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HomeMy WebLinkAboutBLD93-01179 Cancelled SFR - BLD Permit / Conditions - 10/22/1997 -,-AMASON COUNTY PERMIT Mason County Bldg. 111 426 W. Cedar NULL A NOID BY EXPIRATION P.O. Box 186 Shelton, Washington 98584 DATE BY ,Fllt� A61110--, F 80 IIA—UH1 161,1AN Nil 1;k4l ( I (IN tot MI I( SI-AN 4.14t. f Iii 41 - I 1.,4 H 11<1t1 1 ltf' Af f-0kDAHt 1- C(114ti 1 Plif: I I 0N 4/o.- I .19- S I fjAl tAll IMAM 4 IkAff Ili Is #11IS1 tit 1A A 1 1", 1111111009 1 N.i it tit 1*111. lit fit, III I flit I Yjj tit J:I!Nl' I I t yx I- fit.I lit, t imll I It 'I 00 1 41 h 14 '4 l 11JO 1:1111. 1K it I I i lit I 140IN 1 6 1 f I VI"i i ;0 tit I I A 1 1 Ilf..11 it( I t1 I lit 1. 1 j fil. fl t i il(iit i 1 111 is I I I 114 1 rl I it it I . ,- ! 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It r CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date Gas Piping date b Found S r date by Set Up date 0 J _IS G by I INSULATION date by BG/SLAB Insulation Final Floors date by date by date by FRAMING Walls FIRE DEPT. date by date by PLUMBING Attic by OTHER Groundwork date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by G✓_1 i h cl i r J EL C4CGW l LTc e r i m U✓q Q a-1, , i.✓ot �SY�e- ML-i .f co)i -1 a f 1J cti1 v� 9/� �1iv� irn Jf�'jST���i MASON COUNTY Mason County Bldg. 111 426 W. Cedar RO, Box 186 Shelton, Washington 98584 9> 1 Vc m 1, 1 C., 1[) 04 N a v 0-4 uasm No RID93- 11 , Uort SIAN 41-ff- ILIV "so . hei"" . 1"q ""d " Lot ~ of "'t . .41 'J"rj liqmdo Q exo"nn of 411111 I " G N AlfIN toot , � H 04f h""Iv I I N ( I I IJAVt APPIVOW11 N"I4HFh4 06 A111)A! ""14 rl?"VIPIO IN n"111 n Vitnlll "N n� In vi MAINIf VI Imf AN" I. 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VI "PH! o He A H I I I I 1 1 pt PPI '.l NIAI I ' If chmnqpo orc"r mnd Y"" dolid- "01 q" - 6111 Ill- I ! ':+,+ Ira r„ir: Ft1 " I m I I h" "Imt�etW'icm lo alrrol;q- -""rqv "mp 1 OW Permit Not �� g k?`g MASON COUNTY �! �1LDING PERMIT APPLICATION L 28 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT -� #1 Owner _0110� e(''E5 Phone# Lla 7 l 3 aJ Site Address _f I r i Fire District# City St 11 Zip Fk6yq Directions to Job Site o,n c�i�, j r� 6 � Z,use o," (- Owner Mailing Address Fiat"f' C4 14 City -:s e��©t\- SUA _Zip FIE S Lien/Title Holder &//4777— Address Clty St Zip #2 Contractor Name�o446L e4ts�rue�rnd , _57/eye Rawl Contractor Reg# '4rF0&CA()U? Address ���O :./mil Akes J)Y-. Expiration Date l 2 9 / `! V City St � Zip Phone# yaL'l3 9 6- #3 If septic is located on project site, include records. Connect to Septic? �Public Water Supply Well Connect to Sewer yS stem? Name of System (If residential, proof of potable water is required) #4 Parcel No.V PL7 - 5 3 - 60 t t3 Legal Description Ve- #5 Building Square Footage: (existing/Al' 1st FI 4 .2 / 2nd FI / 3rd FI / Loft / Basement / Deck r y_y l #bedrooms/ #bathrooms _/ �0 Garage / Carport / (Circle: Attached or Detached?) vOther sq. ft. / #6 Use of building �PIJ r so5;i ed i a I -;�AMt(V Describe work _A _ r #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION ModelYeap Make Model Lengt Width Serial No. # Bedroo #Bathrooms Type of Heat Purchase P ce$ #9 IrlOic4te by circling the applicable source if any water is on or adjacent to subject property: and Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other Show following on the site plan �( Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways vV Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Indicate Directional by (N, S, E, W) Name of Flanking Street Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW cv r a �p A f" Ta Is C� ( 3 tZ� APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW llriwp j N64 i�o�SG d t� Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. Toilets ` CIRCLE FUEL TYPE: G s,�Eleclric, Bath Basins Heatpump, Other Bath Tubs J No. Units Fees Showers �1z, Furn BTU Hot Water Htr / Heatpumps 1__Laundry Washer Vent Systems _[_Sinks Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins HP Dishwasher NN,�. Air Handling Units Disposal 3 _ 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 G5-00 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 $J� 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. X OWNER X BY / — DATE DATE -/ FOR OFFICIAL USE ONLY:Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Aws Environmental Health: Building Plan Review Occupancy Group: 2-3 Type of Const: 5- Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee 33, Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee rj 0 Other Other Building Valuation: 2, 0 TOTAL FEE