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Home My WebLink AboutBLD95-0502 Carport Garage - BLD Application - 1/8/1996 MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton,Washington 98584 (360)427-9670 BUILDING PARKS & RECREATION FAIR/CONVENTION CENTER ADMINISTRATION JANUARY 8, 1996 RE: PERMIT # f�LD O DEAR n1 S ON 2 / 3/Cl6T , THIS OFFICE APPROVED FOR ISSUANCE THE ABOVE PERMIT NUMBER. PURSUANT TO THE UNIFORM BUILDING CODE, SECTION 304, THIS PERMIT, ONCE APPROVED FOR ISSUANCE, MUST BE ISSUED WITHIN 180 DAYS TO STAY VALID. FAILURE TO PICK UP THE PERMIT WITHIN THE 180 DAY TIME FRAIiE WILL VOID THE PERMIT AND IT WILL BE NECESSARY FOR YOU TO RE-APPLY FOR THE PERMIT THUS, MEETING ALL NEW REVIEW REQUIREMENTS. FURTHER, THE UNIFORM BUILDING CODE, SECTION 304 ALLOWS FOR THE COLLECTION OF THE PLAN REVIEW FEE IF A PLAN REVIEW HAS BEEN PFRFORMED !LNM THE PERMIT CMTCELED. I_, THE EVENT THAT YOU NO LONGER REQUIRE THE PERMIT OR CHOOSE TO CANCEL THE PER16IT, THE P:,P1T RE;`!IEW FEE DITE ON THIS PERMIT IS $ . S� . THE CHECK OR MONEY ORDIER SHOULD BE MADE PAYABLE TO THE MASON COUNTY TREASURER AND SUBMITTED TO THIS DEPARTMENT FOR PROCESSING. ONCE THE PLAN REVIEW FEE IS PAID, WE WILL RETURN THE PLANS TO YOU AND CANCEL THE PEF-M-.TT REQUEST. IF YOU WISH TO OBTAIN YOUR PERMIT NOW, THE AMOUNT DUE FOR YOUR BUILDING PERMIT IS $ ( C . `�� _. ONCE RECEIVED, WE WILL ISSUE THE PERMIT, EITHER IN THE OFFICE OR WE CAN PROCESS THE ISSUANCE THROUGH THE MAIL. THE PERMIT WILL R1,1AIN VALID FOR A PERIOD OF 180 DAYS. AT THE END OF THIS 180 _DAYS, AN INSPECTION WILL BE REQUIRED OR A ONE-TIME ONLY EXTENSION CAN BE GRANTED THROUGH LETTER REQUEST HOWEVER, ALL FUTURE EXTENSIONS MUST BE GRANTED BY PROGRESS INSPECTIONS . PLEASE RESPOND TO THIS NOTIFICATION PRIOR TO JANUARY 22 , 1996 . SINCERELY, �( C -Id- C-r� � k- KATHLEEN SOINE BUILDING DEPARTMENT (306-427 -9670) EX 354 ( 1�I1 QPermit No. sly 95-0�0 a 'v 1` MAS tNMC� I BUILDING PERMIT. PPLICATION � 426 W. Cedar/P.O. Box 186, Shelton, 98584 427 9670/1 800 562 5628 �, y0� PLEASE PRINT 'J -✓ #1 A\�ite er E -WeN �� Phone# 'l Z7 9lD7D Address ZD t3S-hw� Fire District# city t-��LTON � St�Zip F Directions to Job Site 566 HBO 6 LA...) Owner Mailing Address E City St Zip Lien/Title Holder A Address City St Zip TAM IC #2 Contractor Name tr %5CICOATN Contractor Reg#4f AgDNSC66pt 7 Address 70 g sT PLX Expiration Date City _ �TT� S V� Zip W Phone# Z-5Z—gg0 #3 If septic is located on project site, include records. Connect to Septic?�Public Water Supply We I NO Connect to Sewer System? NC) Name of Syste N A (If residential, proof of potable water is required #4 arcel No. egal Description 646p"CZST s(JBDI V 1`J1 oN D(\l 20 1S L 9 2 LOT I #5 Building Sq are Footage: (existing/pr posed) 1 st FI 2nd FI / 3rd FI _/ Lofty / Basement A / Deck t / #bedrooms N7,4 / #bathrooms / Garage / Roq Carport (Circle:(Circle:Attached r Detached?) Other sq. ft. / #6 Use of building I —o PEN C.4(Zp — Describe work C,e4F-7-s AP- V 3 #7 Type of Job: New_X Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION J /� 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 /'�q- 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 Pep- VF-D"fc�J APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW L07- 1'5 15A-21cALL-y (-e\/r✓L- 0 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 Showers 1" 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 1 p( 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- 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 DEPARTMENT. DEPARTMENT. X OWNER X BY ,�D►/YI l �Z6Co-3y7-5C0/�� DATE DATE FOR OFFICIAL USE ONLY:Accepted by: �� , Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Y Building Plan Review Occupancy Group: Type of Const4P-- 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: l E)i 3(fi TOTAL FEE ��(o