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HomeMy WebLinkAboutBLD94-1562 Garage - BLD Permit / Conditions - 10/21/1994 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Eye 1.J :p p_ 1"11 p 1*N C 1�' 1 1 f"7 p 1 f u►< ► N' 1'I { I I 'lM', + is 1 427-9610 !"iI I W I f N I>tr, rtN11 r).tIll 427-1?62 01.094-1562 PAkt' f i I Ill -,-' - fit f - t of 1 J1)Fi AI)Dfrt F 1010-- 52 tIMHFR TIDE.': UR UNION 01.INI F MYRON SKUHINNA 17h-731.3 (IN I I'It+' { 1►k ARMfi IRONG HOMFS OF VACOMA . INC Sail- 1020 1 I (;At : IN 1 At S41VFY V11 I F6S 711-713 IS lU11;1 ( { A Iif11iP Nf I.J lif Ilk 0 11A111 - M F v p F A101141 R1 DA'If RfCt1P1 IYP( A0001111 By DAIf Rft:f(Fi T Y 1't 0 f I I { .. A l +. F t1 R 1 E Si 0 nl'f till 6!.'1)11t� 1il I+Is . }i{ t hIi I 1.� u3 1 i PkNT 6f_91 Ks, 10,01 04 31475 11 PII.I 1 1f, 0 IJ 1112104 i1Sl5 r)t't'III, l OAU . 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IANCF TO A11Ai:F{FI) t'(1Nii1 i F N`, 1 '; Fti 01) 1N1 fi CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date _ Gas Piping date b Founda s 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 n ��%��SD��lil�c�� Cl��i MASON COUNTY IV2 Mason County Bldg. III 426 W. Cedar P,O, Box 186 Shelton, Washington 98584 �� N N d`"•d A 1A M, M' k M'� � , 8 $ B a .M R"•9 I'oI MYRON A `;KUBINNA I ( A I t tfpl'f s`, ed ()lrtll :> tt *? r'f IIi1tE',_i to b can--tiit_G: it)r iit11)k?!'. 1it)it 1)111f)n,5?li t1. lrts(.)tC: I" ! I)fI cr�l ltld for rtnd 1)lr�n�, arr• II oit , i tee , Apr,I—o-al W.1 t 1 N1? 1 h,> o esnrW,1 fr1 Addi ti nn . a R - 1rtsp)?ct.1.on five in the ramoun1. of $30 00 peI host WitIinstill I Isms l e..i'J I I ht;, c hargvd aiIIf mciv:t; ho ,;o11,pc•t:pd by thi depaI I:m#,�It V hrf (,r t.it mity fisrthc•r" iml I)FcI i1,itti Iro4iit(1 1)1,1 oI,mpd or' � ..ipl>rnva- r�ritad , i F'lfR`.;IIAN 1 t 0 1 ')9I UNI F(IkM H I J I I it i NG 1.UC)F . t is t 10N ;OV, (' ? ANIi '•I C II f114 t l ? .. AI i tiI I I-'� MI) i I HAVE. APPROVED NUMf EP". Ok PROV.114 U IN � uCIi A i wI 1 I i IiN A'; I it HI I'I A I NI Y V r ,I HI f- ANTI I.EG:rBIF FkoM f HF 1ftl F r i?R 141AD I+0N f .ING 1141 MA`,iiN f OIIN f Y Htl l I It 1 N(, i DF-PART14E NI RF.QIIIR . , 1HA1 IIfI ' HE COMPIf IVO PR Of? II) CAlI IN(., I"Off ANY 'If It IN'-,1,1 r, -1luN'; A ` RE INSPI C J'ION F F 1: . BA`'FD ON 14A i f. `� 1 N f AHi F +A (IF 1141 1 ,)'"11 IItJ f f ORM t{1► I i 11 J Nl; COO 1,41 1 I fit AS SE5 SFD 0f.4NFR/i'0N-TRA(: f OR I A:I 1. 10 Pnti f ADDRI ; ON '. I It- 114 111P I ft idr ()IIr I 1 NI; 3) Al 1, CONSrRiI ',f,sl✓t1N MUSf MEET (tR 1' X U. 1lr At. l t 1; f?Ciif. C;(►1)F- '; (1 N11 It t RFQi-IJ RI' ME.N � x 1' 4 } Pl.ric9ment_ of fAw'I: cc)ftpty wit'.h c�tr-mdarfit. �. y+Jt. r,rtlt 1t�,1 IJii). +0 / re+grlydin� dew.<�endin+} rtlrlri%<�r �ifir�enciinq �slc)p�4, , x , i., P`t c)pn>~wfI s r ur,l url� or mny por 1: i ori thpI-hp f c}r1r A I I, t hriri iFl" I n fi({ T ryll t I rom (Ii-,° 0i-, J i ns• IIIi{r•,t Itl+i;fn d Il a minimum !, ' t'o hmcl< frc,In mlI f)rops.)I't.Y iiIto-, t r'IT{!'?{tfr rfftd ri (Ill i. ?) I h) ) Prt)po,,Pd 0-ruCt-tiro cr por t .io Ile)roof t.tit-h 111 proirwi lor'1 w,4"I W" in ht? ighl Itofit gr' ,ido line . mll r f1'IAlr11 ,) 111 itiI] di -.anf hwt"1„1F•t 11 i9�J } 9t:)atit ( l llr:i'Ilr" eitid tiled Ilirt-hFstit profot t 1 '111 7 ) IITr:, Itch? . handJ itirl arld lr)r ,?i(lra 11 hei7Arcir)tf'. ma ter 1etI-;I nr 1 .1iiinsIm ) I.v ami comhirn1 i b I o ' I i clti i dh ill f✓xce<-.,.: o f 1 0 qA J l (:)n-�; 1 w no t_ a I lowed t.►i thoit1 t.hP ,;;I)Or)Wa 1 o f i lIP Ma'<c,n Collnt y •-E i I 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 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 1 I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 i i I 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 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 Permit No. MASON COUNTY $1a1 q4 - BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1ee M�r� S LL i n q� Phone# ess I l71 0 —5Q nj WbPrr(12S Dt', — Fire District# St zip 9$ Ia Directions to Job Site E7 S- �.t Owner Mailing Address City St Zip Lien/Title Holder M6v sJESY ss\�1S/1��eS Address PO 180-c Clty PoiASP-J St 1AAk Zip W20- #2 Contractor Name Aejnw2n ua—c—S Of dn).-JVC. Contractor Reg# Address esAP AJ£ Expiration Date City 9R y\F-&M&) St _Zip 9131 _Phone KIO: 3�3' #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) _ '300 ] #4 No. 5 - 1 S - � egal Description q Oa ID�� 1 #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage /Ile Carport / (Circle:Attache r Detache . Other sq. ft. / #6 Use of buildingQ- Q, Describe work #7 Type of Jo New Add Alt Repair ©titer -' #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model OCT Length Width Serial No. # Bedrooms # Bathrooms Type of Heat GENERAL SERVICES Purchase Price$ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: �Tiver 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 Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3 eachj Fee Mechanical Fixtures ($6 each No._Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other B th Tubs No. Units Fees Sho s Furn BTU _Hot Water r _ Heatpumps _Laundry Washe Vent Systems Sinks Spot Vent Fans Floor Drains No.. Boilers/Compressors _Laundry Basins _ HP _Dishwasher IVQ 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 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 TOTAL MECHANICAL $ 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 OF THE 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 DATE DATE 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: Type of Const: S' Fire Marshal: Other: Special Conditions: FEES Building Permit �j Plan Check S� Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other /r d Other Building Valuation: TOTAL FEE