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HomeMy WebLinkAboutBLD95-1383 Storage Shed - BLD Permit / Conditions - 8/10/1996 f 1 �---� ��� , �� G � �` �y� ��' 4��� MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 E3 U 1 L. 0 1 N C1 P F " M 1 't- FOP INSPECTIONS CALL 427-9670 BETWEEN Spin ANO dam 427-7262 OLD95-1393 PARCEL. : 123315100097 PL.ATsBEPLA DIV : BL.K : 0T : 97 JUh ADDRESSt ME OWNER : C IR 150TOPHRQGAIDUN OR MCDONALD 2.75 742.E3R F' �9f-in RN'T CON'1 RACTOR : Le- Y LEGA1 s BEA18S C6VE DIY B 11111c LOT: 97 N 3,11,R 8 CLASS OF WORK . . :NEW BEDRr 0 .BATH : 0 IYPF ANOINT BY DATE AFC,FFIFT IiPf ANOUNI 91 DATF IECFIPI' TYPE OF USE . . . . :ACC STOR IFS . . . . . . OCCUP . GROUP _ . :? BLDG . HE 1 GHT . . : 0 .Of 1. PINT 1 30.00 CFO 08119190 42601 INS' 1 32.11/ C►N #11#9196 42601 TYPE OF CONST . . :? F I REPLACES . . , n,,: 0 PLCK t 12.00 CPR 08109/96 42601 OCCUP . LOAD . . . . : 0 WOODSTOVFS . . . . : 0 $IFE ! 4.50 CPR 08109196 42601 DWELL .UNITS . . . . : 0 PARKING SPACES"c 0 FVCP t 16.01 CPR 041/9:96 42441 INSPECTION AREAS I SHONFL. INE? . . . . :N V10 1 30.08 CPR 061/9196 42891 TOTAL: 116.50 VALULAII011: 1632 -T.2•.�SIRTL�Y.'":3'^4hOCY.i^t'4."' tS^-.:L2LT`sT �1' SETBACKS---------------- TOILETS . . . . . .. . . . : 0 FUEL. TYPES--------- BOILERS/COMP---- MOBILE HOME--- FRONT . .S 10.01t BATH BASINS . . . . . . Y 0 c : 0-3 HP . + 0 REAR . . . .N 30 .Oft BATH TUBS . . . . . . . . c 0 3-15 HP . : 0 MODELS SIDE( 1 ) .!~ 10 .0ft SHOWERS . . . . . . , . . . s 0 FURN < I OOK BTLI : 0 15-30 HP . : 0 -MAKE._.- SIDE(2 ) .W 20 .Oft WATER HEATERS : . . . , 0 FURN >m100K BTU , 0 30--50 HP . : 0 SHRL I NE 0 .0ft CLOTHES WASHERS . . : 0 FURN - FLOOR . . . : 0 504 HP . : 0 -YEAR­­­ AREA ------------------- KITCHEN SINKS . . . . s 0 HEAT PUMP . . . . . . c 0 LOT SIZE . . : FLOOR DRAINS . . . . c 0 DENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTHS 0 BUILDING . . . : 192sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . s 0 HOODS . . . . . . . : 0 WIDTH . s 0 BASEMFNT . . . : Osf LAUNDRY TRAYS _ . : 0 DOMES . I NC I N :O —SERIAL #---- — DECKS . . . . . . : 09f DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS- COMML . INCIN :O CAR/CARPI? Ost GARD DISPOSALS . . . c 0 a— 10000 cfm . : 0 RFLOC/REPAINt 0 AT/UT . :? URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : 0 MISC PLM FIXTURES : 0 (OAS OUTLETS . : 0 PROJECT OESCIIPT1011ST01AGE SNFD PNOJfrI lOCA110C HEAD 0010 NOATH SHORE RD PAS? STOCK NKT, 60 1 NILE AND TAKE 416111 Olt SAND HILT. 6O UP SAND 11111 AND TAKE A LEFT ON LA1130111 8I.VD PPOCEED ON "11 FOR I MILE DNMT11 Y09 CONE TO SABF1 ON IEFT NAND Of THE 00, TAKE THE FIRST 1169T ONTO 1111I6GAOUN AND FOLLOW UNTIL TON AEACN 141 THIS PFANIT BECONFS MULL AND VOID If WORK. OR CONSTRUCTION A0101171 D IS NOT CONNfNCED WITHIN 180 DAYS 09 If CONSTRUCTION OR WORK IS SUSPENDEP FOR A PERIOD OF 190 DAYS AT ANY TIME AFTFA WO;K 18 CONNFNCF9 EVIDENCE V N!IMUAFION OF WORK IS A P90611FSS 111SIRTIO1 WITHIN THE IJI DAY PF1119. FiNAL INSPECTION MUST E APPROVED BEFORE BUILDING CAN BE OCCUPIED. �1�' OWNFq OR AGENT:_ } ':; r _�._ _ _..._________ BATT: ��1 R1R-_ 911T, rtv: 03131191 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED 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 FRAMING by date by date by 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 by date by y MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 1E= RM 1 'T C__ CaN0 1 -T" 1 C3N Case No . : BL.D95-1383 For : CHRISTOPHR MCDONALD Page : 1 1 ) The use, handling and storage of hazardous materiair or 'flammable and oombustibie IlquidsrIn exoess of 10 gaIIo} 19 not allowed without the approval of the Mason County f- 2 ) Struc ure Must be setback 5,' roa� e 1 I ut i I I ty and (Ira i nage easements, a total a; 10 ' fro a pdoper V I In. ;or a vay f anoe mus be obtained from the Building Depariment . 