401011 (1TY 10CATED pEyi of ANIf AO•IAI.tNf ill 01119M NAA10,;
IRIS PERNiT lil"AFS Nutt AND Me 1! Wept 09 (61IM0010111 A11100I (D 15 901 IANN(Nifu 11I10fN iRi I!Ar'•, OR iI r40',Iput1IRN Of Ytlkf I:), S11M0811 fdR ! PfR1ef1
8f 184 DAYS Al ANY IINE Afffit WORK IS CONNENf.fD. EVIREN(1 0f ioNTINRA110N tlf UORI. f : A PRt3Gk fN�.G1fI1fiM NitNIN 1Nf 1R# DAY NEB[0Q. fiMAl iN"1DftifnN NN`�1 Ill'APPROVED REfuRt (41tOTN6 (AN 8f 01,lUFIfB.
0WNfR OR ASEN, ;
010 PRNI , rev; Qj1:;1/91
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 Final
Floors
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
I
Permit No.BLD
MASON COU=
BUILDING PERMIT APPLICATION
PLEASE PRINT
#1 Owner MD- OQ C4yN " i Phone# -2-0(�
Site Address
City u l ) LL ►J St W Zip c1 FS�Z-
Directions to Job Site O 6�, 7-0 LL t j t U/,J C-C?t4
L-D c4--r LD 'tom ids T +A C �� �,
WtJ tO t-) M 1A✓2-t w A-- .
Owner Mailing Address �- O l�t�
Ci ty -;t4 ':F-(--C -St ct Zip
Lien/Title Holder 1E-�-
Address
City St Zip _
#2 Contractor Name t� l � Contractor Reg#
Address Expiration date 1 /
City St Zip Phone
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well 41
(If residential, proof of potable water may be required)
#4 Parcel No. ?,I Z'J'-- - G l O ( 4
Legal Description SSG 3 ( T Z2-Q Z 3 w
T-�>L h4 3 t. t,o T : t--A R-Z v✓ o L j L 4-
#5 Building Square Footage: (existing/proposed)
1st Fl / 2nd F1 / 3rd F1 / Loft /
Basement / Deck / #bedrooms_ #bathrooms_
Garage / Carport / (Circle: Attached or Detached?)
Otheri>2� -2-A t (-,,- sq ft /
#6 Use of building tad tZ�vVl Describe work Eq-PA► IZ
i Z4kwt C-k) !
C�( !4 2 t7 5 .
#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 wetland seasonal runoff
other
Show following on the site plan UNl
Lot Dimensi6ns 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:
Name of Fronting Street Date-
APPLICANT TO DRAW SITE PLAN BELOW
95 t
J.
v
1
a —
U N�o►.� II.��.rZ t t�1 b
i
i
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELO
CWGES StIB!rf,T TO A°POPV1.1
b4w l 10�
C. L.
C�4t
Plumbing Fixtures ($2 each) Fee Foo
-No. Toilets Vent Systems X 3 . 00 _
Bath Basins Vent Fans X 3 . 00
Bath Tubs No. Boilers/Compressors
Showers 0-3 HP 6 . 00
Hot Water Htr 3 - 15 HP 6 . 00
Laundry Washer 15 -30 HP _ 6 . 00
Sinks 30-50 HP 6 . 00
Floor Drains 50 + HP 6 . 00
Laundry Basins No. Air Handling Unit
Dishwasher <- 10000 cfm. 7 . 50
Disposal > 10000 cfm. 7 . 50
Urinals Other
Other Evap Coolers
Hoods
Permit Basic Fee 3 . 00 Fire Suppression
TOTAL PLUMING $ Domes . Incin.
Coamll . Incin.
Reloc/Repair 6 . 00
Mechanical Fixtures Gas Outlets X 2 .00
No. Fuel Types Woodstove separate
Furn < 100K BTU 6 . 00 Other
Furn >= 100K BTU 6 • 00
Fuca - Floor 6 . 00 Permit Basic Fee 10 . 00
Heat Pumps 6 . 00 TOTAL MECHANICAL $
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 COMMENCED
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AN EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR
CONTRACTORS REGISTRATION LAW RCW 18.27 AND AN AWARE IN THE STATE OF WASHINGTON AND I AN AWARE OF THE
OF THE MASON COUNTY ORDINANCE REQUIREMENTS 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
CONFORMANCE THEREWITH. NO CHANGES SMALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
DEPARTMENT. '/�J� DEPARTMENT.
X OWNER �r a BY
DATE _ DATE
Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562 -5628
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond Hold
Approval
Planning:
Environmental Health:
Building Plan Review:
Occupancy Group:
Fire Marshall :
i
Other:
FEES
IlSpecial Conditions : II I Site Inspection I II
II II I A
II II IlBuilding Permit
II II i. ;I
II II IlViolation Fee I II
II 1 ' 'I
II I) IlViolation Investigation Fee I II
II II
II II II Plan Check
II II 1 'I
II II IlPlumbing Fee I II
II II II - it
II II IIMec.tanical Fee I II
II II II - it
II II IlWoodstove Fee I II
II II R
II IlBuilding State Fee I II
IlBuilding Valuation: Q2�
II II TOTAL