HomeMy WebLinkAboutBLD92-0404 Pole Bldg Addition - BLD Permit / Conditions - 6/15/1992 �'� l3 y'oZ.
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MASON COUNTY
�\ Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
1:t 4.3i A N t"P I N ICN F", i�' rt M 1. _Tf :3 a':F)1 i 2 r 9ti 7
BLO92•-A404 PAP0 1. z sr720 'IS001.00 Pt A I D l `a' '
,: 0H A1)01071.1, • 11 NE OLD BEL.F"AIR , HWY HELFAIR
o,,,tif.v CANs,rA NC HOWLETI
'-ON rRAC I OR
I. E6A L IN J 1f S11VEt V11 3 P1 f 15 166161J 111 111N
CLAtiS Of WORK < . : ADO BE:DR 0 HA11-4 0 TYPE oA1109111 11Y DATE REMIT [sPF A4011f DY #Alf RECEIPT
T Y P O Of: 11 S E". . . . . - ACC S 1'O R T f c; wftmmftm�:. � .�:t.:. ��.�r�-
of,;tAip . (IF?0011 . HLU61 b1E. 16111 . , of t. PROT t w5A O)f 0611SI92 30641
1'161r" OF CONST . . x i' F I R E P L A C t- ', . . .. . x @ Vick 1 21.1O 0if 66116192 31691
0f;['1}P . I.0AD . 0 WO[)EiS I0vt--`:', . . . . ; 0 STFE T 4.61 OdF 16115(92 31691
Owl,LL .ONITS . , 0 PARKING SPACES : 0
TN`PECT:ION AREA : I 914ORt i_TNE '. . .. . :N 11IA1: tl.6.11 VAf.11A1ION: 11lNO1
SE-18ACKS TO1L.ET'.3 . . . . . . . . . ., a 0 fOF:. IYPES _..... _- R()1:LkR s/4'0FFf'.-
FRONT . — S 51t: SAT'H BASINS — . . . . 0 0 i HP . . 0
REAR . . . , N F;tt: HAI H I UHS . , < . . . ,. » 0 3- 1 h HP 0 MODEA, ?
SIl:)F( I E tali: s'HOWERIS . . . . , 0 F11RN 1.001, HT(1 0 1f.,-• O FIT✓ t 0 MAKU: -___.... .-
S10F (2) . W C-1ft. WAVER HUATFRS . . . . . 0 fURN )-I00K 1`37'11- 0 :30- 1 0 1i1P N
SHkF_ INt . 0tt C LOT HEi.'+ WAS;HER`'i 0 V(IRN f:1001? s 0 0+ 1-11" 0 Yt:Af7
AREA __. _.._ _ __... _.__._._ K ITCHF N SI NV �: . . . . ? 0 HUAI I-A)MV t . . . x 0 it
1.0-1 T4E : i FLOOR DRAM; .. . . . . > 0 VENT �',Y rEM' , , , « 0 EVAP C00 L 1~R 0 I-ENCT'll . 0
#311) 1 0TN6 , .. x 1,20015,f URINIc 1N1i FOUNT 0 VENT" f A,NS . .. . . , 0 HOODS . to WIT)IH . - 0
-HAS MF.N1 0 s f LAUNDRY TRAYS . . . > . 0 DOMES . INCINtfA
OF 0Fo.f' DISHWASHERS . . . 0 A T R HANF.)I INh IINI T S-.. COMM t- I.NCIN H c
GAR/CARP : 0+a f GARD C '11',P SALS . , . o (_ J A000 r Fm. � H RE1. 0C, /REPAT11 x 0
AT /f1T . _ ' 1JR.T,NA1. S . _ . , . h . „ . > 0 a 1 �000 r.fm, 0 E)T }RF::R UN [TS . 0
mf�')c PLM FFIXIURESt 0 6A5, 01.1FIL r i 1n
PROMT OESfiki?tI;1N;FO1E 8U111IN6 A11111O1
PPO3ECT tOCATI0Nt0IRECTEY ACORSS STREET fRON STOt14AIM fUOO
TNt' f(RNIT BFCOAES 11111.1. AND VOID If 401 OA CONSTRUCTION A11111O017fO IS NOT 011111f$00 11IT111N 18i BATS, Of If 0111ST1OI1I911 1R 110111( IS SlIMI €D fAR A PERIOD
Of #01 DAPS AT ANY TINE AMR (tORI IS CONNENCED. EVIDENCE OF (4111INNATION of qAR# 11 A 1`460 fsS 111M CTTAN 411111111 TNT 180 041 VfB1O0. rIMAt INSM1 11N 1111ST Of
APP90VED BEfORF Ri) BIN& cykvt OCCUPIED. .
