HomeMy WebLinkAboutBLD27519 Final SFR - BLD Permit / Conditions - 7/29/1991 Shorelines: oA Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:6Y< 7_99_y/
MobileHome:
Smoke Detector:p
Remarks:
Foot ing:r7/< 3-tY'9Y /D•2o :
Setback:b/t
Foundation
Walls: O/< 3 ty•V l o zo.'.4Nt
Framing:a<3-_S-?/,i73- 1',2d� i
Fireplace:
Wood •3tove•
TYPE RESIDENCE
Permit No. 27519 No. Floors 2 Sq Ftg 1834
Owner COTEY, CLIFF Tel277n1 Date 2-19-91
Address 14bU3 Iii I ey enino Zip
Contractor Adair Homes
Address Zip
Legal Description - -
Direction to project site see AIIACHED MAP
Plumbing XX Mechanicalewer o tove
Fireplace Deck Garage 480 Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 /
426-5593 DATE ISSUED ?
PERMIT NO.
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE see
PARCEL LEGAL �,
NUMBER 2 d ` DESCR. �. S' 2A Al. Irs-- -
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR HomesAvcS4i o D
USE OF
BUILDING .Si e "e,/p
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK
BEDROOMS2,-- DECKS CARPORT NOTICE
/+ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS •J TOTAL SQ.FT. GARAGE )c CONDITIONING.
NO.OF STORIES BASEMENT ATTACH ED—X—' THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
T TALSQ.FT. I FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
RMANENT �� SHORELINE
ASONAL
4
\EUIREMENTS
NERS AFFIDAVIT CONTRACTORS AFFIDAVIT
RTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
STRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
,ONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBUINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER DATE XBY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION �'S' V�
YES NO YES NO "1
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING VIL PLAN CHECK
SPECIAL CONDITIONS BUILDINGGROUP _";�_ I�1� PRE-INSPECTION
/ 3a SHORELINE
WOODSTOVE
L e PLUMBING
OR EXCEEC LCCA COMES e iF ANY r '1 MECHANICAL
OFFICE B'"FGRE CONSTRUCTION. STATE BUILDING FEE 5 ,
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY `ROVED FOR ISSUANCE JPE—ITVALICATIONRM TOTAL
'"Bra' CASH K MO
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 /
426-5593 DATE ISSUEDSr '/�
PERMIT NO. L
NAME �. MAILADDRESS CITY&STATE _ZIP P ONE
OWNER > t C t; (.�. 1�'i�ll � �'q
DIRECTIONS �
TO JOB SITE See ATljl ! ►/I
LEGAL
DESCR. 0 1 4)1 1 l -` , Q. —r'S , s N A uil--s l
N E MAILADDRESS &SST T ICENS O ZIP PHONE
CONTRACTOR IV, q3`A) CUSE OF
ITY
BUILDING
PLUM ING FIX RES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS j`1 C, l FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS r) FLOOR/SUSPENDED FURNACE 6.00
BATHTUBS 2 C BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER _4 �9t AIR HANDLING UNITS 7.50
r SINKS HEAT-PUMPS 6.00
Cl
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT
LAUNDRY TRAYS WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER e J
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL TOTAL
SPECIAL CONDITIONS: NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED.
OWNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED
THE CONTRACT OR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE
COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL
WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DO E WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT I STOBTAINING PROVALFROMTHEBUILDINGDEPARTMENT.
X OWNER DATE X BY DATE /—/0—'1[
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FpR PERMIT VALIDATION
- BY CASH CK MO