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Home My WebLink AboutBLD19995 SFR - BLD Permit / Conditions - 9/16/1987 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUES _S PERMIT NO. NAME MAILADDRESS CITY SSTATE ZIP PHONE OWNER 0.p DIRECTIONS TO JOB SITE G j? - ✓'C j j i ,I'/J'p t'f= is c..��/,1ziy� J'��'/Y T r .r9 i PA ;. .� .� LEGAL _ r DESCR. 19LT - -5 S� 'fI (,L�Z1' r. LC NAME L MAILADDR S ITY STAT LICENSE NO. ZIP PHONE CONTRACTOR l' USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK DESCRIBE WORK &46 G- C 7- ti 1154 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 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. FIREPLACE 4Vt DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME 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 FROM TH ARTMENT. XOWNER DATE XBY TEU AQ ,� ✓/ /� � FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED YES NO YES NO BUILDING VALUATION 7 ,3_ HEALTH -t PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING 1 PLAN CHECK 7. SPECIAL CONDITIONS BUILDING GROUP - PRE-INSPECTION SHORELINE PLANNING PLUMBING MECHANICAL Q STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY PLAN CH K BY APPROVED FOR 5WANCE PERMIT VArCK L��-z BY CASH MO TOTAL 5 PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 2 426-5593 DATE ISSUED PERMIT NO. 7 �� NAME T MAILADDRESS CITY&STATE ZIP '71 `PHONE kffZ OWNER �� DI OBI SITE LEGAL DESCR. C '2_ 0 ,1.7 5111,017 llC'c)d L CONTRACTOR .,NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE 7 / USE OF o [i 3 BUILDING J 7 PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE -�2, WATER CLOSETS !J L? FORCED-AIR/GRAVITY TYPE FURNACE 6.00 �Z BASINS G� FLOOR/SUSPENDED FURNACE 6.00 Z BATHTUBS BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS o f REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER 6 AIR HANDLING UNITS 7.50 ( SINKS c C HEAT•PUMP 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 �' o DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL o17. c 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 WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBT INING P OVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE X BY-- � 7 ��Ga'a--�'QATE /%Y�Y � FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION BY CASH CK MO TYPE RESIDENCE Permit No. 19995 No. Floors 2 Sq Ftg 1998 Owner EVANS, Harry Tel 876-8497 Date 3-20-87 Address 11291 Butler Ave SW Pt Orchard Zip Contractor Earl Green Address 2018 Yukon Harbor Pt Orchard Zip Legal Description Sherwood Hills Tr 25 Direction to project site Sherwood Cr. Ld W to end of pavement. turn rt at end of pav mPnt Plumbing —x Mechanical _ Sevier od Stove Fireplace Deck 196 Garage Carport Basement 735 Loft Other 3 bdrm