HomeMy WebLinkAboutBLD92-0931 Pump House - BLD Permit / Conditions - 11/10/1992 .., MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
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COMN1. IANC:t 10 A 1 I AC Ht O CC M01 1 IONS I I RIF QUIRIF 1)
• MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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 Attic OTHER
Groundwork
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
dc.ti r
i
i
F
NCRETE MECHANICAL MOBILE HOME
tings-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
p W WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
J
Permit No.BLD - 3)
MASON COUNTY
Bt DING PERMIT APPLI TION
PLEASE PRINT O
#1 Owner —
Phone -1
Site Address I; 12 ')I I (o I >; . TIMP_?L-� 714�s i IvE
City lJ114oti1 St InIA Zip �Ssg2
Directions to Job Site g 1�
d G4 ( C rct Cc
If Gt Y1
Owner Mailing Address 421 I)O�T ,,4 }11,.
City �e&TTLJ,E St 4^L,& Zip
Lien/Title Holder ,JAc*�SoN
Address L'&•kke Gb-T
City OL`fne"A St 1.0I.A Zip �I86o2
#2 Contractor Name IIJG Contractor Reg#O-WEt-11104NG
Address 41,1 >= V TT� f , Expiration date 6 / Z /93
City _-- TTLr-_ St Zip a'7 Phone 0415'1
#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. - "1b _ I0�c60
Legal Description -X-Z ATTAzHEt;,
#5 Building Square Footage: (existing/proposed)
1st F1 NA- / �`'� nd F1 NA / r44 3rd F1 t-4A / -4A Loft ►-44 /
Basement t- / Deck NA / r m
y #bedroos NA �-JA #bathrooms _
Garage MA, / Carport 1"4 A /N4. (Circle: Attached or Detached?)
Other sq ft /
#6 Use of buildinqf'UM� tial�Sl✓ AGI ITIES Describe work ' ,T > f✓
HOUSE h I� lJO EL 10 SLJRI�L`� tJTIL. NEar- XYLA
#7 Type of Job: New Add Alt Repair Demolition
Woodstove Re-Roof Bulkhead Other
#8 MOBILE HOME INFOKIATION
Model Year Make Model
Length Width Serial No.
#Bedrooms #Bathrooms Type of Heat
#9 Any water on or adjacent to property: saltwater lake
river pond wetland seasonal runoff
other
I
Show following on 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
I
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
AT-W-+� ' E�i--T
~ Plumbing Fixtures ($2 PaCh) f2g Foo
No. Toilets _ nt Systems X 3 . 00
Bath Basins Vent Fans X 3 . 00
Bath Tubs No. Boilers/Compressors
Showers 0-3 HP
. 00
Hoc Water Htr 3 -15 HP 5 . 00
Laundry Washer 15-30 HP 5 . 00
Sinks 30-50 HP 5 . 00
Floor Drains 50 + HP 6 . 00
Laundry Basins No. Air Handling 'Unit
Dishwasher <= 10000 cfm. 7 , 5Q
Disposal > 10000 cfm. 7 . 50_
—Urinals Other
Other EvaD Coolers
Hoods
Permit Basic Fee 3 . 00 Fire Suppression
TOTAL PL'UM 'MG $ _ Domes . Incin.
Comml . Incin.
Reloc/Repair 6 . 00
Mechanical Fixtures Gas Outlets X 2 .00
No. Fuel Types : Wcodstove gZu,r2te
Furn < 100K BTU 6. 00 Other
Furn >- 100K BTU 6 . 00
Fury - Floor 6 . 00 Permit Basic Fee 10 . 00
Heat Pumps 6 . 00 TOTAL MECHANICAL $
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRU=ON
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 COMMEN=_
OW15I RS AFY=A= CONTRACIMRS AFF=AVZT
I CERTIFY THAT I AN EXEMPP FROI THE RECUIRE.WXTS 0.`• THE i CERTIFY THAT I IX A CURRENTLY REGISTERED MN TRACTOR
CONTRACTORS REGISTRATION LAY RCW 18.Z7 , AND AM AWARE IN THE STATE OF WASHINGTON AND I AN AWARE OF THE
OF THE MASON COUNTY ORDINANCE RECUIREMUTS 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 SE IN
CONFORMANCE THEREWITH. NO CHANGES SMALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SMALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
DEPARTMENT. OEPARTMEMT.
X OWNER X BY
DATE DATE
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:
DEPARTN ENTAL REVIEW
FOR OFFICE US8 OHLY
Approved Cond Nold
Approval
Planning:
Environmental Health: J,�1 S� T1f
Building Plan Review:
Occupancy Group:jQL-�
Fire Marshall:
Other:
FEES
IlSpecial Conditions: T1nj5 'j-5 a II USite Inspection I II
11 e-- � II IlBuiiding Permit ( Il
it 11violation Fee I 11
II C
II II 11violation Investigation Fee I II
II II U
II II 11Plan Check
it 1 '1
II II IlPlumbing Fee 1 n
II 11 i A
II 11 I1Mechanical Fee 1 11
II 11 li 'I
II 11 IlWoodstove Fee I ld� II
11 IlBuilding State Fee 1 of 11
' II I '--r—;I
11Building Valuation: II II TOTAL
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
1606 ue-) av ,
9�ia�
Re: Permit
Dear V.-Ju
As per your recent r est, this office has noted the above
permit for extension to �(p 1996 . In order to
keep your permit valid, must cell for inspection prior to this
date. In the event that ou do not call for inspection, the Uniform
Building Code allows or jurisdictions to require the renewal of
building permits. Depending on the length of time of expiration,
there are two methods used. If the permit is expired by less than
one year, renewal may be obtained by paying half of the original
building permit fee at the discretion of the building official and
if the permit is expired by more than one year, the jurisdiction
can require that the, permit actually be processed as a new permit
with routing to all required departments.
If you should have any further questions regarding the
validity of permits, please contact the Building Department at
(360) 427-9670, Monday-Friday between the hours of 8 : 00am and
5 : 00pm.
Sincerely,
Mason Coun ilding Department
cc: Property File
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