3 ) Propo&e}d structure or any �p� ��. I n tI►erec;P uret�ter than 30" in hr fight from grade line, must p►9 i nto f a mitt iraum o r tback ,fro a 1 1 property I i nes , easements and right of 4 ) All approved plans are required to be on"" site tot, ins eot i on put poses . It inspection Is railed for and plans are not on site, Approval WILL NOT be granted . In addition , a Re- inspection fee In the amount cif I3fl .00 per hour (minimum 1 hour ) will be charged and must be collected by this departme ti prior to any further inspections being performed or approval granted . / PURSUANT TO 1991 IIN I FORM BUILDING CODE SECTION 305( - ) AND SECTION 513 . ALL SITES MUS r HAVE APPROVED NUMBERS OR ADDRESSES P"6VIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE.­COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A RFINSPFCTiON FEE, BASED ON RATEy IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL PF ASSESSkD IF OWNFR!CONTRACTOR F It. TO POST/ ADDRESS ON SITE PRIOR TO REOUFST1NG INSPFCTIONS . 6) ALL CONSTRUCTION MUST MELT OR fXCEFD ALL LOCAL CODES AND UBC AEOUIREMENTS . 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 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 by date by MASON COUNTY Mason County Bldg. III 426 W. Cedar R0, Box 186 Shelton, Washington 98584 7) changes to approveed building plans that effect comp 1 i ance to the 1991 Washington ;state Energy Code, i991 Ventilation and Indoor Air Quality Code, the Uniform Rif i Id i ng Coale and/or Mason County be approved by Mason County prior to construct i onX 8 ) CONSTRUCT I C N PROCESS TO OF FIELD CORRECTED.., AS IR"U I R " R iyfA",�q N OUNTY B 1 LD 1 NG DEPARTMENT AND UNIFORM BUILDING CODE .x__:.,` 9) Owner;/builder assumes all re s o sibility If drainfield area Is enou�ber 10) All approved plans are required to be on-- site for Ins ect i on purposes . If inspection is called for and plans are not on site, Approval WILT_ NOT be granted , In addition, a Re-- inspect 1 on fee in the amount of .00 per hour (minimum 1 hour ) will be charged and must be ooIIected by this deparjm t prior to any further inspeotions being performed or approvalranied . 1 1 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 30!1((, ) AND SECTION 513 , All SITES MUST HAVE .APPROVED NUMBERS OR ADDRESSES PROViI)ED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED ON RATE N TABLE 3A OF THE 1991 UNIFORM BUIIDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FA' S TO POST ADDRESS ON SITE PRIOR TO REQUESTING NSPEGTItANS,, -_ 17 > Placement of structure must comply with standards : fort p U '_ s / 7 regarding descending rend/or, ascending slopes . X � 13 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED ,M p O�j�,pt=ly.,P..�R SON ZLO�INTY. ,[_D I�IG;4/i; �l DEPARTMENT AND UNIFORM BUILDING CODE .x_ 1i` 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 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 by date by MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F it i i ne must 1418 a 11ta i n a b ' a al a l I o41 i 9,40k n0e ,,##�stwaxn�:, !,�►ue�l stl uotur apt at furthest pro jeot i©n • x_ ".�_!._ ��'/ A� CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons ;late by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date FRAMING by date by date by 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 by date by MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg.III 426 W.Cedar P.O.Box 186 Shelton,Washington 98584 (360)427-9670 BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION May 24, 1996 Christopher R. McDonald NE 140 Briggadun Dr. Belfair, WA 98528 RE: Storage Building Permit BLD95-1383 Dear Mr. McDonald, On Sept . 