HomeMy WebLinkAboutBLD94-01320 Final Deck - BLD Permit / Conditions - 8/30/1996 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.0, Box 186 Shelton, Washington 98584
13 1-094--13;10
F S31 OARIMOOR OR Stilt 1 10114
RUSSU I t. CARIVEAU 4 26—8.0014
140KK r4j i! ill ltfl 0 Hit I It
1 A 1 14 idlNl
f milt; I 1 1410
f"A I II I,h; i N'l 47 4A
f ill 14
tl J I H III r, i 11 k 1 0 0 1 fi 1 11
t
fit f 11 1, 1 14 Il i4i A I
i ! (filk I s P I N 1 14 1 1'1 M*, f) VOW I I Nil 1 11
If t.
f'trl N 1
1 0 N I I
t,falo !f t" f I I t fit 'if ii ri
it I IifI Hf- iNil I ': 0 4""0 P If N I I
I M fill
Pc,0.1EC1 1 W .4T[P;4 !.fiff L!Ali Irl • fillig Fl;Hj AN BAkjp)(q PRIvt
9 1 1 Of 10F(" Nil! I ANO vill!i if wAlit 40 (Wiplif lip# A"I"fillil(p IS 001 rop"Fol Fif 141111111 144 114y';' 0A it f6WRI11' flu" AR Wip't 1, tAM011' flip A 141,110,
(if I I A A y VI t II f I f it 44 R I: 1" 04*1 iff f 11 1 V I li f N f f 4 f I A 0 114 A f 10 1 tj f U 0 14 1 1 ti 0. F k n;I,I% 0 S p f i I I U)0 "I 1`4 f 4 1 N f I H 4 Or'f r f P 11)p f IIA! 10%pf
A 1)F$fiV It Pf 1 if t.t pill! 11104. i'llo t)
01 P-ml, rev! .,011 i9l C 0 K P U I A'N C F. TO AlFACHED CONDITION,-, I S R I-Q 111 R V 11
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
Groundwcrk Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by dateZ32 G by date by
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
I
r
•, I t llt t ll;
i ;al ,tt n•t ,. llltt tr.itti lull . ., t
III! } •.. -. ,r !- !1� r, � rt. f�.li ! ! :�tl�lil ,r� r:t
'-( ill" tl .r, }1;l'ie. ,. � licit•-, tUrtl.+-`I r �-t � r:l ( i
1 1 `tlt t i t I1 r. { 1 r'1 t! �; I j .rtt�, t '. tl a� (. .� ( � rll:!:�r.t Ll t f Il„I11 ! {rs• ,i�(..r t u.r,t 1 � I i IIr- f*!•-i-..;r{{ rr
rjl i !Fpd', 1 k!It'. 1 I I pl i?;)', I }91 l i l(; ( ,,t:! t f:l ► 1 IIt !•,I I till!
f!IFi 1 ll. J'1'41, 1 it r, 1111 it 1(trlf�i r ( .a�� i.1,9:� 1•�. 1 ! rt!!i ,'r ( 1 (�I -,I.s,t• I � { ! 11• .. ..
i✓
J
j I (;.lt? i �� R(tl�rt �r -s,`�l i�t.11 l �j i t`1 1' } call•., I }1�,t f -j
i !tr. t rk" r ;ytt:, ! ') 11 1<;.,tlT ! t+,f i �il� ,i{t•f f {r :rti?t 1} � i
r-+I let i rt1l1! t 1':..-lit ! ri I `it' tt;11 i
MASON COUNTY
Mason County Bldg, III 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
I
i
I II
L - --_�
S30IA i ]S h 170"
Permit No.
to S Z 9nb MASON COUNTY
UILDING PERMIT APPLICATION
6 edar/P.O. B x 186, Shelton, WA 8584 427-9670/1-800-562-5628 Q� O
#1 Ow r J� I (�� �' �}�/�j(/fC Phone# �—
ite Address E `5 a 15&ce mw- D1i w5 Fire District# 15
ity �� �� St Zip
Directions to Job Site
421,
Owner Mailing Address
City h O --v Stu/�� Zip s_
Lien/Title Holder
Address
Clty St Zip
#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? Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 rcel No.�� � 7i
Legal Description L
#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. /
#6 Use of building !S>C "— Describe work
#7 Type of Job: New ,r Q�l/ Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATI
Model Year 2`1 Make Wd--
Length_Width Serial No.
—
# Bedrooms # Bathrooms Type of Heat
Purchase rice $
#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 l l�
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)
in relation to plot plan
Name of Fronting Street
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Fz- /
Plumbing Fixtures ($3 each Fee Mechanical Fixtures ($6 eachl
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 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
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 CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
i
X OWNER �✓�� X BY
DATE _ ��^ c DATE
FOR OFFICIAL USE ONLY:Accepted by: Dater
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: ® S;�e (,YIC,)A '*5
1K, s lsi�?C5� E 10AA /S 44,12- rjY(Qry U 10pia Jjj',v1 Q Ffuc,A„
Environmental Health: _ OWNER/BUILDER TO ASSUME ALL
RESPONSIBILITY IF DRAINFIELD AREA
IS ENCUMBERED.
Building Plan Review
Occupancy Group:� Type of Const: L:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check 57.
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: Co � � TOTAL FEE 35, 5 0