HomeMy WebLinkAboutBLD94-00770 Final Garage and Storage - BLD Permit / Conditions - 7/20/1994f
! MASON COUNTY
Mason County Bldg, III 426 W. Cedar
F.O. Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL MOBILE HOME
Footings-Set ack �� date by Ribbons
date , -- Gas Piping date by
Foundati 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 — �q— (j,� date by
MASON COUNTY
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
I F.O. Box 186 Shelton, Washington 98584
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT V
#1 Owner /�1' .E /�1�}tl�%/✓ Phone# 412-7— G 7
Site Address e 63 / D IZ2 e Fire District#
City St w✓t Zip 5�rs --1
Directions to Job Site M s v.v L�•�c� .k�'O �� dfy < ,i�-c �3 i:'J
jo/lam-�t '� p'-• �i'/J y�-r s:y <y ./�L�%t S S
Owner Mailing Address
City St Zip
Lien/Title Holder
Address
Clty St Zip
#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?_/G Public Water Supply Well A��
Connect to Sewer System? / o Name of System
(If residential, proof of potable water is required)
#4 Parcel No.3& Z 7 - 5-y - OU/o 2
Legal Description_LA, v S .L o i io-3 (S,c -Z 7 . IZV
#5 Building Square Footage: 6x in roposed)
1 st FI 7 2.0 / 2nd FI / 3rd FI-- / Loft /
Basement / Deck ---7 #bedrooms #bathrooms /
Garage/�/ Carport / (Circle:Attached etached
Other sq.ft. /
#6 Use of building /,"%ELF S''v� 6— Describe work
#7 Type of Job: New k' Add Alt Repair Other
#8 MOBIL UFACTURED HOME INFORMATION
Model Year e d
Length Width
# Bedrooms # Bathrooms Type of Heat
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 Other 4
�I
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
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
PO
G�/9U19lr
o
s
C �
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
0
f
Plumbin x r ($3 earhl Fee Mechanical Fixtures ($6 each)
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. Uni s 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 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 15.00 _ 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 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.
XOWNER ����� ��/��Gti X BY
DATE DATE
FOR OFFICIAL USE ONLY:Accepted by: bate:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY ,
Approved Cond. Hold
Approval
Plantn�i,g: S}YtnQ 1-Wed IIl1yZ� Sep br Q� C,4- ��5� /y/�►
JyCl� ( I 1�1 r����f YG �[�nQP VN1, n r' I
a
Environmental Health:
OWNER/BUILDER TO ASSUME ALL
RESPONSIBILITY IF DRAINFIELD AREA
IS ENCUMBERED.
Building Plan Review
Occupancy Group: `771-t Type of Const: 'pe-((
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit -- 3
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
00
Building Valuation: f � TOTAL FEE �?