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HomeMy WebLinkAboutBLD92-0561 Raise Roof Dormer - BLD Permit / Conditions - 8/20/1992 T 1 MASON COUNTY i Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 11'.. F(1 1 4:'7 9 fir N Rf. 09! -8�.ti1 .'A{cf.l1 i.' ( e1';4s4969(�lbf`+!• !'I r, I r=I fil I,iti,Yff11 +,>.'�' Yk4' . �• I�i F I t) 1 f�, E 4 16 1 HWY tOb . . . . IitNI0N tt1Jr�1 K[ MMETH itE:t `iF tlSbtt-4Ei6a CON11,h1 11ffl, t 1 ( lik At NE111<4(IR A h 1 $� 1R 44 $IY !� 15 (�lh1w tt 174 {tf'f AhOuNI It',, 0Ait Rl r1! f II(F'f ANeNNI H1' 1141E Rltif1DF I Y111 fit 11 Ililt1 011. Dkit 1 114 CIO PIP 1 Y'i'i 0f 1. 1,11 , , ► ) I:l t Ill± lmt. j ?s.YI R.ID 181/1lal ill'4 t 1 (-I(,t.(II . , Ilf;li 49 W001.l'-, 1 (0"1 ,? 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[Yl@rlf1 0f f(tN1f4HACIA4 Or um IS A Df1O4Rl;ti 111MI"11(+P 1,111010 Till too RAY Mi(t0 f14At 145Df(11(t4 411'+1 of ADDR9Yt0 htfORf bu11814ti CAP of t±CCNDifA 00414 OR A±it4f: � x`t.Y iA1I �n Ito_DR111, ±r= 1!,` ((�vl C:(1MF(. IAN(:I fit AI IAcHU1) CONUITI(IN S I XcQUltl41- i CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date by Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic d date by ate b { D.W.V. WALLBOARD NAILING I date by date by Water Line FINAL INSPECTION date by date by date by I — BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. LI NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER A. 2- s'aS -4E33 DIRECTIONS TO JOB SITE /a/ A% 3 3 D LDO LJ of PARCEL LEGAL NUMBER DESCR. NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO. CONTRACTOR . USE OF BUILDING S/.(fC'f.�{i9/►�/� 5/P CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE _ WORK I �_ -� [. 5% A t c / E��.eC-�✓t7 C.YV G � � C'ai� TU.1�..��� AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE Sq Ft STORIES SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECK $ 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 SgFt ATTACHED 0 DETACHED D OWNERSAFFIDAVIT CONTRACTORS AFFIDAVIT 1 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 CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. XOWN DATE XBY _ DATE FOR OFFICE USE ONLY DEPARTMENT YESPPROVEDJO DEPARTMENT YES DEPARTMENTBUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING Z PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION Aj 2 eZcAPb G 7 LA(,� SHORELINE ZC WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL (! C"( Z BY CASH CK MO 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. NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER T. DIRECTIONS TO JOB SITE APIAI 7al `�!/.C�A G�/lGkF O 10,6,C 72P vt- LEGAL DESCR. CONTRACTOR ME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE L� USE OF BUILDING J�/itJGLE /1= �it y PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS FLOOR/SUSPENDED FURNACE 6.00 J BATHTUBS z.00 BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 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 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 5•oo 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 OBTAIN G APPROVAL FR E BUILDING DEP71, NT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER �TE X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION / -3 IBY CASH CK MO