HomeMy WebLinkAboutBLD96-0690 Final Deck and Carport #24 - BLD Permit / Conditions - 8/8/1996 - MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
17A lj 1 I1_ 0 1 1 1 ;,E_1 -12- s;> d
BETWEEN 6pm AND Sea 427-7262
BLO96-10690 PARC.;EL : 1'33215000050 PLAT :5APLO DI V , SLK LOT ,
-JOB ADDRI"S`_. i HE. PO FIDESSE i FID Un t t 1 ' P 24 ISE1 FA Iit
OWNER : DAVID HINKt_1 ?75-253i.
1_'ONTRACTOR .
1.FGAL : SAN A. Tffttl'" 1011f IT GAS IRS T4 20 Of 11 1011MI Al
GL A:4fi 101F WORK . NFW FIF DR 0 HATH - 0 Inn fi101t117 91 OATc 001101 IT(pf Ai1311111 61 CRI1 AM110T
TYPI_ 0ir 1.1.6E . . . ;ACC 0-TOP I F'', . . . . . . 1N �.� s.= — -- - I �.�
OCCOP . GRGIIP i` fit DO . I#F I GHT . . - 0 .Ot t INC? 1 .6.01 1JP 117,31106 4204
TYPE U CONST `; F I RE'PI ACF': N poll 1 �4.70 NJt f7!3#106 i21Ill
QC'UP t UAt , aV4t11Tn: T41VF �: , N PICK 1 7%.911 Up 0111146 12199
DWE1.t_ ,UNITS _ . _ . - fr' PAR! 1NG SPACES : 0 Slit t I,SA A,tP #Mvl96 12191
1NSPECI ION AkEA i MI014171 14IF1 1N TOM 114 V. 1f;VtM6N1 ??ib{
,j
SE1BAC6;•;_ _. ___. . _ .__.__._.__ TOILET. : 0 FUEL iYI E - __ I?F;1ILKH/COMP -- MOB ItE ('{#mF
Falk>N I . . N oft B,114 RA"I NS 0 Q1- "3 HIP . : 0
NEAR . . . .-'; Wort FEATH TUBS 0 3- IF. HP . _ 0 MODE1 :
1DE ! 1i W 8 , Oft 5110WE"11.1) Gl FIIRN 1011tE 13f1I , N 1F1--30 HP . +?� �11;4K.E -
Str3E (8 ) F 5 .0ft WATER HEArFAS . . . 1 0 F'URN 100#( BTU , 0 :0-50 HP . r 0
SHRL I NE . .I?sT c ci 4THE s WASHFtt% . . s 0 FURN IF I Or"R z 0 50+ lip . 0 - YFAF<
AREA -• .,. _ _. _. _ -- KITCHEN S1MK5 . a 0 HEAT BUMF` . . . . . . 0
LOT �;IIE . . . fL L0014 DRAINf> . . . ?1 +EN ( '.Vr"#fMS . . . 0 EVAP C001.FRt% t 0 1 IFNrTII : 0
BUILDING . . . c Ocf DRINKING FOUNT . . . 0 VENT FANP . . . . . . . 0 1-13 0 DS. . . . . . , 1 0 W I DTI4 . : 0
F3R Eb1FNi . f?Nf LAIJWUR'>' IIf°YS R [.twlI . INC:IN :0 SFRIALN- _
94sf DISHPIA HERS . . . , . . j 0 IIIR HA14DI 1NG UNITS-- -- t:OMMI.. . IMCINsO
GAR/(;APPiti 200gf GARF< DI SPOSAI 0 - 10000 Ctdr . , 0 RI'L0"/RIFPAIR 0
AT1Dr . :G t1RINAI c . . . . . . . . . . A 11000 arm . : 0 OTHER UNITS . : 0
MI ' C, PI FA FIXTIM r 0 CA`" 001I.ETS . 1 0
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PROJECT AESCAll"kil-IM Ave CARP001
PA0.1f � 1OCA1101I111E !0 ROFSSfi R1 SP 2!
!MIS PEAMiI WOM►.s 1011 ASO YPID 0 1000 AA CM11100101 AUT04911FO iS NOT CON1tM16 III#!# IXA DAYS, 0 I1 rMIRP0101 Ak 1011 IS MPf1pF0 1+1 i PIRtOC
uF 11/ BAYS 41 All Tilt AFTtl 10111 IS C61MCF6. MOF00 Of €01111OAI104 of M41r Ifi A 7-18F VIS 11311FCil1N 111kIA rof III 4AY ►W00, rIAA! ;1I8P1f11011 lost
APP10Yfl dfr0ll golt0Ip6 ILAII Of 0CLUP111'.
