HomeMy WebLinkAboutBLD94-01618 Cancelled Addition to Deck - BLD Permit / Conditions - 2/10/1999 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 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
PLUMBING date by 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
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Mason County Bldg. III 426 W, Cedar
P.O, Box 186 Shelton, Washington 98584
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
49� Permit No.
kA3 -o* MAS N COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
Z 1 ese n ► ss
#1 caner ` Phone# 27
Addr ss r W Fire District#
`�1City StZip
Directiops to Job Site _
00
Owner Mailing Address WAI
city S l zip
Lien/Title Holder W
Address
city St
nn —�
#2 Contractor Name /�c.�� �c� �� � �h� Contr eg#�( kL C966 IEF
Address Pd 4,bw. Expiration
City 5& St t,/A- _Zip Phone#
#3 If septic is located on project site, include records.
Connect to Septic? Dom—Public Water Supply Well
Connect to Sewer System? Name of System
(if residential, proof of potable water is required)
Ala 7 5y C0064 S19
#4 Parcel No. _- 90 - C
Legal Description 0e.44 s' l-o
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / vl #bedrooms / #bathrooms /
Garage / f (Circle:Attached or Detached?)
Other sq. ft. /
# e of uildi g Describe work/7'fi(�`' 1111 . c '�
Or
#7 Type of Job: New`4 Add Alt Repair Other P _
#8 MOBILE/MANUFACTURE , ME INFORMATION
Model Year M a keet Model
Length r2_Width ;?Z. F Seri .[Ac G6o"b�54 ' sj
# Bedrooms 3 # Bathro -'?-_Type of Heat Ple�ri��
Purchase Price$ 14S
#9 Indicate by circling the applicable source if any water is on or jacent to RtihiectDroperty:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoft)Other
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
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
p
n ac S �v`
1_
� ��•� ( l�ro�GS G' �A Stu.-t 1
V
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Pau
i
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. Uni Fees
_Showers Furn BTU
_Hot Water Htr _ Heatpumps
_Laundry Washer Vent Systems
_Sinks _ Spot Vent Fans
_Floor Drains No.. Boilers/Compressors
_Laundry Basins HP
_Dishwasher Air Handling Units
_Disposal cfm#
_Urinals No. Fire Protection Systems
_Other uto. 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
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $
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 OFTHE 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 lJ X BY �
DATE Gam- I DATE
FOR OFFICIAL USE ONLY:Accepted by: pate:
i
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: MIA
Environmental Health:
a,u
Jor
Building Plan Review
Occupancy Group: 41 Type of Const: r` .
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit (,(p�
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: `7�� TOTAL FEE a 7