HomeMy WebLinkAboutBLD93-01738 Final Garage/Shop - BLD Permit / Conditions - 6/15/1994 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/L-Z7 -q--'5 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
t,
date F
date by - �? � y date by
MASON COUNTY
Mason County Bldg. 111 426 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
MASON COUNTY Permit No.
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 �v
PLEASE PRINT
0
#1 Owner Esicasicvt w 7 (eSc.-oin Phone# So9- 957 —S7�W
Site Address E. 110 Fire District#
City S St Wn Zip 985vY
Directions to Job Site MAsow L(< M ry C>Ln LY.-4- Arp. FOo,-.� o jo L-v,.,F, TO G Z-2-0
L rt1-r. /1 �`-•Arc ickD '3`('
T"�.Jy c��ea..JCA� 2 (3�c�rJS y.-� rnrc%� /}••�7 h-tl :'tk_LLo-J Frrr/L. lri'
Owner Mailing Address AA.eic:cc kn
City ru,J St Zip 98 StLI
Lien/Title Holder F&Irlpalc,64, (kh r•sE1.�, �s
Address P tv, sc�- i 5(�
City Two Sr St W;� Zip 98ts6
#2 Contractor Name T`UM S ItF. 4 Contractor Reg#'�N-r0zF_LJuIu S'9
Address Expiration Date U H_/_LQ__/_!11_
City St WA. Zip q 35 . H Phone# LIx(.o-o3X3
#3 If septic is located on project site, include records.
Connect to Septic?-O—O—Public Water Supply Well
Connect to Sewer System? Name of System *O 0
(If residential, proof of potable water is required) F <'
/9*
Sic i'I
#4 Parcel No. 31 1'7 o00$!�
Legal Description Iwr U9 D►v, S L.A(<c LI no-F_Ai K
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage _/ o Carport / (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building C, A xA Crr /s H.,p Describe work
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Mod
Length Width Seri o.
# Bedrooms # Bathroo Type of HJat
Purchase Price$
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property: �(
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Oth 1
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 b N S E
Name of Flanking Street y , , , W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
001
� i t
s'
a
J
cIt J
V
00,
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
L�`vEc�
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No._Toilets CIRCLE FUEL TYPE: Gas, lectric,
_Bath Basins Heatpump, Other
_Bath Tubs No. Units Fees
_Showers Furn BTU
_Hot Water Htr _ Heatpumps
_Laundry Washer _ Vent Systems
_Sinks Spot Vent;;� rs
Floor Drains No. B it r /
_Laundry Basins HP
_Dishwasher No. Air 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 Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ No. Other
Gas Outlets
Wood, Gas, Pellet Stove
NOTICE: THIS P MIT BECOMES NULL AND VOID IF
WORK OR CO STRUCTION AUTHORIZED IS NOT COM-
MENCED W IN 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 OWNER i.ZZAl , j{. �_ X BY
DATE Star. �`i 1q q3 DATE
...... .
yy , 2
FOR OFFICIAL USE ONLY: Accepted by: Datj: "1 (�
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning. Vl"N-NBC rP�— Se�l�c.cSNMS
Environmental Health:
Building Plan Review
Occupancy Group: - Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit 5.5
Plan Check ,s
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee 5 0
Other
Other
Building Valuation: (0 i r�(off TOTAL FEE