HomeMy WebLinkAboutBLD92-0253 Foundation - BLD Permit / Conditions - 5/7/1982 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E3 1.3 1: 1_.. 1_:3 1. 114A N!in V), t: R m ::1. "1'' FOR INSPECTIONS CALL 427-9670
BL092-0253 PARCEL : 320231400090 PLAT . DIV: BLK : LOT :
JOB ADDRESS : . . . . . . . . . . . . . . .
OWNER : MARC MRKVICKA 525-4402
CONTRACTOR : CARR CUSTOM CONSTRUCTION INC . 653-4225
LEGAL : T8 9 IF 61VT LIT 4 1 TAX 161-J FS 18531
CLASS OF WORK . . : NEW BEDR : 0 . BATH : 0 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT
TYPE OF USE . . . . : SF STORIES . . . . . . . : 0
OCCUP . GROUP . . . : ? BLDG . HEIGHT . . : Oft PRMT $ 28.11 DJK 15/11/92 31416
TYPE OF CONST . . : ? FIREPLACES . . . . : 0 STFE $ 4.51 DJK 15/11/92 31416
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0
DWELL . UNITS . . . . : 0 PARKING SPACES : 0
INSPECTION AREA : 1 SHORELINE?. . . . : ? TOTAL: 32.51 VALULATION: 1
SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS/COMP----- MOBILE HOME--
FRONT . . . ? Oft BATH BASINS . . . . . . : 0 : ? 0-3 HP . : 0
REAR . . . . ? Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : ?
SIDE ( 1 ) . ? Oft SHOWERS . . . . . . . . . . : 0 FURN < LOOK BTU : 0 15-30 HP . : 0 —MAKE------
SIDE (2 ) . ? Oft WATER HEATERS . . . . : 0 FURN >=100K BTU : 0 30-50 HP . : 0 ?
SHRLINE . ? Oft CLOTHES WASHERS . . : 0 FURN — FLOOR . . . : 0 50+ HP . : 0 —YEAR------
AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 ?
LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0
BUILDING . . . : 1500sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O —SERIAL#----
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN : O
GAR /CARP : ? Osf GARB DISPOSALS . . . . 0 <= 10000 cfm. : 0 RELOC /REPAIR : 0 .
AT/DT . : ? URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT 0ESCRIPTI0N:F0UN0ATI0N ONLY - SEE CONDITION
PROJECT LOCATION:FROM AGATE STORE AHEAD TOWARDS WATER TURN RT AFTER WHITE HOUSE FOLLOW ON LI6HTHOUSE ROAD
opTFFHI11Sggl!PEDpRMyyIggT AABTTECONNMgqESTTINULL AND VOID IFWORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 186 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD
pPPROVEDABEFOREABUIID 6ACANRBEOOCC IE�MMENCED. EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 181 DAY PERIOD. FINAL INSPECTION MUST BE
OWNER OR AGENT: � DATE:_T./q Z
BlD_PRMT, rev: 13/31/91 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
MASON COUNTY
- Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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Case No . : BLD92-0253
For : MARC MRKVICKA
Page : 1
1 ) THIS P RMIT IS FOR FOUNDATION ONLY AS PER SHORELINE SETBACK OF 23 ' FROM H .W. M . AND IS
ISSU AT OWNE)ij RISK .
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BUILDING PERMIT APPLICATION 9LD`?� - `_3
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
AME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER & �Lt7d. c G�OIJI A� /ItI `�Sln� 5ZS-
DIRECTIONS
TO JOB SITE qwIX `rL) AFT rce
PARCEL LEGAL �SE� -/�?T.�-0�NUMBER 23 I �Ot�v O DESCR. Te 9 'F TA Z(,0 ,T
NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTOR ew,e< ���a eofv5 T /^� _7a/ �5'3 a2c�ro9 I
USE OF //-
BUILDING CAT!'0
CLASS OF EW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE/ DD SgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT' SgFt BEDROOMS PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FOR A PERIOD OF 1B0 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED O DETACHED❑
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THI IT IS ISSUED AND T AI-AtC9V6FiK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO ALL BE MADE WITHOUT FIRST CONFORMANCE TH,jiREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM TH}FBU# G DEP NT. APPROVAL FROM HE BUILDING DEPA TMENT. �7
X OWNER DATE X iv DATE / z
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVEN0 DEPARTMENT YESPPROVEN0 BUILDING VALUATION
--'
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING I:��, PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
7 " =f�(��i /aIc�/ UJ' SHORELINE
Z ' WOODSTOVE
47- ,,l /j PLUMBING
MECHANICAL
17 STATE BUILDING FEE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL 3
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