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HomeMy WebLinkAboutBLD95-0067 Cancelled Garage - BLD Permit / Conditions - 3/20/1999 --------------------- MASON COUNTY PERMIT Mason County Bldg. III 426 W. Cedar NULL & VOID BY EXPIRATION P.O. Box 186 Shelton, Washington 98584 DATES BY 13 U I L. [J 1 I'J C3 PERM I T FOR INSPECTIONS CALL +427-9670 BETWEEN 5pm AND Sam 427-7262 PLAT t D I V : BLK : t.OT : JOB ADDRESS , ME 601 BOY BU BELI~AIR OWNER : MARY PALMER 275-6653 CONTRACTOR : LEGAL t TN 3 Of NM 11 fS 45191 BK 064 CLASS OF WORK . . :NEW BEDR : 0 BATH: 0 TYPE AMOUNT BY DATE RECEIPT TYPE ABOIMT BY DATE RECEIPT ORIEs . . . . . . . :A CCUP . GROUP . . . %? G . HEIGHT . . : 0 .Oft PRNT 1 118.00 KS $3116195 38585 TYPE OF CONST . . :? FIREPLACES . . . . , 0 PICK 1 47.00 KS 03/1619S 38585 OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . t 0 Siff 1 4.58 KS 43116195 38585 DWELL .UNITS . . . . t 0 PARKING SPACES : 0 ENCP 1 11.18 KS 13/M95 38585 INSPECTION AREA : 1 SHORELINE? . . . , tN RtC 1 42.00 KS 03116195 38585 TOTAt: 221.54 VAIVIATIONt 14488 SETBACKS•------------ - --- TOILETS . . . . . . . . , . : 0 FUEL TYPES--- - ------ BOILERS/COMP------ MOBILE HOME--- FRONT . . .E 60 .0Pt BATH BASINS . . . . . . t 0 t 0--3 HP . : 0 REAR . . . .W 65 .Oft BATH TUBS . . . . . . . . : 0 3--15 HP . t 0 MODEL : SIDE( 1 ) .N 20 .0ft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15•-30 HP . : P. MAKE SIDE (2) .S 20 .Oft WATER HEATERS . . . . : 0 FURN >=100K BTUs 0 30-50 HP . : 0 SHRLFNE , O .PJft CLOTHES WASHERS . . : 0 F1TRN _. f'1.Ot_•R . . . : 0 50 HP . t ! AREA - - -- - -- - - KITCHEN SINKS . . . . : 0 BEAT PUMP . . . . . . : 0 LOT SIZE . . : FLOOR DRAINS . . . . . t 0 VENT SYSTEMS . . . : 0 FVAP COOLERS % 0 LENGTHt 0 BUILDING . . . % Osf DRINKING FOUNT . . . t 0 VENT FANS . . . . . . , 0 HOODS,. . . . . . . : 0 WIDTH;. : 0 BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 0 DOMEEz. I NC I N %0 --SE=R I AL#--- - DECKS . . . . . . t Osf DISHWASHERS . . . . . . % 0 AIR HANDLING UNITS-- COMML . INCIN :O GA.R/CARPtG 1200sf GARB DISPOSALS . . . : 0 <- 10000 cfm . t 0 9,,ELOC/RE PA0A , 0 AT/DT . :D URINALS . . . . . . . . . . t 0 > 10000 cfm . : 0 OTHER UNITS . % 0 r� MISC PLM F1XTUP S % .0 GAS OUTLETS . : ' 0 ,�T.S.'�.TOE]M�/.':C^'..L',S.' .T'L>...Tl'K:G:CXGt='^:TZ'a�"O''1�.:' T"•i-'2�Li2L�..3:A0'9'1S.¢'�^AIS�tY.ttRG"��LK5A3%^SRC'Y'9..06i:SY.'13'�`S.S'SAY':.••:••�•'�C�^^_K"""•^^'?P-.&ST»SCT-'R'C;'i'R3Cti •"�" .: mot::.NTF'R" T.�'C:33:`G:SY.'Sl PROJECT OESCRIPilON:t;ARA6E PROJECT iOCATION-HWY 3 TO 9MAIN TURN IEfl ON NO CIIFTON TURN RIGHT ON ROY GOAD 00 60 TO END OF PAYENENl CONIINUE ON SECOND HOUSE ON I.M. THIS PERMIT BECOMES NYtI, AND V910 IF WORK OA CONSTRICTION AUTHORIZED IS N9I COMMENCED WITHIN 161 DAYS, 01 IF CONSTRUCTION 08 WORK 13 SOSPFNCED FOR A PERIOD Of IA8 DAYS AT ANY TIME AfIFR WORK IS CONMENCFO, EVIDENCE Of CONTINUATION OF WORK IS A PROGRESS INSPECIION WITHIN THE IR1 DAY PEPIOD. fINAt INSPECTION BUST BE APPROVED BEFORE BUIIDINO CAN BE OCCUPIM OWNFR OR AGE�:4 DATE: Btu fill, rev% ISlilist COMPLIANCE TO ATTACHED CONDITIONS AS REQUIRED i 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 by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by J MASON COUNTY - Mason County Bldg, III 426 W. Cedar \ P.O. Box 186 Shelton, Washington 98584 PEFRM 1 _r 0 ®N0 1 T 1 aNS Case No . , BLD95-0067 .r... For : MARY PALMER Page : 1 1 Subleot to conditions of Resource Lands an , Critloal Areas (RLC) Checklist notification I elver . X __..