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Home My WebLink AboutBLD25471 SFR - BLD Application - 4/13/1990 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED / ^/�� PERMIT NO.a� � / OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE r L G!. Gu DIRECTIONS CAsZ- 6 TO JOB SITE �e% ti l L C '/'v P-,4,-- o T TR - K �` Ars/ PARCEL LEGAL �� .•�d � NUMBER l Zp /� -5'ed00a� DESCR. _ r; _ NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR � USE OF BUILDING p w�LL ti G CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE e� WORK BEDROOMS DECKS �_ CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS_ TOTALSQ.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.' FIREPLACE DETACHE{D_ Jc✓ ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTERWORK IS COMMENCED. PERMANENTjt_�'� SHORELINE SEASONAL OWNERS FFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY HAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRAT N LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREM TS 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 CO MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAININ APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. WN R DATE -3 -2 0 - CQ X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION �1 (•_� '1C" YES NO YES NO HEALTH f PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT "- D.O.T. BUILDING PLAN CHECK 1 , SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION - - ��'�� a A/�_j �r,>,1z1 �L i / e � /91 SHORELINE J "Ak_L WOODSTOVE �- _ `� v PLUMBING 27 ( ; c- - � MECHANICAL -' STATE BUILDING FEE L� Q STATE SURCHARGE APPLICA,TION ACCEPTED BY PLANS CHECK BY APPBQVEDFg"SUANCE PERMIT VALIDATION TOTAL BY G ) CASH CK MO `�✓' .� 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 PHONE OWNER R. c F _ -b -6 MPc J)ELkEV66 WA 'MOC di/5`52-s37 DIRECTIONS - --� TO JOB SITE L 0 2 O Z LEGAL DESCR. SCC /8 Tuj I"� 2-0 P, w W CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF BUILDING ll�k LtJ t Z /A.1 G PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS t {' ��° FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS (` FLOOR/SUSPENDED FURNACE 6.00 BATHTUBS ` BOILER/COMPRESSOR 6.00 SHOWERS �� :�;i,� REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER AIR HANDLING UNITS 7.50 SINKS -'> -� l HEAT-PUMPS 6.00 FLOOR DRAINS / EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS L, VENT.FAN SYS.3.00 PER UNIT t, LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER `� �1' - iJE l4Ic P.-r DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL TOTAL "-1 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 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 OWN ER 1� R if��-lPr I�—DATE 3- Le-, '_S0 XBY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP AF 1OVE�FOR ISSUANCE PERMIT VALIDATION _ Cf- 1 BY CASH CK MO ; .