HomeMy WebLinkAboutBLD95-00981 Cancelled ATF Temp. Portable Bldg and Sign - BLD Permit / Conditions - 1/19/1999 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
7t t- Y P.O. Box 186 Shelton, Washington 98584 -
BLD95-0981 PARCEL : 123325000007 PLAT :SAPLO UIV : BLK : OT ..
._108 ADDRESS : ME 23390 STA"I F ROUTE 3 aELF`A I R , pERMIEXpIRAT1®N
OWNER : W 1 L.L I AM HARDY 426-7500 \� ` & VOID B
CONTRAC`TOA : i Nut. as B�
LEGAL : SAN 0. THELFR'S HANK & GAS INS It 3 ! ATE
��
CLASS OF WORK . . eNFW BFDR. 0 .BATH : 0 TYPE 0,10UNI BY DATE RECEIPT IYPE AMOUNT BY DAIE RECtIPI
TYPE' OF USE . . . . :C;OM STOP I FS . . . . . . . 0 .
OCCUP . GROUP . . . .7 BLDG . HEIGHT _- O .Oft ADOR t 5.991110 091#8195 4D182
TYPE OF CONST . , :? FIREPLACES . . . . .. O PRMT 1 � 16.98 NJ? O9T118195 40182
OCCUP . LOAD _ , , : O WOODSTOVES . . . . : 0 1PI CK If 6.5 NJ? 09108195 40182
DWELL ,UNITS . . . . . O PARKING SPACES : 1 Siff 11 1 4.• Nip 09108+95 49132 j
INSPECTION AREA : 1 SHORFLINE7 . . . . :N EHCP If 10.00 NJP 84198195 40182 TOIAt. 42.00 VAIVIA1IONc 01
SETBACKS------- TOILETS . . . . . . . . . . . 0 FUEL. TYPES--.----------. BOILERS/COMP-- --- - MOBILE HOME-
FRONT . . .W 35 .Of`k BATH BASINS . . . . . , : 0 0-3 HP . c O
REAR . . . .F 200 .0ft BATH TUBS . . . . .. . . . : 0 3- 15 HP . : 0 MODEL.
81DE ( 1 ) .N SO - Oft SHOWERS . . , . . . _ . . : : 0 FURN < 100K ST13 : 0 15- 30 tip , 0 --MAKES_.... ...... ...
SIDE ( 2 ) .S 175 .0ft WATER HEATERS . . . . .- O FURN > 100KBTU : 0 30-50 HP . i O
SHRL I NE . 0 .Oft CLOTHE Ss WASHFR<3 , , ; 0 FIJRN -- FLOOR , . . : 0 50+ lip . t 0 - YFAR-
AREA -- - W _-- --_-- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0
LOT SIZE , . : FLOOR DPAINS . . . . . . 0 VENT SYSTEMS . . . • 0 FVAP COOLER'. = 0 1 FNG'1H : 0
BUILDING . . . : 96sf DRINKING FOUNT . . . . O VENT FANS . . . . . . : O HOODS . _ _ : 0 WIDTH . : 0
BASEMENT . . . t osf I.AI.1NPRY 'TRAYS . . . . : 0 DOMES . I NC I N :O - SFR I At.N
DECKS . . . . . . s Ot DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- - COMML_ . INCIN .O
GAR/CARP :? Osf GARB DISPOSALS _ ,. 0 <-- 40000 cfm . : 0 RELOC/Ri^PAIRo 0
AT/DT . :? URINALS . . . . . . . . . . . 0 a 10000 rfin . : O OTHER UNITS , : 0
MISC PL.M FIXTURES : 0 CAE:; OUTI FATS 0
PROJECT DESCRIP1141:"AffER THE FACT TENPORARY16 MONrN PORTABIF BLD6 AND S1611
PROJECT IOCATION:MP 26 IN BEtFAIR ACROSS FROM LAUNDRY MAT
THIS PERMII AfCOMFS NULL AND VOID If 14111; OR CONSIRUCIION AUTHORIZED IS NOT COMMFNC€D 111HIN 180 DAYS, OR IF CONSTRUCTION OP WORK 1� 511�P€NUD FUR A PERIOD
Of 166 DAYS AT ANY TIME AFTER 1011 15 COMMENCED. EVIDENCE OF CONTINUATION OF 1089 IS A PROGRESS INSPECTION WITHIN ]'HE 198 DAY PERIOD, FINAI INSPECTION NaSI BE
APPROVED BEFORE B911.010{; CAN BE OCCUPIED,
DINER OR A0111: - - _. -, DATE: ...
6LD PRMT, rev; 03131191 ! COMPLIANCE TO AIA'ACHEn CONDITiom IS REQUIRED
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 -/j — 5 '� by
Water Line FINAL INSPECTION
date by date by date by
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P V- P t I I 'T C. (3 N 1-7) 1 -r I C) N f7z
Ca:,,- No . BLD95-098i
For : WILLIAM flARnY
Page s I
1 Approved per �; itp- pian .
2 ) Parking should be sufficient for I normal parking stall (9 feet by 20 feet ) and
suffickent maneuvering alsles .
X
3 ) No expanf, i on of -,a I e , or d i sp I ay areas t for th I s. or other used ) I s perm i tted w i thout
rior pproval of County departments .
Permit No.
MASON COUNTY '�i 8I
BUILDING PERMIT APPLICATION Q'
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
P ASE PRINT
#1en
t I 1 �a V"N le l�� � Phone# ��� �v 7
ss n s a33q o �J-�tt, o -I-� Fire District#
L�.��� w'k zip g852-&
to Job Site
K,v ,
Owner Mailing Address 2/1 M a w 3 LA
City St �v Zip q
Lien/Title Holder
Address
City St zip
#2 Contractor re. Contractor Reg#
Address Expiration Date
City St Zip Phone#
#3 If septic is located on proj ct s te, include records. �,� S (,,Y�
Connect to Septic9 u icJC`N�t r Srs
Well
Connect to Sewer System r' Na�e y-s m ll
(If esidential, proof of potable water is required)
I 33a - �� Tie. 5 n 146 o�
4 Parcel No. - 5b - D�oo'�- —7- 7 .,
Legal Description 1
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq. ft. Y_ fa
o�_ pry bOtaect
#6 Ilse f building 'YnLtJL, Desc ' work
46
#7 Type of Job: New Md Alt Repair Other
#8 MOBILE/ UFACTURED HOME INFORMATION
Model Year Make Model
Length Widt Serial No.
# Bedrooms #Bathrooms Type of Heat
Purchase Price$
#9 Indicate by circling the applicable source,�4`any water is on or adjacent to subject property:
River Pond Creek Stream Wetland -take Marsh Saltwater Seasonal Runoff Other
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
5 r�rte l
P
CIO
R 1
4fJ
a6 q �z �
� #.La3
i
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
th Basins Heatpump, Other
Bath bs No. Units Fees
Showers Furn BTU
Hot Water Htr _ Heatpumps
_Laundry Washer Vent Systems
Sinks Spot Vent Fans
Floor Drains No. Boilers/Compressors
_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
Per ' asic 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
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 OFTHE 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 CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDINGI DEPARTMENT.
DEPARTMENT.
X OWNER Vv C X BY
DATE .I DATE
--
.
;...;<
FOR OFFICIAL USE ONLY: Accepted by. Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review
Occupancy Group: Type of Const:
Fire Marshal•
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other Adcl fIng 5
Other
Building Valuation: TOTAL FEE