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Home My WebLink AboutBLD22147 SFR - BLD Permit / Conditions - 6/13/1988 Kel aborC, J.Il door Shorelines: Plumbing: Setback: Mechanical: Special Interior: Conditions: FINAL: ne5 _3 g y Mobile Home: _i Smoke Detector: .►i o Remarks: Footing: Setbackp Foundation _ Walls: Framing: j/��i� ��Y 00/0 Fireplace: Wood Stove: TYPE RESIDENCE Permit No. 22147 No. Floors 1.5 Sq Ftg 1661 Owner MAURER, Grant Te1937-2574 Date6-13-88 Address 4302 SW Cloverdale Seattle Zip Contractor Faith Const Address E 19550 Hwy 106 Belfair Zip Legal Description Merrymount B1. 1, Lot 2 Direction to project site From Belfair, 10 miles out Hwy 106.Left on Merrymount to top of hill. Left 1 block Plumbing X Mechanical X Sewer Wood Stove Fireplace Deck 400 Garage Carport Basement Loft Other 3 bdrm 3 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 / pG 426-5593 DATE ISSUED PERMIT NO.��'Y NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER DIRECTIONS TO JOB SITE n } a a 7LEGAL DESCR. J` NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR _ SG' ' Ci �-/f' / - .> USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE WORK >>,, "�i BEDROOMS_ DECKS --/— CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS �' TOTAL SQ.FT. c 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. /LG/ FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CE IFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGI RATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQ REMENTS 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 NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBT NING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE ILD�/DEG P ENT. NER DATE X BY ' DATE 3 —�y �� FOR OFFICE U E ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES,n NO YES NO HEALTH / PUBLIC WORKS FEE PLANNING �L FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDINGGROUP Ig— SHORELINE PLANNING PLUMBING /e"?'l Lp'xS.3? S-`' � ,j��;y3� — MECHANICAL eta,C' STATE BUILDING FEE , $��) `q 3 ° STATE SURCHARGE J APPLICATION ACCEPTED BY PLAN CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION �� / MO TOTAL CASH CK PLUMBING & MECHANICAL PERMIT APPLICATION i MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. NAME MAILADDRESS > CITY&STATE ZIP PHONE OWNER l . > S`kl S - el ; .1 DIRECTIONS TO JOB SITE 11 ,, eels! v /c7 07' LEGAL DESCR. LC=J` 2 CONTRACTOR NAME MAK ADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF BUILDING AN,C-s"' '�q ' PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS e;f-) FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS !'A�l FLOOR/SUSPENDED FURNACE 6.00 BATHTUBS 2. BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 / AUTO.WASHER tom' 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 4�1 LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 / DISHWASHER , `� /- �L�r DISPOSAL `y-- URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTALS TOTAL /G: — 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 B IN C0 0 WANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITH TOB INI AW AL FROM THE BUILDING DEPARTMENT. Q X OWNER DATE X B DATE -Z - O FOR OFFICE LttE ONLY APPLICATION ACCEPTED BY PLANS HECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION '�_ BY �' � CASH CK MO J 1 PLOT PLAN ADDRESS PERMIT NO. f o A O 0 LEGAL DESCRIPTION LOT BLK ADDITION u 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 Al"D 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. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' S �C TEE V 0 u I/We certify that the proposed construction will conform to th dlmensiors and uses shown above and that no changes will be made without first obtaining approval. NAME(S) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE SHELTON PRINTING