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Home My WebLink AboutBLD0322 SFR - BLD Application - 11/13/1990 BUILDING PERMIT APPLICATION MASON O COUNTY �- g DEPARTMENT of GENERAL SERVICES P.O. BOX 186 ,SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED 3• + 6 PERMIT NO. 2 G---- OWNER NA �� MAIL DRESS / CITYBSTATE _ ZIP PHONE DIRECTIONS •[/,( Q �� TO JOB SITE o 42 PARCEL U 0-? DESCR LEGAL NUMBER . CONTRACTOR NAME MAILADDRESS CITYBSTATE , LICENSE NO. ZIP PHONE USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE -- FMOVEE WORK ✓ DESCRIBE WORK BEDROOMS DECKS CARPORT _ NOTICE BATHROOMS e�-- TOTALSQ.FT. GARAGE _4::�—) SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. NO.OF STORIES BASEMENT d!:�/ ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT TOTAL SQ.FT. 1 .2� FIREPLACE COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR — _ DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERS AF DAVIT CONTRACTORS AFFIDAVIT I CERTIFY T T I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF CERTIFY LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREME S 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 CONFO ANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAININ PPROVAL FROM THE ILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OW R DATE D X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED YES NO YES NO BUILDING VALUATION Z-7 V HEALTH "'SG PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT 00 D.O.T. BUILDING QL PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP �2 PRE-INSPECTION SHORELINE C Z WOODSTOVE OR EXCEED OCAON M1 iST MEET `� L PLUMBING OFFICE BEFORE CONSTRI CALL THIS jr MECHANICAL d�Z�l STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY PLANS CH C BY VED R ISSUANCE1!!! ION' �' MO TOTAL lzz Re PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED /�3e PERMIT NO. 0 3 5- 2— OWNER E MAIL DRE$$ CITY BST TE ZIP PHONE DIRECTIONS D '�" Z TO JOB SITE r�t 4j! LEGAL �r 3 DESCR. •� CONTRACTOR AME MAILADDRESS V CITY BSTATE 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 BATHTUBS BOILER/COMPRESSOR SHOWERS REPAIR/ALTERATION 6 00 WATER HEATERS 6.00 REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER AIR HANDLING UNITS SINKS 7.50 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 cl 0-0 CONNECT TO CITY SEWER WOOD STOVES 5.00 DISH WASHER WOOD FURNACE 5.00 DISPOSAL URINALS F. PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL <X 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 CONF MANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUTFIRSTOBT IN APP VA OM E BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE �v X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BplDING GROUP APPR4ZVF[�5ORMUANCE PERMIT VALIDATION IBY CASH CK MO i +, ■rrrlrrrMENrllrr MEN No ■rrrrrrSOON MOEN%��rrrlrNEON rrrrrrrrrrllf��r/��rrrr�lrrrrrrr■ rlrrMEMNrNrrrrr■ ■rrrNONE �rllrrrrrrrrl��rrlrrrONE NONE o/rrrrrrrrrrrrl�rrrrrMEN rrrrrrrlrrr� � ri�rrrrrrlr■ Irrlrmrrrrrrlrrrrr�r��r�rrrlrNONE rrrrl\rrrrrrrrrl0 MISS OEM rrMENIMrrrrrrEN irlrr��r�rrrrrlrrr■ ■MENUMrrrrrrrri��rr�rrirrrr■INEON rrrr/Irrrrrrrrrlrrrll�lrrrrrNEON ■■ERNMEMrrrr�rr�rrr��rrrrrrrlr■ rrENrrrrrrrar,��rrrrrrENO ■rrrran rrri aEENwimlrrrrrrrrr■ MEN MEN r mar`m:mrlrrrrrrNONE ■rrrrrrrrOREMMON, INrrrrrrNEN rrrrrrrrrrr�(��►��rrirrrrrrrrr■ Irrrrrrrlrrrrtrrr■\��I�rrrrrrrr■ ■rrrrrrrrrrrrrrlrrr�rrrrrrlrr■ lad I=I-I-Inym Scale: 1"=20' Bob Soltis, Inc. Lynch Cove Div. 3, Lot 39 C i N 12' et Laura Lane k 2 8' 95. f t f i ' I G