HomeMy WebLinkAboutBLD93-01297 Cancelled Garage - BLD Permit / Conditions - 9/24/1999 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
A:O' 4...,1► R 1 P..A R. f'IY. if..11 L 11n II
t11f� i 1111f 1: ', H11 14A:.0M LAKE I)lt ( ilai'I-vEtw PERMIT
1i1Jifl.iti hllf+E ft I Ftc?wftY ?4 S-.,, .�,0 ,+`' NULL A1611k) p 3Y
EXPIRATION
<.' fillIjrhi I11k UAHIIA t..t�Nf;11?Mt 100 ",bW-.,---H141 BY
iiiltilt6S Sd OT Spoil ADO tc is r1 is Will Af 0M 1 , ;� DATE
i 14�,'; fit 1!!,)O)kl (41 1-4
I 1 a iiEs i I'll yi ►'
1'
fit'i.L11' ( tli:4tt
ter ae •t`A{1114111)0'
i`
0 . 0 f i Hit I ', .:e't t
Ilf f fml ; . 01
hIf it - { ! { Of 1.;
1.N(i 1 D i- ! !I t. t c'1 1 i t'i 1. i!{;,l . i•I 1 ! 1! i {
11A U.Mf:N 1 S�', 1 ! •';Nri% f: 1 f-1i
1:,f� 1s'11,hI,i' Ira t,tr'f it•?. f l•:1r } i t 1l iii ... •. �,f
I INi+i ! 'tif
fi f 1 ifiiii yn
f`R!!:Iff_f fif4(AtF11�A�r�!lAA�f
1'k1+.fiIi f)1;AlIW MA SAEl1f1A ME W It fit 0.11SB10 4tO' ltA 0 Aif it 11'f!f11it Ift AA if IAlI IIffI k16111 Aft 11AN110 1.11t IfPI :'I fA%I Will i it gilt III .!;to '.! It HA
lf1!
1N1': 1'fltAtl hfi:nAf4 Atli.f 4N6 YnfA ff WIM fli tltdsfA4iff!1A 01110Ai:1l1 is #Ai ifsAAfAiit., i_11af11K IA!! !lilts, ek if fttpSfkNilift# OR t!i:Ft it ,11iflliftfN flip A ktfi(lif:
of iKp 4~dTti Al 4 E fI f AIM 411-Y
f IiMNfN .fli fYiNtNiE A.f CAAflAeR11f11► +tf 430[l� f`a � 4'fiiihkt)`. 'IA,VIi-t14!� Uf1Nf# }Itf fish kiiY YfR1u0 11AA1 1M'�!�f!.I !1!N At1`:! r:t
AfVkf-'lfli Affllkt. ►JLf) p' 1. A E fiilF�itit
OwNfA Eli AbEAf : 1' �� '' Ofalt 9— J C
$i.fl.AART, f•v; 11731191 l 001111 1 0441 t 1 41 A i IrA1'til-11 1 d4NII l i t (iN'. i j Iti ()Ili Ill if
1
S I
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback S(�Y� 1j� date by Ribbons
date Sy tty - i� Gas Piping date b
Foundation W II 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 date by
PLUMBING Attic OTHER
Groundwork
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
-s
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
���///��� t!f I +i i .a1��7} i.�.. ,! i rtti i I` ._tr� l -' 1 .� -i . � ; ! - _� .-.. .,, _„ •- -. � _. � .i
nl �1 i1.;' tll r9g1C
i
n
���1 :.. � t �l, t!•..•- {",-rlfri 1 ) }tl .si-W .-
# 1 i ]Il i �!•� it -.-� - { l i.i ,�i.1 I pit-} . i ,},. �. � f . 1•. �� t � t Ali i t 1 .�� ,
If r {ijr C l. r r1 t {2 l' !t ' t —'z lil it :1{!
fat?�. I. fi}.�+ � t'1� .-t t.}) . Ftl i zi r t1t11!ll •;r { �� -? {5:�� {� { !�+ [�t <. i r -.l , I}t'tX) `! 1 IiP# t { !y`r
W IhVi mi ll 'll'tti I! !'{ilt�j liS 1. 111
>j��{.f 1 1- 1 {"i I. { F i:(}Itl I 10 l { is l { f I {r- �Fsi} i;it{,! { f lo,
ni 1 P7{ is 1 i fail I k! si b I t [i t ', W t ttl�ti'I I I 1 II i"F� i !r; n 1 'i! i i llf, i f,r t0{ , , { { !
,I ss rl ,i 1'- =iF! .':'1 I { 1 rd { A14i f .--ft •ti ! 1{f i t { fild f { irl j={ I;i! ! I I+ I {.I l.• 1
i'{v f ire
1 r•t( { }Ifd ! i�:t}! I i tlt, Ge'.i', I irlf i Is{ti li o�tl I I (!� 1,} 1 �.tt�f ii�.tir ;1{tt
• MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 Owner /Q99&;e7 Ab�LZK Phone# C0/) zys--5-�2 S-Q
-
Site Address �� Z y�// A410 6y 6 02 _, �. Fire District# S
City 459q; St t4l,4, Zip 5 SY�o
Directions to Job Site /&/11 sf16�,%OV r i 4// -3 /(/ C 7Z) 411Vait/ /,a 724!12 tI
&&Z& 7Z
C 3 V145 JV6 SIT-- eAl L.
Owner Mailing Address/4�7- 2 t.*X 137
City SuaC l&t;(I Sv" Zip 5T&
Lien/Title Holder �YYIE
Address
City St Zip
#2 Contractor Name 4*1af eWS;VM:2764,1 Contractor Reg#MOW 1AKI3
Address Z/� L� 14,1, Expiration Date_
City �Oco "4 St 44' Zi Phone# �67Z9
27q- /
#3 If septic is located on project site, include records.
Connect to Septic? " Public Water Supply �0 Well A10
Connect to Sewer System? /VV Name of System
(If residential, proof of potable water is required)
#4 Parcel No. 2Z233S-- Zc904- 76 Legal Description AAPIiVGs S/Y W47 //K/` Te, 70
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage CEO / .��cQ .Carport / (Circle: Attached etached?
Other sq.ft. /
#6 Use of building 04� Describe work
#7 Type of Job: New V 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 an ater is on or adjacent to subject property:
River Pond Creek Stream Wetland ake arsh Saltwater Seasonal Runoff Other ll
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
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3 each Fee Mechanical Fixtures ($6 each
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bath Tubs No. UDija Fees
_Showers Furn BTU
_Hot Water Htr _ Heatpumps
_Laundry Was Vent Systems
Sinks _ Spot Vent Fans
Floor Drains No. B it r / pressors
_Laundry Basins HP
_Dishwasher Air Handling Units
_Disposal cfm#
_Urinals Fire Protection Systems
_Other _ Auto. Fire Alarm Sys 50.00
Fi Fire Supp. Sys 50.00
Permit Basic Fee 15.00 Auto Fir rink Sys 25.00
TOTAL PL BING $ 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 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. DEP I
T.- nn
X OWNER X BltlT
DATE DATE � �[
j
FOR OFFICIAL USE ONLY: Accepted by: Date.,J/
..
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
ApprPval
Planning:
Environmental Health: l
i
Building Plan Review �'E Q-- cN L
Occupancy Group: M-4- Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit `Jl/
Plan Check 2
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: `7,, .2 0C) TOTAL FEE 07