HomeMy WebLinkAboutBLD93-00422 Final Retaining Wall - BLD Permit / Conditions - 8/25/1993 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 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 date by date by
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
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PO D o Permit No.BLD
MASON COUNTY
APR _ 2 1993 BUILDING PERMIT APPLICATION
PLEASE PRINT
#1 Owner Pis K L4 R5c>h/ Phone#
Site Address E2961 H450A) &ILE MIVE' E4ST
City GeAh-ul'E�w State Zip
Directions to Job Site �W`/ 3 TOSnAi R NSon) C� WESi
PAST F�f'� /�. � Tn E A4SOAI ,4.t� �RIUE r=IST_. ca MoRTff
�4Ro�7- / tit// -
Owner Mailing Address E aqE,� �,�SOiv �t�'C '6R, EA 1-
City G4APE-ufEw State W4 Zip 9�?S<a'
Lien/Title Holder T-e6 roLjr4" FE06RAL L t Go-4hJ 4U0C OF S&4TTtC__
Address lSao FOUR7rt ,4vE.
City SEATTL State Zip 781a- 16y8
#2 Contractor Name Contractor Reg #
Address Expiration Date
City State Zip Phone
43 If septic is located on project site, include records .
Connect to Septic? Public Water Supply Well
(If residential , proof of potable water may be required. )
44 Parcel No. ,22a 3 3 5,22, - 000
Legal Description-bJ_ V (, L07- 2,2 OF MA L'S S U Nh/Y S flog
i5 Building Square Footage: (existing/proposed)
1st F1 1760 / 2nd Fl -- / 3rd F1 / Loft - /
Basement / Deck / #Bedrooms -3 / #Bathrooms / --
Garage / Carport / (Circle: Attached or Detached?)
Other PUMP E-}OU SE= sq f t Ro
f6 Use of building Describe workER1;C I RE'rA.(IU(W 6 V,1kG(_.
No SOIL TO 6E" REMoVEt. w,4LL Vvi �( b2 3� fo q,4,f-.a;p c'd,eck Gohs rum ion..... .
HAT,R(4(_ wi'(( be Key34oke 1ock5.
k7 Type of Job: Newz Add Alt Repair Demolition
Woodstove Re-roof Bulkhead Other
8 Mobile Home Information
Model Year /9Qa Make MARLET76j Model �L~SER I MAti�
Length FT Width a /=% Serial No. J4 Op 683JA R
#Bedrooms 3 #Bathrooms Type of Heat ECECTt1C - F0kC&0AI�Q
9 Any water on or adjacent to property: Saltwater Lake _River
Pond Wetland 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 System Wells
Proposed Improvements Easements
Name of Flanking Street Scale-
Name of Fronting Street
Date:
APPLICANT TO DRAW SITE PLAN BELOW
S�tc ATT LHE 6 St4EET
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
SEE" ATTACHED SHEET
I
Ea%i MASON LA-<C 6klVE" 64ST
GeAPEvlCw w,4. �SSy6
Mason Lake
Mason Lake
(op FT�
SNpR� C�N`c- SN RELINE
PROPERTY LINE
PROPERTY LINE
3 FT
WELL HOUSE 6 FT
(aF
retaining wall
WELL - - - - - - - - - - - - • - - - - - - - - - - - - 11 FT
HOUSE
292 FT , 267 FT
WATER LINE -► ft
SEPTIC
8 ft
5 ft
15 FT
DRIUEWRY
5 FT 26EME qT 18 FT
DRflIN FIELD
20 FT
22 FT
MRSON LRKE DRIUE EAST
SITE PL4N Topo6RA PNy PROFILE
RICK LARSON
E 4881 MASON LAKE OR E
QRAPEVIEW, WA 98648
Pl;imbing Fixtures ($2 . 00 each) Fee: No. Boilers/Compressor Fees:
No. Toilets 0-3 HP
Bath Basins ---6-00
3-15 HP _ 6�0
Bath Tubs 15-30 HP
Showers 6,00
30-50 HP 6.00
Hot Water Htr 50 + HP
Laundry Washer .00
Sinks No. Air Handling Unit
Floor Drains <= 10, 000 cfm.
Laundry Basins 7•50
> 10, 000 cfm. 7.50
Dishwasher
Disposal Other
Urinals Evap Coolers
Other Hoods
Fire Suppression
Permit Basic Fee 3.00 Domes . Incin.
TOTAL, PLUMBING $ Comml . Incin.
Reloc/Repair 6.00
Mechanical Fixtures Gas Outlets x 2 . 00
No. Fuel Types Woodstove
Furn < 100K BTU 6.00 Other Se rate
Furn >= 100K BTU 6.00
Furn - Floor 6.00 Permit Basic Fee 10.00
Heat Pumps 6.00 TOTAL MECHANICAi, $
Vent System x 3 . 00
Vent Fans x 3 . 00
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 1.80 DAYS AT ANY TIME AFTER WORK IS
COMMENCED.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I certify that I am exempt from the requirements of the I certify that I am a currently registered contractor in
contractors registration law RCW 18.27 , and am the State of Washington and I am aware of the
aware of the Mason County Ordinance requirements for ordinance requirements regulating the work for which
which this permit is issued and that all work done will the permit is issued and all work done will be in
be in conformance therewith. No changes shall be conformance therewith. No changes shall be made
made without first obtaining approval from the Building without first obtaining approval from the Building
Department. Department.
X OWNER X BY
DATE: DATE
Return permit to: Department of General Services 426 W. Cedar Street/P.O. Box 186
Shelton, WA 98584 427-9670/1-800-562-5638
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
. Aypovd Cut ibY
APP.-I
Planning:
�Yt"I
Environmental Health:
Building Plan Review:
Occupancy Group: % /1 Lam,(/' s �' ryt•Fi/
Fire Marshall:
Other:
FEES
1
Special Conditiorus:.
Site Inspection
1
Building Permit
I
I
Violation Fee
1
- - Violation Investigation Fee
Plan Check � f
1
1
Plumbinq Fee
Mechanical Fee
I
Woodstove Fee
1
I
Building State Fee
J 1
Building Valuation: 6q
I
1
TOTAL