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HomeMy WebLinkAboutBLD93-1252 Cancelled Residence A and Garage B - BLD Permit / Conditions - 7/8/1997 MASON COUNTY Mason County Bldg. III 426 W. Cedar l P.O. Box 186 Shelton, Washington 98584 E I It 4 .1 1 V11 1: . 1 11 1. IlvI 1 1 'i ltl ()9:3-• l :t!i� t'ttl;i t 1 I E t.',tAt?vt�tb�,. {'I t1 i I I'i s? ic1�; 111tIrkl ', F /'4ti G1.(] HttfAil) 11WY til-11AIR IrtJldl I< E.l)(afNf, MAI t-)fvlcII r'/S-.468-j t Iiti tf;lii l ul CON'. I ItliC I I ON I:t.10 Sab 1 s , I I iirsl • (Ills 111AU1l)l{ IN1t(S It 1.4 tic i-N, 1-11 15 441111 r1 $4.4 r— it I-lii"it 1111.1 H IiPI kOnNNJ it, init NI IItI Alit 0 IiA1 44., $RF j:,$t.l.gl��� : , (It I tit' iil' 111 141 Iltr Ill II:itt 0 01 , `Itd{IN C :t 00 Nlt' i0 Ni1' +i idltl`i }I'tNi t 4 'i 00 01% tIMIA411.l :410'I :. il'i itl r .+I'!'. t 1 Jt:'t , ! rya 1 V1 INJII } 40 00 11.1f 10i94; , t 13lY'i iitf 1 1t iP N3i i4i0a!:tt +J1A'+ r)t i Ill' , t IIAII . 0 11trtilr' I W"I I �itB l t a! 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Box 186 Shelton, Washington 98584 I I)I>I I. v';t I r cl I f, I I I 1 I I- I I till c I 1- t t I I I I I I I I III I I till lilt 0 I f I I I I I t N I I (I I I I I M I i t I I I I N t t of H t IV I Al 1,k Ov I II N I M H I fr Ilk A I)I i I 111 11 1 N III 11 ?'t 1-W, 1 1 1 t f:l I I IN I [I I iifflt f F 1, l N,i t ( If1tM f 111 1 f f I 1 t14 i.Ilrlf) f lir,rf I t 1"It, I fit 1,Pitt'1 k I i M ',fit! I I'l I fill I AR I Mt N I hl I I I I I 1 11 1 I N I'I C I I 111-4 1 i t Itw-i it I I I,) I it 1?,1 1 slt oil I I II I I 0AI I I I I fit, 1 11141 11 1 1 1 t Phi I I rtN` A I fit I I I f,11Jii f 1 1 v I Ir m Pit! I Fji I j" 1 11 1 fit I'It I fill 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 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 i ljf .ill � ft':jJ ) i!�if.� 1, its, —.I, ' �• t cif �•�:I�.1,,, .-f ,i�,ir � s; f �� ILA f a�� CONCRFTE 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/SLAki 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 •- ;� MASON COUNTY Mason County Bldg, III 426 W. Cedar P,O. Box 186 Shelton, Washington 98584 lii tiq;;--1 :psi? 1'f4t<f f t i ." t ! �,!•�'tic�b'14+.' �'! if ! - 1 1 E' l �i itils r►Itlittl t: r796 Of 0 tit- 1 CA1tt 14WY fit ( f AIN ttlJrdi 1, f11GENt- 14AI1.11_VICN :'!!h- .411-11ii I ! 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IANIJJ 10 AI IACNt.0 COHUtit(Wf I '€ k101)1R V 0 CONCRE712 MECHANICAL MOBILE HOME Footings-Setback date by e- r-J Ribbons date to,--) by Gas Piping date b Foundation Walls date by Set Up date) h -xq--s b)EA, 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 03/- L_ - 5/by L—✓ date by Water Line FINAL INSPECTION date 7 _ _` by / date by date by Poo l)W.4- l)-P 1'r, hc q4" I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 ' I { t l , ,tt •. I � {r.,,: I ,!. , � •" i !rt l ,� ? !?:!t,lt t l , ..• i .:i I� + !tt.t, !. 't •i{i- 'ifli"!!tl { I t+ I `i" 1 1!I'`• ! . ,,i. r'1 k1i ! ! I• I {;:+, • �'I,, 1 , I t rtl; !¢i", , .'•fI1� � ,. j.,,f , � pElult ! 1: ! !{ t. ! ' ,:Y!!l 1 I�' ! 1•: i I "}i .;i` � j,tt!., I i I-I .it! 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"�' ✓ � 1 I t + +tra' r- 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 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 1 ,.., i 1 i: 1 1'i l 1 l i i ( f i i ! t Pl 1 • 1 i i i f f 1 1 1 1 1, ill t ! Py',tti �'! ( i 1.Pf1 t C•If)t11�1. �'( i� I i 1 fi ( ! 11ni ? !-i I ! i I f ;'1 �; I ;;{ 1'11 t+ "::Y fs tl t ! ! { { , . I CONCRF-E MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Found::tion Walls date by Set Up date _ by INSULATION date by BG/SLA:s 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 BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 pq�rco I-)— PLEASE PRINT #1 Owner Gt e ry e A, L V, Phone# 2-e 6 2 7 S" 3 C 80 Site Address S O e 4 FA i t w Fire District# �5- City l3 e'( l=R iF r ria St C.^ ' Zip 2/' Directions to Job Site 14 4 k l ✓e IVA SS IC 6'" r GA r d e ry ek S ti /h T 1,`e /`3 Q ,C,9 J' — /,t y d �►` r � :» !��w ►- G t^��� 5 Owner Mailing Address Ea J oX So l6 o 6 6- rA City t /"--A w St 4/1. Zip X Lien/Title Holder Q 6.,1 n Qr 01 Q � Address re,S City a —St Zip c #2 Contractor Name /1'! + /�'r �' /Y � Contractor Reg # AA1 Cc Al 0 .77 k-C� Address f2 o /,? c y566 o Expiration Dates / o/ /-Y zip -2e' Phone#2a. i St t9 S City I'3� �. �- !� a � W p #3 If septic is located on project site, include records. Connect to Septic? y Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) ,/ ._c — ova �. � L - 5 oz #4 Parcel No. Legal Description e 4/.1'5 i ,4,V c re ocr i4 C r-c 7`Y —V 1 — ► 3 #5 B it in g Footage: (existing/proposed)a �- 1st FI 2nd FI � A6'1 IrrZ3rd FI 9�1_/ _Loft_/ _ �qT7 Basement�_/ Deckr #bedrooms 3 / #bathrooms Z / Garage @ / Carport / (Circle:Attached Detached. Other 2A"C>A� 's e 446 sq. ft. / 5'torH 9e Dr � `rti9 R/M Foy- C>R'aFT F1c:-ver #6 Use of building e) vh e 19A i-A/ Describe work 1=n✓M„�4/ #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 i 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 _4F 7— 3 C p a© 13 1, �q e Q3 lob y 1 r 0 `� r� `Ic•V`N (` a�- APPLICANT TO DRAW TOPOGRAPHY PRPFILE BELOW e � Oa / JL Bav I v \. .S Plumbing Fixtures ($3 eachj Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYP • tric, Bath Basins �1. Heatpump, ther 4c T wI7 fay %345� l3oR'1 Bath Tubs / No. ni s Fees Showers _ Furn BTU Hot Water Htr 3 _ Heatpumps Laundry Washer 3 _ Vent Systems Sinks Spot Vent Fans _Floor Drains No.. Boilers/Compressors Laundry Basins HP Dishwasher No.. Air Handling Units 1 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 $ _ v No.. Other Gas Outlets A�ood, as, 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 ORD]NANCE 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. fir' I � it X OWNER X BY DATE "' �j 1 DATE FOR OFFICIAL USE ONLY: Accepted by: �� Date: ( `7�� DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: 3` Environmental Health: J hJ h not vt :a._s Building Plan Review �L Occupancy Group: ype of Const: Fire Marshal: Other: Special Conditions: Alin FEES 00 Building Permit b Plan Check 4 Plumbing Fee (-), Mechanical Fee C0 Wood/Gas/Pellet Stove a S. Radon Monitor Violation Fee Site Inspection Building State Fee q,50 Other U Other co Building Valuation: _ TOTAL FEE