HomeMy WebLinkAboutBLD94-00523 Final Carport/Attached Shop - BLD Permit / Conditions - 9/14/1994 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
'TONEHRIAR Ni �il`jf 1. TON
f 2;?0
MARK WI, I TEN"E RG (.106 4.1 Ih 3 9 4
W1 TTFNHF It G 426-- IS 111.
"10 SU IV IFj
A' III tif'J'j, NI. it
llykF A41111111 Jili, PAU III
I- I
ri I-
1101044
fit,I I (0j)jj 14 P I
I NI&F C I I 'IN 1: ill "Hilt?t 1 I NI N
I f;A(--r I fit i I I'l'i I 1 Jill.
I'MN 1 0 0 1-1
ki, Aft, h,l
0 t f 111,N 1 1 11 411 0 lit, 0
IIPN f 0 0 Ir H I It 0 0 lip 0
H le I I NW N f 1 (1,11,
lit,
A I I i lit N it' I tlllml,
V ()t?A VI N I i I f, 14'. 1 P 0 1 I N It I H
I Fl I t-4 if H H• 1 1)k I N 1, 1 H I)N t 44 VI 1\1 I I 4,1f'! t I 111 I II
1 MI N 1 0'. f I A111411k"I I I A`e,
j H I k in A I I,., it ik rtI#I I N PI I I I I tIt 1 N
A P I P I 10000 r tut 0 Pf I 11C /V I t,A 11-11 0
I I P 1 N A 1 0 i (AOOO 0 tI 1 fit P HN I 1 0
M I I M 1 1 1 410 0 fill I I I 1 0
6FACHIAlf ROAD 31 kltfv, RIM ON tfvSr# 00 1 lljjrS I r f f flo Slllgfheliip III too of rfllwc 14'�l plf"sf ON R16111
191", p[Rill I pflilll( #1111 Asp, 11010 If WORM III? rhNsTROM"ll A111110111 fo IS 101 011111110(to WITNTN Ifif DAYS, OR If (80'lptt(IION GO vopt P5 S")MI1010 f9p A MOO
Of CA#Tt#UAIIO# Of VARk 14 A PROM6 S flISPH110 1,111fi1l! THE 18# DAY Pfl[014, fINAI INSPH1100 11fril (if
OWNER 00 AQATI
Billjollf, tev I j 3 1 191 CONPIIANLF 10 AIIACHFD CONI)IF TONS S R FQ111 Rrp
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback
9 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 y Walls FIRE DEPT.
date �� by date by
7
PLUMBING Attic by OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date 4_ISf 971"" by date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
MAR-31-94 THU 11 :03 ERA DELTAiDCC 4951128 P. 02
40
19
19
(6
l
f �
1 � C�pn� ECG TO
I Psn
MASON
�
�O9R � ��:S i:1�1��•f - "'rt4
MAR 31 ' 94 12: 20 4931128 PAGE . 002
I 3 ,
MUST KIE ' AH. x ?:j``:,3
WASHINGTON STATE
PIF
Fr Or\
Door.
tL�r.N
I
I
1
;I 1
q°x
II
- ---------------- -
S l A
1
e
i
Ir LL
N � •
2YC'-F T+.c
6 Yz.yta
i
• S��cs•�. v � �vJ
- CJouTN�
C r`Y�j
lk
`�
T
Q°<
x
�o �r 'oy-
TeP V�ecJ
J. [-70- ' -'iq
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION ,
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 Gj
PLEASE PRINT
#1 Owner IMF,, Y- S V14 Phone# 5 54
Site Address F 2 ZO -t C'�br.c.n Fire District#
City !S V'Q�V c'— St zip 8 �
Directions to Job Site Oexzk� -5,-- k& -3 l�z T-
A-n a,,kcrl L.••� \ Vie.2
1 9r
Owner Mailing Address
City S - St Zip �--
Lien/Title Holder �' P,,_�Q.w�c�-Q Rc,—
Address
Clty L-a-e St Lt)i_ Zip
#2 Contractor Name YY\c.,.r� - �J�'�{ e.. -. Contractor Reg #
Address F 2 2 0 Expiration Date
City s LA-,-- St Zip 1�25e4 Phone# 2Co-539�4
#3 If septic is located on project site, include records.
Connect to Septic? �Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
RE
#4 Parcel'No - 6co
Legal Description D an
#5 Building Square Footage: (existing/proposed) Ica
1st FI , 2nd FI 3rd FI / Loft
Basement / Deck / -:J, f #bedrooms / #ba ms
Garage Carport 2-4 / (Circle:,Attached or
�� �
Other 2�5�(.� Q ?C c- sq. ft. / 1p
#6 Use of building cc� �,A ��� c�.S � �Xscti.x,Q Describe work _
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make M0,01911
Length Width Seri
# 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
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
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
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bath Tubs No. UakFees
Showers _ Furn BTU
Hot Water Htr _ HeatZ�ms
_Laundry Washer _ Vent
Sinks of Vent Fans
_Floor Drains } Boilers/Compressors
_Laundry Ba ns _ HP
_Dishwasher 1 ) No.. Air Handling Units
_Disposal �J 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. DEPARTMENT.
X OWNE L X BY
DATE 8 A DATE
E ONLY: Acce ted b : Date:
!FOR OFFICIAL US p y
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health: - on-
Building Plan Review
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions:
FEES
Building Permit (0-7_Cq3
Plan Check 2G -Sv
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee S
Other
Other
Building Valuation: TOTAL FEE `