HomeMy WebLinkAboutBLD93-00146 Final Garage - BLD Permit / Conditions - 5/24/1993 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date n e /' 6C� Gas Piping date b
Founds on Wall date b Set Up
date V— y Iti '. INSULATION date by
B B Insulation Floors Final
FRAMING by date by date by
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
FINAL NSPECTION
Water Line
4
d by date �. ( �y date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
II
II
Permit No.BLDr
MASON COUNTY
BUILDING PERMIT APPLICATION
PLEASE PRINT
#1 Owner 's L Phone#
Site Address ,E 60 ,L rr,'c L pl
City %Tr,1 St �-✓ z Zip.
Directions to Job Site I ,c
Owner Mailing Address 0'0 ✓r,'�, z / �L
City .Z J%, �_ St ..0 Zip S s T
Lien/Title Holder -
Address
City St Zip
#2 Contractor Name: ��/A-; s %� �`e"V i Contractor Reg
Addresses �--(u Expiration date `z / 2-!;-/ 73
City 2 / 4 St-6LaZip s `f Phone y2-6' - S 3 -7
#3 If septic is located on project site, include records.
Connect to Septic? It/e Public Water Supply Well
(If residential, proof of potable water may be required)
1.4 Parcel No. 2/ '2 7 -5 3 - 0 n i z o
Legal Descriptions L.z... <C;, i ,` �/ / o I / '2- u
#5 Building Square Footage: (existing/proposed)
1st Fl / 2nd Fl / 3rd Fl / Loft /
Basement 1 Deck / #bedrooms_ _ #bathrooms_
Garage Carport / (Circle: Attached or(DetachedV
Other sq ft / - ---
#6 Use of buildin Describe work
#7 Type of Job: Newer_ Add Alt Repair Demolition
Woodstove Re-Roof Bulkhead Other
#S MOBILE HOME INFORMATION
Model Year Make Model
Length_ Width Serial No.
#Bedrooms #Bathrooms Type of Heat
#9 Any water on or adjacent to property: saltwater Svc, lake
riverl�� pond wetland seasonal runoff lvc—
other A6L,-.
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: J-- 2—
APPLICANT TO DRAW SITE PLAN BELO
--- A
3d
,647,sue
p , �
a
N
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
}�Sr
1Jltisk. ,
Plumbing Fixtures ($2 each) Fee Fee
NO. Toilets Vent Systems X 3 . 00
Bath Basins Vent Fans X 3 . 00
Bath Tubs No. Boilers/Compressors
Showers 0-3 HP 6 . 00
Hot Water Htr 3 -15 HP 6 . 00
Laundry Washer 15-30 HP 6 . 00
Sinks 30-50 HP 6 . 00
Floor Drains 50 + HP 6 . 00
_T
Laundry Basins No. Air Handling Unit
Dishwasher <= 10000 7. 50
Disposal > 10000 cfm. 7 . 50
Urinals Other
Other Evap Coolers
Hoods
Permit Basic Fee 3 . 00 Fire Suppression
TOTAL PLUMBING $ Domes . Incin.
Comml . Incin.
Reloc/Repair 6 . 00
Mechanical Fixtures Gas Outlets X 2 . 00
No. Fuel es Woodstove sevarate
Furs < I00K BTU 6 . 00 Other
Furn >- 100K BTU 6 . 00
Furn - Floor 6 . 00 Permit Basic Fee 10 . 00
Heat Pumps 6 , 00 TOTAL MECHANICAL $
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 ANYTIME AFTER WORK
IS COMMENCED
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AN EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR
CONTRACTORS REGISTRATION LAW RCW 18.27 , AND AN AWARE IN THE STATE OF WISHINGTON AND I AM AWARE OF THE
OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH
THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
DEPARTMENT. DEPARTMENT. ---
X OWNER X BY /
DATE DATE _.
Return permit to: Department of General Services
426 w. Cedar/P.O. Box 186, Shelton, PEA 98584 427-9670/1-800-562-5628
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTWINTAL REVIEW
FOR OFFICE USB ONLY
Approved Cond Hold
Approval
Planning:
Environmental Health: 1 �
MT
Building Plan Review: z
Occupancy Group:_
Fire Marshall:
Other:
FEES
IlSpecial �,Clonditions: II Ilsite Inspection I II
II II IlBuilding Permit I II
II II C it
II II IlViolation Fee I II
II II I. 'I
II II IlViolation Investigation Fee I II
II II IlPlan Check
it
II II Il Plumbing Fee I II
II II I� .I
II II IlMechanical Fee I II
II II I' it
II II IlWoodstove Fee I II
II it I I
II II IlBuilding State Fee I
IlBuilding Valuation: __ II II TOTAL 0-b 11