HomeMy WebLinkAboutMIS97-0794 Sign - BLD Permit / Conditions - 11/26/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M i E.4 C V= L U. A N E C3 L) F-, V! P, 1 1 _T FOR INSPECTIONS CALL 427--96 10
MI S97—•0794 PARCEL a 1 2 329420*-' PLAT , D I V s 7 BLK s 7 LOT #7
JOB ADDRESS ; 201 NF STATE HO I V 300 BEI.FA I R
APPL I CANT VF..... WWTO
206—.461 —6473
OWNER 206-461-6473
LEGAL : TA I/ OF MN Of.
PROJEC.' I' DESCRIPTION :
SIGN
PROJECT LOCAT1ONe
HWV 3 SOUTH OF BREMERTON, AT HWY 300 IN RI:I FA i R
PROJECT NOTES
TYPt= AMOUNT RY 1) , f- RECEIPT
PITMT 3!5 .PO TJ .11 /24197 .SENT
PI.CK 4 14 .00 TJ 1 1 /24/97 SENT ;
STFE 4 4 .50 T,.1 1 1 /24/97 SENT
TOTAL 53 .50 OWNER Olt A ` :NT DATE
NIS PONT, rev, a4111197 COMPLIANCE TO ATTACHED CONDITIONS IS
REQU I RED
41
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 ' Z—/G — by date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PE: F1M I T' C3 C3N " I T I CI
Cases No . : MIS97-0794
For : WASH I NGTON MUTOAI.
Page+ , 1
1 ) All approved plans are required to be on- site 1'or i nspeot :on purposes it Inspection
Is oalled for and plans are not can site, Approval WILL NOT be granter! . In addition , a
Re.- Inspection fee In the amount of $32 .00 per hour (m i n Imam 1 hour ) w I 1 I be aharped and
must be ooIIerted by this department prior to any further Inspections being performed or
approval granted ,
X
2 ) Changes to approved buiIdinq plans that effesvt eomf: llanoe to the 1991 Washington State
Energy Code, 1991 Ventilation and Indoor Air Quality
Codes, the Uniform Building Code and/or Maso aunty RogU.Imtlonc must be approved by
Masan County prior to oonstrurtlonX -
3) CONSTRUCTION PROCtn S� TO BE F !i=l.D CORRECTED AS RE ED PER MASON COUNTY BU i L f.►!h1t
DFPANTMFNT AND UNIFORM BUILDING CODF . x
e -
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
PLUMBING date by 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
%/ tlj� Iy �IV2 0427 7798 )aSON COUNTY BLD 3 10002
Permit No.
NOV 11 1997 MASON COUNTY
add!
PERMIT APPLICATION fin' q�1
QSSIS Ik,KE add!W.Cedar/P.O. Box 186, Shelton,WA 98584 427-9670 i�
(Calling From:Seattle 464-6968, Belfair 275-4467, Elma 482-5269)
PLEASE
4SE P PRINT
#1 Owner Uja SI` ti rC Sire Phone# t 6 q6/" 6 y -2
'e Address U� p Fire Qistrict# �
..City
071,
irections to Job Site
Owner Mailing Address 119 COOK S D LO f
City r G le St Ldof zip
Uen/Title Holder �4 S /(7
Address
City 4 St Zip
#2 Contractor Name �-�eGl CAI Y/ UBI #
Address 76�i A�- *-t S Contractor Reg# lfeG/it f, 3.30 9 T
City '9 iP St_Zip' Phone# Expiration Date�/
#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)
i S
Legal Description
Tp. 10 o n u-) 5
#5 Building Square Footage:
1st FI 2nd FI 3rd Fl Loft Basement
#Bedrooms #bathrooms Deck Other
Garage Carport (Circle:Attached or Detached?)
#6 Use of building k ki►l. - Describe work
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTUfJED 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
11,,12;1)7 IVED 11:02 FAX 1604277798 HAsUN COLWTY BLD a Q003
Show following on the site plan
Lot Dimensions Fences
Fasting Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Drainage Plan Wells
Septic Systems Easements
Proposed Improvements Indicate Directional by (N, 5, E, W)
Name of Side Street
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW C
�C J
Qropose0 5 i5 n /Meq �
Pr
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
I
11/12/97 ITED 11:03 FdT 3604277798 31ASON COUNTY BLD 3 Z004
f Mechanical Fixtures (56.7
Plumbirlcl Fixtures ($3 35 each) Fee 5 each)
h.)
No, Toilets CIRCLE FUELTYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bath Tubs No. U i 5 Fees
Showers — Furn BTU
_Hot Water Htr. __ Heatpumps
Laundry Washer Vent Systems
_Sinks Spot Vent Fans
Floor Drains Soil ersLComr)ressors
_Laundry Basins HP
_Dishwasher No. Air Handling Units
,Disposal — cfm#
_Urinals No. Fire Protectio em
Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 56.00
Permit Basic Fee 16.75 _ Auto Fire Sprink Sys 35.00
TOTAL PLUMBING $ No. Other
Gas Outlets
Wood, Gas, Pellet Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- 16.75
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee _
WORK IS SUSPENDED OR ABANDONED FORA 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 l AM A CURRENTLY REGISTERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTCN AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTSREGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMITIS ISSUED
MIT IS ISSUEr)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 V``ITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT, DEPARTME NT.
X OWNER X BYAle
DATE DATE
••"r,:� k � �'".I�""•��. �' #j*r�lrq�im�"eR"�iv FN'p�a��g .x 11" d �v*li x""Cpp��'+��*I M p��
11/12/97 WED 11:09 FAX 3604277798 MASON COUNTY BLD a
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review L
It-t�
Occupancy Group: Type of Const:
Fire Marshal:
I
Other:
Special Conditions: FEES
0 s 0 " (0 9 Building Permit I 51. op
Plan Check I d c,
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee '
Other
Other
rr Other
Building Valuation: (o S TOTAL FEE J 3.