HomeMy WebLinkAboutBLD23940 SFR - BLD Permit / Conditions - 6/22/1989 Shorelines: Plunbing: o / g
Setback: Mechanica
Special Interior: r>
Conditions: FINAL: eA-'Io 9 G f
Mobile cme: '
Smoke Detector:
Remarks:
Footing:
Setback: /
Foundation
Walls:
Franing 5 /X F;
Fireplace:
Wood Stove:
Typg RESIDENCE
Permit No. 23940 No. Floors 2 Sq Ftg 1258
Owner COBLE, Howard Tel 943-6652 Date 6-22-89
Address 4115 WardLake Ct lympia Zip
Contractor
Address Zip
Legal Description a rona Morningside Reach Lot 17
Direction to project site NE 12951 R-orthshore
1 .5 miles East of Tahuya
Plumbing xx Mechanicalxx Sewer Wood Stove xx
Fireplace Deck 230 Garage Carport
Basement Loft Other
3 bdrm
' � r
BUILDING PERMIT APPLICATION
r}1 1 MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED - /j
PERMIT NO L v
NAME MAILADDRESS CITY STATE ZIP PHONE
OWNER O P Cone 41S p We cow &i j 3'�Or72
DIRECTIONS
TO JOB SITE (fie I I 1,o►�1�'1 %� gp. I.5 jklLeseAstOF 75W
PARCEL �Z2 'CJO 'DOOI D SCR. � "r� NA 1''� NINbSIG $GH G�� '�j, i . 11 �Tjc,45'
NUMBER
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR 81 dUSE OF
BUILDING � N -y
CLASS OF NEW k ADDITION ALTERATION REPAIR MOVE REMOVE
✓WORK
WORK DESCRIBE N6W CAF-1*44 A 4t? kP+Q t`0N OF C.xlsTIN& C API Q
BEDROOMS DECKS �L CARPORT O NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS Jvlo TOTALSQ.FT.2"— GARAGE O CONDITIONING.
NO.OF STORIES �'' BASEMENT NO ATTACHED _t4lD_ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
rfj ..ffn COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT.�7� FIREPLACES DETACHED D ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL .3
IREQEMENTS
/S AFFIDAVIT CONTRACTORS AFFIDAVIT
THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
TION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
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
ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
GAPPROV LFROM BUY DING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
Zt,D E X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION -)
YES NO YES NO
4 HEALTH CI,` PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP / PRE-INSPECTION
SHORELINE
Ct VA WOODSTOVE
PLUMBING
r G n 6 CHANICAL
STATE BUILDING FEE 0
STATE SURCHARGE
APPLICAT N ACCEPTED BY PLA''1,S/Offl:K BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
""�� BY e 2 CASH CK MO i .50
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER ONAME � ��ADDRES��� aw oC�ITYBSTAT�A ZIP PHONE
�V p �I�n� ((//YY W�4VA
BSDI q �.C�52
ONS
TO JOB DIRECTSITEm I ` 1�� N091TV �fOf4r, Rp -S IM,IL'4 'InA6T \�
LEGAL DESCR. t MAPK MOD1 N&51P�- �`�lq ft` -I 1T`'i i`40- "QS
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE
WATER CLOSETS -"- r FORCED-AIR I GRAVITY TYPE FURNACE 6.00
BASINS — - FLOOR/SUSPENDED FURNACE 6.00
AiBATH TUBS BOILER I COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS _ REFRIGERATION COMPRESSOR SYSTEM 6.00
i 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
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL - TOTAL /13
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 R QUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL
WORK DONE WILL B IN CO M CE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST BT NING A P L F B ILDING DEPARTMENT, WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNE E X BY DATE_
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY P NS H CK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
�` � '' BY 612 2 CASH CK MO