HomeMy WebLinkAboutBLD94-01339 Final Garage - BLD Permit / Conditions - 9/15/1995 MASON COUNTY
Mason County Bldg. III 426 W, Cedar
P,O. Box 186 Shelton, Washington 98584
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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 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 rj V
date by date_ `�C't� by Cat date by
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
case No . " 11
Ao r W1 I
11 Pr(Yvoll or any P;Qio" cheroot qrPAFPi thmn to" in h- in
Mu- 1 " I In "I mi nim"m 01 nothark from all ptoppity Jintow , pmnw,
21 All Appt "V"l PIVIVIC Mr" 10C)" KHd to b" 011-01170 for lnnpPoli "n p"jp"qoy if 1 "qpof
cAllpd for and platto are "oV on ile . Approval Will N" l ho ciro"Lod I " Addivio" .
HAnunrion top in the amn""t " f $ 10 00 pq ho"r (minimum I lt-"i ) uill h- wharqpd
wl� t b coilw, Wd by Lhis A"ooitw"t pri "r anY t"ith"t itc,pvction, hPinq pojf"rmv,j
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3 ) P"PS"AN ! Vu ! q91 UNItURN 1t1111DING VODI , %tutION 104 ( c ) hND nuilllilt Qj , , n j ljj ,
HAVV APPROVI-0 MUMHFRn OR AH=45kh PHOV111111 IN pHy n Popitum AK i " Hr vibiliv
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fire Marshal
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 �Jl� lip
PLEASE PRINT \
#1 Owner Phone# AK�P,7— 6 l S'9
Add4 0 C r -n K k ct Fire District#
City St N-A1 A Zip qSS`S8�
Directions to Job Site w<< I n o y-J k o f 5 6e H ,,, a ,x H w v 3
fic,�rrt leffi o►% C re. , 6er-y Creek Qo(
-�cTvie hc,4to be : c vci gyro.. �tocrto �J
Owner Mailing Address Po Rox 5 13`7
City 0e5 Mo � neS St .�-� Zip 5o3G6-5►37
Lien/TitleHolder N0rweS-V Mocy' e
Address Sa✓vh e
Clty St Zip
#2 Contractor Name //� Contractor Reg#
Address Expiration Date
City St Zip Phone#
#3 If septic is located on project site, inclu:�S re s. r.,
Connect to Septic? Public W upply Well
Connect to Sewer System? Name of System F221Lip
(If residential, proof of po le water is required) = c
w �]
#4 arcel No. 3 Z 13 b - - O 3 (7 00 Cn
m Q
Legal Description see ct cti - t -Im VA
n`I2. wv-,z no sE nu) C
#5 Building Square Footage: (existing/proposed) 0
1st FI / 2nd FI / 3rd FI / Loft/
Basement / Deck / #bedrooms / throoms /
Garage �&;ne / 7 $ arport / (Circle: Attached o
' r etache )
Other `a sq. ft. /
#6 Use of building Ca i cz a it / \runs kSho Describe work
#7 Type of Job: News_Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORM N
Model Year Make odel
Length Width erial No'.
#Bedrooms # hrooms T pe 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 vi
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells , 0
Proposed Improvements Easements r'
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
��ti�Q 'ro�Se
0
T
./ C%a ra.c Q
CLOD (P�o�cs I
Le ve
K Z
u
s
_ d
�Ij
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Ga�9e
Grarbe�rry t�ouse �Pfoposec>e�
�k as
't•0 35 365' 32!
Plumbing Fixtures ($3 eachj Fee Mechanical Fixtures ($6 eachl
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Bath Tubs No. Uai s Fees
0 Showers Furn BTU
Hot Water Htr Heatpumps
Laundry Washer _ Vent Systems
Sinks Spot Vent Fans
Floor Drain.- No.. Boilers/Compressors
QLaundry Basins HP
QDishwasher � Air Handling Units
Disposal _ cfm#
0 urinals J�Q, Fire Protection Systems
Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 1 .00 _ Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ o. 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 PI TM DEPARTMENT.
m
X OWNER '` `� X BY
DATE $/� lq4 DATE
s ,1 /C t
FOR OFFICIAL USE ONLY: Accepted by: I Date: i
- ___
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health: zv,�
Building Plan Review
D
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check ='a
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE Z