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Home My WebLink AboutBLD25601 SFR - BLD Application - 5/7/1990 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED'- q15:2 /� PERMIT NO. S25w 4:57/ NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER 3 :—f_ •Y_ _ y ra DIRECTIONS TO JOB SITE 2, • rl t 41.lolei i if` PARCEL LEGAL NUMBER p DESCR. NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR r . USE OF BUILDING PCs CLASS OF NEW / ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE WORK BEDROOMS / DECKS / CARPORT ;/ NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS Lj TOTAL SQ.FT. Y-4-0 GARAGE CONDITIONING. NO.OF STORIES BASEMENT ilo' ATTACHED ✓ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT.- 0X- FIREPLACES_ DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT oK SHORELINE SEASO AL J RSAFFIDAVIT CONTRACTORS AFFIDAVIT Y THAT 1 AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF ATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE MENTS 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 FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING NG APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. ER 2 JeW==2r=4 DATE 2� X BY DATE u v � FOR OFFICE USE ONLY DEPARTMENT YESPPROVE NO DEPARTMENT YESPPROVENQ BUILDING VALUATION 1 Z' X HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT Z `15• D.O.T. BUILDING PLAN CHECK Z O SPECIAL CONDITIONS BUILDING GROUP �'� ..r 1 PRE-INSPECTION lo f SHORELINE WOODSTOVE ALL CONSTRUCTION MUST MEET 2A e 33-�fL) PLUMBING QUESTIONS PLEASE CALL THIS �,> MECHANICAL C S� ,> Q STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK ByA OVED F SUANCE PERMIT VALIDATION �- / BY CASH CK MO TOTAL __ i I PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER DIRECTIONS TO JOB SITE LEGAL DESCR. ��,• `S'" i CONTRACTOR NAME MAILADDRESS CITY&STATE ICENSENO. ZIP PHONE r a e v6 USE OF BUILDING e PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE Z WATER CLOSETS L• ()a FORCED-AIR I GRAVITY TYPE FURNACE 6.00 _7 BASINS 4 too FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS BOILER I COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS 'ZOO REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER '2_0 L7 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 CDC LAUNDRYTRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER ZQ DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL Z3.00 TOTAL : JD0 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 FIRS 0 TnlNGPROVA OM THE BUILDING DEPART ENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE ZS X BY DATE ld FOR OFFICE USE ONLY APPLICATION ACCEPTED BY TPLfANS CHECK BY BUILDING GROUP A P D F t�SUANCE PERMIT VALIDATION -c (Y\� ` BY CASH CK MO i M oio- o-G HS OT y -v SE �. I • war' � � a M�ffs 'ram Z S \ 0 �I TS Y M L£ 0 4� M ° 6q a M � a dl i � a -"Pit--:Is 0 S 9 V �\ Z SboZ \ ,OS =„ I ` a 0 a -IAU o o ` °o L oy-� a T ay+ hh + Oh