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HomeMy WebLinkAboutBLD93-1562 Final Garage - BLD Permit / Conditions - 1/19/1994 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.0, Box 186 Shelton, Washington 98584 HI 043- 10-306? 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I K# DAY Prti)It 0 11041 jtittfil I 1010. 0111i1 fill A I'll R 10 It I f It R f. IIIIIIPW f A A It 1 0 f;It p COMPL J.ANC.L 1 U A I I AL111t,t) CONDI 1 4 ON:i IS ta- ki 114 J 1) CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons dateov, I I—1C--> 3 by c --� 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 datebu 1, I ri_c� y by L J date by MASON COUNTY Mason County Bldg. 111 426 W. Cedar R0, Box 186 Shelton, Washington 98584 oil ti Illo I'l 'i fl (I AN f f tl 1 1144 1 ON I f m(M H it I I [I I r-4f, I III)[ III I I I I I t,l iW, t 1, 1 roPJI 'It r. 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I Ffl< I A I I I P W, I A I I I 11,0 N I'l I Ilk I if 1,.f 11111 1 N"If-,t C I I o N it No c:c, 1111m(wy M I fl- f%I 1 11-1 Ill—, I �,i r, f rat j oil I) t I (jo i t ('I I,ni kttli I (i I [I(1 1.1)fi t. ofod M -I 1,0 I'l IIN', 1 1011 1 1 (1 N M 11! 1 641 1 1 tli ) r:t 1 I If At I I III At t t)Ili mtlli Iltil Iii Pit 14 1 (I olitIl till , I j it I ; 1,m I I I I I I d f 1 4 i v 11i 1 IJIt I till I, I I,III fill ) I If i ( od" rfIId I M olill I y (111 fill I IIV 14 11 11 v 1)1 tllY U Permit No. SEp 7 b 1"3 MASON COUNTY GENERAL SER'UULDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 2t ��j�oa`' PLEASE PRINT D— #1 Owner '4qUd/h eL4 Phone# (%o6) Site Address N4 /S/ Fire District# City &/,(,7 "2 St az'I Zip Directions to Job Site '. 40va"/ Q e` r "✓ Z N/G �Dr R V 7— k 4 jtJQ"te r LD '( © r1J l.9 yNP�2` lla i nl C i n1rC 'tconrt Q Owner Mailing Address /3 3?Lte. City hu.„o. 1a N St 40-r Zip 29-3Z.? Lien/Title Holder L.4Alk .y o,.5i4 7`, e Addresses/ City -, St W Zi g8 3 S.l UL�rGt'i� � p 3S' #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? C Public Water Supply_ Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) is 3 3 o s &M-00 7a, #4 Parcel No. Lv �" - t�� - �z Legal Description /„-f ,uv 72 4)v 3 �QQ��S #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / gD�Carport / (Circle: Attached r Detache . k Other sq. ft. / #6 Use of building Describe work #7 Type of Job: New_r Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make A7f210 el Length Width Serial No. # Bed # Bathrooms Type of Heat ase 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 / o i Show following on the site plan Lot Dimensions 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 F✓t wit eg' — 0-11 ( TO.J L 17 / 74 �oS- ,APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW -lot' r I Plumbina Fixtures ($3$3 eachl Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other Bath Tubs No. Units Fees Showers Furn BTU Hot Water Htr Heatpumps Laundry Washer Vent Systems Sinks Spot•,Vent Fans _Floor Drpihs No. it r / mor sors Laundry Basins _ HP Dishwasher No. r H n linUnits _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 $ 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 CHAN ES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING AP ROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. X OWNER X BY 9 DATE DATE k FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: 10, MAVM(A /1 SO''P&ZK M,�n Environmental Health: Building Plan Review WLL— Occupancy Group: M—2- Type of Const: Fire Marshal: Other: Special onditions: FEES qb Building Permit 60 .�b Plan Check ZC(. Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee ({,� Other Other Building Valuation: S/ 76 0 TOTAL FEE S