HomeMy WebLinkAboutBLD92-00871 Cancelled Carport/Roof over Mobile - BLD Permit / Conditions - 3/13/1993 • MASON COUNTY PERMIT
Mason County Bldg. 111 426 W. Cedar NULL � YOID BY
P.O, Box 186 Shelton, Washington 98584 DATE �9"BY
E. 724h 0110E UYNIF RO !;HE I I 0N
00MA10 PUIVIN 421 -04119
0WHER I% CONI-RAC` [OR
JAI(t 110111(t 6 It 64 IS 0411*8 $1 lilt
lit 1 1)14
Oil
tk r IAA 1 It 6w. I t-C, if", 0
lit 0 Will;
I I 00f, it I it ci
MIA!, I
;0�
N I t4 0
0 V! N I
Rif I i I) I !;I,
0 \1)!
H h 1 0 Atirfli k Y 1 0
t: IV) I A 1`4 1 M4
A P I J Z I 6A103 0I It,ti -fti 100Ndi ftet 0 10 1 hi I'A
k I NA I t (A"01.j lit j I
VI of f I I H! j; 0
f OP. kMil oil, UNhi 1 10 04"M I Aft FV 111-1 hill NA11411 It 01 i 0.1w, fil fit'lo At klis, gfillil 11040 flflk telli 9)(41111 Al 410
1111, 11fliNli Rif 114i 1. 110 Ahil 'Jeff' If UORF OR (AP"MI(IlOw A01"OpiJilk 1' 001 lopoflito U111110 III# Ilk Ili, t, ilia-.16lit fill# jig 11"pt 11, 1"Stfollio tiiF A t4l;lfib
1.1 Igo ile", A• "A, I lAf Af fili 140i It f$'$At"i.1 if I V'111 f 0 4 t 17 11 10 if A 1 A of uit 9 1 1 A p F A 4 1
I PIN ."o III ill(or I I PI I N"IJ I I flo 111 Info 1111 INII itc I'l pf"11 [$#At 1AM11140
X/
OAH
C 0HP L I A HC 1- 1 0 AI I A(.lit 0 C 0NU I I I N 1 14 1 li)L it r 1)
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
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
i
I I
J
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
94
i n r 1 V 1114
1 q< !
t •� ! }' 'X'Rt ! � '�1 ,�,.+. �E � '� rf!+'+f'. i t�� „ri t k
i
1
c��-2- (Y;
Pezmit No.3LD-I 7 1
MASON Cam=
BUILDING PERMIT APPLICATION
PLEASE PRINT
#1 1.
Owner��c1AGa�E Gg ir,.)E 15a-ram/,U Dhone# 427- Q ��
Site Address (` 700
City ��c,To�r1 ,St Gt/•g. —zip 78Sg
Directions to Job Site 4w, ywy �so,u
r zap.'
Owner Mailing Address A5 7ZO z�P� Ze4,�7E. 2�
City //EtrTD�
St l.,/ter. Zip 71F�F,7
Lien/Title Holder
Address 1,.1 ���
City ; 'e- o St Zip
#2 Contractor Name it/a �� s v 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 f Well A/o
(If residential, proof of potable water may be required)
#4 Parcel No._30 f - 000
regal Description Al /4 52V !/* S of.!� 4yly. l�iV
#5 Building Square Footage: (existing/proposed)
1st Fl`'30 2nd ;Fl,��� 3rd Fl �-•--f- LoftBasement —f----- De /6U edrooms� #bathroomsGarage Caror (Circle: Attached or Detached?)
sq f t Q130(0 00
#6 Use of building ,"a e- Describe warxC-a.�sr2�rs� C�e�
#7 Type of Job: New Add Alt Repair Demolition
Woodstove Re-Roof Bulkhead OtherliEe
#8 MOBILE HOME INFORMATION
Model Year Make F�TaJCOV Model ZQEti254,po/L
Length 44-� / Width Serial No. 1/'�77C c2
#Bedrooms 3 #Bathrooms "2 Type of Heat 45:�-6 r- 7 le-
#9 Any water on or adjacent to property: saltwater lake
river pond_ wetland seasonal runoff
other
zl� nQ xt,urns ($2 each) Fee �o_ v
No. Toilets Vent Systems X 3 . 00
Bath Has ins Vent Fans X 3 .00 _
Batl!r_. s No. Boilers/Compressors
Showers 0_
3 HP
6 . 00
Sot Water iitr 3 _
15 HP
0 00
Laundry Washer 15-30 HP 6 . 00
Siaka- 30-50 HP 6 . 00
Fl=q Domains 50 + HP
Lau:( i Basins
No. Air Handling Unit
Dishwasher <= 10000 cfm. 7 . 30_
Disposal > 10000 cfm. 7 . 30
IIri.nals Other
Qther EvaIO Coolers
Hoods
Permit Basic Fee _3 . 00 Fire Suppression
TOTAL PLDMEING $ Domes. Incin.
Comml. Incin.
Reloc/Repair 6 . 00
Mechanical Fixtures Gas Outlets X 2.00
No. Fuel Types Woodstove sera-ate
Furs < 100K BTU 6. 00 Other
Furs >a 10OK BTU 6. 00
Furn - Floor 6 . 00 Permit Basic Fee 10 . 00
$eat Pumps 6 . 00 TOTAL MECHANICAL $
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION.
AIITHORI= IS NOT COMMENCHD 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 AFFinavrr coNrRA=RS AFFinavrr
I CERTIFY THAT I AN EXEMPT FRO THE REQUIREMENTS OF THE I CERTIFY THAT I AN A CURRENTLY REGISTERED CONTRACTOR
CONTRACTORS REGISTRATION LAY RCW ta.ZT AND AN AWARE IN THE STATE OF WASHINGTON ANO I AN AWARE OF THE
OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE RECUIREWNTS REGULATING THE WORK FOR WHICH
THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED ANS 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. 5�117
/ DEPARTMENT.
X BY
DATn ..
DATE
Retumm pe=it to: Department of General Services
426 w. Cedar/P .O. Box 186, Shelton, WA 98584 427 -9670/1-800-562 -5623
?OR OPPICTAT, t1Sg ply: Accepted by: Dace :
Show following on the site
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed �rovements Easements
Name of Flanking Street Scale:
Name of Fronting Street Date:
APPLICANT TO DRAW SITE PLAN BELO
f �
''s ��sED �rlucz-u►'L�E I Seri(�'�
�N
O
C k
N
43 N
,O W
D2 I V6 I,JA Y
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELO
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond Hold
Agwove l
planning: 1�- arilr/C / PJ' S(- 10✓1 �
u�)I�iJ
Eaviro�eatal Health:
r
h-1 j
Building Plan Review:
Occupancy Group:
Fire Marshall:
Other:
Ilspecial Conditions: (y ;c II USite Inspection ( II
If II IlBuild ng Permit ° i L2
�� II I,
II Ilviolatioa Fee I II
II II Ilviolatioa Investigation Fee ( II
II II IF-
- II II Plan Check I II
II II II 'I
II II IlPlumbiug Fee I II
II II L it
II II IlMechanical Fee I II
• II Ii � iI
II II IlWaadstove Fee I II
II II
II
I, JI IlBuilding State Fee I -71
IlBuildiag valuation: II II ToT.U. II