HomeMy WebLinkAboutBLD20955 Addition - BLD Inspections - 9/23/1987 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Nbbile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing: PrAMIT
Fireplace: NULL r
Wood Stove:
TYPE ADDITION
Permit No. 20955 No. Floors Sq F.t;& 96
Owner HALVORSON Dennis Tel 2 55-4047 Date 9-23-87
Address P 0 Box 242 Grapeview Zip
Contractor Self
Address Zip
Legal Description Tr 19 G.L.6 8-21-1 (Lot 2 S/P 1497)
Direction to project site After Keen Rd on Stretch Is.
Unmarked easement rd. 395 Stretch Is. Rd. So.
Plumbing Mechanical wer Wood Stove
Fireplace Deck Garage rport
Basement —Loft —other
Enclose portion of deck 8 x 12
is
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED 9 c4-6�✓�J'7'
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PERMIT Nor-> ��.'7
OWNER NAME MAILADDRESS ZIP PHONE
CITY 6 STATE
�•, T voran 21/L qt 2 -yo'/
DIRECTIONS
JOB SITE
PARCEL LEGAL
NUMBER 1E71 7 gOQ�p DESCR. //• 19 �fr. �A �-a� �OT � �q7
CONTRACTOR NAME��/ MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
CLASS OF NEV
WORK r ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
BATHROOMS TOTALSQ.FT. GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
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
TOTAL SO.FT. FIREPLACE DETACHED ABANDONED FORA ERIODOF180DAYS T ANY TIME AFTER WORK IS COMMENCED.
OR
PERMANENT SHORELINE
SEASONAL
OW ERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I C IFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF,THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
RE STRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
RE IREMENTS 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 NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
08 INING APPROVAL FROM THE BUILDI G DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
WNER DATE ® X BY DATE
FOR OFFICE USE ONLY
D ARTMENT APPROVED DEPARTMENT APPROVED
YES No YES NO BUILDING VALUATION 80 o f7
HEALTH N PUBLIC WORKS FEE
PLANNING cl FIRE BUILDING PERMIT 3 lh:-0
D.O.T. BUILDING
PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL '
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY I PLANS CHECK SY APPROVED FOR ISSUANCE PERMIT VALIDATION .�
� � B � CASH CK MO TOTAL
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO.
OWNER NA E MAILADDRESS CITY ZIP PHONE
ay
DIRECTIONS
TO JOB SITELEGAL /f
S
DESCR./ d I OU / Y 6
7 �- —L/^ �� Z cS 12�Ij97 a
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS FLOOR/SUSPENDED FURNACE 6.00
BATHTUBS BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
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 WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL ®a 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 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 FIR TAINING APPR VAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNE DATE ZS X BY DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
BY CASH CK MO