HomeMy WebLinkAboutBLD22125 SFR - BLD Permit / Conditions - 6/9/1988 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:.►/<
Conditions: FINAL:,A /2/ €9
MobileHome:
Smoke Detector:
-'L Remarks:��..,ro e
Fo o t ing: :d /J/Z 3 Ars rzf
Setback:
Foundation
Walls: gi1
Framing:
Fireplace:
Wood Stove:
TYPE RESIDENCE
Permit No. 22125 No. Floors 2 Sq Ftg 4925
Owner MARTIN, Bruce Tel 437-7209 Date 6-9-88
Address 8051 Beacon Ln Northville, Mi. Zip
Contractor C13LC
Address Box 338 Allyn Zip
Legal Description Div 110 Lot i 'AA-B
Direction to project site E 840 Old Ranch Rd
Plumbing _X Mechanical Sewer Wood Stove X
Fireplace Deck 616 Garage 748 Carport
Basement 1400Loft Other
4 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
1000 41 00 DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 a
427-9670 DATE ISSUED
PERMIT NO.'-�
ypME , MAISA RESS CITY&STATE /`� 'Oel, ZIP /ONE 3 Y3
DIRECTIONS (J//fn`, %
TO JOB SITE Cl/JG�h •
PARCEL LEGAL
NUMBER aa./7 s(� DESCR. 0� /3� /;/lS✓V^� /� O ��
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR - �L N &X, -r- /.x D d
BUILD NG - bL 05,"IQ' yJ,�it✓'vn� E,C/ 0 �7S
S �✓G LGyp
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK Poo
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
/ // SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT.CIJL(,a GARAGE -34 CONDITIONING.
NO.OF STORIES BASEMENT / DD 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 ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE 7'�O
SEASONAL
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 AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFOR E THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING AP ROVAL FROM THE BUILDING DEPARTMENT. APPRO L FR M THE BUILDING PAR ENT.
X O E DATE X DATE 1 3-/A
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK -
SPECIAL CONDITIONS BUILDING GROUP 20 PRE-INSPECTION
r ), `: SHORELINE
1jA,, 6W j (Y, Af' )1 /l: /8-C%` WOODSTOVE
Y" �i r x � �� PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PL/ANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
L �v z% BY �\ _ CASH CK MO TOTAL
� ' 9a(5 �
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
.NAME MAILADDRES CITY&STATE c ZIP PVil3
OWNER /7/rl'�2r Jt�S% fi r✓ ✓NiJIL d�C�L� / �f�/Cv /
DIRECTIONS / q37— 7,)OU
TO JOB SITE S
�- oLEGAL
DESCR. f--J l . 3 / U S/D� �( �(/rj il/✓ C !TC.'2
CONTRACTOR
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
L -
USE OF
BUILDING ./t/� ��//L✓� /��L 5 /D�/✓G� J g/S
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
S WATER CLOSETS /� ` FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS FLOOR/SUSPENDED FURNACE 6.00
BATHTUBS �'� BOILER/COMPRESSOR 6.00
SHOWERS �, REPAIR/ALTERATION 6.00
7 WATER HEATERS �t, REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER 1 c^c" AIR HANDLING UNITS 7.50
SINKS HEAT-PUMPS 6.00
C FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS 5 VENT.FAN SYS.3.00 PER UNIT
LAUNDRY TRAYS WOOD STOVES
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISH WASHER
DISPOSAL l
URINALS
PERMIT BASIC FEE 00 PERMIT BASIC FEE 10.00
y
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 REQUIRE REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL
WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK NE ILL BE IN C FOR ANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WI;�' UT�7" "(
T OBTAININ PPR AL FROM THE BUILDING DEPARTMENT. f
X OWNER DATE
X .. DATE
FOR OFFICE US ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
IBY CASH CK MO