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HomeMy WebLinkAboutBLD92-00753 Final Storage - BLD Permit / Conditions - 1/21/1993 MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 � A� A.A tl N R ► tt: t�N d:"e i'' R i� 1"# 11 1 ��Y �.�.1 BLUy2—O7E�3 ('ftt i l: L '."� I 'i.'1100o s 11 1 )A I If I fit 30H 0)100 S01 t it 11WAtJP SIT 1 [ I i 1WAUN Iit1141 GARY RFCI) 1t/ S11A1 — ;IN 11111 I tit t f �.hi IN 3.1 Nt VA( flii Of 1111,14111111' IS 66322 taec.•.:�=::a.-•.-. ec;.zx:.- -:z>a:.r�a- .c^.:..�cxo-.e.,�am�,�c.Rs.^, a�:,x.•:••_,... .,.�. _,i•.>v:-•�-n--r.-sue s..:rr_._� i 1 ON ,`, sit iftik' III IA M illy 111 0 11Ff ANifRNI r+Y RAi[ RfI,ElP1 1TYPI Hi OAlf kfffiN11 I `, } ,f f t+ .i I U t. 1 t N -.�. _.....__ �._ � ._T-ten .w .::-_,__. _ -. •- - __.— m i1i t Iti' }.n11t' f31 L11t Ili ) iiFi i t i kk�t I ". o Div I I itt.-t I11 I "hit . - in I,11:,till 1 rr._ I ', 5'� �'iiff `.d (,.I} Rtt(u 1;'); i1l15 Wit i I . stt. i I '. 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M010ff tit (ONIINUAiION of gnkl I, A ffOtik} 19,4(iIION MIN1N TNT IAd RAI Ffkt1+0. TINAI 111141 (1If1N 09Si tsl APFROM, Sffv'it lilll(D1N6 CAN Of OCCUPIED. OWNER 01' 11041 c • Bt0 PRNI . I CONCR TE MECHANICAL MOBILE HOME Footings etback date by Ribbons date - by Gas Piping date by Foundatio s date by Set Up date -6�4 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 OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date b date by Water Line y FINAL INSPECTION date by d e bv�l ; date by ?e�4c No.3L�f MASON COUNTY BUELDING PERMIT APPLICATION PIEAU PRINT ALP #1 Owner - Phone# 1-77- S/y/ Site Address City St -7i13 Directions to Job Site Owner Mailing Address City . —St Lien/Title Holder Address City St Zip_ #2 Contractor Name-_. r j Contractor Reg# Address Expiration date City S t ,Zip Phone #3 If septic is located on project site include P 7 reco rds. Connect to Septic? Public water Supply well (If residential, proof of potable water may be required) #4 Parcel No. / e© c^ Legal Descr: r2 � 3 3o #5 Building Square Foccage: (existing/proposed) 1st Fl -----f 2nd FI 3rd FI --f- Basement Deck _.t. #bedrooms / 'bathrooms_ Garage Carport / (Circle: Attached or Detached?) Other sq ft 1 #6 Use of building X/. tJe.. _ Describe work 47 Type of Job: New /Add Alt Repair Demolition Woodscove Re-Roof Bulkhead Other �8 MQB ILc `MMT PVFORP4.A T TON Model Year Make Model Lengc:: Wide:-:_ Serval No . Teedrooms #8ac::_ooms Type or H.eac "9 Any wace_ qn or adjacent co Properzv: sal:wacer lake pond wec Land seascna. n;no f- oc.~.er Show fallawimq on the site plan I Lac Dimensions Flood Zones Existi g Str'sctsres =ences Str'sctsre Setbacks Dr4.veways water Lines Shorelines Drainage Pla= Toaograchy Septic Systems Weds Proposed_ rcvements Easements Name o . . C Street Scale: r o R Name of Fronting Street Date: APPLICANT TO DRAW SITE pLAN BELO APPLICANT TO DRAW TOPOGRAPHY- PROFILE 3ELOW. 21 ,�izcr �; Yt..r�s (S2 each? No Toilets Vent S ys t ams X 3 . 00 Bath Basins Vent Fans X 3 . 00 Bath 'TM.L7s No. Boilers/Compressors Showers 0-3 HP 6. 00 Hot Water Htr 3 -15 6. 00 Laundry Washer _, 15-3 0 HP �_ Sinks 30-50�HP Floor Drains 50 + gp -tea Laundry Basins No. Air Handling IInit Dishwasher 10000 cam. 7.30 Dlsuosal 10000 cf=. 7.50 IIr,:al s other Other Evap Coolers _ Hoods Permit Basic Fee 3 . 00 Fire Suppression TOTAL PLUbID 2NG $ Domes . Inc y.n. • COIIa l. Incin. � . 0 _ Mechanical Fixtu r Reloc/Repair 6 As Gas Outlets X 2 . 00 No. Fuel Types Wcodstove semarate Fury < 100K BTU 6 . 00 Other • Fu.-n >- 10 0 K BTU . 00 • Furs - Floor 6 . 00 Permit Basic Fee 10 . 00 Heat Pumps 6 . 00 TOTAL ME=ANIC'm'L $ NOTICZ: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRIICTION A=ORIZED IS NOT CCMME"TC= WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF I80 DAYS AT ANYTIME AFTRR WORK IS CCM.MENC= OwNBRS AFFIDAVIT =NTRAC ORS AFFIDAVIT I CERTIFY THAT I AM EXegPT FROM THE REOUIREmENTS OF THE I CERTIFY THAT I All A CURRENTLY REGISTERED CONTRACTOR CONTRACTORS REGISTRATION LAW RCSI 18.27 , AND AM AZURE IN THE STATE OF WASNIMaON AND I AM AWARE OF THE OF THE MASON COUNTY ORDINANCE REOUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATiMG THE WORK FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK GONE WILL 8E IN THE PERMIT IS ISSUED AND ALL WORK OGME WILL BE IN CONFORMANCE TMERELITH. NO CHANGES SMALL 8E WE CONFORMANCE THEREWITH. 40 CMAHGES SHALL SE MADE WITHOUT FIRST OBTAINING A➢PRCVAL F" THE BUILDING W(T)MT FIRST OBTAINING AVPRQVAL FROM THE BUILD(MG OEPARTM+ENT. OEPARTMEHT, X OAR X BY 0Aicc OAi= Retu_-n permit to : Oepar=ent of General Semites 426 W. Cedar/P .O. Box 186 , Shelton, WA 98584 427 -9670/1- 900 - 562 - 5628 ?OR OF?ICIAI. USE ONLY: Accepted by: Dace : �� � C DEPARTMENTAL REVIEW FOR OFFICE WE MMY - Approved coed hold Approval Planaing: Eaviro�eatal Health: Building Plan Review: Occupancy Group: Fire Marshal: Other: iiSpecial Conditions: FEESII (ISite Inspection I II II II If -II II 11 IlBuilding Peruit I II 11 If '1 II II Ilviolation Fee I II II II H '1 II 11 Ilviolatioa Investigation Fee I it II 11 II ' '1 II 11 II Plan check II I II II it C '1 II 11 I1Plumbing Fee I II II 11 11 '1 II 11 11Mechanical Fee I II 11 11 If 11 IlWoodscove Fee I 11 it it IL ,i I II IIBuildirig Stace 'ee I N :S Va_uacion: 11 11