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HomeMy WebLinkAboutBLD93-1713 Garage - BLD Permit / Conditions - 12/2/1993 ti MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 {Fait 1*D 1: A_ lit A N 0 l::o A:. 14 IN :1 1 i itll 1 [ktti', I- Ai I. 4;e1--467 0 i1 I Wt f N 1,1=111 iMO 'i+1111 4;?/ 1:. 6/ it}1f193•-1.I13 4?AP( 1- 1 , 1. ; 1it )0t.o.r' i'Vrif ki 1, lrifi (A1)i)f?i ' ':a NE 280 K CSSILN TRi t: i N CAfi11YA OWNER - (3 OR61- SHAW 3;A4 . 1140 ONifdf", 1111s . i 1 iifAi 10 W@ Of 51111ffT oil$ it 0 NF Sp 11 IS t5 051311111.1-A Kt V4 i 1 i A .S ►,71• 140kf: Nt i.f 10 lit? 0 HA I N 0 �fYpf AN0111�1 87 IiAII kI,1 (111 �iYpt A011DNf NY 0Aii Ytt1IPT� I y P t ()i f11,1 eAr i; 1 tIi I E ; _ Id ,-:.:s � � -. T, � :u ,::-- �� •#, 0Ck,Op . 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Vflrl.il+ ( fiI1.AT111N; [lit*= PI-0011 NI)OW Pill AND 4010 If Wilif Ok I(INSIR1111100 4011111Pi3fii V. NOT ti111i1FMCF11 11111110 111A iIA`P%. 'IF If taNtiIplil IIIq tip 1111pt f� �ii'.pfNIJID fak A 1'fk"itiD A( iNO PAY) Ai ANY IM Afiflk 1001 iS 01#41`vfO. FY10fNif o fONilmllON 0( N0R1 f'i A ppn6pti5 i1f';f`f11f0N IIIININ lot Is# 0A"i M1140 11#01 IN',f'fil(+)N W;1 of 44ROVFB fiffORF 881IDIN6 CAP kf ("111piiD (140f fIk its NT: ` 'r ! _' �... .. _ _ ._. pit ff - flto— fill,, r v:` ��91jai l (fAV1 1AI f-k 10 AT IA41iE.1) LONDII10*% I `J itl-.ijil.f.itf..fl CONCRETE MECHANICAL MOBILE HOME Footings-Setback ll date by Ribbons date :X-e_ be IDc✓ 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 0y _3_ c y by c- J date by Pon k I - G , ('OL-)cc - v- MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 1*.* If 14. pril I I cl I P 04 tj IL 0 14 Case No . ; For v At "h"I' 41intJ parle ; I 11 lhy ilvv ., harldisocr and - 1wotIp of hwardolly malviiala or 111 "mmobly 0"d . "mb"" y li alit iOn in " I to q0lo"n iq not alloo"d w1houl thv appinval " I 1hp lwla "u io""Lv File Nor whoi X .41 4t-- - 2 ) Prn' oned st " V" tally"i y pL o"i Qw -" I q a 0"rpL-i lhdm 1 in hgq ihi lo q im rmd- li "o . w"Nt mal "t 'jilt ti M11111"I"a ol 41 .01b"rh ham all pr"Poiy -acnim""In and Iiqh' of ways . x 31 All wlyproved plant or" req" irind to ho is called for and plarly wo "ol o" - ilp . Approval U111 0" ! hp rii ?tali "d addilrion , a lie-Inspectio" fee in Eho amount olf $ iwoo p"r ho"r I ho"ri " III hp charcInd and munt bo collocted by this VISPArtMP" I pr ! "r V" any i "spocLio"" w i "q pqvinrm-d or mpprovat granted . Al PURSUANF I-0 IY91 UNIFORM lit LLDING CODE . b( cl ! "M 10601 AMP AlitION 413 . oil hilbs MHSJ HAVE APPROVED NUMBERS "R A"DIRESSF9 PROVIDED IN N"VH A 1,04111 "N 64 10 HF PIAINIV VINIHit AND LEGEHLE FROM THU SINtEl' Ok ROAD FRONIIN6 ( "In PR"Pi klY MM40H VOIINIY H11IlDIN6 DIKIPARIMENT NFOUIRIS INAI IIHIS HP C"MPIFIFO VWI "W I " aAlI INH too AN? ni Ift KnPkillow A RVINSIVEHION FEE BASED ON NAVIN YN IAHIV 1A "F 1 "U 14q ! "NIV6VM H" IlUINh tOnt Will III AS5114514D IF 6WNFIVICONTIJACUOH FAI' l 4 F11 PO& I ADORUK& ON 41 IF CIA = Q"I 5 ) No Occupancy . this ntructurp is WiLed to N- I "n" only "OV oLh-1 -ill ho in violaOon of the Uniform R"j1dinq Code and Maqo" unless a ''Chancle of "so" purmA 1N apprnvpd . X 6 P AI. i. CONSINUCIIUN MLISI HE P I DR F 9CIVO Al I I OCAI i ODI 5 AN" 01-H REQUIREMITNI !