HomeMy WebLinkAboutBLD93-00553 Cancelled Garage - BLD Permit / Conditions - 9/24/1999 MASON COUNTY
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Mason Count Bldg. III 426 W, Cedar Y g
P.O. Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date i&,- -„z I- by Gas Piping date b
Foundation Walls date by Set Up
date / -? by 4- INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date��)Vl—G'�d- byZ- date by date by
PLUMBING OTHER
Attic
Groundwork date by
date
D.W.V. b 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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EXHIBIT 'A'
PARCEL 1
That portion of the East half of the Southwest quarter of the Northeast quarter of
Section 1, Township 23 North, Range 2 blest, W.M. , in Mason County, Washington,
described as follows:
COMMENCING at the center of said Section 1., Township 23 North, Range 2 West, W.N. ,
thence North 89' 52' 32" Last 656. 12 feet to the POINT OF BEGINNING; thence North 00'
20' 37" West 704. 32 feet ; thence South 89' E3' 33" East 329. 25 feet ; thence South 00'
15' 05" East 700.08 feet ; thence South 39' 23' 30" West 328.06 feet to the POINT OF
BEGINING,
EXCEPTING road rights of way
(Also known as Tract 4 of that certain survey recored in Volume 3 of Surveys, page
55) ,
PARCEL c
TOGETHER WITH AND SUBJECT f0 a 60. 00 foot road and utility easement lying 30. 00 feet
on each side of the following described line:
BEGINNING at a portion 30. 00 feet South of the Southwest corner of the East one half
of the North one-half of the East one-half of the Southwest quarter of the Northeast,
quarter of Section 1, Township 23 North, Range E West, W. M. , thence North 0' 15' 05''
West along the West line of East one- half of the North one-half of the East one half
of the Southwest quarter of the Northeast quarter of said Section 11 508. JO feet to
the South right of way line of DeWatto County Road and the terminus point of this
Easement.
Permit No.
XMON COUNTY
13LTMDING PERMIT APPLICATION
%SE PRINT
''II
Owner K �i , H N OV,1(— Phone# 5003(wk) 606) 377-1y566V)
Site Address QV --1A Fire District #
City St /UDzip
Directions to Job Site o1D 13dl�re. iyc.,Y 3 R% LJ vn �,� CREEK -Pc4,cAk Rc9
Co,4., �.� ti Pst Pe �a pu Acc.e55)
o A Pr-%VAic Koc.& ) LAST jA1UEW0 o,-\ Ri 4k.,'
Owner Mailing Address 610 /aT: .57
City BREMERION '--St UVA zip of8310
Lien/Title Holder R, \Ac,,& F F s)4,,-c6 A. NooWN
Address 309 SErF LMU►s 57
City WAVELAND St W,55/55/�� Zip 3 95Ye-
Contractor Name A14 — �yierl Contractor Reg',
Address Expiration date
City St Zip Phone
0 1::�� �Ic
_
If septic is located on project sit �de rec(Qs
Connect to Septic? Public Water Supply Well
(If residential, proof of potable water is required)
Parcel No. dd 301 -�S- -UU 0 qO
Legal Description ' -a •e,j
Building Square Footage:
1st F1 2nd Fl 3rd F1 Loft 57 D Basement
Deck #bedrooms #bathrooms Garage 3a Carport
Garage/Carport: Attached or Detached
Other
Use
1`ofbuilding G�ke.ra� /5+o(rAt 6LD& Describe work Lvood FaAmej
gl#��LJ)I NG on C oN%c,r G�C r-" ...6 4�;&,l
Type of Job: New"_ Add Alt Repair Demolition
Re-Roof Bulkhead Other
s MOBILE HOME INFORMATION —JIA—
Model Year Make Model
Length Width Serial No.
#Bedrooms #Bathrooms Type of Heat
Any water on or adjacent to property: saltwater lake
river pond wetland — seasonal runoff
other
Show following on the site plan L
Lot Dimensions Flood Zones 1
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography IN
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Scale:
Name of Fronting Street Date:
.PPLIC NL T TO DRAW SITE PLAN BELOW
t,5A'1EA
EA/TD 30' �eecti` .�o N GA R RGE
�Ev„R1?� N ISO M
M
till
Y
'7v�1 3a
CSEE 5/TE NAN
(jL O& PLANS Fv R r►�aQ�
G/A A I Vr
.PPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
TO POGRNWI - 8A5)C-AZ-Ly L 7T
t. -
?lumbing Fixtures Fee Mechanical Fixtures
No. Toilets Primary Heat Source (C1rcte ripe)
_ Bah Basins Elect/heatpump/other
Bath Tubs
Showers NO. FEE
Hot Water Htr Furn
Laundry Washer Heat Pumps
Sinks Vent Sys (Central)
Floor Drains Vent Fans (Spot/Whole)
Laundry Basins Boilers/Compressors
Dishwasher HP
Disposal Air Handling Unit
Urinals cfm.
Other Fire Protection Systems
Permit Basic Fee
TOTAL PLUMBING $
Other
Gas Outlets .Hookups
X Wood/Pellet/Gas Stove
Other
Permit Basic Fee
TOTAL MECHANICAL $
TOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
=ORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK
-S SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK
IS COMMENCED
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR
_CNTRACTORS REGISTRATION LAW RCW 18.27 , AND AM AWARE IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
'IF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH
'HIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
:ONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
dITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
DEPARTMENT. DEPARTMENT.
X OWNER X BY
:)ATE R6 A PYL 9 3 DATE
-turn permit to: Department of General Services
S W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
FOR OFFICIAL ESL ONLY Accepted by � Date
DEPARTNTMAL.REVIEW
FOR OFFICE USE CMY
Approved Cond Hold
Approval
Planning:
Environmental Health:
Buil4ng Plan Review:
Occupancy Group: -
Fire Marshal:
Other:
FEES
Ilspecial Conditions: II IlSite Inspection I II
II II I I
II 11 IlBuilding Permit I II
II II I _ I
II II 11violation Fee I II
II II I I
ii II Violation Investigation Fee I 1I
I1 II I(Plan Check I II
II II I I
II II II Plumbing Fee
II II I I II
II II 11Mechanical Fee
II II I I II
II II IlWoodstove Fee I II
II II I I
II II IlBuilding State Fee I II
I' '1 H 11
IlBuilding Valuation: 11 11 TOTAr.,I 11