HomeMy WebLinkAboutMIS93-0705 Cancelled Foundation/Storage Only - MIS Permit / Conditions - 9/17/1996 MASON COUNTY Lk
Mason County Bldg, 111 426 W. Cedar
RO, Box 186 Shelton, Washington 98584
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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 b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
GMC`�C� E'_ Ac
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
RO, Box 186 Shelton, Washington 98584
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MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg. III 426 W.Cedar
P.O. Box 186 Shelton,Washington 98584
(360)427-9670
BUILDING PARKS & RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
/A-
�/96
TO: (y Q� PC(( �w
c� iq 4
RE: Permit Number # [YUS q3-010S
To Whom It May Concern;
During a recent review of our files, it was determined that your permit
may meet one of the following criteria:
1 . Permit is expired and needs to be renewed or have a final inspection
2. Due to the type of your permit and scope of work it is possible that
the work has been completed and it needs to be inspected to close
the permit
or
3. The permit is ready to expire and needs to be inspected or an
extension needs to be requested.
Permits are valid for 180 days from the date of issue to the inspection
date and remain valid for 180 days between each required inspection.
If our records are inaccurate and you have had a final inspection, please
send a copy of the signed off permit to this office so that we can update our
cards. If you have not had a final inspection and your permit is expired or will
expire within 30 days, please contact this office for a final inspection, update
inspection or extension prior to 9 //(/,g /96 to avoid renewal fees.
All permits which are expired or due to expire within the next 30 days will
become null and void if contact is not made with our office.
If you should have any questions regarding permit validity or the purpose
of this notification, please contact the building department for clarification.
Sincerely,
Building Department
cc: Property File
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION c3p�
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 �(
PLEQE PRINT
#1 Owner CAA D Phone
Site Address M E- � l 0 Fire District#
City ?'P1 0) , t St L._)R Zip (W Z
Directions to Job Site �"G o C�f Ea i;4u 41 i L�- L�F t F L f ra r M A n 4 (
�Jcif' E Ll
Owner Mailing Address k 9`t
City (- 0 . , St L..) 0Zip c��� 5" c3
Lien/Title Holder c Y, t"
Address
City St Zip
#2 Contractor Name 011 A`� f\R VA%v r 5` Contractor Reg #
Address 4�'C`; �- r .y. ','� rt Expiration Date / /
City P _St ��,, Zip `1[;��"7 4', Phone#
#3 If septic is located on pr ect site, include records.
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
' 4 Parcel No. �i6_- m0 z
Legal Description Y� �U.
vo
#5 Building Square Footage: (existing/proposed)
1 st FaL,M/ 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms _1) / #bat oms /
Garage / Carport / (Circle:Attached or Detachedr.)�
Other sq. ft. —/ 0
itj k_ DesA e work
Use of building S
I, #6 9
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year--I—Make -e� !1,�' Model
Length_Width-'I �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
VW 1/4 1 13 44.5 1 '
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112 6.6 6'
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660.g0' 149?9'
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SET 3/4 " IRON PIPE- 0 _ ^
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33
9
2).
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 eachl
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. Unk Fees
_Showers _ _ Furn BTU
Hot Water Htr _ Heatpumps
Laundry Washer --
Vent Systems
Sinks — Spot Vent Fans
_Floor Drains No. Boilers/Com rep ssors
_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 $ No. Other
Gas Outlets
Wood, Gas, Pellet Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- 15.00
<< MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee
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
,.r MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT ` CONTRACTORS AFFIDAVIT
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 1
4- 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
�0 MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
.66 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 csh f c = �SL.y X BY
DATE I I- DATE
� '�FOR OFFICIAL USE ONLY: Accepted by: _ ___. ._ _ Date
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
nAlpproval
Hold
Planning:
Environmental Health:
Building Plan Review S (7, CCE7
riD,
Occupancy Group: g:L Type of Const:
Fire Marshal:
Other:
FEES
Special Conditions:
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
' Site Inspection
Building State Fee
Other
Other
TOTAL FEE
Building Valuation: