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Home My WebLink AboutBLD30567 Final SFR - BLD Permit / Conditions - 10/30/1992 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES �� 426 W.CEDAR/P.O.BOX 186 SHELTON,WASHINGTON 985M 427-9670 DATE ISSUED c u~mac /! A PERMIT NO. t6� l� MAIL ADDRESS CITY&STATE OWNER Lt�h lth eipL_ /v(�O ZIP oNE l - DIRECTIONS ` TO JOB SITE L_p tiV e r L vLe-x-fi -t-0 LO e!,1 o L4 -e'-- PARCEL / / NUMBER Q�V � �OC� LOT � v0l4.wt� J G, �lC�f CONTRACTOR NAME MAIL ADDRESS ITY S TE_� ) _ ypE U 'r✓4J -v1� LICENSE NO. � USE OF ` BUILDING CLASS OF WORK NEW x ADDITION REPAIR ALTERATION✓ ' \ MOVE REMOVE DESCRIBE WORK ('�h <S ✓��,�► AREA: NUMBER OF: PLEASE INDICATE: NOTICE RESIDENCE STORIES SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR SHORELINE a CONDITIONING. BASEMENT SgFt BEDROOMS PRIMARY RES.O THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS SgFt BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR CARPORT ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. . SgFt FIREPLACE IS CARPORT/GARAGE GARAGE Ft ATTACHED O DETACHED❑ OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT i CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT 1 AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENTS 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 IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORM HEREWIT CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPR FRO HE BUI ING PARTMENT. X OWNER DATE X BY DATE FOR OFFICE USE ON LY DEPARTMENT APPROVED APPROVED DEPARTMENT Yes No YES NO BUILDING VALUATION HEALTH lmT_ PUBLIC WORKS FE t7 { PLANNING FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIO BUILDING GROUP PRE-INSPECTION liz:2 4m SHORELINE WOODSTOVE PLUMBING L MECHANICAL STATE BUILDING FEE IPLI TION ACCEPTED BY PLANS CHECK BY APPROV FO UA PERMIT VALIDATION '"� C_" TOTAL �c� BY CASH CK MO PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. OWNER NAME IT MAILADDRESS CITY&STATE ZIP ONE '2r1 L4✓1 S C ?v DIRECTIONS 1 TO JOB SITE SZ _ / 3 LEGAL DESCR. CONTRACTOR NAME MAILADDRESS CITY&STATE ENO. Z!g PHONE USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FE NO. TYPE OF FIXTURE FEE L. WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS FLOOR/SUSPENDED FURNACE 6.00 ?f BATHTUBS BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 r AUTO.WASHER AIR HANDLING UNITS 7.50 SINKS HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT LAUNDRY TRAYS FIRE SUPPRESSION 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER 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 REQU REGULATI THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE K DONE LL BE I CON RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. ROUT FI OBTAINII IG AP FROM THE BUILDING DEPART T. X OWNER DATE X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHE K Ba( BUILDING GROUP APPROV FO AN PERMIT VALIDATION �,� BY CASH CK MO