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Home My WebLink AboutBLD26983 SFR - BLD Application - 10/25/1990 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED ! Gf PERMIT NO. AME MAILADDRESS TY&STATE ZIP PHONE OWNER 3- a DIRECTIONS TO JOB SITE 1LlSo C o G� �✓t� ALL PARCEL I LEGAL _ f� NUMBER DESCR. j 66t C !7 NAME MAILADDRESS CITY&STATE LIC&4SE NO. ZIP PHONE CONTRACTOR 9 D , .1rf -502 USE OF BUILDING CLASS OF NEW Lim ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK BEDROOMS_ DECKS CARPORT NOTICE SEPARATE.PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING. NO.OF STORI ES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT.� L FIREPLACE DETACHED 2, ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT % SHORELINE SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY TAT 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 REQUIREM NTS F R'/(UHPCH 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 CONF R CE THEREWITH. NO CHANGES ALL AIDE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINI PPROVAL FROM THE BUILDING DEPART ENT APPROVAL FROM THE BUILDING DEPARTMENT. X FOR OFFICE USE ONLY SPFROVE NO DEPARTMENT YESPPROVENO BUILDING VALUATION DEPARTMENT Y HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT 1 D.O.T. BUILDING PLAN CHECK ��-- SPECIAL CONDITIONS BUILDINGGROUP — T�'4�� PRE-INSPECTION SHORELINE ALL CONSTRUCTION MUST MEET WOODSTOVE k"Fq EXCEED to C-At CODES. IF ANY QUESTIONS PLEASE CALL THIS PLUMBINGOFFICE BEFORE CONS I P007101m. C) MECHANICAL , STATE BUILDING FEE r STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY AP ROVED FOR ISSUANCE PERMIT VALIDATION 61g 0 t /� TOTAL �� _ g 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. 2!/ 69 NAME MAIL ADDRESS CITY S STATE ZIP PHONE OWNER R.Z. HALLETT P.O .Box 1636 Belfair, Washington 98528 2755249 DIRECTIONS TO JOB SITE GQ up Sandhill road 2rd take the fist rigbt and follow to tbe corner in the road, its right after the bind in the road. LEGAL DESCR. 24 Lot C of 1749 CONTRACTOR NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE POBox 1636 Belfair, Wa. RCHLC 1.40 3 Q8528 275 524 USE OF BUILDING Residence 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 2 BASINS FLOOR/SUSPENDED FURNACE 6.00 2 BATH TUBS BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 F2]- WATER HEATERS 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 LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 1 DISH WASHER 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 WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION APPLICATION ACCEPTED BY PLANS CHECK BY 7BY CASH CK MO `A; PLOT PLAN ADDRESS PERMIT NO. o LEGAL ' DESCRIPTION LOT e ,� BLK ADDITION SITE AREA �JfflO Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE 4�- FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. INDICATE NORTH IN CIRCLEL} — Cs Ar r 1/We certify that the proposed construction will conform to the dimensiMs and uses shown above and that no changes will be made without first obtaining approval. 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