HomeMy WebLinkAboutBLD28779 Sun Room and Furnace - BLD Permit / Conditions - 10/9/1990 BUILDING 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
OWNERA-e-T- e 640j 0LE.5 5, E $V 04-0 q(ds-" 'L75-47 ZC
DIRECTIONS
TO JOB SITE F(tzE-!j-,4LL _ o(- r) 13PARCEL LEGAL
E7�/tr
NUMBER 123 7 q 70o fv DESCR. U� /(). t, Al,
T�. E 3 or 5 P}*n 7
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR T m8 u 77L .a t-:-t-(:A-R- klA- Tim 6 Z -P17
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK S(�11U p t .�iU ��
BEDROOMS __ 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 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTALSQ.FT. FIREPLACE DETACHED_ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT 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 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 CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL OHE BUILDING DEPARTMENT. Q
X OWNER DATE X BY ___. DATE-6 - I - I/
FOR OFFICE USE ON L
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION - F
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK 2
SPECIAL CONDITIONS BUILDING GROUP _ PRE-INSPECTION
►�D(J �L(�-J� SHORELINE
WOODSTOVE
✓� ti v PLUMBING
MECHANICAL
STATE BUILDING FEE >
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY AP ED R ISSU N E PERMIT VALIDATION
• _ TOTAL
�. B ZC 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.
OWNER NAME MAILADDRESS CITY&STATE 9*4*f ZIP PHONE
AAT mc. p E 4-90 0 8 Z75- 7"
DIRECTIONS
TO JOB SITE Al LI El
LEGAL (Q� q _
DESCR. f Q�, L � _39 i( I DO Q b o f v e
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 I GRAVITY TYPE FURNACE 6.00
BASINS FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS BOILER 1 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 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 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 ILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FI ST ILL
PPROVA FROM THE BUILDING DEPARTMENT.
X OWNER DATE X BY DATE 6— —1 -1 1
FOR OFFICE USE ON
APPLICATION ACCEPTED BY PLA/NS�HECC Br ING GROUP APTPIE D R ISS E PERMIT VALIDATION
/ cit _ B CASH CK MO
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER N'Lc, (.EIS e-"() OLO 6ez-F ateF.t+t- 9'8s'>-f5
DIRECTIONS
TO JOB SITE (�v 71j �( 0(.-pPARCEL 275��7
NUMBER IZ-3 2-q fI 90o 7& DESCR. air S P t(
- 9 �l f iU E f �-R�-mot_ 3
Indicate below: O Property lines and dimensions.
O Easements and roads.
O Septic, drainfield and reserve area, or sewer.
O Septic tank and drainfield setback distances from foundations.
O Location of proposed construction on property.
O Building &septic system setback distances from all property lines& easements.
Indicate North O Well and water line.
In Circle O Saltwater, lakes, rivers, streams,wetlands, drainage.
O Attach copy of septic system as built or septic permit approval.
O Indicate topography profile of property and structure on reverse side.
0 c- C g L
T
f
no-sr
( T/
Ps
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval.
SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE
(Y4 c C A o S
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BEL.FAIR, WASHINGTON 1 .KA
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low,
Shorelines: Plumbing:
Setback: Mechanica :f,,.mc�.�e.n�A
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
oot ing• r
V,ZDPv
Setback:
Foundation
Walls:
FramingZXC/]:2��9.z
Fireplace:
Wood Stove:
TYPE SUN ROOM/GAS F[ ACE
Permit No. 28779 _ No. Floors 1 Sq Ftg 156
Owner ART M DLES Tel 275-4720 Date8 9 91
Address E 480 Old Belfair HWV Zip
Contractor ZNE
Address -zip
Legal Descrip ton 29 23 1 T 9 NE NE
Direction to project site NEXT TO FTREHAi1+,
ing Mechanical Sewer Wood Stove
Fireplace Deck Tar—age arport
Basement soft Other