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Home My WebLink AboutBLD20570 Apartment Remodel - BLD Permit / Conditions - 7/9/1987 Shorelines: LA Plumbing: /BSc i:;,/*) rt' Setback: r 7 Mechanical : Special Interior: Conditions: FINAL: 4 ,�7�V'I F Mobile ome: Smoke Detector: Remarks: Footing: Setback: Foundation, Walls: Framing:rA's` /--7 g5 ft' Fireplace: Wood Stove: TYPE REMODEL APARTMENT Permit No. 20570 No. Floors 2 Sq Ftg 528 Owner KLOZE, N.S. Tel 455-2053 Date 7-9-87 Address 2012 77th NE Bellevue Zip Contractor J & J Gen Cont Address Shelton P 0 Box 1525 Zip Legal Description Por G.L.1 33-22-3 Direction to project site E 7627 Hwy 106 Hood Canal um�g V, Mechanicalewer ood Stove Fireplace Deck 48 Garage Carport Basement Loft Other Storage 528 I BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED 7 9 eG 7 PERMIT NO'�6 ' -1 7(f:2 OWNER NAME MAILADDRESS _ CITY&STATE ZIP PHONE J. 5 s= 3 ONS TO JOB DIRECTSITE PARCEL LEGAL l NUMBER DESCR. ` ' \ �� 3 44's NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR rye USE OF BUILDING CLASS OF NEW ADDITION AL RE MOVE REMOVE WORK ✓ DESCRIBE - �/ WORK '"!4L�S � l4-,r- .A0 1 Cl s Go ll'(-��144--' '� 'le ax4tKill BEDROOMS_ DECKS --j CARPORT OTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS�— TOTAL SQ.FT. 5 GARAGE CONDITIONING. NO.OF STORIES BASEMENT 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 DETACHEDI ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL 5 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 REGISTRATIVANCE �V RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMEOR 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 CONFO THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFO E TH WITH. HALL BE MADE WITHOUT FIRST OBTAINING OBTAINI APPROVAL FROM THE BUILDING DEPARTMENT. APP AL F M THE B i DE P MENT. i X OWNER DATE X Y DATE �lWlf 7 FOR OFFICE USE ON Y DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENO BUILDING VALUATION HEALTH j� PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT O D.O.T. BUILDING PLAN CHECK rc SPECIAL CONDITIONS BUILDINGGROUP �'— PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY PLANS CH CK BY APPROV D F ISSUANCE PERMIT VALIDATION r / TOTAL BY CASH CK MO /CJ PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED L/A q 61- 0 7 PERMIT NO. oZ LJ NAM MAILADDR CIT &STATE ZIP PHONE OWNER ��5 G� ' ` DIRECTIONS TO JOB SITE LEGAL CONTRACTOR N ME MAILADDRESS CITY STATE LICENSE NO. ZIP PHONE USE OF /1f L 4� BUILDING I Aw rJ /Z PL M ING 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 {, BATH TUBS BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER AIR HANDLING UNITS 7.50 f 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 r PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL OD TOTAL SP r/L 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 OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE TclASH ERMITVALIDATION BY CK MO PLOT PLAN ADDRESS jf / 76 4 Z f�_/ ��3 PERMIT NO. f o ,\ n s LEGAL '� j/li �'� `� /` �(/e a DESCRIPTION [ LOT 1 5CC- 3 BLK ADDITION SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. V 4) INDICATE NORTH IN CIRCLE t GRAPH SQUARES ARE 5' X 5' OR 1"=20' 0 1ov ( IF I/We certify that the proposed construction will co for shown above and that no changes will be made without first obtaining approval. A'. s: &lam ze NAME(S) OF OWN ER(SI OF S A STRUCTURES) (PRINT) R WNER(S) O UTHO IZ D ESENTATIVE DO NOT WRITE BELOW IS LINE APPROVED h DISTRICT AS NOTED DATE f� 1 �� ar - 3 Clos _ - — — 1 vr►m��- ,lh-h�� 'fra c _ APPRGV® -?j MASON BUILV:0, C;S�XTn �HAt SUBJECT 10/,r'Pno,,. v O S • - -Y Loaje-,- SC>�L -kV s I _+; 7 o z Xf ,C b \�� Ze c. 7AWII ca-& , WARS 44 r� exu't4,bJ .gxY wia-115, i J� 4 C ►.a� cis Q-r/ ,,ds..V,.J a e eMe - - .� _.�-.,>� �-�"� ;.�.•, ° ter ,:.:.... . DEPARTNIENT OF LA:;(),; A.ND INDUSTRIES 3,-�;; -REGISTERED ,,$,,',PROVIDI D BY LATJ AS ' CONST CJNT GENERAL i!)ATE ACC PDBC0I*11nQC 09/01.119�9 t� �—P D B CONSTR C'TIOZI INC, P 0 BOX 3'96 4 m�BELFATR WA " ,98528 i f: I F625-0524)00 �`�� ,y. ,cr.a �. r�'"R'�f�-��' .r.� „�'.•'� _y:r` `"it i�y "A r. �y . ..• §. �.y,� ;a. r� {� , S FE OF WA SHINGTON UNIFIED BUSINESS 'IG ,t : slit �•iii ; ,W '' i 001 t, 1 ORCiANIZATION TYPE !' DOMESTIC Pi;OF IT COUGRATION P.O.B. CONSTRUCTION, .INC. i� ' I 22604 NE H YY 3 �-, 1 I� it PO BOX .396 �f BELFAIR WA 98:28 0396 DOMESTIC PROFIT CORPORATION ?A 'RENEWED BY Ai1THORITY OF SECRETARY OF UATE 4ci REGISTERED TRADE NAMES: { P. D. B. PILE DRIVING, CONSTRUCTION COPAP,4NY, Ii"C. -Al 3 - 1,_'Y �'drd,•rs+�dr"� /'JN.r hT .. � s,.:-':,r„et; .. •. ,- �, a., .. ��§ f3; The above entity has been issued the business registrations or licenses Usted ,r1 DEPARTMENT OF LICENSING,BUSINESSS40NS DtVISlON, P.O.BOX 9034 OLYMPIA;WA BHlfQT ;�3G�)a6Gq�1400 >Partrl ut Ler dc