HomeMy WebLinkAboutBLD22560 Final SFR - BLD Permit / Conditions - 8/2/1989 Shorelines: -.VIA Plumbing: lC�� /2f2/��I'
Setback Mechanics
Special 16- Interior:_
Conditions: FINAL:d,(�$ �
Mobile Home:
Smoke Detector:
Remarks: ivy viNs i
Footing:DKy /S/ rr -/Y0 ._'�slr
Setback: 14 r'. K l
Foundation
Walls:
Frasning',B�f'
Fireplace:
Wood Stove:
TYPE RESIDENCE
Permit No.
22560 No. Floors 2 Sq Ftg 1646
Owner ROBINSON, Larry Tel 697-1206 Date 8-18-88
Address 13201 Silverhill P1 NW Silverdale Zip
Contractor None
Address Zip Legal Description Tr 2-D Survey 11/127 (Tr D S/P 1570
Direction to project site ATTACHED 14-22-2
Plumbing X Mec anica X Sewer woo Stove X
Fireplace Deck 224 Garage 864 Carport
Basement Loft Other
2 bdrm
'P
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1
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT N=
NA E MAILADDRESS CITY&STATE ZIP PHONE
OWNER L/3�1° .2D� C1�U2�i�� PL -,✓btVZ�� Cl��f1383 6
DIRECTIONSp /
TO JOB SITE /�lP ayCd�-,�/Pd .d />1tc� ^C� e-
•
PARCEL �a l LEGAL MR, a-
NUMBER JJ� �!p gDD,Z3 DESCR. �� 7
NAME MAILADDRESS &STATE I NSE NO. ZIP PHON
CONTRACTOR t .tv�., I 2QN 40 1 cob. 9
USE es� en e. C7 �2tc►�A��, Ile�N�, �x
BUILDING
CLASS OF NEW ,/ ADDITION ALTERATION REPAIR MOVE REMOVE
DESCR
WORK r
WORK IBE LD /4o rvi c 5t,,eLL /nil KOOT 5t� �LD192 L171�1�u /h� /d P�
I
el-Lm ►pz "Mtke- tcVehsonl I� nth lay �meS. f7mS
bI 1 E n 4O U-S e-
BEDROOMS A DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT GARAGE _� CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED 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
TOTAL SQ.FT. V FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE-,.
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
1 CERTI THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS 1 CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTR ION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIR ENTS 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 CON ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAIN G APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
.- X E DATE `3 X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT Y SPPROVEDJO DEPARTMENT YEAPPROVENO BUILDING VALUATION 0�
HEALTH PUBLIC WORKS FEE
PLANNING g-i 4 FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP dZ 3 PRE-INSPECTION
SHORELINE
S * ' &V /�, wx, �j/lf/, WOODSTOVE
AalW 2 4,K PLUMBING
cy
Q c, r
`f / 6• Qt, MECHANICAL
_00 STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
BYG(, "�Y CASH CK MO TOTAL �,•
PLUMBING & MECHANICAL PERMIT APPLICATION
• MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAILADDRESS CITY&STATE ZIP F,0383 PHONE
OWNER
L;;4V_ /320/ ��L ve.21„GL PL fV� i/v e, uJ�
DIRECTIONS
TO JOB SITE l4lP �ac�w �d , b ,-,
6e �, OL
�i
LEGAL uQ // Z
CONTRACTOR NAME MAILADDRES CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING e /
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
.�G. WATER CLOSETS j�' FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS t tAG BOILER/COMPRESSOR 6.00
—SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS 2. REFRIGERATION COMPRESSOR SYSTEM 6.00
/ AUTO.WASHER 1 YI AIR HANDLING UNITS 7.50
SINKS i HEAT-PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT coo
d
LAUNDRY TRAYS ,p�, ct _ WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
' DISH WASHER i�-
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:1 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 DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNE G� ��"'y-'�'- DATE �-�y- g X BY DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS GI IECK BY BY(�C BUILDING GROUP APPR//O,,V.��E.�G''D FOR ISSUANCE PERMIT VALIDATION
� C I�� CASH CK MO