14 , 1995, you submitted a building permit application for a storage shed. The permit had been placed on hold pending further information as of October 10, 1995 when you failed to provide the structural drawings as you told Mr. ,Bently you would on September 22, 1995 . On February 6, 1996, a site investigation revealed the structure to already be on site and constructed in violation of Mason County regulations . Prior to construction, you must first obtain a permit . Please make the necessary arrangements to provide the information regarding the construction details prior to DUNE 24, 1996 . If you should have any further questions, please feel free to contact me at (360) 427-9670 ext 356 . jncig Inspector cc • Mike Byrne, Building Official Mike Clift, Deputy Prosecuting Attorney V v /—"`' °�j Permit No. n / MA ON COU BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628�� PLEASE PRINT #1 ner (` hC � Phone # ;05- ZLIa Site Address WtG��� L Fire District# City 4�eV'ft.'r St Zip Directions to Job Site Inca.- S"fz RL P1ts4 rJi-e i`'7,i : , Go 1 nn a w Coo tL'o S'cr. 11 "l l awC - 0'4 C. le-ff eiJ l-w,r Sew) t$M4 PfOLLd- hr. PV GIA� Cdui 61 (3ry"E i)) -SA A+f Qov 14L4 V4N 4 64 r, a 1 ") Ca C k Owner Mailing Address G 100 *a ! City �4 , w r St— .'d�Zlp Lien/Title Holder o. r- ") R Add Ity U � 5 St _Zip Z #2 L�Contractor0ne /V/p, Contractor Reg# Ad 5 Expiration Date Cit s St Zip Phone # LL t{ �L #3 —VI If soptic is V?ated on project site, include records. Connect t ptic? Public Water Supply Well CorInect to.S$wer System? Name of System If resident proof of potable water is required) T # Parcel No._ L- I Legal Description Lo #5 Building Square Footage. (existing/proposed) 1st FI _ l� 2nd FI / 3rd FI / Loft / Basement / Deck / # bedrooms / #bathrooms Garage / Ca Cort (Circle: Attached or Detached?) Other olzr1c, .0 s .ft. #6 Use of building �i�c' 11 ! �� a C � P Describe work i #7 Type of Job: New _Add Alt Repair Other #8 MOBILE/MAN ACTURED HOME INFORMATION Model YearAmaek Model Length Serial No. # Bedroomsathrooms Type of Heat Purchase Price #9 Indicate by circling the applicable soirce if any water is on or adjacent to subject property: , River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff 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 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 J ` 1 � ( i V s r Li APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW i Yam' 4tT Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other Bath Tubs No. Units 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- 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. o ` DEPARTMENT. X OWNER L C ' (f X BY DATE 5 DATE FOR OFFICIAL USE ONLY: Accepted by: �' ^-'' Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: q I" Building Plan Review Occupancy Group: ! Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other , �. Other L 0 1 Q q9�Q Building Valuation: TOTAL FEE 1 �5� 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 #1 Owner Phone# 7 %y� Site Address (, �� �. Fire District# City St I-- Zip ,y_ Directions to Job Site IJ �\ \-a fi"` 1 2 1 Iq f S A►) I S LA i}. LD 11 D L) :CD" 1 3 OL -tb 41& yn'sp Q. G Owner Mailing Address I 'f, City J Ljost St Zip - Lien/Title Holder ��w►�(.w ( 0 Address Clty St Zip #2 Contractor Name L Contractor Reg # Address Expiration Date City St Zip Phone # #3 If septic is located on project site, include records. Connect to Septic? r Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) 4 #4 Parcel No. 1 c C C Legal Description #5 Building Square Footage: (existing/proposed) 1 st FI i 2nd FI / 3rd FI Basement / Deck / # bedrooms /--� # bathroom / Garage / Carport / (Circle: Attached or Detached. Other sq. ft. #6 Use of building Describe work #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length Width Serial No. # 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 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 CL-ilo yv",�.