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HomeMy WebLinkAboutBLD23811-Add Bathroom & Utility Room, and Covered Porch Area - BLD Permit / Conditions - 5/31/1989 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 f! 427.9670 DATE IS WEDS- ' U PERMIT 40. --? SAE ���E MAILADDRESS CITY&STATE ZIP PHONE OWNER Ot7L'r� C. rDX 151go mer'a'��qq Dr. yalo- � DIRECTIONS TO JOB SITE ,©f is /.4a mted(/ e Ar rJ PARCEL LEGAL �ra�i� O;V / NUMBER I ' L�- Q-0000,3 DESCR. LO 3 NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR tjex ) Con5+. S& Sro 61ue htea. he tD E-A LG IvIK 1 7<?93 USEOF BUILDING 7J/-QQna F i!'iU CLASS OF NEW ADDITION I ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE 0 i1 WORK a /`007/+ �; !'o Dtv- 0(J&-f 2G1 QO"Ch e2Ae6L BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING. NO.OFSTORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSI RUCTION AUTHORIZED IS NOT ��a����^^ COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION R WORK IS SUSPENDED OR /2 TOTAL SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTE I WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERS Y18.27, CONTRACTORS AFFIDAVIT I CERTIFY TXEMPT F M THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATI18.27, D AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REO IREMENTS REGULATING THE REQUIREMEH T PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND AL WORK DONE WILL BE IN IN CONFOR NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MA E WITHOUT FIRST OBTAINING OBTAINING A HE BUILDING DEPARTMENT. APPROVAL FROO1M THE BUILDING DEPARTMENT. XOWNERDATE XBY 0'�1 DATE FOR OFFICE USE ONLY DEPARTMENT YESPPROVE NO DEPARTMENT YES APPROVED BUILDING VALUATION HEALTH K PUBLICWORKS FEE PLANNING FIRE BUILDING PERMIT fp S�v D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING CG X = ci MECHANICAL --- STATE BUILDING FEE i STATESURCHARGE 'PLICATION ACCEPTED BY P//y/�/+SCHECKBY APPROVED FOR ISSUANCE PERMIT VALIDATION yP '/'4 B �( .� CASH CK MO TOTAL PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427.9670 DATE ISSUED PERMIT O. OWNER NA E MAIL ADDRESS CITY&STATE ZIP PHONE er C' Fb b me/aId dr, ev Pc� [clsc, 7 73` DIRECTIONS TOJOB SITE 3r-d �J ew,-,± mEad I Or,' LEGAL - '1 7 / nn DESCR. So-UOQ O L 0 3 CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF A BUILDING p {. R 4 Al'p PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS ,2� — FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS �� — FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTE M 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 ,- qo LAUN DRY TRAYS W OOD STOV ES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT ASICFEE 10.00 TOTAL TOTAL SPECIAL CONDITIONS: NOTICE: THIS PERMIT BECOMES NULL AND VOID 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 ANI A CURRENTLY REGISTERED THE CONTRACT OR REGISTRATION LAW ROW 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 THI 3 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 ^.ATION ACCEPTED BY PLANS CHECK BY BUILDINGGROUP APPROVED FOR ISSUANCE PEP MIT VALIDATION BY CASH CK MO Shorelines:�� Plimbing: Setback:, Mechanics Special Interior: Conditions: FINAL: q p Mobile name: Spoke Detector: ooti Remarks: Setback: FOUndatlOn Walls: Ax- Framing: G Fireplace: Wood Stove: TYPE ADDITION Permit No. 23811 No. Floors Sq Ftg 128 Owner FOX, Robert C Tel q26-7875 Date Address E 80 Emerald Dr Gra eview Zips-31-89 Contractor ea Const Address SE 50 B ue Heron Lane Shelton Zip Legal Descrip ion mera Lake Div 1 Lot 3 Direction to project site 3rd driveway on Em rain n to right um irk anica wer tove Fireplace Deck 96 Garage carport Basement =Loft _Other