HomeMy WebLinkAboutBLD93-00476 Cancelled Siding, Deck and Roof - BLD Application - 4/16/1993 i No.3LD
MASON COUNTY �y
APR 131993 IJBUILDING PERMIT APPLICATION
PLEASE PRINT 3 V�7
#1 Owner Phone# 3r 7 l a
S i t e Addres s -Y'1 Z- i o L
City Lelinct k- St P _ -Zip
Directions to Job Site 1-�- YC,t '1��, r� ,Yl b��l"� ��► �2 ��� �����egl�c ��_
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Owner Mailing Address _ RF i�c. , . r,�, o t L;
City' 1 4�(c St Zip (-q ,r Z
Lien/Title Holder
Address
City St Zip
#2 Contractor Name Contractor Reg-„
Address Expiration date _
i
City St—Zip —Phone
#3 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)
#4 Pareel. No.
Legal Description o. RE"c'I -3 . iW X 3�+? z.g
#5 Building Square Footage: (axisting/proposed)
is t Fl / 2nd Fl N / 4 3 rd Fl IV / 4- Loft IA-
Basement /v 14-- Deck #bedrooms L_ #bathrooms
Garage N / Carport (Circle: Attached or(DDeetached
Other sq ft /
#6 Use of building Describe work
47 Type of Job: New `�_ Add Alt RepairX Demolition
Woods cove Re-Roof- Bulkhead Other Q ,4 A-eg-V
#8 MOBILE FIOM� TNF(�RMATIC
Model Year lqklL, Make � iAxn Model SS-! 3 8/c,
Lengch 5W Width, 6#_ Ser4_al No. SS- k S F- i 4,e,
#Bedrooms #Bachrocros Type of ffeac 9W'O aP&KIe,
R9 Any wace= on or adjacent co property: salc-aace=______ lake
rive; pond wetland seasonal rs ncc:
ocher
i
Show followiag oa the site plan "I
Lot 0inea4ims Flood Zones
Existing S'Ez-sctures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drai:age Plan Topography
Septic Syst-m4 Wells
Proposed t rovements Easements
Name of- Ig- Street Scale:
Name or'r-roati=g Street Date:
APPLICANT TO DRAW SITr PLAN BELL
s�
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELO
.a tee_
��� 4
FIXI+ ___25 l$2 iach Fee) F
No Toilets vent Systams X 3 . 00
Bath Basins ? Vent Fans X 3 . 00
Batu Tubs No. Boilers/Compressors
�� Showers 0-3
i Hot Water Htr 3 -15 HP 5 . 00
—Laundry Washer ,5-3 0 HP
IS inks -- -
--- - 30-50_ap
Floor Drains 50 + HP �
Laundry Basins No. Air Handling Unit
Dishwasher <= 10000 c-9m. 7.50
Disposal > 10000 cfm. 7.50
Urinals Other
Other Evan Coolers
Hoods _
Permit Basic Fee 3 . 00 Fire Suppression _
TOTAL PLMMINGG $ Domes. Incin.
Co=LL. Incin.
Reloc/Repair 6 . 00
Mechanical Fixtures Gas Outlets X 2 .00
No. Fuel Types Wocdstove separate
ti . Furs < 100K BTU 6 . 00 Other
Furn >- 100K BTU 6. 00
Q o'' Furn - Floor 6 . 00 Permit Basic Fee 10 . 00
Heat Pumas 6 . 00 TOTAL MECHANICAL $
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
A=ORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK
IS SUSPENDED OR ABANDON= FOR A PERIOD OF ISO DAYS AT ANYTIME AFTER WORK
IS COMMENCED
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM E SVT FROM THE RECIJIRE1EiTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR
CONTRACTORS REGISTRATTON LAY RGL 18.27 , AND AM AWARE IN THE STATE OF WASMINGTON AND I AM AWARE OF THE
OF THE MASON COUNTY ORDINANCE REDUIRE?lEMTS FOR WHICH ORDINANCE REOUIRMMTS REGULATING THE WORK FOR WHICH
THIS PERMIT IS ISSUED ANO THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK OONE WILL 8E IN
CONFORMANCE THEREWITH. 140 CHANGES SMALL RE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL RE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROI THE BUILDING
DEPARTMENT. DEPARTMENT.
X ownR X BY
DATE DATE
Return permit to: Department of General Services
426 W. Cedar/P .O. Box 136, Shelton, PIA 98584 427 -9670/1-800-562 - 5623
FOR OFFICIAL USZ ONLY: Accented by: Daze :
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MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton,Washington 98584
(206)427-9670
BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
MAY 18, RECHWE
1993
OCT 2 21993
Susan Server
235 Broadway Apt 401 GENERAL SERVICES
Tacoma, WA 98402
The following information is needed on your plans prior to further processing:
I
1 ► Upper venting : YtN- - A- 1'i dg-e- CUA-; att`L S V-' - �
2) Stair width, Rise and Run of stairs " X " X L4
� _
3) Decking material to be used - X G C�—1
4) Location of support posts under deck
5) Beam size being used to support load bearing of truss and span y " x .�► �,'
6) Connection method used between all posts and beams L-Lt liS(o
7) Type of lumber being used(Hem-Fir, Doug-Fir, Pressure Treated, Sunwood
8) Span of floor joists S
9) Bracing method for uprights on deck cover 4X,( p X I4 �Qr-2,IYes� PG��"�
If you have any further questions, contact Larry Waters at (206) 427-
9670 ext 285 from 8:00am to 9:00am Monday through Friday.
Than
.k You,
ami Griffey
Building Department
cc: Property File
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