HomeMy WebLinkAboutBLD93-01793 Final Covered Porch - BLD Permit / Conditions - 6/22/1994 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
111-4610
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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 date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by dat j� '' t � �j (L date by
———————— —————————————————---——————
MASON COUNTY
Mason County Bldg, 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER Philip M. Grabicki 5727 - 140th Pl.SE E -
OJOB DIRECTI
T O JOB SITE �'`rY H 3 to Mason Benson Rd. follow Mason Benson Rd. to "T" at Mason Lake Dr.E.
SITE
turn right (N) follow to Stoc4a('nd/or survey flags on left shortly before the end of the r ad
PARCEL 22233-52-00083 LEGAL Lot 83 s Maddin Sunny Shore Add 6
NUMBER DESCR. g y
Indicate below: 0-Property lines and dimensions.
4-Easements and roads.
Cr- Septic, drainfield and reserve area, or sewer.
G. Septic tank and drainfield setback distances from foundations.
0-V\
0-Location of proposed construction on property.
O-Building & septic system setback distances from all property lines& easements.
Indicate North Cr-Well and water line.
O-Saltwater, lakes, rivers, streams,wetlands, drainage.
In Circle CT-Attach copy of septic system"as built" or septic permit approval.
0-Indicate topography profile of property and structure on reverse side.
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I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval.
SIGK44URE F OWNERIS)OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
k
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE
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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��
PLEASE PRINT 0
#1 Owner /�/���/� /?'• G1-2A&/C Phone# Ztz ---?2 7-S c/e'
Site Address i- -,9L 57 / /7/�fc J e--A:::. Z)12. 4:=. Fire District#
city G A/Pe"'ieA) St zip '5y--r`/6
Directions to Job Site tJ.z I/7-Sx. N ?� 7-0
�I
Owner Mailing Address
City St Fe"14J4-zip
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name Contractor Reg#
Address Expiration Date
City St Zip Phone#
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No.aok:Z3 3 - 5-a - Ono 6-
Legal Description LGT 7.? 'ta
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other '
#6 Use of building Q02TZ !f Describe work
GucTZf (-05v6R.gO
#7 Type of Job: New Add 1,� Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make
Len Width al No.
# Bedrooms # Bathro Type Hea
Purchase Price$
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetland Lak Marsh Saltwater Seasonal Runoff Other
I
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 Indicate Directional by (N, S, E, W)
Name of Flanking Street
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
i
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: ��I23�93
Environmental Health:
PIT
Building Plan Review
w�-
Occupancy Group: Fo Type of Const: s t4
Fire Marshal:
i
i
Other:
i
Special Conditions: FEES
Building Permit o7 �, Sd
Plan Check
i
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
I
Other
I
Other
Building Valuation: S TOTAL FEE Y8.
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
—Si s Spot Vent Fans
—Floor ins No. Boilers/Compressors
Laundry B ins _ HP
_Dishwasher No. Air Ha ling ni
_Disposal cfm#
Urinals No. Fire Pr c io m
Other Auto. Fire Alarm s 50.00
I
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 1 00 Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ No. Other
Gas Outlets
Wood, Gas, Pellet Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID I
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 I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
I 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. DEPARTMENT.
X OWNER X BY
DATE f/43y DATE
[.FOR OFFICIAL USE ONLY:Accepted by: Date: