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Home My WebLink AboutMIS94-0236 Propane and RV - MIS Permit / Conditions - 5/2/1994 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 lilt; Itili4;3t1 . . �j . 0 ' �� 1 / C % "C(C AI'E'1 I I AN I DON IVE RS t7'3--96g5 � 1� 01-INf- I LION IVER ON 273-9695 ! F (( A I Ik 17 Of SOOV1V 5156 [1 11 1 Of SP 0610 f4 1IS44-6-11) I 111 .I R 1 1' r I MIl PROPANE, 1ANK AND RV PERMIT Mi Ri AVX k(PAO TO NEW 14P 5TA7 I ON. (10 PA%I (O IIN I(ON HIF I GH 1 60 111) 1111 1 -1 O 1 0P PA`•,'i WA F R LOWER TO NO XI ROAO. I'11RN 111OI11 (10 DOWN ROAD ONE f31OCK , 7"IfKN It161411 AGAIN 10 `:11f- I 'r'VI 11MIIINI h �. IIAI1 1, 1c1. 11, 1 � 1 i?' I I. 4i� f ', (i� i 4ti / •,c1 ;f, :' 1 I � if I COMPI TANCF 1-0 A I1AC11F11 COND I I f ON`: Vi fat pu rfts 1� 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 li BG/SLAB Insulation Floors Final date aRAMING by date by date by Walls FIRE DEPT. date PLUMBING by date by date by 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 r (� -LkDr) � 1 C it �I I I I II i i it MASON COUNTY Mason County Bldg, III 426 W. Cedar F.O. Box 186 Shelton, Washington 98584 I I CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date by 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 ------------------ i MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 CONCRETE MECHANICAL MQBILE HOME Footings-Setback date by Ribbons date by Gas Piping date by 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 III I MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason county Bldg.IA 426 W.cedar P.O.Box 166 Shelton.Washington 98SU (UM 427-9670 BUILDING PARKS&RECREATION FAIR/CONVENTION CENTER ADMINISTRATION D7 /0:�/96 TO: 5)0-1/P. wr) /-32oy 3�)/ VC`01eS0-/ UJn (�:1�--5 -7g RE: Permit Number # M/SGI�I-�Q2 C� ~ To Whom It May Concern; During a recent review of our files, it was determined that your permit may.meet one of the following criteria: 1 . Permit is expired and needs to be renewed or have a final inspection 2. Due to the type of your permit and scope of work it is possible that the work has been completed and it needs to be inspected to close the permit or 3. The permit is ready to expire and needs to be inspected or an extension needs to be requested. Permits are valid for 180 days from the date of issue to the inspection date and remain valid for 180 days between each required inspection. If our records are inaccurate and you have had a final inspection, please send a copy of the signed off permit to this office so that we can update our cards. If you have not had a final inspection and your permit is expired or will expire within 30 days, please_ contact this office for a final inspection, update inspection or extension prior to -OL/ 0- /96 to avoid renewal fees. All permits which are expired or due to expire within the next 30 days will become null and void if contact is not made with our office. If you should have any questions regarding permit validity or the purpose of this notification, please contact the building department for clarification. Sincerely, Building Department cc: Property File Permit No. 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 ann 'I" 400 n,4- ✓ S o Phone# Awe — D/ Fire District# City eovlsze-f t e Y St�� . Zip�� If Directions to Job Site �wner Mailing Address ,`�/��rh� �' 4 D 1/� City St Zip Lien/Title Holder Address City St Zip #2 Contractor Name '5-¢"/� ��Gf/ l�e'rs. 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 Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 Parcel No. -�- l 01 Legal Description #5 Building Square Footage: (existing/proposed) 1st FI= / 2nd FI / 3rd FI / Loft / Basement / X Deck_/ #bedrooms _/ #bathrooms�L / Garage / Carport / (Circle:Attached or Detached?) Other sq. ft. /o / 02 `7 #6 Use of building 2�-� V rr c, nC`�� 4 ��,� _ Describe work #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 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 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 '�aw IV 1 ,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 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 i r NOTICE: THIS PERMIT BECOMES NULL AND VOID IF p� e i r 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- 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 BUILDING PARTMENT. DEPARTMENT. X OWNER X BY DATE DATE FOR OFFICIAL USE ONLY: Accepted by: Date: . . r DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: TOTAL FEE