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HomeMy WebLinkAboutBLD94-00706 Final Deck - BLD Permit / Conditions - 7/22/1996 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 till o!7 fj it A M 1. 1 N 0 f ftjl 1 4- 'l 1 i't. of I lo, f4 VA(HIMAU. Tj I'l I pi oll 1 1-1 o M i t 1 if 0 0 1: if! 1 1f NC3 I I I il t'L i N 0 # lit 1 0 o f 1 0 0 F'd I fit lit I j A I I l'A Off 0 1 1 llv"'00 t Ayf ROAD 60 AN!)"f R 4 0 11.1 S 1 11 PF hVF RPAVi 111RO k I�Il I AN ot(if YRF k0 I'I r it A041,11 I Am of p I cii I "I Of Of IfflAp 141E VPAJ 1 litfORtS "tit 1 0#4 VOID It WMQ� 09 (PUMUCTION 1101.110RIZED IS #Of CONKIN(fe WITHIN 180 DAIS, OR if CONSfIly(TIOJI OR WORI 1� `"C ?Lifpfb FOR 4 PERM Of I Ril 00:, AT ANY I I V Af UP 140k I f it##(ot,16 EVIN Ot I (if f011 10"Al 160 Of Wool 1 A mur sS j im i,i iiiii Idmi ipf 18# PAY Pr F I op) N A Al I K p I I IIQ 00 1 Est 60ROVFil WORE AW01116- CA0 BE I)MIPIE11. 0 W*E k 0 A A 6 1"I 8AII 1)1 R C 13 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 Attic 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 f/�S 6�y�y 3 .S'i z,y� (�c� • 3a` �,cy�� �.e�u off, I I I MASON COUNTY li Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 j li MASON COUNTY Mason County Bldg, III 426 W. Cedar P.0, Box 186 Shelton, Washington 98584 --- --- — -------- — MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg.Ip 426 W.Codar P.O.Box 166 Shelton,Washington 98SU C360 427-9670 BUILDING PARKS&RECREATION FAIR/CONVENTION CENTER ADMINISTRATION 427 0 196 TO: J,�IG�I')'1 l/ RE: Permit Number # To Whom It May Concern; During a recent review of our files, it was determined that your permit may meet one of the following criteria: 1 . Permit is expired and needs to be renewed or have a final inspection 2. Due to the type of your permit and scope of work it is possible that the work has been completed and it needs to be inspected to close the permit or 3. The permit is ready to expire and needs to be inspected or an extension needs to be requested. Permits are valid for 180 days from the date of issue to the inspection date and remain valid for 180 days between each required inspection. If our records are inaccurate and you have had a final inspection, please send a copy of the signed off permit to this office so that we can update our cards. If you have not had a final inspection and your permit is expired or will expire within 30 days, please_ contact this office for a final inspection, update inspection or extension prior to _LK/�r19g to avoid renewal fees. All permits which are expired or due to expire within the next 30 days will become null and void if contact is not made with our office. If you should have any questions regarding permit validity or the purpose of this notification, please contact the building department for clarification. Sincerely, , Building Department cc: Property File Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 0 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 �& PLEASE PRINT #1 Owner Phone# (��6) 4/7- : Site Address ,0-0'r' CZ6 eZ-, E' L ,yc ,q/2 • Fire District# City .ff�L rG� wd�Sly St w/1�,� Zip 9S Ste_ Directions to Job Site f5 4'T S s7- 7 TY/ L i,EFr e^ /�f/�s��/✓�if/�i� C. #60c/:r All' 0va—�'2 "Ss TYRAI Al',CAlr �nr o��i= L 1-,•rc/'P/J 16 /2,,/f17' Owner Mailing Address 0 63-o QZV,_-` G /Aer /Sll City ,�f�FG.T�x� - Ste-15 Zip P�Syy Lien/Title Holder Address 8'S jjro l City S.txxi /l/�6 o G/ St C/,Y4 ZiP_"&A.3J!- y.; #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? 41"' Public Water Supply � Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 Parcel No;• ,?!/-Z> - -ira 660 Legal Description /.trT /",O L 'Agur G ikRi'- 5 /SF661VIA! /N UG/, Q,-- /4 __7A /3c,7'// 1AC44es144r REZVR,pr #5 Building Square Footage: (existing/proposed) 1 st F A4,g­a. / 2nd FI / 3rd FI / Loft / Basement / Deckk/ #bedrooms_ / #bathrooms / Garage / Carport / (Circle:Attached o(2etacheti2p Other sq. ft. / rorkIll #6 Use of building F;(1 - Describe1 #7 Type of Job: New Add/QX�G k Alt Repair Other D #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make,C Model � Length C/a` Width 4Y Serial No. � \Ojlgk # Bedrooms # Bathrooms .7 Type of Heat Xx lPurchasePrice$ �v oo #9 Indicate by circling the applicable source if any water is on or adjacent to subject proWrl River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Rt 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 Indicate Directional by (N, S, E, W Name of Flanking Street in relation to lot Ian ) Name of Fronting Street p p APPLICANT TO DRAW SITE PLAN BELOW 'r V 1 rr �rr� f APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW G Plumbinh Fixtures ($3 eac!iA Fee Mechanical Fixtures ($6 each) 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 T; . Boilers/Compressors _Laundry Basins HP _Dishwasher No. 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. X OWNERS! .d� %L X BY DATE ��r/F Y DATE FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: N15 Environmental Health: OWNER/BUILDER TO ASSUME ALL RESPONSIBILITY IF DRAINFIELD AREA IS ENCUMBERED. Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check s Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other a� Building Valuation: n TOTAL FEE 3 5,