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Home My WebLink AboutMIS94-0317 ReRoof - MIS Permit / Conditions - 5/25/1994 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 14 X C U.- L I A 14 U: 0 U !�v F> F-- F4 in t -T I iik N',i i i I I ON', i'il 1 4.11-9610 M I S94-43 17 CARL WICK ;1 1 IS "12 N'.j-., CARI WICK 2 7!-, 1.- 2 F 11 A 1 P#fttSON AtBAM 8#0$ CAjAj T#$ Ik S i 1 '1. i t it? it 4 i 1.t FS I,f''t)-Irc I III I.., it) 1 IoN - RUROOF 1'k 0.11 1, f I i A I f 17)N )13 MILES FRO14 DELFAIR ON NORTH%i40Rf RD 1 0'1 1 H 01 V i yPi AmIlON1 Hy Pik I k? !IiO 1 1 COMPLUANC't 10 At 1ACHE'D CONDI 1JOH% V; REQUIRUD r CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date ' by Gas Piping date by Foundation Walls date by Set Up d?te 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 WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by ` MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 i CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date ' by Gas Piping date by Foundation Walls date by Set Up d`�' 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 WALLBOARD NAILING D.W.V. date by date by Water Line FINAL INSPECTION date by date by date by Building Permit # MASON COUNTY ' BUILDING III 426 W. CEDAR ` I SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain code compliance 7k a r-4 Ile S%2 u e 7 UCH 6o', 13L t-7T-4�A-47i 7�— Z You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to Department Date 4 Inspector �� S f 01040 NnT 'MO T141' � TAL Qrm it No. 6 �o _ MASON COUNTY JAR n � BUILDING PERMIT APP D I f2 i6 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1- �56�- 6�f94 PLEASE PRINT #1 Owner ,,/, P11EM I tO a, Z e Site Address ,04e !2,2ii f(le 6`i. l2� �ire. s c # City St GU,Zip Directions to Job Site Owner Mailing Address if/012,71, 04j a . Lrsngg ;Z d City B��„, St C!/f Zips Lien/Title Holder Address Clty St Zip #2 Contractor Name �J Contractor Reg # Address ,C 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. Z Z-3S - CC o S Legal Description S, ,t - % 2Z zi #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq.ft. / #6 Use of building 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 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. ULjja Fees 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 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 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. i X OWNER wig—ci� X BY DATE DATE TT FOR OFFICIAL USE ONI-' '; t8ptk3EJ by: Date: DEPARTMENTAL REVIEW 3(3� 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 � f 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