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Home My WebLink AboutBLD93-0710 Final SFR - BLD Permit / Conditions - 11/19/1993 MASON COUNTY Mason County Bldg. 111 426 W. Cedar R0, Box 186 Shelton, Washington 98584 Ht lilt' td 01 /< llil RICHAR11 MIN 14 1 of dt, RM i J AVO DAlf lit 1. 1 p 14 1 14 lf4 0 116 1 NI' 1 0 It 1 Ohol I 0 R 0,1 f f, I QCAI IIIII 01S1 ME R00 Ili NASA 0 P A I i `,AtVAh[ IIIR# I I 1 4 cl M P00i, 114 111 i 1 1 If li A F I i,It I I 1 1 s,11 r111 j h 0 1 111 Ou pfflik [I I If A f 1; 01111, ANP 1!619 11 4(1 it (TVIRII(I 100 A11111011f 0 I� 001 1 Hoof,N I.ch 111 11119 1�# PC", I#P 11, 1 It 0 1 vi I I I if 0 If lo 14 t)P.A 1; U%!,f 0 If I it I If It A I,f t I If(i f Iho ilAy N ANI J�N( Af I E li 1ti 01111foirt1 EVIDEN(E (11' (ON MAHON Of wopt I A VRilttpl V, INM�- 1 10 W1 filljol IP I HO 0A1 PIR(op FIRA( lml�p[ililio Nihi H APPP#VfO SO] INb to 0 A 0 AwNfIll Ulf WA!- Q4- 11-tJ 81.8 poki . Ceti! 4-0 1141 C 014P 11 A NCt 10 A 1 1 At M 1) f (1104110 1 1 1 tlfv. 1 Pf-Q111 1 lit 11 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 ✓ C` date by FRAMING Walls FIRE DEPT. date /- by date by PLUMBING date by J J T Attic OTHER j I / _ v D icy c . Groundwork � ' date I�l�� by 4044, date by �_� 35 D.W.V. WALLBOARD NAILING v� date by date 4 1i+�-,tom 1 Water Line FINAL INSPECTION date b date _ 'C — b Y 7 date y I MASON COUNTY r Mason County Bldg. III 426 W. Cedar RO. Box 186 Shelton, Washington 98584 i>t k 1. 1 HAkD YuHN { i[{1J .^1{�; r C!'4 +.I 1 1ti! hi !I I .. tj,.1 is !�f :ri! lit t l�I I I i�, 111 � I I # �! r I ! f'•f�; i �'i I'� !si i•, ! .. i f��'.f � i t I�rl I�' t �,. ,�,;i { ! 1?�' lil.li�ifE' { �'� 1 � i� � E t;i�i � 1-' I t�_ 1.I � `�i� f'?3 i� it 1 •! t � I i v , s Y CCC 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 Final Floors 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 I ■■■ ■ NONE■■■i■■lid" Ili■■■■■■■■■■� ■ X■■■■■■■■■■■■■■■■■■■■■■■■■■■' � '�■■■■■■■■■■■■mw■m■■■■■■■■■■■■' a ■■■■■■■■■■■■O ■■■■■E Moomm■■i ON ■ii■■■■■■■■■■■■■i■■■■Nl�lW"off"il ■■■■■■■■■I■■■■■■■■■■■■M■■■■■■■■■■I ■■■■■■■■■��■■■■■■■■■■ ■■■■■■■■■■� ■■'� ■■M■■I■■■■■■iiiM!!'!NOWN■■■■■■■■1 ■/ii ■■�■ice■■■■/■■■ii■i/■■■■■■■■■1 CI■■■■■■■■FAROMM■N■■//i■■■■■M■■■■ ■ 1M■■■■■■■■IN ■■■■■■■!�■■■■■■■■■■■ id1�1■!�NEESE�Waffl III■■■■ri. , MU■■■■■■■■ Al mmm mommmoromam MEM13"SIN 04 ■/■t�■//■■■■►�■i■■■■ ■■■■■■■■■■■■■■� ■1/ ►/■■■■■1s■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■1/■■ i■■■■■■■■■■■■■■■■■■ ■■■■■■■iiiii�li�'=�J�iiii■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Permit No. , MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628J � n11D PLEASE PRINT #1 Owner �l C l� �' �� ' 0 +� Phone# q),6— 75/ Site Address UJ �2-S Z L 14 P, t� !] Fire District# TT- city <5 4 E C 1 U St kJ S0• Zip Directions to Job Site /—BS f` k4 7 O 6. 50AJ Cc? S U � 4 0 Q V A/ Owner Mailing Address_ City t) � L L T-0 i St Zip Lien/Title Holder 2V 0/1 65- Address Clty St 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 PeAl6t N (If residential, proof of potable water is required) #4 Parcel No. Legal Description #5 Building Square Footage: (existing/proposed) 1st FI 11444 2nd FI f 3rd FI Loft Basement Deck Deck /_9 #bedrooms / #bathrooms Garage /09 Carport / (Circle:Attached or Detached?) Other sq. ft. / #6 Use of building Re S1 elvc(f Describe work S l`2:9 o S #7 Type of Job: New Y Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION „� I Model Year Make Model 11q"/ 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 Show following on the site plan FLotDimensions 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 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW J Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. 7—Toilets f`� CIRCLE FUEL TYPE: Gas, lectric Z. Bath Basins Heatpump, Other ,-Bath Tubs Cp No. UnitsFees Showers Furn BTU Hot Water Htr 3 Heatpumps Laundry Washer j Vent Systems Sinks Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins HP Dishwasher _ No. 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 $ 15 No.. 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 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 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: Dater` DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: \(�S Environmental Health: WtA� �A(G%06441N' s�n�c 41%�/ M � Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit 393.E V Plan Check q 50 Plumbing Fee 5 .6D Mechanical Fee .n Wood/Gas/Pellet Stove Radon Monitor 46, (D Violation Fee Site Inspection Building State Fee 5 Other Q Q Other C� Building Valuation: 1 `� D TOTAL FEE