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Home My WebLink AboutBLD2002-00850 Cancelled Woodshed - BLD Application - 7/1/2002 4,q q 0 JC4Pdr AW O .4Np Y" D�Rr vntOF� c/fr/lt�R�xinl ��L� 0 <v vo q pG o Fif OF o,Y 4f�110 3 10 N 96_ 30 ,viler lto PIMP ll MDuSF a � ry �/ � _� Tom► A Ate N .sa 99 LAVT PARce`� � LoT" 67 PLAT798 X/C,,k 3W- /_ )tJDA .TlrAA7116' JAJ 3 2/30 7SS 9 D/I y 1 PERMIT NO., BLDc3D.P Zcbc;0 ` MASON'COUNTY BUILDING PtRMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9.6701Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 Owner � /v ._ Contractor Name APPLICA INFORIIQATI. N CONTRACTOR INFORMATION 4 r Mailing AM—C-C,;T ss Mailin JAdAress City State Zip Code City State,?' Zip Code PhW&( �/kF/VOther Ph.( /�) i l3/ Ph. Other Ph.( � Lien/Title Holder Contractor Re . Address �� Expiration SEPTICIWATER SYSTEM INFORMATION-Connect to New Septic�.Existing Septic Connect to Sewer System Name of Sewer System Well `Y,, Water System Name of Water System PARCEL INFORMATION igit Tax Parcel N ~'f_�/ / Fire District Legal Description,-)& IAJA Site Address(Pleas clud str'e name treet mber cl ) `' 1r' Directions t site f, �� ill ti ber bf cut and sold in arcel preparation? (Yes/No) Is your property within 200' of the follo ng: Body of Water (Nam Saltwater Lake River/Creek Pond Wetland Season noff Stream Slopes or Bluffs PERMANENT RESIDENCE SEASONAL RESIDENCE❑ TYPE OF JOB New_,�e _Add Alt Repair Other Use of Building Describe Work No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt front-the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X Date X Date FOR OFFICIAL USE BEYOND THIS P Accepted by Date Submittal Amount Du 23 Receipt No. 4EPARTMENTAI»<iREVIE APPROVED DENIED CONDITION CopES Building Department frt`� BIZ C SFS Occ Group Type Constr. S Planning Department Environmental Health Department Public Works Department I Fire Marshal `' Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee ,10,.- ? Pre-Paid at Submittal ( ) TOTAL FEES PERMIT NO.. MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT] INFORMATION I CONTRACTOR INFORNW ION Owner ,; � Contractor Name / X/ Mailing Address Mailing Address - City <? S ate Zip Code City t State% Zip Cod LAddress neme_) Other Ph.�) . Ph.( ) /'Other Ph.(=� TOE/Title Holder Contractor Reg. # � r�it ".. �/D ,' Expiration ? / SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION- 1 1 it Tax Parcel No. / Fire District Legal Description Site Address(Please include street ame, r et n(imbar an city} Directions to site C Is your prope (thin 200'of the following: Body'yo�t,,W�ateer(Name) Saltwater Lake River/Creek Pond ! / �L Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New ', Add Alt Repair Other Use of Buil g l Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No.of Fixtures Fees LPG Natural Gas Heatpump Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace Bath Tubs Heatpumps Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets 75--WS-- Kitchen Sinks Wood/Gas/Pellet Stove S Z-'3 p Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Others Base Fee Base Fee 2 3.s7t:N TOTAL PLUMBING w_ TOTAL MECHANICAL Tz to I Af S A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEFARTNfEtdTA€'R /# jtiC>:' <:«<:: ttRPROVD: C? ItiElET3: CO(tIDF#IQNCOfJES Building Department Occ Group Type Constr. Planning Department Other Other FtwE$ .... Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing& Base Fee Other Mechanical& Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal Violation Fee TOTAL FEES