HomeMy WebLinkAboutMIS93-00014 Final Woodstove - MIS Permit / Conditions - 4/1/1993 MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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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
PLUMBING date by
Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTIO
date by
date b i�—j r_� y date by
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 OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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Plumbin ix ure ($2 .00 each) Fee:
Lot Dimensions No. Toilets
Existing Struct Flood zo:ses No. Boilers/Compressor
Structure Setbacks Fences
0_3 Fees:
Driveways Bath Basins
Water Lines 00
Drainage Plan Shorelines Bath Tubs 3-15 HP
Septic system Topography Showers 15-3 0 HP
p Wells 00
Proposed tenements Hot Water Htr 30-50 HP
Name Easements -------
Name of Fronting Street ,:.. _--
g street - Scale.. Laundry Washer 50 + HP
Date;..:._ .:.
__Sinks ----- —6 0
Floor Drains
APPLICANT TO DRAW SITE PLAN BELOW.
---- No. Air Handling Unit
Laundry Basins �— <� 10, 000 cfm.
Dishwasher �— > 10, 000 cfm. _50
—Disposal
—Urinals Other
Other Bvap Coolers
—Hoc ds
Permit Basic Fee Fire Suppression -- ---
TOTAL PLUMING Domes. Incin.
$'---- COmml.
• Incin.
Mechanical c'ixt ,rAa Relcc/Repair
No. Fuel Types Gas Outlets x 2.00 6.00
Furn < 100K BTU --Woodstove
Furn >a 100K BTU Other rate
-
�� - Floor
Heat pumps "� � 00
Permit Basic Fee
Vent System x 3 .00 � TOTAL MECHANIC,
$
Vent Fans x 3.00 --------- -'
APPLICANT TO DRAW
TOPOGRAPHY PROFILE BELOW
NOTICE: THIS PERbSIT BEGS
AUTHORIZED IS NOT C `L VOID JIF :'iPORK OR. CONSTRUCTION
SUSPENDED OR �N® WITHIN 180 DAYS;;, OR IF CONSTRUCTION: OR::.RUCT.,:.IS�
CObmSENCED, ABANDONED FOR A PERIOD OP 18Q DAYS AT ANY' TIMg AgTE D�
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the CONTRACTORS AFFIDAVIT
contractors registration law Rcw 18.27 I certify that I am a currents re i
aware of the Mason Coun . and am the State of Washin y g stared contractor in
ty Ordinance requirements for grog and I am aware of the
which this permit is issued and that all work done will ordinance requirements regulating the work for which
be in conformance therewith. No changes shall be the permit is issued and all work
made without first obtaining a done will be e conformance therewith. No changes shall be made
Department. g approval from the Building without first obtaining approval from the Building
� a / Department.
X OWNER LL
DATE: _ X BY
DATE
Return permit to: Department of General Services
Shelton, wA 98584 W. Cedar Street/P.O, Box lag
4z7'9670/1-80000-56262-5638
FOR OFFICIAL USE ONLY:
, Accepted by:
Date:
DEPARTMENTAL REVIEW Permit No.BLD 0/�9 1
' r ^ CN i `� MASON COUNTY
FOR OFFICE USE ONLY r '-
BUILDING PERMIT APPLICATION
F7
•w.w PLEASE PRINT ��-planning: ')L-e V�� CC Q tr' �4 _{ ✓
Q26b
"nl ` kTOwner RUI _L i ( -hm£ , Phone# ti0
Site Addressu
City -Statey9
Environmental Health: Directions to Job Site
Owner Mailin Address X S a —
Building Plan Review: City 1 State_. L+
Lien/Title Holder ,
Address
City lam} �o State L�11+ Zi /,�
Occupancy Group- P �� 4--/
Fire Marshall: #2 Contractor Name _1W e �i[� Contractor Reg #
Address Expiration Date
City State Zip Phone
Other: #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. )
FEES #4 Parcel No.
Special Conditions: Legal Description
Site Inspection
#5 Building Square Footage: (existing/proposed)
Building Permit 1st F1 _ / 2nd F1 / 3rd F1 / Loft /
Basement / Deck / #Bedrooms / #Bathrooms /
Violation Fee Garage / Carport ! (Circle: Attached or Detached?)
Other sq ft /
Violation Investigation Fee
#6 Use of building Describe work
Plan Check
#7 Type of Job- New Add Alt Repair Demolition
Plumbin Fee
Woodstove Re-roof Bulkhead Other
Mechanical Fee ' #8 Mobile Home Information
Model Year Make Model
Woodstove Fee i� : Length Width Serial No.
1. #Bedrooms #Bathrooms Type of Heat
Building State Fee
Building Valuation: #9 Any water on or adjacent to property: Saltwater Lake River-
TOTAL : s
Pond Wetland Seasonal runoff Other