HomeMy WebLinkAboutBLD94-00183 Final SFR - BLD Permit / Conditions - 9/16/1994 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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CONCRETE MECHA Ab MOBILE HOME
Footings-Setback de;Vc C 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 q b FIRE DEPT.
date �—s —Q by date '�r< date by
PLUMBING y OTHER
Groundwork Attic
date by date by
D.W.V. -/ WALLBOARD NAILING
date �j•—g �Q�/ by date e� be hoc J by
Water Line FINAL INSPECTION
date 6 —;v by date —1AC_-gy by to by
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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
P.O. Box 186 Shelton, Washington 98584
.. Permit No.
MASON COUNTY
l `u UILDING PERMIT APPLICATION q�
F�i3 v 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
GENERAL �J D Patricia Johnson 426-9436
#1 Owner Phone#
Site Address E. 101 Stonebriar Pl. Fire District# 11
i
City Shelton, St Wash. Zip 98584
Directions to Job Site Go out Brockdale Rd. 2 miles turn right on Jenson rd. o
1 4 mile turn left into Stonebriar, second site on the left.
Owner Mailing Address P.o. Box 652
City Shelton, St Wa, Zip 98584
Lien/Title Holder Owner
Address
Clty St Zip
#2 Contractor Name Owner Contractor Reg #
Address Expiration Date
City St Zip Phone#
#3 If septic is located on project site, include records.
Connect to Septic?___X_Public Water Supply_Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No.321 32 - 32 - 90113
Legal Description Lot 3 SP#2267 AF#561220 2. 10Acres
I
#5 Building Square Footage: (existing/proposed)
1st FI 1248 / 2nd FI 1248 / 3rd FI / Loft /
Basement / Deck 288 / #bedrooms / #bathrooms_ /
Garage_3 L / Carport / (Circle: ttache r Detached?)
Other sq. ft. /
#6 Use of building RPs _Describe work New
I
#7 Type of Job: New X 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 y�`✓L
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 Indicate Directional b N, S, E, W)
Name of Flanking Street y
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
LEVEL LOT
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets f� CIRCLE FUEL TYPE: Gas, Electric,
3 Bath Basins I Heatpump, Other Cadet wall hectors
3 Bath Tubs No. Units Fees
_Showers _ Furn BTU
Hot Water Htr � _ Heatpumps
1 Laundry Washer J _ Vent Systems �Q
1 Sinks , Spot Vent Fans l ,mill
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 3�
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.
I
X OWNER X BY
,,JJ
DATE � — ® -94 DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: h�t
Environmental Health:
Building Plan Review
Occupancy Group: 2-'J - ype of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit czo,�
Plan Check
Plumbing Fee s
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor SOD
Violation Fee
Site Inspection
Building State Fee y
i
Other
Other
Building Valuation: 1 `f TOTAL FEE
PLOT PLAN
DALE & PATRICIA JOHNSON
1" 40' Scale
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