HomeMy WebLinkAboutBLD94-01072 Cancelled Garage - BLD Permit / Conditions - 3/9/1999 MASON COUNTY
Mason County Bldg. 111 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date , / ! } Gas Piping date b
Foundatio Is date by Set Up
date , INSULATION date by
BG/SL Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
f�
date Oy �,,,/ by
date by
D.W.V. WALLBOARD NAILING
date date by
Wa
ter r Line by FINAL INSPECTION
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
PLEASE PRINT
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 'Q 01�
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#1ew er GK C aJ Phone# ,V26 69VyAddress - / L 6hJ1 Fire District#St 4 Zip qFx�
Directions to Job Site keW11Y ? Ataglk n M440' eal
/YI/.,U y Lk-Og. elvT 7Z/2^✓ le-16A.'r 7l/ &%w a�la;y�D
Owner Mailing Address(Y'd/nN
City St Zip
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name Alec JF/✓r/e Contractor Reg
Address C- 09/ lYlA 7V 4Z� D/l &07- Expiration Date_/
City G P4PyC11&k1 St _Zip g2Y-Sly Phone# 4"2C126 7
#3 If septic is located on project site, include records. �-
Connect to Septic?)L-Public Water Supply Well /
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 elNo.�33 - S-Z -0603 cT Legal //u ��� •/G( Z Description /V10011V6 C UidNY
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage Carport / (Circle: Attached or Detached?)
Other sq.ft. /
#6 Use of building 6 V 6C 32 X 30 Descr' ork
#7 Type of Job: New Add Alt Repair-X— k,,
cV
#8 MOBILE/MAN ACTURED HOME INFORMATION
Model Year Make Model
Length idth Serial No.
# Bedrooms # Bathrooms Type of Heat Ftr
Purchase Price $
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetlan 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
�pGN�
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. Units Fees
Showers _ Furn BTU
Ho ater Htr Heatpumps
_Laundry her _ Vent Systems
Sinks _ Spot Vent Fans
Floor Drains No. Boilers/Com ressors
_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
Y
Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ No. Other
Gas Outlets
Wood, Gas, Pellet Stoke
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. DEPARTMENT
X OWNER X BY )&" &I"I
DATE DATE
I
FOR OFFICIAL USE ONLY Aptey" bate:' ,
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health: _ OWNER/BUILDER TO ASSUME ALL
RESPONSIBILITY IF DRAINFIELD AREA
IS ENCUMBERED.
Building Plan Review Q
17504
Occupancy Group:rm—/ Type of Const: wmq—"O�.
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check 3�.
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee q, 56
Other
Other
Building Valuation: ��� SZO ' 0-0 TOTAL FEE YZT 5 0
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