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Home My WebLink AboutBLD0093 SFR - BLD Permit / Conditions - 3/21/1989 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. 6_242� AME AILADDR CIT11Y TAT ZIP PHONE OWNER e---- r� � � �l 0.lV: "off o ho DIRECTIONS TO JOB SITE PARCEL NUMBER �o�� i DESCR. .r /. 6141 I. NAME MAILADDRESS CITY BSTATE LICENSTE NO. ZIP PHONE CONTRACTOR ,-,y1 USE OF ' BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE ` WORK BEDROOMS DECKS q'� O 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 I DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNER AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTI THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGIST ATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUI EMENTS 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 OBT INING APPROVAL FROM THE BU DING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. OWNER TE '6Jlt� ` X BY DATE FOR OFFICE USE ONLY DEPARTMENT YES PPROVE NO DEPARTMENT YESPPROVENQ BUILDING VALUATION6 HEALTH GLa!( PUBLICWORKS FEE PLANNING FIRE BUILDING PERMIT a� D.O.T. I BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDINGGROUP _3 m , PRE-INSPECTION SHORELINE As /w'7r" ov 4,arw 7= wct y0 X ,Sfa J+ OODSTOVE PLUMBING Lit 7 MECHANICAL Q 00- STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT IALIDATION TOTAL �� BY (,!/ l ' 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. �07� OWNER NAME SS � &ST ZIP PHONE t AK— DIRECTIONS k TO JOB SITE k W JL A LEGAL �'jO O - OG 1>& I9 DESCR. CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF r- 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 6A 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 :;z AIR HANDLING UNITS 7.50 SINKS r 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 02- TOTAL j,5P 4M' - 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. Al 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 CON ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIR T OBTAINING A P VAL FROM THE BUILDING DDEPA T EN WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. XOWNE DATE XBY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS C�Y BUIL}}D��ING GRO APPROVED FOR ISSUANCE PERMIT VALIDATION -70 (//(��/ K� IBY k /U O CASH CK M sjo CA ,+ A K 4 ' S r 3 j I A ivl to yb Shorelines: µ Setback: — ty' Pltmbings,��t'9/.� Special Mchanicat Conditions: Interior: FINAL: I�'bbile ; Smoke Detector. Setbarc�k. ` -- x oir Foundation Walls: 4tFri Firepla e PERMtT Food Stove: & � RY FYmrQwMN TYPE RESIDENCE Permit No. 0093 No. Floors 2 Owner RUPE, Mar Tel $68 Ftg 1370 Address oX Date $ Contractor Se elfair Zip' Address Legal De rip io ip Direction to projec Right at red school bus shed. 4th riveaonori ht m1 es ing X anica wer Fireplace X Deck Love Basement oft 288 rage e 5 t 2 bdrm *VOID BY EXPIRATION DATE* BY ----------