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HomeMy WebLinkAboutBLD93-00319 Cancelled Tire Center - BLD Permit / Conditions - 11/20/1993 MASON COUNTY A NAalqion County Bldg. 111 426 W. Cedar A P.O. Box 186 Shelton, Washington 98584 1- 1,1 1 14 4 i I I I-1 11-11 1 1 ✓ l/fii-if N 4il Iiii4l, ii-1-stil 4 1 it 0(4 0 ti w Y .0 c 0A, *V'' k GARY MANSKE R fiP�' WA-34_ ex, t 1-,f4L, f fill I (qNI if$ A&W (,ON'; I Rilf: I ION - ?<)I 70/ti I I IiAi rA# I Illittils loll 10 fial Its 19 Ik S III 111I it 0 it SP 1E1J76 f% 941#4 t. l 4)1 Q0 v I I I I lit 1)k 0 h A I I'l ;I it I i lit Ill Nt It,t1 ( pi I IKI )I 1 4 0 141 11)11 0 V,t 111.311 1 ON 1 1 1,i)t I,t I NI) Nit 0% A I W&I I 1 0 N AI-1 6 ti I I k I I I N I Vie(IN 1 14 tiN N I i fit) I ti 1;il ., t N i I I N Mit I I It,N I k1ol, k I If M t I I I? 1 111:14 1 o o f I! 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A61111 COMPt.1ANCE 10 A7'Q HUD CONDL I LON!i lb REQUtRit-Ill CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date " LcJ Gas Piping d to 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 —Z— by z date CV,- —2 3 by L� date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date 7 by ` ,� date 5 // 3 by L Water Line FINAL INSPECTION date _ u; y 3 by C_ date by date by v� L <f— S� L—A,- J MASON COUNTY Mason County Bldg, 111 426 W, Cedar P.O, Box 186 Shelton, Washington 98584 Iona No , IOU : lampy mhmKKlk Pmqe - I A Poad lit r-nv Permit ot Appi "val mv, i 0. 01 ""1 --1 Hy I il- 140- 0 . 1 " 1.a 0-0 1 I t. I 'Inmp-r J." I i 0" , In I mov- in I o I mal 1 00 vo"I oc 1 p a" to 116� nit "ptal"d area" dint "thod nr nt;nAtiwil "" 40m- ppi oved p- r p I art 1h" "V- . fro",11i "q ""I " I mAivul - i f I 'motal. I MOM Iiqutip In > c ol 10 q, 0; 10417170400 11tpivoi 01 "01 -1 than 10" in H" Iqhl ! I -Ili elt.Pf1 1 i, n mm,o I m's I ni o I it 'i in I it 1 1""In t a "0'ons I I -m 11 . " t f*1 1 rl-tclk"r a or pwlio"n ihm "Of " ith On 171 I 111 "m maintal " a 4 o I w Lhpw I Ul X nil ION41RUll ION 11111141 MFI 1 01, L 1 1 H ' AI I I Or Al i "Ill 4 mNA Wi Pt ull I PLO4 y I ' J . PkHVIHL AN ON -4111 FIVI HYPVANI W N" ll- D "N � Hlll I "F I HYDkANI 14 TH Hk IN PI At! MHU 41 HVII ANI If PRJtit: 10 WhIn I "i ( "NnikullION i "NIMI HFIIhIIJ WAIIN Oinl Al z /5- j00H DLSINNAli MmUKL " 11111 1 = 4 A4 HOILU "N PIWI ppoviol I IV! 1 1 IN""IbHf 144 , t 1111 khvwl y I I OH14 AN" I In" ll D I 1 1 � 141%15 AN NI! IIH ON PIANI, CONCRETE MECHANICAL I 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 b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by s C] '. Z• �. . � 012 MASON COU Permit No. NTY ZOO BUILDING PERMIT APPLICATION PLEASE PRINT ,"rl Owner Cr A r u YYI AAu s K r Phone# 0(s � 276 - 9?1� Site Address Fire District # City (as_ I P A /r St WA, Zip 9 9 Directions to Job Site O,,-, 11w P, r- ) EA r Ar_rn.:; S �rd w-M Owner Mailing Address /2 r A�1 St . City_ Pt . ©rcl, Ark —s LAJA. Zip 9 e 3�10 Lien/Title Holder Address City St Zip #2 Contractor Name A-i- Contractor Reg#A tJGoAJ4C >Y% Address ) 27 J' TE FF r- r So Expiration date `f /�2-7 / °i 3 City X ; "QC C_)f%J StWA.Zip 2 8314 6 Phones�v�l #3 If septic is located on project site, include records. Connect to Septic? L s Public Water Supply Well (If residential, proof of potable water is required) $4 Parcel No. J2,33 `:., -SO - 000:3 J� Legal Description % 2? Al 1 kJ #5 Build9#bedrooms- a Footage: 1st F 2nd F1 3rd F1 Loft Basement Deck #bathrooms Garage Carport Garage/Carport: Attached or Detached Other #6 Use of buildins /�.A.�sK fr- Ti r& Cv vIleDescribe work S" ) I -C1...� #7 Type of Job: New ✓ Add Alt Repair Demolition Re-Roof Bulkhead Other #8 MOBILE HOME INFORMATION Model Year Make Model Length Width Serial No. #Bedrooms #Bathrooms Type of Heat Any water on or adjacent to property: saltwater lake river pond wetland seasonal runoff other 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 Scale: Name of Fronting Street Date: APPLICANT TO DRAW SITE PLAN BELOW i APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW ------------ ,� J Permit No. MASON COUNTY �(oUq _036 PLUMBING/MECHANICAL PERMIT APPLICATIO 426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 PLEASE PRINT #1 Owner �l>`}��C 1� �K(:" - Phone# 8�76 -e 717 Site Address City �Zi4rc St Zip Directions to Job Site eASi //V J z �� Owner Mailing Address 1 L_ City St Cj ✓r Zip Lien/Title Holder 5:'�4i e, Qs ey-iner c AV_ Address City St Zip #2 Contractor me L_t__ �,cM Fo 2f �7 2�u✓ Contractor Reg. #f�LLCcx, O�E�1M Address �L , Expiration date City , 'r--e- t_ St ,SJA Zip q�,S-�� Phoneo�0(� r�7,�-7�Sk lowk#3 Parcel No. 12332 - Sc - 0003(c Legal Description -rg- S /z o{ '+� �//I D #4 Use of building t21577' -_�STZ>2� Describe work �►��^{�,f I _S #5 Type of Job: New 4-"-"Add Alt Repair Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No._Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other _Bath Tubs No. Unija Fees _Showers Furn )05, 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. Other _Other j-- Gas Outlets 600 Wood, Gas, Pellet Stove Permit Basic Fee 15.00 TOTAL PLUMBING $ Permit Basic Fee 15.00 TOTAL MECHANICAL $ /0J NOTICE: This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction or work is suspended or abandoned for a period of 180 days at any time after work is commenced. Proof of continuation of work is by means of a progress inspection. NOTE: If this per It apWures, ion includes the placement of a fuel tank, heat pump or other unit to be located o fae a plot plan MUST be submitted as required below: Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems, Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS.OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRAC- THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE AWARE OFTHE MASON COUNTY ORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE SHALLBE MADEWITHOUT FIRSTOBTAINING APPROVAL FROM WITH T FI T OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEP RT E X OWNER X B DATE DATE Return permit to: Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670/1-800-562-5628 FOR OFFICIAL USE ONLY: Accepted by: Date: Receipt No. Referred To DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Proposal Proposal Approved Denied Planning: Building: alesc�f�, 7 Fire Marshal: