HomeMy WebLinkAboutBLD89-24490 - BLD Permit / Conditions - 9/22/1989 Shorelines: Plunbing: M'c u�t1
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TYPE RESIDENCE
ermit No. 24490 No. Floors 1 Sq Ftg 880
)wner GODWIN, John Tel Date 9-22-89
dress
41st So Kent Zip
ntractor um ermens ip
ddress Shelton
gal Description�Lak ,Cushman WS 1 Bl . 2 Lot 14
irection to project ski �y ATTACHED
un ing r
c anica ewer ____ Iod Stove
'replace Deck 352 Garage Carport
sesnent Loft --other
1 bdrm ,n ^ç
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 �}
427-9670 DATE ISSUED
PERMIT NO.C.
OWNER NAME . MAILADDRESS CITY&STATE ZIP PHONE
o/ 232r -r/ sus 6r !/1J f
DIRECTIONS
TO JOB SITE / /? f '/7'f (7
PARCEL LEGAL �y �/ J �/
NUMBER zS �f O2 // DESCR. a�JGt �L�S �f5 �3/% ��/t ;2 L0���
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR 4 r
012/3 ,�-F,/.s -)./3o x 7c s/ / vim- 3-Q3',c'T"
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE //�� /
WORK `_77 r� paeXA/Jt" S �/
BEDROOMS DECKS 3Z CARPORT 'yO NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE NO CONDITIONING.
NO.OF STORIES BASEMENT Al O 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 SQ.FT. FIREPLACE DETACHED /VG ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASON
OWNS SAFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIS ATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQU EMENTS 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 C NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE T EREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT ING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FR HE BU DING DEPARTMENT.
X OWNER DATE X BY DATE l/ G�9
FOR OFFICE USE ONLY
DEPARTMENT YES APPROVED DEPARTMENT APPROVED BUILDING VALUATION NO YES NO 3 J r.�jJ.
HEALTH PUBLIC WORKS FEE
PLANNING JIMFIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK S
SPECIAL CONDITIONS BUILDING GROUP 3 PRE.INSPECTION
q/i / 7 O SHORELINE pLG
WOODSTOVE
PLUMBING 1.
MECHANICAL
STATE BUILDING FEE ii
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CH K BY APPROVED FOR ISSUANCE PERMIT VALIDATION
l TOTAL
O 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.
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER 75 ?, I r l���T/� fib -v9j ≥--
DIRECTIONS
TO JOB SITE j / G
LEGAL
DESCR. J/1/('f ≤/ / _ / /L°V
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING Cr
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS iy C� FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS OCt FLOOR/SUSPENDED FURNACE 6.00
BATHTUBS n BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
J WATER HEATERS 2 'O REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHERS 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 '4G"� 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 REQUIREMENT 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 LL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FI NG APP AL F M HE BUILDING DEPARTM T.
X OWNER DATE X BY DATE c /�
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
BY CASH CK MO