HomeMy WebLinkAboutBLD93-00025 Final Dock - BLD Permit / Conditions - 6/14/1993 - ---- -----------
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
1 it 1 .4 P. ii ,io 0 ti,* 4 1 1 1 � #%I
fill-093-00?11,
I 1 11-4 AIIIWll 11 . t S IIIIASON I.ANI- Ilk 6HAI-IVV I I W
11 ,41 44139
0N
I 441110V ;"NAY Sum Apo iffi Ill olli 8 1 04t4i It 443
fit I Hi 0; giili I 11A
too I Ilp 111, 17 Gl t t 11 k0.1 a
I N'All I I 'IN rti f I J,. 0 it!!Ai oto tl
t I loll K
it
of tw HliW I
If[ f I 1 11 lit 14 t Ht691 is t It 0
141 ill: 14 i 1 to
!%I;( I I I.lit H i I'll it I t 0W
H 0
1,4 14f, 1 fillij I
1:4 h. M 1 1,4 1
I It i t I
t j4 1
i I I to I r4 A 1 0 Q IV' 1114 1 1 0
H I pi I ?off I I
I
tol Al lilillut %I itil wolil LAI I litt 1 pa"I I fit I I F f 1 A I I N I "f' AI I Al I t PbA I jil, t silit A I I 1 1 O�li IHP#
till 1,41.14A I I it I I 11 NA it emill iiAph!'I
IN11i pikoll 81 N"t I AND III [I If w(IRI tip I 'ill'i I pill I I'ill All fl-Div I*'t It 1 , 041 (AWWO wil"llol Igo 'to II I av I Clio I I tip 41, WIF1 I glit It f tip. A p!0 1 lit)
lif 10 'DAY', Al ANY I M AM F. utiolit PS 10"Ofmif f, fV110 In 1 iif itol INIIAI Ifill lit Notlit 1% A P1,Ahil V, 111"Ifflitio III Io1N tot ii,1111 06 1 pi R"Ill t 111AI 1111141 1 111111, 001,1
(AN P tj(-FAp
litil—FAIII , rev: $313101 (.011111'I, I AP4('f III AI I At'fit it C Ito Nil I I I(INIi I pt 011111 Nil 11
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 Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date _ 1 61:? by ,^y� date by
I
I
I
i
I
_ J
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Permit No.BLD
MASON COUNTY
BUILDING PERMIT APPLICATION
PLEASE PRINT � 'Z o O�
#1 Owner Phone# .2G6 y'37- y'YS j
Site Address E 3o su a 'a;
City C.rac)a State 4&� --Zip 9i Sy6
Directions to Job Site
/
4�" Oe ns tjii Z a Ke- - iLY.s
fit /�7a�ari 4.:- kx `'iL40 Lw/- ene An We , e si l %ar-4 Lrd dr�'vF ,a.5 A) /' z0f T
Q'/'I/'Ile
Owner Mailing Address
City S State zt'J Zip 9klIz,
Lien/Title Holder CA k'� n
Address # isoP 7�7 c�Yn
City -TtC 0-"'? State Zip
#2 Contractor Name 11119 S ore Ko"I Contractor Reg
Address n fl„C /Q5 g Expiration Date e
City State U-Irl Zip q5� Phone,5V, .So:z
#3 If septic is located on pro�/�'ect s�. e, include records. .3,e
P
Connect to Septic? �> SfluCT�rt UfPublic Water SuPP 1 Well X
� Y
(If residential, proof of potable water may be required. )
#4 Parcel No.
Legal Description _ c_. P U� (o
17 8'7 6
Building Square Footage: (existing/proposed)
1st F1 / 2nd F1 / 3rd F1 / Loft /
Basement / Deck / #Bedrooms / #Bathrooms /
Garage / Carport / (Circle: Attached or Detached?)
Other sq
#� Use of building Describe work
4 Type of Job: New Add Alt Repair Demolition
Woodstove Re-roof Bulkhead Other
# Mobile Home Information
Model Year Make Model
Length Width Serial No.
#Bedrooms #Bathrooms Type of Heat
#9 Any water on or adjacent to property: Saltwater Lake K _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
� 0
,
L
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
L f s
�6rr co -S
Plumbing Fixtures ($2 . 00 each) Fee: No. Boilers/Compressor Fees:
No. Toilets 0-3 HP 6 00
Bath Basins 3-15 HP 6.00
Bath Tubs 15-30 HP 6.00
Showers 30-50 HP
6.00
Hoc Water Htr 50 + HP 6.00
Laundry Washer
Sinks No. Air Handling Unit
Floor Drains <= 10, 000 cfm. 7.50
Laundry Basins > 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 separate
Furn < 100K BTU 6.00 Other
Furn >= 100K BTU 6.00
Furn - Floor 6.00 Permit Basic Fee 10.00
Heat Pumps 6.00 TOTAL MECHANICAL $
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 180 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.
i�
X OWNER �G ��rfic 13-ram,-. _ X BY
DATE: DATE - �S
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 I
FOR OFFICE USE ONLY
Planning: _ �C _�F — 3d.OG JGG
Environmental Health:
Building Plan Review:
Occupancy Group:
Fire Marshall:
Other:
FEES
Special Conditions : Site Inspection
Building Permit
Violation Fee
Violation Investigation Fee
Plan Check
Plumbing Fee
Mechanical Fee
Woodstove Fee
c
Building State Fee
Building Valuation
TOTAL I ��