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Home My WebLink AboutBLD26116 SFR - BLD Application - 7/9/1990 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 g 427-9670 DATE ISSUED �9 " O PERMIT NO. OWNER NAME ADDRESS CITY&STATE ZIP PHONE 0 50 PLO , o 3 DIRECTIONS / TO JOB SITE Re PARCEL LEGAL N U M B E DESCR. r4XI NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR ��(f USE BUILDING CLASS OF WORK ✓ NEW 7 ADDITION ALTERATION REPAIR MOVE REMOVE DESCRIBE �p WORK (. p l�Z; C- BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. 7�3 GARAGE ,& CA CONDITIONING. NO.OF STORIES _P_ 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 SO.FT.� FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT ti SHORELINE SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND 1 AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE R REMENTS 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 COUINFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING STAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER ' TE 3-o2 6 1 0 X BY DATE FOR OFFICE USE ONLY AD DEPARTMENT Y SPPROVENo DEPARTMENT YES NO BUILDING VALUATION Los qoz-7-1/ HEALTH PUBLIC WORKS ( EE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP a h �� PRE-INSPECTION .._ Ahq � SHORELINE WOODSTOVE Z _tO PLUMBING 3�_ CC) ALL CONSTRUCTION MUST MEET 6 3 MECHANICAL QUESTIONS PLEASE CALL THIS ', �; �, STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY I PLANS CHECK BY AP�RC�(ED R ISSUANCE PERMIT VALIDATION O 7 �- 'D BY CASH CK MO I TOTAL 0 PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 ��Q 427-9670 DATE ISSUED PERMIT NO. Co ll OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE U 0 .d� o a'- 3'S U DIRECTIONS / TO JOB SITE ' /�4Ra C LEGAL7 DESCR. CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF _ BUILDING 1)Cll:z vl�,E PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS C FORCED-AIR/GRAVITY TYPE FURNACE 6.00 3 BASINS FLOOR/SUSPENDED FURNACE 6.00 , BATH TUBS E 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 i /i-- HEAT-PUMPS 6.09 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT LAUNDRYTRAYS cs QO WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER Q '� DISPOSAL 6 URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL 5.00 TOTAL —Z> p 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 1 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 OBTAININ APP VAL FRO//�J,�1J� HE BUILDING DEPARTMENT. q WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. XOWNER L �- V[ulA+�JpTE �� _ I y X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APP FO UANCE PERMIT VALIDATION S m— BY CASH CK MO