HomeMy WebLinkAboutBLD1068 Cancelled SFR - BLD Permit / Conditions - 8/25/1989 BUILDING PERMIT APPLICATION
P/ MASON COUNTY
DEPARTMENT of GENERAL SERVICES
�D O'A \ P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO.
OWNER NAME MAILAD RES CITY&STAT ZIP PHONE
Ole
DIRECTIONS
TO JOB SITE
PARCEL LEGAL / n
NUMBER -OQ9 DESCR. L
NAME �M AIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING e
CLASS OF yy ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK
BEDROOMS DECKS L' CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. Q_ 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 SO.FT.�� FIREPLACE_ DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASON L
OWNE SAFFIDAVIT 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 TION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND 1 AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIR MENTS 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 CO ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI NG APPROVAL FROM THE BUILDING DEPARTM T. Df / APPROVAL FROM THE BUILDING DEPARTMENT.
/, /f3� �J'.�/Jl'
O N E��DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION od
ES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT /� y
D.O.T. BUILDING PLAN CHECKi�
SPECIAL CONDITIONS BUILDINGGROUP _ PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE q. ,i746
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
BY 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 MAILADD S & CI &S T ZIP PHONE
DIRECTIONS
TO JOB SITE
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 p FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS ? po FLOOR/SUSPENDED FURNACE 6.00
BATHTUBS 4j162 BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS p ® 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 3 u O
LAUNDRY TRAYS WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISH WASHER
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL /5.0 6 TOTAL �J v
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. O C N�GEIS SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST AP ROVAL FFRM TH PILDINGD A T./r, WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER ��� �-`�' X BY DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
BY CASH CK MO
• 9,10i mim I . •
- • .,. • • • • c - • • . . •
■■■■■■■■■■■■■■■■■■■■■■o■■■■■
■■■■■■■■■■■■■■■■■■■■moom■■■■
■■■■■■■■■■■■■■■■■■■oi■■►.■■■■
■■■E■■■ ■■■■■■■■■■■■I■■■■MEN,■
■■■■■■■■■■■■■■■■■���I�il��■�■
5
Shorelines: Plumbing:
Setback: Mechanics :
Special Interior:
Conditions: FINAL:
Mobile
Smoke Detector:
Remarks:
oot ing:.e,4KZa
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE RESIDENCE
Permit No. 0168 No. Floors 1 Sq Ftg 864
Owner WEBER, L. H. Tel Date 9-5-89
Address P 0 Box 767 Belfair Zip
Contractor Bob Soltis
Address Belfair Zip
Legal Description Lynch Cove Div 3. Lot 65
Direction to project site From Belfair to Lynch Coye_ an.--^—sW
on county rd.Past Matthew Dr take 2nd left Barbara Blvd. Left on Allen Ct.
Right on Lorrain Ct to end o7 cul-de-sac.
um ing x Mechanical x Sewer Wood Stove
Fireplace Deck image carport
Basement ---loft ----Other
2 bdrm
i