__� .... _........._......��.�..».,,.. -_ '- •fit: 7) The use, handling and storage of hazardous mat6r l a l s or flammable and combustible �C liquids in eaxoess of 10 gallons Is not allowed without they approval of they Mason County F l re Marst+a I . X 3 Proposed structure or any portion thereof greater than 30" in height from grade line must maintain a minimum of 5 ' setback from all property lines, easements and right of ways` r - No seepd o records owner/builder assumes all responsibility If drainfleld area is enoumbered . Permit No. MASON COUNTY BUILDING PERMIT APPLICATION q5� 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 (p� PLEASE PRINT ti✓ #1 wne Phone # 27S7 Y(,S� I e Address /f/9 (.ot RoyFire District# .� City E L-P I su&la — zipags1 Directions to Job Site }-{v✓d '� ireZL-►^ �-e. - n� 11��' C.�`4���'0'� rum 0�r S -cco �( oo�Sc Owner Mailing Address city st-111a Zip 5 Zif Lien/Title Holder "- Address & 5',3 c17 city lFugveaStf _zip #2 Contractor Name Contractor Reg # Address 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 Parc o. ? - 2�.0 - QO 3 egal Description Rf inf-the, e e 5ec N Z� ; 1 l (iJ. N(., �N Nti5oN Co(i,N4y Gv' 13'-`` #5 Building Square Footage: (existing/proposed) T�-� of no 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / # bedrooms �_# bathrooms / Garage_ 11 Carport / (Circle: Attached or etached' ) Other sq. ft. / #6 Use of building QAR-fe- Describe work v '7 1,0') #7 Type of Job: New y Add Alt Repair #8 MOBILE/MANUFACTURED HOME INFORMATION Jq Model Year Make Model , D Length Width Serial No. %Iv-N S6 99S # Bedrooms # Bathrooms Type of Heat Purchase Price $ RvlCl�s #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 1 �, 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 Car 3 i r APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW l i Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other _Bath Tubs No. UaL Fees _Showers Furn BTU _Hot Water Htr _ Heatpumps _Laundry Washer Vent Systems _Sinks _ Spot Vent Fans _Floor Drains Boilers/Compressors _Laundry Basins _ HP _Dishwasher NgL 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 NCL 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 OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $ 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 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. X OWNER X BY DATE DATE FOR OFFICIAL USE ONLY: Accepted by: Date: i DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: S(q6-J )-6 D 94 1J 3 Environmental Health: Building Plan Review Occupancy Group:ftA Type of Const'-� Fire Marshal: Other: Special Conditions: FEES Building Permit 10 Plan Check 7. Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee q,50 Other Other Building Valuation: TOTAL FEE ( C,S