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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 o ���r G�wE•r 1� THE M> > 1 Ci�,�. E?c 15 T i A-) G � " "•fix F l'J \ !r ' t C� f�l1LNA(.d r i -��a Sy4J3 oN (St?ilvE —Tr INE CONSTRUCTION -- DON ZECH P. 0. BOX T72 27&8127 �` 1A) PoorjivG(�Ce uT, BEL.FAIR, WASHINGTON 1 .KA F �, I " t• . _ p / v ' ��/�.C,• m�y.sP `� �1, �C)� ?AF;tks aLI 'x J % 'l , � r y o 20%r ors �TiNC� SC GC. ID e Co n�A.If,) I _ .-�^'.�i•s. -k' :fit' ,�;_; }'�;���/\\�y• n � / � •t� t ' T1MBERLIN'H CONSTRUCT1W InGCAuD C55 P. o. BON ZECII� FL.00IZ -k--'L4fJ BELFAIR, WASHINGTON 9&r-M q609O 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