HomeMy WebLinkAboutBLD92-01564 Final Garage - BLD Permit / Conditions - 5/17/1993 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback 1'L �� date by Ribbons
date �� by �� Gas Piping date b
Foundation Walls c, date by Set Up
date 1 by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
t Walls FIRE DEPT.
date �, �� l3 by 1 �.�' date by date by
PLUMBING OTHER
Groundwork Attic
date by
date b
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date ��� t� by LZ.F date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
� MASON COUNTY Permit No.BLD
BUILDING PERMIT APPLICATION
PLEASE PRIMT kDca �
#1 Owner OHti1 V 1�SLoN� Phone# 1 �1-
Site Address r 3 So Lh,L 1_, m C-- R,0/i D
City Sht F_ L Ta N State Zip
Directions to Job Site /►1 ASon.1 C-AK6 State
--ro /7 Z-y „ /= RoAn
-UL4- &li, -70 1A/715/t S 77 0L0I; /}-A)fJ _
Z ILM -+ r,tjzie- R- 0 Pf{uP'R-cU e)AI klSrlT S/Ui= dN Ot.J)/'� Lyme
�C1An
Owner Mailin Address 2-7 a.1- Q Ui; G N !q NNE, A L/
City =2— TL-if. State wo Zip cif10
Lien/Title Holder
Address
City State Zip
#2 Contractor Name Contractor Reg #
Address Expiration Date
City State Zip Phone
#3 If septic is located on project site, include records.
Connect to Septic? �A�n. Public Water Supply Well
(If residential, pro6f of potable water may be required. )
#4 Parcel No. 3,Z 1 17 - 52 - o O Z-o 1
Legal Description S i=r PA 21.1 / D,V L4 / cPo/ b/Y�
#5 Building Square Footage: (existing/proposed)
I 1st F1 / 2nd F1 / 3rd F1 / Loft /
111 Basement Deck / #Bedrooms / #Bathrooms /
Garage " "/ :9 ^ / C rport / (Circle: Attached or etached?
Other_ 1o2a sq f t /
#6 Use of building (f A 2q6 _ Describe work
#7 Type of Job: New v Add Alt Repair Demolition
Woodstove Re-roof Bulkhead Other
Mobile Home Information
N Model Year Make Model
, Length Width Serial No.
#Bedrooms #Bathrooms Type of Heat
#9 Any water on or adjacent to property: Saltwater Lake River
Pond Wetland Seasonal runoff Other �9 - ii !� G2ANr3;�nn/)
i
�hpw f th 1 8�
Lot Dimensions Flood ZOIIes
Existing Structures Fences
Structure Setbacks " +
Water Lines Driveways
Drainage Plan Shorelines
Septic System Topography
Proposed Wells
Name o£ F�rovemen Streetking Easements
Name o£ Fronting Street
Scat e:.
Date:
__j
APPLICANT TO DRAW SITE PLAN BELOW
Oil
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Cj
i
APPLICANT TO DRAW TOPOGRApxy PROFILE BELOW i
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Plumbing Fixtures ($2. 00 each) Fee: No. o Boilers/C re No. Toilets r mp ssor Fees:
Bath Basins 0-3 HP
00
Bath Tubs 3-15 HP -00
15-30 HP �J
Showers 6.00
Hot Water Htr 30-50 50 HP
6.00
Laundry Washer 6.00
j..
Sinks Floor Drains No. A1ir Handling Unit
Laundry Basins 11::� -<- 10, 000 cfm. 7.50
> 10, 000 cfm.
Dishwasher 7.50
Disposal 1
Other
Urinals
Other_ Erap Coolers
--'`' Hoods
Fire Suppression
Permit Basic Fee 3.00
TOTAL PLUMBING Domes. Incin.
$ Comml. Incin.
Mechanical Fixtures Reloc/Repair 6.00
No. Fuel Types
Woodstove rate
Gas Outlets x 2.00
sepa
Furs < 10 BTU 6.00 Other
Furn >=/100K BTU 6.00
Furn/Floor 6.00 Permit Basic Fee
Heat' Pumps 10.00
6.00 TOTAL MECHANICAL $
Vent System x 3 .00
Vent Fans x 3.00
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK 0&. CONSTRIICTION
AUTHORIZED IS NOT CCXMENCBD`➢PITHIN 180 DAYS, OR IF CONSTRUCTION 0&.RUCTION
SUSPENDED OR ABANDONED F08.A PERIOD OF 180;:.DAYS AT ANY: TIME AFTER. WORT IS
f COMMENCED.
i OWNERS AFFlDAVIT CONTRACTORS AFFIDAVIT
I certify that I am exempt from the requirements of the I certify that I am a currents contractors registration law RCW 18.27 , and am Y registered contractor in
aware of the Mason County Ordinance requirements for the State of Washington and I am aware of the
which this permit is issued and that all work done will ordinance requirements regulating the worst for which
be in conformance therewith. No changes shall be the permit is issued and all worst done will be in
g conformance therewith. No changes shall be made
made without first obtaining approval from the Building without first obtaining
` Department. g approval from the Building
Department.
f X OWNER vy+ n X BY
DATE: i -3p -` aL DATE
'j
Return permit to: Department of General Services 426 W. Cedar Street/P.O. Box 186
Shelton, WA 98584 427-9670/1-800-562-5638
FOR OFFICIAL USE ONLY: Accepted by: I �M1
Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Planning: �9_3
Environmental Health: Y,e
Mr
Building Plan Review:
Occupancy Group:
Fire Marshall:
Other:
FEES
Special ConFF
itions•
c B1 Site inspection
,
Buildin Pe=it
,
Violation Fee
,
,
Violation investigation Fee
,
Plan Check
,
-Plumbing Fee
Mechanical Fee
,
,
woodstove Fee
Building State Fee l J�
Building Valuation:
TOTAL
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