HomeMy WebLinkAboutBLD94-00052 Cancelled Garage - BLD Permit / Conditions - 11/4/1997 ---------------
MASON COUNTY PERMIT
Mason County Bldg. 111 426 W. Cedar NULL & VOID BY E Pi ATION
P.O. Box 186 Shelton, Washington 98584 DATE BY
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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 FIRE DEPT.
date 1/P(-f byO J Walls 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
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Permit No.
•MA'SON'COUNTY r4,Sy kf— o03�
BUILDING PERMIT APPLICATION q,�
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 0 CP
PLEASE PRINT ��
#1 Owner (,0
,i�t Pc,)0-2 Phone#
Site Address 1-7 b a p CA4 -Fire District#
City :L>KL nL) St c JA- Zip r-7$Sgy
Directions to Job Site k) -S --7 C.444'0�' ae� ADDa4S5
Owner Mailing Address O r�rrx '-7//
City SA'(,'Tt" St (..)1e Zip 9es--/
Lien/Title Holder (Q-A-?�"10
Address
Clty St Zip
#2 Contractor Name Contractor Reg# SK80I X*
Address 26. sax �7 !j Expiration Date
City S yGn) St (%uA- Zip 9?,.5Ey Phone#
#3 If septic is located on project site, include records.
Connect to Septic?,>�' Public Water Supply Wellx
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No. 3 213� - )'D - SIC 1 CV
Legal Description
#5 Building Square Fo to e: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft
Basement / Deck / #bedrooms #bathrooms /
Garage / //V Carport / (Circle: Attache or Detached?)
Other sq. ft. /
#6 Use of building y &A- 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
1
Show following on the site plan ,
Lot Dimensions Flood Zones
Existing Structures Fences C
Structure Setbacks Driveways J �"
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements F�
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
��D N
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
I I
Plumbing Fixtures ($3 each) Fee' Mechanical Fixtures ($6 each)
No. Toilets I 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 $ 2` 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 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 REQUIREMENTSREGU-
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. DEPART T.
X OWNER X BY �C � Sri
DATE DAT
I �
IFOR OFFICIAL USE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
II !MS
Environmental Health:
Building Plan Review
W
Occupancy Group: M-7-- Type of Const: StN
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 q, 5d
Other
Other
Building Valuation: / 3, 2-00 TOTAL FEE