HomeMy WebLinkAboutBLD94-00698 Cancelled Bath House - BLD Permit / Conditions - 6/5/1996 MASON COUNTY
Mason County Bldg. III 426 W, Cedar
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F.O. Box 186 Shelton, Washington 98584
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OWNER AV At;lki „A.�
RL8 PRNi, tat;r COMPI IANCI= 10 AIIACHtQ CONOIIION'-w I `, NtQ11IRt11
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
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
104
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MASON COUNTY
- Mason County Bldg, III 426 W. Cedar
F.O. Box 186 Shelton, Washington 98584
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UNITED STATES POSTAL SERV
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Official Business i PEN
ALTY FOR PRIVATE
USE TO AVOID PAYMENT US MAIL
OF POSTAGE,$300 L
00
"y 1 5 19%int your name, address and ZIP Code here
4EALTH SERVICES
MASON COUNTY HEALTH SERVICES
P. O. Box 1666
Shelton,WA
i
°' SENDER:
0 1 also wish to receive the
y • Complete items 1 and/or 2 for additional services.
Complete items 3, and 4a& b. following services (for an extra 4
• Print your name and address on the reverse of this form so that we can fee): y
ry return this card to you.
y • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address fn
I does not permit. �
Z • Write"Return Receipt Requested"on the mailpiece below the article number. 2 ❑ Restricted Delivery G
• The Return Receipt will show to whom the article was delivered and the date U
c delivered. Consult postmaster for fee. y
3. Article Addressed to: 4a. Article Number c
to �0C(>
4b. Service Type
❑ Registered El Insured cc
c0� ti1 �4L C I$T i '12 g
c�r Certified ❑ COD c
w I Pr ulq a � Express Mail ❑ Return Receipt for
p� Merchandise
7. Date of Delivery
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5 Slgnatur(j( ddressee) 8. Addressee's Address TOnly if requested,x
and fee is paid) C
cc
cc 6. Signature (Agent)
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>' PS Form 3811, December 1991 *U.S.GPO:1993-352-714 DOMESTIC RETURN RECEIPT
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Case Activity Listing4/4/2007
3:57:05PM
Case#: BILD94-00698
POW
`
Assigned Done
Activity Description Date I Date 2 Date 3 Hold Disp To By Updated Updated By
BLDA500 (F)Issue building permit 6/28/1994 None DONE KS 6/28/1994 KS
BLDA560 Permit cancelled 6/5/1996 None DON CS 6/10/1996 CMS
PERMIT CANCELLED DUE TO KNOW RESPONSE TO LETTER SENT OUT.
BLDA510 Reprint Building Permit 3/24/2003 None DONE PIB 3/24/2003 PIB
Page 2 of 2 CaseActivity..rpt
� �$ Permit No.
-- -MASON COUNTIf� p
BUILDING PERMIT APPLICATION e(eok
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT nca
#1 Owner EGG L-E STTOI-L i� IZ` Phone# -9
Site Address ME 1-1 ( LAKC cL-k k sl-l"le Fire District
City 'Vi"-AVyA St WA _Zip
Directions to Job Site Wr s► Luc lt'� 1✓egpl-A '>-A , Zit}r
J �L.� IL U.1L.Tz3� c7 � F�E�,�tJL SLATE Oi.1Tri 1'�i=L�Ai2 Tgt{O'/�t P�1 i�a IaPPX
Yy\l L,ES i O S7AP S%6n 1%J -Ra rh �i ITT 1 'S nr TC� S~t tntF 2 j�
ner Mailing Address NE 11 L1�.\e-G cH ,�t T i tJ E IZ,IN
if T 0'y . St 1i f�zip�gSgS
&4n le Hader E 6 W Kt%z t�--
=�Id;s
ItxO � St Zip
#$iC4ractik!Name Contractor Reg #
�® A rest Expiration Date
y St Zip Phone#
C7
#3 If septic is located on project site, include records.
Connect to Septic? X Public Water Supply ? Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No.7,2--3 Zia- 'E-A ri_- nG
Legal Description _L-OT (aZ L-.. C,4Ql ST( N E ESTinTt�
#5 Building Square Footage: (existing/proposed)
1st FI 144 / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq.ft.
#6 Use of building nnw Describe work F-/a
r-�-n a 3 l.=L" c T'a bE
#7 Type of Job: New X Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Years 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 su roperty:
River Pond Creek Stream Wetland Lake Marsh Saltwater easonal Runoff Other
Show following on the site plan Y`
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
i
a
—T&ILL
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3$3 each) Fee Mechanical Fixtures ($6 each)
ov �LL ,
No. Toilets 3 CIRCLE FUEL TYPE: Gas Electric, �06) l
_Bath Basins Heatpump, Other
_Bath Tubs No. Uni s Fees
00
Showers �_ _ Furn BTU
0
Hot Water Htr _ Heatpumps
_Laundry Washer 00 — Vent Systems
f Sinks 3• 2 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 $ Z-/•��
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 WITHO�IT FIR T OBTAINI G APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE.BUILDING DEP NT DEPARTMENT.
X OWN � /_l�11 X BY
DATE T 44 DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
,i
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: S4VI'V�A)tQ WA14
III ifl �'lj� cge c�&nej L5, a 'kijr=I of 10 ' @rloilu
Environmental Health: /
Building Plan Review
Occupancy Group: m-1 Type of Const: ,-N
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing Fee �7 , o0
Mechanical Fee 2-
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: / Z Z TOTAL FEE