-1 X / I Changes Lo apprnvpd building plans thAt: 0171-prV"Mpjia"-- irl Ill- Inn ! Lwqw1 "qln" � ial ­ r a nerqy CrCode . 1941 Vntiltion rand Indoor Air IMIiiy Coll" , Lhv ""flnrm R"ildi "n IndO A"djor Mayo" Cn"nly kwqltlaljoit� MOM 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 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 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 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 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 MASON COUNTY Mason County Bldg. III 426 W. Cedar RO, Box 186 Shelton, Washington 98584 rn � 7n1 of-r-rTnnic, rni I 427-9670 427-7262 BLD93-1713 PARCEL : 323347590102 L , , v' : F.L 4' : L_OT NE 200 KISSIN TREE LN TAHUYA OL,INFF GEORGE SHAW 324--7140 Li_GAL : TR 11-8 OF SURVEY Bill TR 8 OF SP 11335 FS 05888:1-A OK 174 ". I A' ' OF WORK : NEW BE:DP 0 13'AT11 : (^ TYPE +"OUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT OCCIip . GROUP . . . :. ? RLDG . HEIGHT' . ., ; 0 . 0ft PRMT 80.00 TW 12102f93 34584 TYPE 'OF' CONST . . FIREPLACCS', < : 4} PICK S 31.51 TW . 121/2/93 34584 1 0CCU^ . LOAD . . . . : 0 WOODSTOVES . . . . . 0 STFE $ 4.50 TW 12J02J93 34584 DWE:LL. . UNITS . . . . . 0 PARKING SPACES : 0 1 N'"PF"CTTON AREA 1. SHORELINE? : N TOTAL: 116.10 VALULATION: 8640' ^F TRACi( ___:___------ _-: TOILETS . . . . . . . . . . : 0 i UFL. TYP __ _ _ ._-._. ._ 1;(?.1 ! rF2`;/COMP M RTI_IW 13Or;r FRONT . . . N S . Oft BATH BASINS . . . . . . 0 : ? : 0 - 3 1IP . : 0 R; AR . - . . S 5 . Oft BATH TUBS . . . . . . . . : 0 3 ) ., 11P . 0 M+?';;t- I STDE ( 1 ) . E S . Oft SHOWERS . . . . . . . . . . . 0 FUF2Pd 100K BTU ., 0 15 -30 Lip . . 0 STOC (G} .W 5. 0•ft WATER HEATERS .'. . . 0 TURN 10-0K F1I't1 0 ,0 1r SHRLINE . O . Oft CLOTHES WASHERS . . . 0 FURN - FLOOR . . 0 50 + tip : 0 YE:^,Ft - - - ARE _-- KTTCHFN SINKS . . . 0 HEAT PUMP . . . . . ; 0 LOT SIZE : . , . FLOOR DRAINS ... 0 VENT SYSTEMS . . . . 0 F`JAp COOL,.;_ 0 LENG1'II RIJ'J !_DTNG . . _ 0 f DRINKING FOUNT .. . . . 0 VENT. FAN`., . . . . . 0 11O(`1?`:' , 0 L11' !;T11 -L3ASCi+1ENT : : > . Ouf "LAUNDRY- TRAYS . : . . . 0 r)FCKr . . . . 05f DISHLJA;HERS . . ., . . 0 AIR. 1.1ANUC.TNG UNIT : ! OP1M1 TN`T'N 0 GAR/CARP : G 720,E GARB DISPOSAL_S . . . . 0 !- 10000 cfm . : 0 RELOC /REPA11­; : 0 AT,I(IT , :; "l URINALS . . . .. . 0 10000 r fm .- : 0 tl fHt' f !�P�lT MISC PLM FIXTURES 0 Gi1' OL11Lr T 4? PROJECT DESCRIPTION:6ARAGE i PROJECT LOCATION: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION. AUTHORIZEO IS NOT COMMENCED WITHIN 180 DAYS, OR If CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD �F J80 DAYS AT ANY TT` "' ^r" I,, ^,"MENCED. EVIDENCE Of CONTINUATION OF WORK IS A PROGPESS INSPECTION WITHIN THE 180 DAY PERIOD, FINAL INSPECTION MUST SE PP OVED BEFORE BUIL' ^U' , OWNER OR AC" 1���' - DATE: BLD_PRMT, r COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 .. ....... Case No . : BLD93--1713 For : GEORGF SHAW Page ; 1 1} The use , handling and storage of hazardous materials or flammable and combustiibl - liquid inf ern 9 ,.11 ,,- ; nest th.,"t on- nnnr -, 1 F th M Fire Marshal , X 2) proposed structure or any portion thereof greater than 30" in height from grade lir^ .muot maintain a minimum of 5 ' setback; from all property lines , casements and right waj G 67 X - 17)` oil apppproved plans are required to be on—site for inspection purpo eq . If i.nspectio r:alled for and plans arc not on site , Approval WILL NOT be granted . 7n addition , Re-- Inspection fee in the amount of g0j $30. 10 per hour (minimum 1 ho.ur� ) will be charged ir�; t, .- p collected by thin department prior to any ur•t:hnr inspections beinq performvd ap.pe val granted . X Lev 4 ). PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 30:k_j HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSTT.lON AS TO BF PKATN1 Y VTSI" AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRLS THAT THIS nE COMPLETED PRIOR TO CALLING FOR ANY SITE TNSPECTIONS . REINSPECTION FEE , BASED ON RATES IN TASL.F 3A OF THE IP91 UNIFORM BUTLDTNG CODE WTI ' ASSESSED IF OWNH/CONTRACTOR FAILS TO POST ADDRESS ON SITF PRIOR TO RFQUF9TTNG INSPECTIONS X 5) No Occupancy . This structure is limited violation of the Uniform Building Code and Ma:;c7n Caunty regulation,-, unless a "Change of Use" permit- is approved . X r) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUi M - T9 X 7 ) Change? to approved building plans that effect ,complian.ce to the 1991 Washington S Energy Code , 1991 Venti. l,. tion and Tndoor Air Qual.xty Code , the Uniform Buil.d�ng Code and/or M._ason ognty Regulations must MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 01/22/1994 14:45 2068765055 LEVOSE ENT PAGE 02 G.JV a,• } e-&CC l� _J f '& r�tLt�ttt t�:rxY�s, i�c. blinl4Al1 Wei PtodltOti W P C A L C c C v E A S H E E T 1.UMGERMENs GIG HARBOR The attached caleulstions reflect the sPSC-ific desl,9r i of or met;ior. •nc4 pr oduet doter sni notion f 01- angi r,eeT♦d wood Products mankjfact�trtd by Willamette tndumtries, Inc . They inforMAt :o,i npt.bd Should bo carefully examined and verified for the eccuracr and suite�>i: sty of all design parameters and prpdLCt se1e0ti(Jr1r6 . The emilculati.oris ar'r valid for odnetent dapth strucJvist Cr WS; Jmlet.0 , ,and 5ttuc.Larr or Bohai::a Seams , They reflibct Products wi t-ou t notches ( 1 ncludi no "bi r daMout h" bear I nas )' or holes , with the exception that holes per Willamette lndustrifa. Ine . hole charts are allowied in 1-1014ts . ThT orodLc:t.s tiotesd are intbr+ded for interior us+t, normal tomooraturem and untreiatod epp..11flotions . The *pop* noted on the caltulatione reflect cantor to Center of required bearing ( not char i0pans ) . Products sloped over 36/ft ' should be analysed on t'ie sloped 1+ndth. The loads shown must. be appropriate for the *elected duration, of load . Beam anra soi3t weights must �e i nc iuded 1 m the dead loads noted . Content., .ited loads are At;:a4rnoe ru be applied to the top edge c.e the m9mbe.