Loading...
HomeMy WebLinkAboutBLD94-00232 Final Shop - BLD Permit / Conditions - 7/14/1994 MASON COUNTY Mason County Bldg. 111 426 W. Cedar RO. Box 186 Shelton, Washington 98584 Fit 0114 -0232 I'Vll, iwi j,!Ilyl L -'4bl "ASON LAKE OR bRAPEVJ EW (%INI f. . AIIILN LOCKE 4?6--5167 ill(' fit;- OWNUR 111, COMIIIW4110ft 100104S %4011 SINKI ANO 16 It J! IS 14sq1 111111 Ill I If 0 A11110111 11ti itAlt RE t Ill I I'it,t AII(ION1 BY 4w fit 0t; Ill I ldi 1 0 f I Pkill 10 Ill 041811011 3:61l, ftf-j,- I flit 1 44-'A 19 44111111(911 1 4) ti111 1 4 fO Ill WWII W, I'i�kt tiff, '&hl' L I f At On—'rA Iv 1.A[10 t lit I I i tit) I 1 1.>•f,- /c Illy W M 1 113 1 0 I"I I It tin", I W, 0 0 1 1 H o, I I I I I if! f I it io ill: I lit i If I t'4 I fill! Ej a if 1, , 0 y t A v — t I lit 1W.,111 le': A I lit 174 ',;1 it.ia 111JIMI) 1, 0 1 1, A I IIr) I Vail, I il(l 1 1, k 0 1, N(j I I 1 0 11 . 11 4) 1)V It 0 I Nil f N I li,l U 11 I;ilffolf I Nt I N 0 L p 1 A 1, Of I N I 1 1.r4 ri I I I W I N id 1 1 IiAN I if I ,t 6�`U I 1 0 0 0 0 1'IV t /14 1'A rf< 0 A T ;'H 1 1) Ilk 1 0 A 1 '04 1 1 m I. I tip f. 0 A rf;iI,jF( I w i,klrl JoN i 6AJAGf 1.100P AND t.OVI-AIII 14A f0 WA ii if il F r I f qi,A I I(;0 1.4wt' s N ii R I H 10 .0 A S 0 0 1 P F N',(14 010 flulto 11111 10 410%�Vhfl AT NWO ME Dplvf fA�jf ( THIN Riblif) 10 I'M 00400 IM 11141vt EAST, (Okill Im 111110 V DRIVEWAY Kill iiiijilifilf(jo WIIHI% lift IjAiS, Ap if Ci)#ijkEfijlqN OR Wslit IS IiI13PENVIED FOR A PER1601 IN[:, PERNII BECOMES 111itt AND VOID If WORk 04 td MMON A NOR Il - p wlifIlli THE let PAJ PMW FINAL INSPECTION IIVSI� ,if 191 DAY,", AT AN A[ AM; wool is f9i"ro, MOM (011111 lell or WORli Is A PROW""; W11)[1,110 V1 APPROVID BEFORE B1ll �, CAN BE 0 c Pita Awlif P ilk R6J PAT! CONCRETE MECHANICAL MOBILE HOME Footings-S tbaq,4 y,�� a _ date by Ribbons date , LJJ by4 Gas Piping date by Foundatio alls date by Set Up date r by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date b/_I� �� by PLUMBING cnl c �� OTHER Groundwork Attic(� -� ) date by date by D.W.V. WALLBOARD N ILING date by dat V,?L byL�L Water Line FINAL INSPECTIO date by date ' _/�f ,' by '� date by i MASON COUNTY Mason County Bldg. III 426 W. Cedar F.O. Box 186 Shelton, Washington 98584 ij1 i � +!'if fi IlIlii:l ! .I ;,ill,, i,l.'f 1 i, t. . r # ! . !'l! 11. 1 i + 1 i. i 1'rls.l I 4 I'dlr t ii1 ill 1:, t tll'1; ! I It 1 1 1 tf 1' ! 1 ri",1 i ! �f• t 1" ,. i� tl'I !' 1 11! f t'If f rt;: !,'.! .�l 1 !l;i it I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 : � 1 '.1r111�1s•'-. 1 rr rpf,l:f ,,. ,,,; �rl i �i .. ! f, ,.. - :i, � i i f{.. 111 rr �1 r } ; ,.. _, f. ,�i=rf,k ,t r rf i�. f�l,�, �t i! ri f;l r ;,, t tt .� 1ri i r ttk,f: I I: Itt ( l IttJ t�i:�Ir I ', , ! r_1 t'•t f 1 t I (t t 1)f�!<t r_.r� � I t�+l 1 1 � � 1 t !td I'l4k+ ! fjk 1'�21 fShttt !11`i i 1 t1f't+) )?I! ) f Ik i f4ij t fliti t1 ` !• fIf?its •rf .gyp 5"l ot f \10 y Vb M S P h y ;AN K `4- so' T I , i `yl , 83� Q well SCRIM Iva NE E plow _ Lor.kE ShdP /"RRG-Z _-- 2- qy- Permit No. MASON COUNTY ak\/ BUILDING PERMIT APPLICATION :0 P 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 1 PLEASE PRINT FISH >�a2 LOCO 13 9 0 C #1 Owner �L, ` �c,4,1&►e La cl�� Phone # Site Address 2'{S 21._�2 :EaS- ' Fire District# City �,-_ Ho i St Zip g 524y Directions to Job Site H Lo o'Qf 40 M C V L < �2. . ye �Q 2 s OR �o9s-f, �v24-7 l c !�� &Ql Uec.0 g�4 Owner Mailing Address /O 4P O city < Stw 14 zip 0 3 3 Lien/Title Holder U v1 v Address © 5- city KO-Wood St 4 Zip`�903_3 #2 Contractor Name �7V�-;1J� C-ontractor-Reg # Address - - Expiration Date City St Zip Phone # #3 If septic is located on project site, include records. Connect to Septic? AJ C Public Water Supply Well Connect to Sewer System? 1/U_Name of System (If residential, proof of potable water is required) #4 Parcel No. - 52 - JoC 3 Legal Description "/erT 3C7 h #5 Building Square Footage: (existing roposed 1 st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / # bathrooms / Garage 9�,4/ Carport / (Circle: Attached o Detache ) Other c-_O urfe t-d Willk 652-c.k sq. ft. 39 G / #6 Use of building �o t e� F'> Describe work / (.vim � �lvts i" #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 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 See ✓� �� w � ��d O-LA,)► Vic, APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW 5�e � 44 (42(,1 )� 1 Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. Toilets 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 $ 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- TOTAL MECHANICAL $ 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 OFTHE 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 OWNER X BY DATE DATE FOR OFFICIAL USE ONLY:Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: (3u )iUPp Z BC9 j t7&-rP 0qSSU"Te--s Lgzz Building Plan Review Occupancy Groups --1— Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit i Plan Check �U Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: 3; TOTAL FEE