HomeMy WebLinkAboutBLD93-01075 Cancelled Garage - BLD Permit / Conditions - 6/5/1994 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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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 by date by
I �- i
NUL
VC� BYE p
BY
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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———————————
mit No.
MASON COUNTY
BUILDING PERMIT APPLICATI
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1 C62 � 3 J
PLEASE PRINT
Pr
V_ V
#1 Owner � � / `arv�� -EC�26 L� Pone# " i
Site Address -2, O `-e f'riS7�' Fir t#
City C r DPP l)(Lf i uJ St 1 P
Directions to Job Site tA cc so ►� �y
I t r� U tQs
`f rS � ro ip
4- , -�k q C- <,
Owner Mailin Address
City e- St lAt sk, Zip �M
Lien/Title Holder
Address O—
city - 7r, n St Zip
S�s-
#2 Contractor Name e Contractor Reg#
Address Expiration Date
City St Zip Phone#
#3 If septic is located on project site, include records.
Connect to Septic?-,&0 Public Water Supply_Zll_(2_Well--L3.) C)
Connect to Sewer System?_4ZL Name of System
(If residential, proof of potable water is required)
#4 -Parcel No,�^?3.?
Legal Description S
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
arage ,576/s `gat Carport / (Circle:Attached or Detached?)
ther sq.ft. /
ou
#6 Use of building + 0. rid ra Describe work P0 v- r'
ov o
s a s-+a r air L L4 bl ;;t L4 bo AG I ��r0. e 1 s O
#7 Type of Job: New Add Alt Repair Other �J
#8 ANUFACTURED HOME INFORM
Model Year Make odel
Length Serial No.
# e rooms #Bathrooms Type of Heat
Purchase Price$
#9 Indicate by circling the applicable source if Farsh
ter is on or adjacent to subject property:
River Pond Creek Stream Wetland L 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 Indicate Directional by (N, S, E, W)
Name of Flanking Street
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
t�
Plumbing Fixtures ($3 each Fee Mechanical Fixtures 6 each
No. Toilets CIRCLE FUEL TYP Gas, Electric,
Bath Basins Heatpump, Oth
Bath Tubs � Fees
S
owers Furn BTU
f Water Htr Heatpumps
_Laun Washer Vent Systems _
_Sinks / Spot Vent Fans _--
-Floor Drains No. Boilers/Compressors
_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
Permit sic Fee 15.00 — uto Fire Sprink Sys 25.00
OTAL PLUMBING $ No. hP
Gas Outlets
Wood, Gas, Pellet ve
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
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 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 `f'/ X BY
DATE / DATE
FOR OFFICIAL USE ONLY: Accepted by: Date: Z�lt�
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
N�
Environmental Health: Dwyve,(— S
/�-
Building Plan Review
ll�
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit (p7.Q�
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee t�
Other
Other
Building Valuation: y� ��/Z TOTAL FEE