- . Lateral loads;, are riot considered . The aalCulations assume the above products are la;-erally h>rscsd as noted or eaoh calculatitiri and lnst.e: f.ed in accordonce with localh UoildiPg odds requirements . Additionally Bohemia 3lvIame rnusiL be installed per APA -•acommetidat'ions and I-Joisto and StrtjcLaM must b• cort•ectly 1r9talle4 and a,,poortad per Willamette Industries. Inc . r*eomme+nd*tions . Roof jcimts a»d beans myat be sloped per cod• fe"' adoctuate drainage . who" not_od *h t`'-e ca?�:��!st d o»a , pT'nduoGs continuaue �.ve, a support Are dosig,)ad for urnbalaliced live loads or: adjeCent and alternate spans . Ur,E)slanted live loads arb rerflacted in maxirnurn shear• , niomenter end live load defleCLIons . Makimun1 de*ipr, shear �+r'�sctm ;sc�uctfor,:: Frr: s�iri�r at `dept;- 'D. 4hare appro;�rlate . •!1�*�It71�*st�ltllt*R*71ta*>R�r*�t+►�c*�Itxr*ate:rt***1►*�acMtr�r+i;�;r�:Y�h�:%:t*t�:�Atk*ssrz�a�►:�Y:wxr<*�k*��k*k'�M�ats�� Jobe.. 01/22,/1994 14:45 2068765055 LEVOSE Et IT PAGE 03 •OTew CASCADK Authorized Will&%Otts IndUstTiss Salsa R"rfsentativs PRO ECT % LJMbEAMENS GIG ►lARSOR JoeNC. _ 046I6NWRt Kt.4 OATS= SHEET ' ��'��►7Kf1x'URr►f�wW�1.�'K*7�7.i�kxr.s:Rfi'*�R:11t�rMr1MM{'�t�'*�k'Ms:�::R�r?►�+t* K**s*�,MK��'rt1+fF*r+7ktri#Ms*#7t'!t# �lMC PRODUCT LOADING C W:TH T3TA►L 4.OAD 02AGRAM AND MAXIMUM $HEAR ANID MOMeNT ) W1 `304 P�.F OL 14 PSF - LL 2• IsiF raia- :ta SN m(w) IF •4CTi0N 4032 LBO "!OMEN? I6L36 FT—LBS REACTION DEFLeC~IONS LL M O .A6" Li 398 *** USE 3. 125 x i3 _NCH 30haer.ia QL0(2419—V4 DF/DF ) 41 144 IN 0/C *** 115� ;,4r1a t7`J' A-T-N Er-jr:TCR Jr-,EC- FOR ALLOWABLE SHCAR 4,N+:' Mp11E;JT j ALLOWABLE SHEAR = 51409 F.I X 10^6 M 1030 ALLOWRBLE MOMENT MIN EHO HARING LEN(ITH = 1 .99 CONTINUOUS LATERAL SUPPORT R€Q'0 AT 709 EDGE :***�'rs vr•*�•kt r*» a:x, l k� rx.a �.x� .N.:,4.ax• I,w:.x� kxw.**" *.tic �MriMsr,w�.*.fa t.i tAO—A :4 **301***** ARK 2 R;k0D=T LUAGIN� C WITH TOTAL '_OAD �)IAGAAM AND MAXIMUM SHEAR OLN,tiD "CMENT } W1 OL ■ 1$ PSF LL + 33 PSW TRIba 144 IN 0,,CTION - 4704 LeS !'OMENT - 18816 FT-LBS REACTION - 4704 LBS OEi'LEC:' "'S _6 - O .S7" + !..i IL a 0 .1;4s•' a L/ 227 *** USE 3 .125 x 13 INCH Bohemia 3LS(24F-V4 of/DF) a 144 IN O/C *a* ( 11 F,t LOAD DURAT:ON FACTUq USED FOR AL60'WABLE SMEAR AND 'IQMEN 7 ) ALLOWABLE SHEr.R r S140U ' I K 10�6 w Icao i ALLOWABLE MCMENT 200 0 ':i / f MU4 END sEi►►RIKG LENSTH • 2_31 i n. f�" YC/Q !2— CONTINUOUS LATERAL SUPPORT REO'D At TCP EDGE b*� 6_ Mo alculetion is valid on:r `o• t:e �oads led apame noted, "u ject to rotes op tit attachtd Eu/C4lc COVERIM1. Page No. 1 CASE HISTORY FOR CASE NO.: BLD93-1713 GEORGE SHAW NE200 KISSIN TREE LN TAHUYA 01/19/94 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA010 Application received / / / / 11/04/93 11/12/93 CUE BLDA100 Approved For Issuance / / / / 12/02/93 DONE KS 12/02/93 KS BLDA500 (F) Issue building permit / / / / 12/02/93 DONE TW 12/02/93 TW BLDA940 RLC Checklist Completed / / / / 11/02/93 DONE CUE 11/12/93 CUE BLDB110 Structural