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Home My WebLink AboutMIS93-0001 Final Woodstove - MIS Permit / Conditions - 1/19/1993 MASON COUNTY Mason County Bldg. 111 426 W. Cedar R0. Box 186 Shelton, Washington 98584 m X C E_'. 1... 11- A t,o IF It'll #_P 11--v If R in X I m1!1;1*)300@_1 it tiki tf, IA is i - PI oi, I mt, 80 AW I v RO(jfR!:; . . . 1 #4 HU I IF A I M11 V (I It A Y ?I I-$- / I ii" 1)A I-U Ili R A Y /S-- I 1 81 t ECiAl SiMs cli1vt lily I Ity. lot- is is #4131 P P 0 A(I t, V 1:0 1 f I H 14000STOW LARSON lit 0 Lt I- I ON I ftlt'.itN I AKV 1`0 ,lot I.Y ROG i 14 t 1 1w 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_N"LMG- - date b by Water Line NAL INSPECTION date by date by da by I DEPARTM ENTAL AL REVIEW Permit No.BLD FOR OFFICE USE ONLYMASON COUNTY BUILDING PERMIT APPLICATION PLEASE PRINT m Planning: #1 Owner i R Phone# ��-75 7/ Site Address N�-�'� SC) 1 1--✓1 Cit State LUG Zip Environmental Health: Directions to Job Site Owner Mailin Address ' U 6 \ �� Building Plan Review: City I )-'oI�L S ate Zip Lien/Title Holder 5�)U,- '-t , Oi(1 Address Occupancy Group- City State Zip Fire Marshall: #2 Contractor Name Contractor Reg # Address Expiration Date City State Zip Phone Other: #3 If septic is located on project site, include records. Connect to Septic? Public water Supply Well (If residential, proof of potable water may be required. ) v FEES #4 Parcel No. J a33bs/oa o3!- Special Conditions: Legal Description 1V, t7f" GoYC. Site Inspection #5 Building Square Footage: (existing/proposed) Building Permit 1st Fl /000/ 2nd F1 / 3rd F1 / Loft / Basement / Deck '3'21-:� / #Bedrooms . 3 / #Bathrooms I 'IL-/ Violation Fee Garage / Carport / (Circle: Attached or Detached?) Other sq f t / Violation Investigation Fee , #6 Use of building i i Describe work Plan Check c -,icvct , #7 Type of Job: New PlumbingFee Add Alt Repair Demolition F7 Woodstove Re-roof Bulkhead Other Mechanical Fee ' #8 Mobile Home Information , Model Year Make Model Woodstove Fee Length Width Serial No. #Bedrooms #Bathrooms Type of Heat Building State Fee Building Valuation: #9 Any water on or adjacent to property: Saltwater Lake River TOTALS Pond Wetland Seasonal runoff Other Plumbinc Fixtures ($2 .00 each) Fee: No. Boilers/Compressor Fees: Show followinc On the site-plan No. Toilets 0-3 HP Lot Dimensions Flood Zones ' Bath Basins Existing Structures Fences 3-15 HP 6 0� Structure Setbacks Driveways Bath Tubs 15-3 0 HP _ Water Lines Shorelines Showers 6.00 Drainage Plan Topography 3 0-5 0 HP 5.00 Septic System Wells Hot Water Htr 50 HP Proposed Improvements 5.00 Name of Flanking Street easements Laundry Washer Name of Fronting Street Scale _ Sinks No. Air Handling Unit ;::Date: _ Floor Drains <- 10, 000 cfm. Laundry Basins 7.50 APPLICANT TO DRAW SITE PLAN BELOW > 10, 000 cfm. 7.50 Dishwasher Disposal Other Urinals Evap Coolers Other Hoods Fire Suppression Permit Basic Fee 3.00 Domes. Incin. TOTAL PLUMBING $ Comml. Incin. Reloc/Repair 6.00 Mechanical Fixtures Gas Outlets x 2 .00 No. Fuel Types Woodstove ser_arate Furn < 100R BTU 6.00 Other Furn >- 100R BTU 6.00 Furn - Floor 6.00 Permit Basic Fee 10.00 Heat Pumps 6.00 TOTAL MECHANICAL $ you Vent System x 3 .00 Vent Fans x 3.00 NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR. CONSTRUCTION APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,. OR IF CONSTRUCTION OR WORK,IS SUSPENDED OR ABANDONED FOIL A PERIOD OF 180-DAYS AT ANY TIME AFTER. WORr IS COMMENCED. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I certify that I am exempt from the requirements of the I certify that I am a currently registered contractor in contractors registration law RCW 18.27 , and am the State of Washington and I am aware of the aware of the Mason County Ordinance requirements for ordinance requirements regulating the work for which which this permit is issued and that all work done will the permit is issued and all work done will be in be in conformance therewith. No changes shall be conformance therewith. No changes shall be made made without first obtaining approval from the Building without first obtaining approval from the Building Department. Department. X OWNER X BY DATE: DATE Return permit to: Department of General Services 426 W. Cedar Street/P.O. Box 186 Shelton, WA 98584 427-9670/1-800-562-5638 FOR OFFICIAL USE ONLY: Accepted by: Date: