HomeMy WebLinkAboutBLD93-0630 Cancelled Garage - BLD Permit / Conditions - 10/30/1997I
MASON COUNTY
PERMIT
Mason County Bldg. III 426 W. Cedar NULL & VOID BYEXPIRATION
P.O. Box 186 Shelton, Washington 98584 DATE/JW9 BY _
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MINER OR Abkol V G ' �",�,' Ifn II • 7� d•
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date ( -2-2- by L Gas Piping date b
Foundation Wall date by Set Up
date 4,g< 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 b 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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MT. VIEW PL
j SCALE : I = 100'0" SS-'
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WATEK 4-UTILITIES FOLLOV At).
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S'x 5Toa&E
SHED
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EXISTIWG HME: h- AlD SEPTIC SYSTEM
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250'
LESTM WRAY 51TE PLAO CD" WS LAhE7 #3 LOT 6t?
Permit No.BLD
MASON COU=
BUILDING PERMIT APPLICATION
PLEASE PRINT
#1 Owner - l Phone# ,�blo- 27 5- �3c�
Site Address RF_ 1LI V M+ J) e > i� Q
City Ifalnixi.4a St U ga. Zip �;AT'
Directions to Job Site
f
Owner Mailing Adaress Cox rVNe -
City St Zip
Lien/Title Holder r" L o
Address 1
city cax A A P►cam.
#2 Contractor Name `���' Contractor Reg#
Address Expiration date
City St Zip Phone
#3 If septic is located on project site, include recorgs.
Connect to Septic? �Jr" Public Water Supply Ili Well er L
(If residential, proof of potable water may be required)A e 1S hp'l
n��'c
Q-6y\
#4 Parcel No. A0.33 I - Sa- byc.)69
Legal Description Cr_,A�imc, I alike AA L.&I 4 e
#5 Building Square Footage: (existing/proposed)
1st Fl lixo / 2nd Fl 310 / 3rd Fl / Loft /
Basement / Deck / #bedrooms -3 #bathroomsj,Xl
54,Garage / 7.2.r) Carport / (Circle: Attached or etached?
Other Skej sq ft /bc) /
#6 Use of building�c�-�� Describe work 0-m,nc�ru-o f
#7 Type of Job: New Add Alt Repair Demolition
Woodstove Re-Roof Bulkhead Other
#S MOBILE HOME INFORMATION
Model Year Make Model
Length Width Serial No.
#Bedrooms #Bathrooms Type of Heat
#9 Any water on or adjacent to property: saltwater lake
river pond wetland 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 Scale:
Name of Fronting Street Date: '5--01-93
APPLICANT TO DRAW SITE PLAN BELOW
i
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Fee
Plumbying rixtures ($2 each) Fee Vent Systems X 3 . 00
No. Toilets
Vent Fans X 3 . 00
Bath Basins
Bath Tubs No. Boilers/Compressors
0-3 HP 6 . 00
Showers 6 . 00
3 -15 HP
Hot Water Htr 6 . 00
Laundry Washer 15-30 HP
30-50 HP 6 . 00 ,
Sinks 50 + HP 6 . 00
Floor Drains
Laundry Basins No. Air Handling Unit
<= 10000 cfm. 7 -50
Dishwasher 7 . 50
> 10000 cfm.
Disposal
Other
Urinals
Other Evap Coolers
Hoods
3 . 00 Fire Suppression
Permit Basic Fee Domes . Incin.
TOTAL PLUMBING $
Comml . Incin.
Reloc/Repair 6 . 00
Gas Outlets X 2 .00
Mechanical Fixtures Woodstove se-o rate
No. Fuel Types Other
Furn < 100K BTU 6 . 00
Furn >= 100K BTU 6 . 00
Furn - Floor
6 . 00 Permit Basic Fee 10 . 00
TOTAL MECHANICAL
Heat Pumps 6 . 00 $
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENC OR IF ED
CONSTRUCTION
AFTER WORK
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 18 DAYS AT ANYTIME
IS COMMENCED
OWNERS AFFIDAVIT FCONTRACTORS AFFIDAVIT
ERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE THE STATE OF WASHINGTON AND I AM AWARE OF THE
CONTRACTORS REGISTRATION LAW RCW 18.27 AND AM AWARE ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH
OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
DEPARTMENT. f y._
X BY
X OWNER DATE
DATE -
Return permit to: Department of General Service427 -9670/1-800-562-5628
426 W. Cedar/P.O. Box 186, Shelton, WA 98584
FOR OFFICIAL USE ONLY: Accepted by:
l; Date:���v� ��
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cori! Hold
PlanniIIg: Approval
Environmental Health:
M1
Building Plan Review:
Occupancy Group:_
Fire Marshall:
Other:
IISPecial Conditions: FEES
II II IlSite Inspection I
II II I II
II II IlBuilding Permit I I
II II I
II II IlViolation Fee I
II II I I II
II II IlViolation Investigation Fee I I
II it I II
II II IlPlan Check I
II II 1 13 t.5 0 II
II II IlPlumbing Fee I
II II I I II
II II IlMechanical Fee I I
II II I II
II II IlWoodstove Fee I
11 II I I II
I II IlBuilding State Fee 1 I
IlBuilding Valuation: y.5 1I
II II TOTAL I
( I � III