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Home My WebLink AboutBLD28261 Reconstruct Garage - BLD Permit / Conditions - 6/4/1991 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED Y PERMIT NO. S2( a MAIL ADDRESS CITY&STATE ZIP PHONE OWNER �Ps7 _ 5 UU lv 0 . Ljul A 9svc)- `3 7 DIRECTIONS - 1 TO JOB SITE II'C Ti ?.t.J} a F L". �' ew t 60 �I w y 16(0 PARCEL LEGAL �i NUMBER 6(j ��14DESCR. tiL r}e. NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO. CONTRACTOR e 1/Cf� L YL/�ufl 9 jcl�' �1 q `/( USE OF _ BUILDING / 4 WORCLAK ✓F NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK /� / �C , ` fie WORK DESCRIBE / 1 -s-T-06-1 u,'�� j tie 4i l , (�65 I 0 T e AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS PRIMARY RES.Q THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS S Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE- q4 6SgFt ATTACHED Q DETACHED❑ OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT 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 REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED A D ALL WORK DONE WILL BE IN IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHA BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FR THE BUI ING DEPARTMEN . X OWNER DATE X BY _ DATE FOR OFFICE UEVE ONLY DEPARTMENT YES SPPROVE NO DEPARTMENT YES NoBUILDING VALUATION / HEALTH PUBLIC WORKS FEE PLANNING ,' FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING TQ� PLAN CHECK 00 SPECIAL CONDITIONS BUILDING GROUP �3_ff) PRE-INSPECTION SHORELINE rr WOODSTOVE PLUMBING o 470 MECHANICAL 3 �� STATE BUILDING FEE S C) PPLICATION ACCEPTED BY PLANS CHECK BY VED ISSUANCE PERMIT VALIDATION /c-L'q I R.,-R.,- B CASH CK MO TOTAL /V O� PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED ! PERMIT NO. AME AIL ADDRESS CITY STATE ZIP PHONE OWNER 1 AJ i �; DIRECTIONS TO JOB SITE r)pjvcwLEGAL DESCR. ��( � 1 I J� PZ jau YBox 'J Q CONTRACTOR NAME ILADDR ITYBSTATE LICENSE NO. ZIP PHONE `I�'J C� fureAr�C�' Ip Via 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 FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS BOILER/COMPRESSOR 6.00 SHOWERS d REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER AIR HANDLING UNITS 7.50 t 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 FIRE SUPPRESSION 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL �1,90 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 ATOBTA NG OVA A�THE BUILDING DEPARTMENT. X OWNER DATE X BY DATE-1 /1 FOR OFFICE U E ONLY APPLICATION ACCEPTED BY PLANS CHECK BY B ING^ZGROUP PRO D F R SSUANCE FPEITVALIDATION - m-� BY H CK MO BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. —NAME �' MAIL ADDRESS CITY&STATE ZIP PHONE OWNER wit 7 d 0A)ItN I'd A ?Md, S o2S3s-' TO OBISITE _2 PARCEL NUMBER '�� 3 LEGAL 10 _ I _ . SCCcoj4 DESCR. t<�5 CF fR (3 tti S !� 5t;u'uYk Indicate below: O Property lines and dimensions. O Easements and roads. O Septic, drainfield and reserve area, or sewer. O Septic tank and drainfield setback distances from foundations. O Location of proposed construction on property. O Building&septic system setback distances from all property lines& easements. Indicate North O Well and water line. O Saltwater, lakes, rivers, streams, wetlands, drainage. In Circle O Attach copy of septic system"as built" or septic permit approval. O Indicate topography profile of pr perty and structure on reverse side. o e I/We certify that the proposed construction will conform to the d ensions and uses shown above and that no changes will be made without first obtaining approval. SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE fe IV wt NN - r r• _ � r