HomeMy WebLinkAboutBLD94-01386 Cancelled SFR - BLD Permit / Conditions - 11/4/1997 i
MASON COUNTY PER
' MIT
Mason County Bldg. III 426 W. Cedar NULL & VOID BY EXPIRATION
P,O, Box 186 Shelton, Washington 98584 DATE `L_`— a
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1I1I1 E 550 MTKKE:LSEN RD SHELTON
0(A 14 1 1- EDWARD `,;MITN 427-"2650i
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IIH„PRNT, rav; 1</31J91 COMPLIANCE TO ATIACIIED CONI1t1 -1ON!-. 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 by date by date by
FRAMING Walls FIRE DEPT.
date by date by
PLUMBING date by 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
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
For
Page
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�rr r.gmpl i "rl..e ,
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mvprip T� ('� a MASON COUNTY Permit No.
_-``►► �5
7 BUILDING PERMIT APPLICATION, Q
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE P no ft
#1 w r Phone
ite Address_ 650 iitir��Z�c'�� Zo _Fire District#
City l rc.0 Cl�r¢ y�5 Ss� St Zip
Directions to Job Site /l/0zrN !P/ci T r'� '{�''�r L�T "
/ z ,.1 c
Owner Mailing Address -c
City J/f�7�an/ St Zip 5 3
Lien/Title Holder
Address
City St Zip
#2 Contractor Name L�tS � Contractor Reg# E5eaii�/s-.ja
— Expiration Date /Z/ Z
Address /
City '`JTT1jc/ St C� Zip S8� Phone
#3 If septic is located on prop et site, include records. /
Connect to Septic? Public Water Supply Well VI
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 arcel No.s Z 1 r c�
Legal Description ��I 1 4 5-U n T�� of e �a9
#5 Building Square Footage: (exis ing/proposed)
1 st FI ///� / 2nd FI / 3rd FI / Loft /
Basement / Deck—/ #bedrooms / #bathrooms 2�/
Garage___&o/,g - Carport / (Circle Attached r Detached?)
a Other sq. ft. /
6 Use of building 114471A75— Describe work
#7 Type of Job: New V Add Alt Repair Other
A
#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 ree 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 1.,4 V
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
C
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
!, ,�:.,,s-,;., +�.�.� s✓may-,"� ;.'�y'1.i�.� l,�
v0
_---------^-"'_'"_� - -- ""'"1 "
tri
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our �..
•IS
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. 'v Toilets CIRCLE FUEL TYPE: Gas, Electric, \`
q Bath Basins Heatpump, Other
i Bath Tubs No.. Units Fees
I Showers Furn BTU
!Hot Water Htr 2�, 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 15.0�0/r Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ t lNo. 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 TOTAL MECHANICAL $
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. DEPARTMEJ�IT.
X OWNER X BY / 111
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review
Occupancy Group:k_a Type of Const:-�
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check (�j
Plumbing Fee h
Mechanical Fee �Jq
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee y
Other
r�J Other
Building Valuation:`5c TOTAL FEE