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Home My WebLink AboutBLD6553 BLD0023 Addition, Bulkhead, Garage - BLD Permit / Conditions - 9/13/1988 BUILDING PERMIT APPLICATION MASON COUNTY ! DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 G 427-9670 DATE ISSUED �� a PERMIT NO. Q -Z'3 OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE ,Gc. i--�ueQoS EIZZ )4gmm ►(R9k ►.i, Z67LF0,110JJAA ql522 DIRECTIONS TO JOB SITE t try/ i� OGO PARCEL LEGAL / _ NUMBER �1 z `/�-Z '1 4 _A - DESCR. P D T&AQ� � '3BIJ!La'l SEr �•, NAME VAIL ADDRESS CITY&STATE LI ENSENO. ZIP PHONE CONTRACTOR USE OF �r� BUILDING /��S/C7L'N-r7tfL CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ +-- L`- ✓. DESCRIBE _ WORK G G'l�L`'YV "m I r Fe 42 �N SO�c=>✓77a� Q�v L . BEDROOMS 7 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 y 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 2 DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT `� SHORELINE SEASONAL OWNERSAFFIDAVIT CONTR CTORSAFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THA M A CURRENTLY REGIST D CONTRACTOR IN THE STATE OF REGISTRATION LAW RCW 18,27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I WARE OF THE NANCE REQUIREMENTS REGULATING THE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE IT SUED AND ALL WORK DONE WILL BE IN IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO GES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. (� APPROVAL FROM THE BUILDIN EPART T. X OWNE DATE X BY DAT FOR OFFICE USE ONLY DEPARTMENT YES PPROVENo DEPARTMENT YES NO BUILDING VALUATION HEALTH �� PUBLIC WORKS FEE PLANNING �; �� FIRE BUILDING PERMIT D.O.T. BUILDING / PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP .- PRE-INSPECTION 5-72tr ,7 L SHORELINE WOODSTOVE d r PLUMBING UG MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY P/LA/NS)CHECK SY APPROVED FOR ISSUANCE PERMIT VALIDATION C�(/ ►'�i BY`V/ �p d� CASH CK MO TOTAL f - a PLUMBING & MECHANICAL PERMIT APPLICATION Y--- MASON COUNTY 1 a�a0(o - I a -CI DC(O 1 DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. 00 3 NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER � �UCQOS F1221k,�4,w1AA-,B(Ql DIRECTIONS TO JOB SITE LEGAL / DESCR. Cam,e 0 Z 1 ZZ'v j R/ bt7 w/4 CONTRACTOR NAME �+AILADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF _ BUILDING i 1)CN 774 L PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS " e, C FORCED-AIR I GRAVITY TYPE FURNACE 6.00 -3 BASINS Q FLOOR/SUSPENDED FURNACE 6.00 `7 BATH TUBS BOILER/COMPRESSOR 6.00 f SHOWERS Z L? REPAIR/ALTERATION 6.00 WATER HEATERS o REFRIGERATION COMPRESSOR SYSTEM 6.00 Z 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 DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 EEE� TOTAL j;C 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 TWI APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNE •.�� DATE g" X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLA�S CHECK BY BUILDING GROUP APPROVED FORISSUANCE PERMIT VALIDATION C ��_ " � BY CASH CK MO Glencross, Albert 4) 75 T1116 #6553 7-28-80 `C6 �c�f4��nrn� fl4w< Rt. 1, Box 103 - Belfair bf� ,Part of Lot 2, •6-22-1 umbing Permit Addition, Alteration & Garage zz)DDo/STO U� ;D $48,239.00 F9>E� ��o '� - - -- -- ppppp- BUILDING PERMIT APPLICATION MASON COUNTY • Q P.O. Box 186 Shelton, Washington 98584 426-5593 �_ DATE ISSUED / PERMIT NO. F3 OWNER ME MAIL ADDRESS ITY 6 STAT ZIP PHONE oS r — < DIRECTIONS TO JOB SITE T ' v ' 0 G-L F-A t LEGAL I_ II ^�-� (❑ SEE ATTACHED SHEET) DESCR. I t1R\- `PAST d F La 1 2. SG �p 1 Z z w� m CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE USE OF BUILDING C. I-t>Ew)U C t_ Class of work: ❑ NEW V ADDITION ALTERATION REPAIR ❑ MOVE ❑ REMOVE Describe work: 1- fl .v Q Valuation of work: $ 8 ?39 PLAN CHECK FE /a U J PERMIT FEE _ 79 SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SQ. FT. GARAGE ATTACHED� 7 �S- SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING. TOTAL SQ. FTI.3� FIREPLACE A" DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER I certify that I am a currently registered Contractor In WORK IS COMMENCED. the State of Washington and I the aware of the FOR OFFICE USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT I.1 SHORELINES f j SEASONAL ❑ FLOODPLAIN ❑ Firm /� E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. PUBLIC WORKS certify that I am exempt from the requirements of the FIRE MARSHAL contract or registration law RCW 18.27, and am aware BUILDING DEPT. S' of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT It �� ("� APPLI ION ACC BYy PLANS CHECK BY APPROVED FOR ISSUANCE O er �''. �� .,..... -z<� Date.-� j7 �-' BY PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K M.O. CASH y � A C.,MASON COUNTY PLANNING DEPARTMENT f P.O. BOX 186 Shelton,Washington 98584 PLUMBING PERMIT APPLICATION IMPORTANT— Complete ALL items. Mark boxes where applicable. Name Mailing address—Number,street,city,and State Zip code Tel.No. Owner _ k 0"A 2. Contractor The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington Signatur of ap lica Addr ,s q.!=) L*r—�1 �pt (�J/ t Application date LEGAL DESCRIPTION 12R�1T aF �TZIV� � � w UJrn Location Of Building NO. PLUMBING FIXTURES FEE WATER CLOSETS BASINS BATH TUBS SHOWERS WATER HEATERS AUTO.WASHERS 7 SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City£ewer DISH WA HER j D16FrYIBAL 11 6VAN#L (Show Street Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT ON OTHER SKETCH. DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Approved by Permit fee Date pemit issued Permit number Receipt No. �"�Okc