OR
Bt.B r�fiN1 6"?t r 41 COUPL I AW-V TO A TTA';HFV COND I T I ON1 i s PFOU I AFD
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
ate by Gas Piping date by
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
O.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date _ _ �C by �� date by
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Fors DAV I D It t t4KI F
pafie ; I
APPf 4)"4'd f"--r J I Pit-it I C-h *4 1.41 I�m I t t �fj t t V 1 0,4 It If
PV 1P,)4*1 etr uc;t ur e or ally pilt t I on t rfere'.1' (JI enter thnr' .10" in '46ight from grade I ine
flltl�;i m'l I fit a 4 n a itif n oppitm or ', , *,01 t;,4vft i I om fill projoertv linos , e.1r3oiniont7,, and io , irom
(7uutity and State Rrtad r ight rif ways
► At I rllajie� !ire rr.qtjttco! to be on- Liltpr for it, P**(.t I ,ol PIjV'jj(Pf*e " I f I nspect I orw
0A I I eCs fol and plant-, arv% not oil I to . Appr cil,!a I W 11.1. NOT be Qran I e4 I it add I t I vrn
Re- I P%poo t I oil r Or i n the Amr-iii-I It at Vio ,00 ver huor f m I a I milm I h"'r ) IN I I I be ohar%)od .nd
must he Cot looted by this ;1epal-tmelit vi, ior to ajV further I I19P*c.J .' oria bt; ing perfurmod or-
aippr ova I of ar4 ted
4 PUPFI)AN't TO 1yiot tINIFoRM RUIj [)ING "�':)L , RUCI ION 305/ (: ) AND SF("T ION 5, 1'.1
' ti � ITFS. MUS1
HAVC APPROVED NUWIRS OR ADDRESFEs. PRrjVIDFD IN SUCH A Pos # Tjoh AS TO BE PLAINLY VISIBLE
AND LEGipir rtiom rku SIREET On ROAD FRONTING THE PROPFPTY , MASON COIINIY 8(11 L rI I NG
DEPARTMENT RFQIIIRCS THAI TH18 OF COMPIFTED PRIOR TO CAI L I NG FOR ANY SA TF I NSP11:r;r I oN S A
RE I N.kj P f:C T I-DN #' F 1; , Elf,Is L% o N RATI-S IN TAbLF 3A Of THE 1991 UNIFoAm SUiLDING Cocif W11
ASSE rSEP I F OWNFR I nON TPAr'TOR f-A II S. TO POST ADf)RrSS ON S I I F PR Ion VC PEQUFO�'TING BE
Al t CONS 11411C 1 ION M11.13T ME f i Oft F)(('I.I,J) At I I 0('A1 1114, ANf hl-0UIRFWN1 '
No Oocupajiry IhI tur't+ i In t t,ed t(t M AI#V othff use will be iii
vl0 "t IOD Of the Unify); m Aul Wing Codeand Mkiilan County Roquidjorins
un '"S 8 "C"1100 Of tlt>e" Pdrmit f - uptiroved .
Chatigiros to approveo building pt ,
'If's that "TfOCt tt,) the IW41 Washirigton Steltip
%lont ' lloticorn aril jhfjt)c.)r Alf QUjl it ,,
MASON COUNTY
Mason County Bldg. 111 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
.........
13 ) AU r.f'W' I'VU(,TI0N M0".T MEFT OR FY('.FFD LrtCAL. C0Dr,-1:. . IF ANY OLIF"11ONS. PLFASF
CALI 410co'. 0rr1:'U ' f )"F r0N,,JAt1C1 ION
X: - —-,—------- — - ---
9) CONSTRUGfION '() fif VIFUD CONHH-TI-11 A..• MWIMLI) PF'R MA,ON COUNTY R U I! D I NG
DEPAPTNIV'N'T AN;, 11NIii,
)AM, SUILPING ^00E
Permit No.
MASON COUNTY L��ap
BUILDING PERMIT APPLICATION {�°
426 W. Ced
ar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
"[�(l Phone#
Fire District
eAddress
St �Zip
Directions to Job S
Owner Mailing Address 0222`=
St Zip
City
Lien/Title Holder
Address
St Zip
City
#2 Contractor Name Contractor Reg#
Add Expiration Date
Cityre 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 el
egal Description S '
L'�o►du-i ,�cR rn&ioaA-, l hornE' ,P- .
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI
Basement / ec / , #bedrooms / #bathrooms /
Garage / Carport l7 / (Circle:Attach or Detache
Other sq.ft• /
C
#6 Use of building Describe work -
#7 Type of Job: New Add Alt Repair Other
� � D#8 MOBILE/MANUFACTURED HOME INFORMATION O '.'" � � � N ,J
Model Ye r Make Model
Lengt Width Serial No.
#Bedr oms #Bathrooms Type of Heat
Purchase Price $ IICQI TN g1=RV1rFC
#9 Indic a ling the applicable source if any water is on or adjacent to subject property:
River Pon reek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Show following on the site plan
FVLotimensionsFlood Zones
ng Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements s
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
16
, t
APPLICANT TO D AW TOPOGRAPHY PROFILE BELOW
SZ 3�
Plumbing Fixt res ($3,25i2ac.W Ems@
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
—B Basins Heatpump, Other
—Bath Tub
_Showers — rn BTU
_Hot Water Htr Heatpumps
Laundry Washer — Vent Systems
^Sinks — Spot Vent Fans
—Floor Drains �, Boil ers1CQD1 [ ssors
`Laundry Basins _ HP
Dishwasher NQ_ Air Handliog Units
—Disposal — cfm#
_Urinals
—
Auto. Fire Alarm Sys 50.00
er
i d Fire Supp. Sys 50•00
Permit Basic Fee
16.25 Auto Sprink Sys 35-00
—
TOTAL PLUMBING $ her
Gas Outlets
Wood, Gas, Pellet ve
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- 6.25
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee
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 REGISTEREC
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND
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 ISSUE[
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 BUILDINC
THE BUILDING DEPARTMENT.
T.
X BY
X OWNER
DATE DAT�
y 9 sr,F �3r"r, wo—M_' '
FOR OFFICIAL USE ONLY: Accept
z ,,
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: ark
,
(tq (q
Environmental Health:
5
Building Plan Review
Occupancy Group: c� Type of Const: f✓ ►'�
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit 5 7
s
Plan Check ti3 4 D
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee 6
�• S
Other_ f—K e-r0 1c L.-j ,
Other
Building Valuation: TOTAL FEE