OI111(11 48 AyfN1 �.� �... :t ._ .� _ _ ._ - .._ _ _. � .w_._ DATE ._._._. !. ..V.✓.._.. _ . . .
11.0 PRN1, rep;: 1 >jsiJ92
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
te 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
ESP 4....0 "U: R.... 1:J ::1'. P4 4.']1 p E::: E';t m [. R FOR INSPECTIONS CALL 427-9670
BLD92-0404 PARCEL : 322027500100 PLAT : DIV: BLK : LOT:
JOB ADDRESS : 11 NE OLD BELFAIR . HWY BELFAIR
OWNER : CONSTANCE HOWLETT
CONTRACTOR :
L E G A L : TO J OF SIRVEY VIL 3 F6 6 FS 15515:J BL ILIA
CLASS OF WORK . . : ADD BEDR : 0 BATH : 0 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT
TYPE OF USE . . . . : ACC STORIES . . . . . . . : 0
OCCUP . GROUP . . . : ? BLDG . HEIGHT . . : Oft PRMT $ 86.50 DJK 06/15192 31691
TYPE OF CONST . . : ? FIREPLACES . . . . : 0 P L C K $ 25.11 DJK #6115192 30691
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 STFE $ 4.51 DJK 16115/92 31691
DWELL . UNITS . . . . : 0 PARKING SPACES : 0
INSPECTION AREA : 1 SHORELINE?. . . . : N TOTAL: 116.11 VALULATION: 11811
SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME--
FRONT. . . S 5ft BATH BASINS . . . . . . : 0 : ? 0-3 HP . : 0
REAR . . . . N 5ft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : ?
SIDE ( 1 ) . E 5ft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 —MAKE------
SIDE ( 2 ) .W 5ft WATER HEATERS . . . . : 0 FURN )=100K BTU : 0 30-50 HP . : 0 ?
SHRLINE . Oft CLOTHES WASHERS . . : 0 FURN — FLOOR . . . : 0 50+ HP . : 0 —YEAR------
AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 ?
LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0
BUILDING . . . : 1200sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT. . . : 0sf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O —SERIAL#----
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN : O ?
GAR/CARP : ? Osf GARB DISPOSALS . . . : 0 <= 10000 cfm. : 0 RELOC /REPAIR : 0
AT/DT. : ? URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT DESCRIPTION:POLE BUILDING ADDITION
PROJECT LOCATION:OIRECTLY ACORSS STREET FROM STOCKMARKET FOOD
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD
OF 181 DAYS AT ANY TIME AFTER WORK IS COMMENCED. EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 181 DAY PERIOD. FINAL INSPECTION MUST BE
APPROVED BEFORE BU DING CAN, BE OCCUPIED.
OWNER OR AGENT: DATE:
BL0_PRMT, rev: /3131/91
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APPROVED
MASON BUILDING INSPECTOR
( N A ES SUBJECT TO APPROVAL
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BUILDING PERMIT APPLICATION 6,01 60
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER d(_ �� get '►2 .
DIRECTIONS
TO JOB SITE t ,ff ?155- 7A1e s- k mAe'I,-;
PARCEL „ / LEGAL �
NUMBER "� - �� , DESCR. //a '-j E S
NAME MAILADDRESS CITY&STAT ZIP C �� PHONE UCENSENO.
CONTRACTOR � � Oti'S' 'C �" ��J'2� c91Y131-
USE OF '
BUILDING a
CLASS OF NEW y ADDITION y ALTERATION REPAIR MOVE REMOVE
WORK r /`
DESCRIBE /
WORK t' �! ( ,i��,� ;r ,vr < !C' A
AREA: OO NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
DECKS SgFt BATHROOMS SEASONAL RES.0 ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED 0 DETACHED❑
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18,27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE X BY `F � DATE 5 0 -7
FOR OFFICE . E ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO )
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
�� I �,^r ^�"'_ �,� �f�'� SHORELINE
- � L.' �Z ✓ 5 �� CG h _ WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
11 do
APPLICATION ACCEPTED BY I PLANS C UKAP OVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
rf B ��yj� E�C _ CASH CK MO
_ HE HN V4
(Pl LoS' � Mook IDO.00'' jooJ m. IyLlly --- 3.81'OB'41'E Tp g=tQ'�ffi
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N q'19 I`"y 9 P59.ffi'•W
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LEGEND
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PAC—TECH awarazx74 INC SURVEYOR'S y RECORD OF SURVEY FOR AUDfTOR'S CER F)cATE
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