�4b APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW i i i Plumbing Fixtures $3 eachl Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other _Bath Tubs No. UnitsFees Showers Furn BTU Hot Water Htr Heatpumps aundry Washer \ Vent Systems S ks Spot Vent Fans Flo Drains No. Boilers/Compressors _Laun 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 Fir\,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- 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 FRYM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. %j DEPARTMENT. X OWNER t ( X BY DATE C DATE FOR OFFICIAL USE ONLY: Accepted by: �' Date: C( DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: TOTAL FEE BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER C -� DIRECTIONS TO JOB SITE ,� �J`N/� ���al ic 1�6-rr 6�- 04 PARCEL _ LEGAL /_' NUMBER _�iy DESCR. C �l NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO. CONTRACTOR .3 valial ak ` iki cclA USE OF (� BUILDING CLASS OF NEWC/ ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE WORK AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE I,�SgFt STORIES SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS PRIMARY RES.O THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS SgFt BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDO FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE SgFt ATTACHED 0 DETACHED❑ OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION LAW RC 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENTS FOR W H THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHIC�i THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CONFORMANCE T EREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE T EREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPR FROM THE BUILDING DEPARTMENT. APPROVAL FR HE BUILDING DEPART ENT. / X OWNE- DATE X BY — DATE FOR OFFICE USE ONLY DEPARTMENT YES PPROVENo DEPARTMENT YES NO BUILDING VALUATION HEALTH Mr PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT v57� D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION t L .(. „g„ SHORELINE CC) ��� <« _ WOODSTOVE [(�1jV PLUMBING 0D MECHANICAL STATE BUILDING FEE APPLICATION ACCEPTED BY i PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION _ BYS 91LR CASH CK MO TOTAL I PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. OWNER 11.14 ME MAIL ADDRESS CITY 8 STATE ZIP PHONE 377 DIRECTIONS TO JOB SITE -. LEGAL DESC R. CONTRACTOR NAME MAIL ADDRESS CITY 8 STATE LICENSE NO ZIP PHONE At USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00 j� BASINS q FLOOR/SUSPENDED FURNACE 6.00 BATH TUBSq� 2 BOILER/COMPRESSOR 6.00 SHOWERS 2 REPAIR/ALTERATION 6.00 WATER HEATERS 2 REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER 2 AIR HANDLING UNITS 7.50 SINKS 2 HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS _3 VENT.FAN SYS.3.00 PER UNIT 9-1 LAUNDRY TRAYS FIRE SUPPRESSION 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER Z DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL oZ3 TOTAL SPECIAL CONDITIONS: — NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED OWNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED THE CONTRACT OR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE COUNTY ORDINANC EOUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE WILL E IN CO FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORM JCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRS AININ ROVAL FROM THE BUILDING DEPA TMENT. WITHOUT FIRST OBTAINI G APPR d FRO HE BUILDING DEPA TMENT. XOWNE DATE Z/ XBY ATE 2i FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION �-3 BY SjtB I-lam CASH CK MO