HomeMy WebLinkAboutBLD93-01889 Final Garage - BLD Permit / Conditions - 3/29/1994 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
HEIWIIN H"m 421-1262
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COMPLIANCt 10 A I I AC"UO CONAVIONS IS REQU:1ot-11
CONCRETE 14-4e5 MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date - b 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 Attic OTHER
Groundwork
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date 1 3 _2 6 _i _ by ---1-1 date by
Cox r
n O c-,)t/ d c,
lad '
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
i�t�: ��t��{� � �i1 t� I i3 1fEt3-1 Si;i1!i�1 i'. i �, � ,;, P-�7�7C�', i ! �:I7� .+ 1 )' iL317•-'f1.tj 1 i fI' •^t3�-.f�tti'�'f�� '. �ii1Ct 1 Il�i1l ._
Permit No.
MASON COUNTY (13-
BUILDING PERMIT APPLICATION
PLEASE PRINT
42W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
#1 Owner '� , ✓YLP ����et�J--)g Phone#
Site Address �' 1`ZL7s r��rJP F'`re District#
City St. [ C Zip �7
Dire ions to Job Site
Owner Mailing Address ;w�1
City St Zip
Lien/Title Holder ►�,/p .
Address
City St Zip
#2 Contractor Name Contractor Reg#,koxl 315114 j
Address Expiration Date_? / 9? / 'y`-
City St Zip / Phone# l-IZZ-.-_).
q'g 3�3 W
#3 If septic is located on project s te, me a recor M � n � ��
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No. 2Z - 5,20 - DMI
Legal Description �Q14���f Suzaze L �
#5 Building Square Footage: (existing/proposed)
1st FI / 3 O' 2nd FI / 3rd FI / Loft /
Basement (72o Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq. ft. /
`r,, Describe work
#6 Use of building C�g� � ��� ��
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No.
# Bedrooms #Bathrooms Type of Heat
Purchase Price $
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
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
L�
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
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $
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 M E WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST APP L FRIM BUILDING
THE BUILDING DEPARTMENT. DEP RTMENT. j'
X OWNER X BY
DATE DATE z�
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review
Occupancy Group:Old Type of Consf.�
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check 3 (.
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE �p•