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Home My WebLink AboutBLD20837 Reroof Expired - BLD Permit / Conditions - 1/9/1991 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMITNO.C77:9l!!Qd!lp�_3 7 OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE y N . ► - Ina DIRECTIONS TO JOB SITE g �Ot�Y c a- be-v- o l Qo 1 PARCEL A is scu, s�� NUMBER 9 �/3 aa�aa DESCR. 5� � G {�Q d� q_ NAME MAILADDRESS CITY&STATE LICENS O. ZIP PHONE CONTRACTOR USE /'Q BUILDING („ CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE /� f WORK W BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.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 I TOTAL SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTERWORK IS COMMENCED. PERMANENT SHORELINE SEASONAL 11NONFORMANCE ERSAFFIDAVIT CONTRACTORS AFFIDAVIT TIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF TRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REMENTS 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 THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING NING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. NE DATE X BY DATE FOR OFFICE USE ONLY DEPARTMENT YES SPPRovENo DEPARTMENT YES NoBUILDING VALUATION G .Cp HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK C51s DO SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION a SHORELINE WOODSTOVE PLUMBING MECHANICAL p?5.Qa. STATE BUILDING FEE 5 STATESURCHARGE APPLICATION ACCEPTED BY Y RO E PERMIT VALIDATION TOTAL B CASH CK MO PLUMBING & ME'eHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. ,�NNAME MAIL ADDRESS r CITY&STATE ZIP PHONE OWNER L7R">- ��/ Al-��! *4*k ki a l �-r �-�S•��S"S' DIRECTIONS1 IV TO JOB SITE 6Q CeM14y- o� Q-e LEGAL DESCR. 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 BATH TUBS BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER AIR HANDLING UNITS 7.50 SINKS a HEAT-PUMPS 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 WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUTFIRS TAININGAPPRO FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNE DATE gin X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION IBY CASH CK MO Shorelines: Plumbing: Setback: Mechanical: Special Interior: Conditions: FINAL: Mobile Smoke Detector: Doting Remarks: Setback: Foundation Walls: Fuming: Fireplace: LL ,a v . Wood Stove: TypE NEW ROOF STRUCTURE Permit No. 20837 No. Floors Sq Ftg 52� Owner W00 RD, Gary Tel 275-6255 Date 8- Address NE 131 McKnight Rd Belfair Zip31-87 Contractor None Address Legal Descri ion ip g P Tr 10 SW 9-23-1 Direction to project site Belfair Cafe Plum ing Mechanical Sewer Wood Stove Fireplace Deck Garage Po Car rt Basement Loft Other. 54x97