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HomeMy WebLinkAboutBLD23570 Cancelled Addition - BLD Permit / Conditions - 12/21/1992 Shorelines: e< Plumbing: Setback: e,rC Mechanica : Special Interior: Conditions: FINAL: Mobile Herne: Smoke Detector: Footing: % Remarks: / � y Setback: Foundation Y Walls: ri< Framing;4 ,�g O - Fireplace: Wood Stove: . TYPE ADDITION Permit No. 23570 No. Floors Sq Ftg Owner ROHDE, Biorn Te1426-1 3 Dat Address E 5730 HW 3 Shelton .- LU Contractor Merl Mortensen Address Shelton 111!3-M Col— ip Legal Descrip ion J. 0, R W, of Cran erry Direction to project sit N of Deer Cr. - 5.7 miles from Shelt as si e o Wy PlunEing x MecI Ianica L Sewer I'll"111]'"(3d Stove X Fireplace Deck Garage Carport Basement Other etc BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 J 427-9670 DATE ISSUED PERMIT NO.szf� OWNER NAME MA_ILAD RE S CITY&STATE ZIP PHONE / c� � 'S��•3 c� �� Lie.-� LU 1��1 6 - Q- DIRECTIONS TO JOB SITE S PARCEL 3� QDG1 a LEGAL N U M B E R&9 DESCR. NAME MAILADDRESS CITY&STATE LICENSE ZIP PHONE CONTRACTOR , c USE OF BUILDING Gam/ 11/ /(�C CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK DESCRIBE ff- `WORK �?� 5'L'` l l "Z �1 r � y Gn a 7 .--kp e_�' BEDROO4A — DECKS CARPORT NOTICE BATHROOMS 2 TOTAL SQ.FT. GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR 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 TOTAL SQ.FT.;� -IREPLACE _ DETACHED 7 ABANDONED FOR A PERIOD OF 80DAYS T ANY TIME AFTER WORK ISCOMMENCED.D OR PERMANENT SHORELINE SEASONAL` �,�f • .y.- �� OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT 1 AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRA ON LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIRE NTS 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 CON RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINI' APPROVAL FROM THE BUILDIN .PARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. a � X OW DATE /o X BY DATE FOR OFFICE USE ONLY APPROVED DEPARTMENT DEPARTMENT No YES NoBUILDING VALUATION HEALTH PUBLIC WORKS FEE ' PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK q SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING o. l?C MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLLA/NSICHHEECKK'B'Y APPROVED FOR ISSUANCE PERMIT VALIDATION BY a CASH CK MO TOTALQ/�Q 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 MAILADDRESS CITY&STATE ZIP PHONE J a DIRECTIONS r' TO JOB SITELEGAL el DESCR. UO A IC'p pL-6 CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE � � Y) S USE OF / 7 /. J` BUILDING L/()/NCB bl ' ll lJ�l/��-YI fj�f PLUMBING FIXTURES ME HANICAL 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 .2 — REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 1 AUTO.WASHER 2 ' 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 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 �. "� BYW CASH CK MO 41 dIts G ' r L r Y1. 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