Plan Review 11/17/93 / / 11/23/93 DONE WLC 11/23/93 WLC BLDB129 Sent to Planning / / / / 11/04/93 11/04/93 KW BLDB130 Planning Review 11/17/93 / / 11/17/93 DONE MMS 11/17/93 MMS BLDB135 Addressing / j / / 11/05/93 DONE GMM 11/05/93 GMM BLDB200 Environmental Health Review 11/23/93 / / 11/23/93 Garage is over septic tank; sent letter HOLD MMT 11/23/93 MMT BLDB200 Environmental Health Review 12/01/93 / / 12/01/93 Faxed plot plan in DONE MMT 12/01/93 MMT BLDC110 Footing inspection 12/07/93 12/09/93 12/09/93 CONDITIONAL APPROVAL 1. PUMP WATER OUT COND LW 12/09/93 LAW OF FOOTINGS 2. ADD HOLD DOWNS IN THE FROM OF THE GARAGE AS PER PLANS OK TO POUR WHEN DONE BLDC155 Final inspection 01/14/94 01/18/94 01/18/94 CORRECTIONS 1. SHEAR NAIL THE FRONT FAIL LW 01/119/94 LAW ,-WALLS OF THE GARAGE AS PER PLANS 2. THE �rpCl,-tit ; -, SMMq��d 5 1/8 X 10 1/2 GLB IS NOT LARGE ENOUG C,S pr O u :d ed. Ca L-a TO SPAN THE 16 FOOT GARAGE DOOR OPENING S'2 e p F 1.y t,a f' PROVIDE A #1 DF 2X10 GLUED AND NAILED TO THE FACE 3. VENT ATTIC 1/150 I t,JC(W- dOL..Ue- I�«� e L.V- C, e,jc 4- ' r)sy cf�` d ecyn L L__) Perni t No.BLD MASON COMITY BUILDING PERMIT APPLICATION PLEASE PRINT Ab k #1 Owner 6 g' SE/,4"/ Phone# 3 2 Site Addresses City '?A u v� St &v A, - 'dip 9�sd'8 Directions to Job Site Owner Mailing Address i 7 ,2 7 7 City St w4- . Zip Lien/Title Holder Address —' City St Zip_ #2 Contractor Name 4F !/a s,e-- �,�, Contractor Reg#sllvosE-)fv��yc7 Address ,�76 3"i d� I, tee_ e v S,4' Expiration date City/'014i v���f�f�) St1. Zip_ e3G� _Phone .AV c - -PL7 6 #3 If septic is located on project site, include records. Connect to Septic? A;q- Public Water Supply — Well (If residential, proof of potable water may be required) #4 Parcel No. '3,), 3 3 v - 75- s d io 2 Legal Description 7- /a 3 o G 5,-ege e,,s #5 Building Square Footage: (existing/proposed) lst Fl / 2nd Fl / 3rd Fl / Loft / Basement / Deck / #bedrooms_L_ #bathrooms Garage / 7�v Carport / (Circle: Attached Detached?j Other sq ft_L #b Use of building Ld/V 4&F Describe work a,`/� #7 Type of Job: New_ Add Alt Repair Demolition Woodstove Re-Roof Bulkhead Other #8 MOBILE HOME INFORMATION Model Year Make Model Length Width Serial No. #Bedrooms #Bathrooms Type of Heat 99 Any water on or adjacent to property: saltwacer lake river pond wetland seasonal runcc other Show following on the site plan i Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed r rovements Easements Naive of Street Scale Name of Fronting Street Date: APPLICANT TO DRAW SITE PLAN BELOW APPLICANT TO DRAW TOPOGRAPh'Y PROFILE BELOW I I 211 tubing Fixtures ($2 each) Fee poo No. Toilets Vent Systems X 3 . 00 Bath Basins Vent Fans X 3 . 00 Bath Tubs No. Boilers/Compressors Showers 0-3 HP 6 . 00 Hot Water Htr 3- 15 HP 6. 00 Laundry Washer 15-3 0 HP --_ Sinks 30-50_HP 6. Floor Drains 50 + HP 0000 Laundry Basins No. Air Handling Unit Dishwasher <= 10000 cfm. _ 7.50 Disposal > 10000 cfm_ _7.50 Urinals ether Other _ Evan Coolers Hoods Permit Basic Fee 3 . 00 Fire Suppression TOTAL PLUMBING $ Domes . Incin. Comml . Incin. Reloc/Repair 6 . 