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BLD2009-00083 DEMO, Rebuild - BLD Application - 2/9/2009
Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 IP14 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2009-00083 OWNER: VINCE CAMPAGNA RECEIVED: 2/9/2009 CONTRACTOR: LICENSE: EXP: ISSUED: 2/9/2009 SITE ADDRESS: 470 E GREENVIEW LN SHELTON EXPIRES: 8/9/2009 PARCEL NUMBER: 321344190001 LEGAL DESCRIPTION: E1/2 N1/2 NE NE SE TR 1 OF SIP#2174 PROJECT DESCRIPTION: DIRECTIONS TO SITE: Questions on Remodel or Demo and Rebuilt. North on Hwy 3 to left on Mason Lake Rd. right on Mikkelson to right on Greenview Ln. first driveway on right. General Information Construction&Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: Type of Use: Insp.Area: No. of Bathrooms: Occ. Group: Lot Size: Deck: Type of Work: Fire Dist.: No. of Stories: Occ. Load: Building: Valuation: Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body: Rear: Ft. Slope: Ft. SEPA?: Model: Width: Ft. Side 1: Ft. Shoreline Desig.: Year: Serial No.: Side 2: Ft. Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Building Special inspection KKK 2/9/2009 $73.00 S22009000 Total $73.00 BLD2009-00083 Please referto the following pages for conditions of this permit. 1 of 2 t , o CONCRETE MECHANICAL MANUFACTURED HOME D ic m Footings!Setbacks Date By Ribbons -� Gas Piping D o Interior Date By interior.Date By Date By 17 0 00 Extenor Date By Exterior- Date B met-up D w Point Load J Isolated Footings INSULATION Date By BG I SLAB INSULATION G Date By Data By FIRE DEPARTMENT n Foundation Wails Floors Date By M Date By Data By DECKS FRAMING walls Date By Date By Data By PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork Attic Date By Date By Type Date By D.w.v DRYWALL Type- Int.Brace Wall Date BV I) Date By Bated FINAL INSPECTION 0 CD v Water Line Fin Sop* tv CD �9 Date By Dais By Dat© —(:;-I' C7 By C1 CD W Pass or Request Inspect. E c s Type of Insp. Fail Date Date Done By Comments 00 0 8 a 0 _ V) 0 C co O • BLD MASON COUNTY PRE-INSPECTION APPLICATION 426 W.Cedar-P.O.BOX 186, Shelton, WA 98584 - (360)427-9670 $73.00 Fee Required prior to Inspection PLEASE PRINT Owner+ Daytime Phone 7 7 6 -- Site Address 7 0 r C �` L y1 city Mail Address �7 0 r_ i L Ci ,S State FZip9FrS 4 Applicant V`n C C Gvv" 56 V1 Applicant Address 7 o F, " cityh State zip ' 4 Parcel No. : 3z f - - 9 0 a Legal Description: j7A • G d c,c'C S.S -e .21 Z4 PTA C s IF 3 y-It 3 Purpose of Pre-Inspection: p S o e or ca c Use of Building: Fo f L, i` 15 Indicate by checking the applicable source if any water is on or adjacent to subject property: ❑ saltwater ❑ lake ❑ stream ❑ marsh ❑ river ❑ pond ❑ wetland ❑ seasonal runoff ❑ other Directions to site: Vvr v, 3 LcQ on, M as o h L K. o r i K K l_S o -` h+ on n ?tW Fl: Qf, p v', T �`r Show the following on the site plan below: Lot dimensions, existing structures, structure setbacks, water lines, septic sytems, flood zones,wells,shorelines,easements,name of flanking and grontage streets. Indiate direction by N, S,E,W,etc. r `y U .c V � J Applicant signature T/ „�.-� Date -2 - 0 4 . f � Date: FOR OFFICAL USE ONLY Acce ted by. Returned to: Rec!i t No DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Planning: Proposal Proposal Approved Denied Building: Fire Marshal: Special Conditions: