HomeMy WebLinkAboutMIS93-0011 Garage/Storage - MIS Permit / Conditions - 3/15/1993 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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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 �7
date by da Lr� -q-5 ( date by
i
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
i
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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
0%
Permit No.BLD
MASON COM=
BUILDING PERMIT APPLICATION
PLEASE PRINT IS q3— v - I
#1 Owner Ph ne# aggAgS460
Site Addres
City A a M St Zip
Directions to Job Site
Owner Mailing Address
City h St / Zip
Lien/Title Holder Ae o Lla nP Ham pn
Address e r /
City id#I St Wat A zip��� ,
#2 Contractor Name )�� /D`Cc:t%,� vC���/:�{Contractor Reg# Olq^_4)eu'
Address S _ c4a Expiration date 1 / /s% 73
City P 4-001 S Zip �b b�'� Phone Z
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
(If residential, proof of potable water may be required)
#4 Parcel No--, ,
Legal escr�}'ct ption ,- 1 R d ,s'o o�g
^7 � f'o7 JW n
#� i3 � Square
C o
H a eS 4 secfiQ�(35)rbwos�p 012 Na;A
gFootage: (existing/proposed)
1st F1 / 2nd Fl / 3rd Fl / Loft /
Basement / Deck / #bedrooms _ #bathrooms__
Garage / Carport / (Circle: Attached or Detached?)
Other sq f t /
#6 IIs o building Describe work I►'l S 7�A `/ �/ l H
1 ✓`ii e SS
#7 Type of Job: New— __ Add Alt Repair Demolition
Woodstove_, Re-Roof Bulkhead Other
# MOBILE HOME INFORMAXION
Model Year Make Model
Length Width_ Serial No.
#Bedrooms #Bathrooms Type of Heat
Any water on or adjacent to property: saltwater lake
river pond wetland 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 Scale:
Name of Fronting Street Date:
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGR.A.PHY PROFILE BELO
.Plumbing Fixtures ($2 each) Fee
No. Toilets Vent Systems X 3 . 00
Bath Basins Vent Fans X 3 . 00
Bath Tubs No. Boilers/Compressors
Showers 0-3 HP . 00
Hot Water Htr 3 -15 HP 6 . G0
Laundry Washer 15-30 HP 610c_
Sinks 30-50 HP 6 . 00 '
Floor Drains 50 + HP 6�Q
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 PLUMBING $ Domes . Incin.
COmml . Incin.
Reloc/Repair 6 . 00
Mechanical Fixtures Gas Outlets X 2 .00 C0
No. Fuel Types Woodstove separate
Furn < 100K BTU 6 . 00 Other
Furn >= 100K BTU 6 . 00
Furn - Floor 6 . 00 Permit Basic Fee 1S. 00
Heat Pumps 6 . 00 TOTAL MECHANICAL
J7 �v
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 AFF=VIT cONT A=ORs AFF=VIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR
CONTRACTORS REGISTRATION LAW RCW 18.27 , AND AM 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 SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE DATE L
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:
DEPARTNIENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond Hold
Approval
Planning:
Environmental Health:
Building Plan Review:
Occupancy Group:
Fire Marshall :
Other:
FEES
IlSpecial Conditions : 11 11site Inspection ( II
it II I' I
II II IlBuilding Permit ( 11
II II II '(
II 11 (IViolation Fee ( ((
11 11 it 'I
11 11 11violation Investigation Fee I 11
11 11 11 Plan Check I II
II II I� ;I
II 11 II Plumbing Fee I II
I( 11 IlMechanical Fee I II
II II I (
II 11 IlWaodstove Fee
II II I I
II 11 IlBuilding State Fee I II
IlBuilding Valuation: 11 11 TOTAL I 11
I it I i I