HomeMy WebLinkAboutBLD94-01338 Final Pole Bldg - BLD Permit / Conditions - 2/7/1995 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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APPROVED RFfOPF PUItDiN6 CAN- R1 fi(CUPf fi.
OWNER OR AGENT, _w IIAft '
810 1ONT, reel 131T1j91. ' CONPIIANCE: TO ATfACHFO $ ONO1-- 101411 S RVOUTRI-0
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 Final
Floors
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date b date by
WALLBOARD NAILING
D.W.V. date by
date by Water Line FINAL INSPECTION
date by dated by C date by
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Caw- Nn . - tit 1144 - 1318
F-r 6AkY HARHI- k,
P M q e I
1 ) 1hp unp . ho"dli "q "nd n1oraqo of ha7drdo"q malor [ml , or flAMMdblo And a"Mj ,
lip raid, in evrons of 10 qallonn ib not aJlowpd "Jvho"I Wo Apprn-ml - C Vhp Macon io"nty
11 Propow"d wit "ct"re or any portion Lhurpof qrpafvr than io" in h- iqht from qrAdp lint" ,
MU!"t maintain A MiniM"M Of h ' coubach from all prop-riv 0 "-q . -a�spw"nhn and riqht ol
1 ) All appt "-Rd plan; are rpqmirpd Vn be on- yjw for inyvecEi "n p"tpoc"y It Insp-ctinn ks
cal .lpd tot and plans nre not on site . Approval WI' ll NOT he qranlpd I " addition . a
R" In"perlio" fee in the amount of $A@ qO por hour (Minimum I hour ) "ill h - wd a o harqnd
muot h- - ollo,ted by this dPpnrtmPnV pdor to any further inspertio"n buinq perlormod ol
appromn I ot mnt ad
4 ) EMIR` "AN1 I'D 19ql UNIFORM HU11. 13INH CODE , SPCIIHN '0610 ) AND ' 111101%1 nil . nit qtUFq MUSI
HAVF APPROV1711 NOMRk R! OR A0DRF5SF S PROVIDE D IN K"C" A P"K I I I "N An 10 HF PLAINLY VJNIHLf:
AND IEUIRIF FROM IHF STRUET OR ROAD FRONT IN6 THU PROPFUIY MA40N FOHN1Y HHIIVIN6
DFPART MEN U RFO"TRF S THAT THIN HE COMPI F LED PkIiJk TO CAI I INN IOW ANY nfrl INqPLcIIONV . 11
RITINSPkCrION FFF . BASED ON RATES IN TAHLL 3A OF THU lq91 "NIFORN H" FIDINN CODE Will HE
ASqFSSI0 IF OUNFRItONTRACIUR VAII- 9 tO P0q1 ADDRtn% ON q1TF PNION 10 RUOUrSlINf-,
INWPFITIONn ,
51 No occupancy I h i s structure iq limited to M I "we only Any ol-hpr "b" will he in
violation of the "A form Hui dinq bode and Ma, ( " county R"qnlaiionc
"nlesb a "ChAnge of Hop" ppronju is apprnvPd1jj;. . I
h ) ALL FONSUR"ClION NLISI MEFI ON FXCI- 111 All IOfAI CODES AND 1JH1'
RF L1i�1,ff I 'Plf N I 'S'I ianqPq to mpproved h" ildino plans that Pffpct rymplia"c" in Vho Iq0I WashirtuLt"" KUM -
l- "vrqy fndp , 1443 V""tilatin" mnd tnelnor Air Quality
r"do , the "" ! form H"ildi "q Code and /or MAQon ro"nly Rp,L" lal-ioo, m"wt
MASON COUNTY
Mason County Bldg, 111 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
orrrri y 1)r of. to 111' lit' V
-------- ------------ - --- --------
NA INI
LPHN
HOMEOWNER
AOURESS 2O3' /_allE_/_ROK / Air
STEEL
BUILDINGS _—__--
I NC, )ECA)
1724 VOLE. STREET
P.O. flux 059 ---
ENUMCLAW, WA 90022
SEA ME./ENUMCLAW
(206) 025-7 760
ALPNAS0117PU 10-92
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Permit No.
SEP Q � MASON COUNTY
IM BUILDING PERMIT APPLICATION
Box 186, Shelton, WA 98584 427-9670/1-800-562-5628� H SE �dar/P.O.
rn r
#1 Owner �� /�!�� 9AjZeV Phone#
Site Address � � o Fire District#
City /1 111) St zip
Directions to Job Site
LZ
Owner Mailing Address " C'
City __zrti St-J4&4—Zip '
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name AL FWA 57'E17"X- &4,41 Contractor Reg#"&45,0117.AP
Address 172 6i g:a4g: 4T. Expiration Dated/_I IgU
City /V"llel-A t.- St !y,4' Zip f'�' Phone#490s'-77KX
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 r el No. // D? d
Description 2 GL Ile
9
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq. ft.
#6 Use of building /�C�� �— Describe work
E _
#7 Type of Job: New _Add Alt Repair Other
#8 MOBILE/MANUFACTUR HOME INFORMATION
Model Year Make Model
Length Width Serial No.
#Bedrooms # Bathroom Type of Heat
Purchase Price$
#9 Indicate by circling the applicab source if any water is on or adjacent to subject property:
River Pond Creek Stream Wed Lake Marsh Saltwater Seasonal Runoff Other
°-I q --i i
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
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. Units Fees
_Showers _ Furn BTU
Hot Water Htr _ Heatpumps
_Laundry 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 Basic Fee 15.00 Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ No. Other
Gas Outlets
Wood, Gas, Pellet Stove
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 TOTAL MECHANICAL $
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
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 OBTAININp APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT j% DEPARTM T -
X OWNER X BY
DATE 1t;7DATE
FOR OFFICIAL USE ONLY: Accepted by: ' ( Date: l
I
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
V"
Environmental Health:
Building Plan Review
Caw
Occupancy Group: Type of Const: ,r
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit Z °O
Plan Check Ll SO
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee �—
Other
2 Other
Building Valuation: 13 Y'2_y �- TOTAL FEE (p