00 Mechanical Fixtures Gas Outlets X 2 . 00 No. Fuel Types Wcodstove separate Furn < 100K BTU 6 . 00 Other Fury >= 100K BTU 6 . 00 Furs - Floor 6 . 00 Permit Basic Fee 10 . 00 Heat Pumps 6 . 00 TOTAL MECHANICAL $ NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION A=ORIZED IS NOT CONS`-ENCED WITHIN 180 DAYS , OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED OWNERS AFF=VIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR CONTRACTORS REGISTRATION LAW RCW 18.27 , AND AM AWARE IN THE STATE OF WASHINGTON AND I AM AWARE OF THE OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK OONE WILL RE IN THE PERMIT IS ISSUED AND ALL WORK OONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MAOE CONFORMANCE THEREWITH. 90 CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING OEPARTMENT. OEPARTMENT,/ ,l X OWNER X BY , l�- DATE DATE 14 J,1 Retu_= permit to : Depar=ent of General Serrices 426 W. Cedar/P .O. Box 136 , Shelton, NA 98584 427 -9670/1-800 - 562 - 5628 f FOR OFFICIAL USE ONLY: Accepted bv :� _ ••�.....i L i.a,%i l 7 a a•.i \ L XaJU XXAu T .ul r r FOR OFFICE II5E amLY Approved Cond Hotd Appt'ovel Planning: ,gc�hL, o s� VL.,,n ,v, Sir o il/Me� SP� b�cYPS, Eavironmeatal Health: Building Plan Review: S j7/Lf.i e'rvt2t JcTf31aC Occupancy Group:m _. - Fire Marshal: other'. FEES IlSpecial Conditions : II IlSite Inspection I II II II IlBuilding Permit 13 II II II I I II II IlViolation Fee I II II I! I I II II Violation Investigation Fee I II II II Ii iI II II II Plan Check II I II II II I. 'I II II II Plumbing Fee I II II II I I II II IlMechanical Fee I II II II I ( II II IlWoodscove Fee I II II II I I II IlBuilding Stace Fee 15(1 II I I �J 1I3u_ld4ng Valuation: y� I I II TOTALI 4436 "KILL-to OINCIAND, f To% Attention, /T pay numQ- tax number c I t t 13 Number of pages inoludIAS oover ............ SUbjsot: It YOU do not reogivo all pages listed above , **rA*r immedittoly. commentst -Z; qc 2D 6 -. -_ �F_��_765ss55 r}�-�vj �g�s .,�r�.+�� �+�. �w�q py��y�� any -�yr l IC.Ai�A' TI i E Sib 4-Od DZSI�.74s CORM � PACE TWO .'f -, - Mar f it . . . . . . . . . t _ . . . . . . . . . . _ _ . . i• _ _ '7 Ccaniy•Ot{�. �+ta!:t'zcra.t� _ /_ t . ;v�asc� -may 7 � } - �• • : ,�,,.. : � , UN 7 1993 vI*_Wm run PZM C=CZLfd't rl yslst. lot 3.s utsdwr J t3.su, d1;d dLmans#Aa& of rwaesTa area ltxia►t141 and pYOpc rod including ding*, ro&dw&ys. eas+"nts,, gr�r?tiaq is +►�1Is wILhLn 140 St of pr.op,rty itaoe /. 3,f ". Property unss, buildtag stub-mac sapogrtp�sicwl fsatuu•s, cuts, b4aks, )Pfrc&At and direction of slot* Xcurd horiscrtal grWLants, .. and apsloWdlckmsIO" widths, over423.- - LOCat icts and aiionitatLon of . f il: lsr► k anc3 width, d pth of swAd t� drala 4l2 &bi jorpt3' °sr. . erxp at dofiter end s of bfd — w sc�-----�- ---- r _e. 35 ^0r8 65055 LF-YFISE Et IT FAGE 02 'h4D15DW PM:�Y 23S 324 %,�12J j0 1?36�75525' �. S r� t rl {w t ' 100 -7 .7 5 1 . v� 9A A 12� aLI ► ,< SSA � „�.'� � � � �fl sscssLe���t 01 eT6L PEE 9©Z AZ)Hd NGSiakibl WU� SC:9T ZO 39dd 1N3 3SOA3-1 9GOS9289OZ 5E :9T C66T