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HomeMy WebLinkAboutBLD28713 SFR - BLD Permit / Conditions - 7/31/1991 Shorel ities: Pl unb ing• or-bY Setback: Mechanicalry Special Interior: Conditions: FINAL: MobileHome: ' Smoke Detector ��'- Remarks: Footing:, 7,j A In - - Setback: 4 A,0 Foundation Walls: N011AlVE fIVAJ 66rx )Y� nywe ' lam Framing;nL-_ -q2r Fireplace: Wood Stove: TYPE RESIDEKE Permit No.28713 No. Floors 1 Sq Ftg 576 Owner Jim Printz Tel Date7/31/91 Address PO Box 1923 Port Orchard 98366 Zip Contractor Same Address zip Legal Description Direction to pr0.ect site See attached man. > i ik 'J umb fr1g x Mechanical x Sewer Wood Stove Fireplace Deck arage arport Basement soft —Other Qj 1 U. PUBLIC UTILITY DISTRICT NO. 1 OF MASON COUNTY BOARD OF COMMISSIONERS DANIEL C. SCOTT, President N. 21971 Hwy. 101 RICK BUECHEL, Vice President Shelton, Washington 98584 KRIS BOLENDER, Secretary 0A1 000 u JUN 29 jUi--ic7 26, 1992 'MaSC1171 COLAI-VtV GLIfle-Fal Se-r-vic:e,:-, r- ,�o—n jCEC F'D Box, 1.68 Shielto-n,F W.) 98584 FZE: Jaffu-is F-,-ir-itz Dear Da r-,: Ir-i i--E�fei-ei-tc:e to the., hICIUSE- built foi- Jim F-i--ii-jtz i!-I Tifftb-g�--rjj.de q MOts-5c,11-1 COLA-1-1-L" PLJD #1 did tl-ie ir-ispecticir-i ovi Mai-c-l-) 261 .1.11-1 S-U Iat j.c-.i-i--t j.rispectico-i ccr-i May--c::h 30, 1992 avid fii--ial i-i-m�pec:ticty**, o'r-, M c-o 7 5, 194?2. 011 the If' ITIOU h1---WE- =11-1171 qLAF?S-ti(-j-r115, F)IC?�tSE-2 d0fli' t tc, li F'atrtici4�-�t McDo-,-jald Consul-va-tico--i Cooi-diriatoi- '7131 co I-) (206) 877-5249 * 1-800-544-4223 (ln WoshingLon Only) • FAX (206) 877-9274 PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. D �D NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER Jim Frintz P.O. Box 1923 Port Orchard, Wash. 98366 DIRECTIONS Map attached TO JOB SITE LEGAL DESCR. CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE Owner USE OF BUILDING Res. PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE 1 WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00 1 BASINS FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 1 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 1 AUTO.WASHER AIR HANDLING UNITS 7.50 1 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 DISH WASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 - TOTAL G- 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 REQU EMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE B I ONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIR T O T I N VAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE ��__ L X BY DATE FOR OFFICE USE ON APPLICATION ACCEPTED BY P S C C BY BUILDING GROUP APP_ D F SSUA C PERMIT VALIDATION f i �r� 2 8Y t CASH CK MO BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. 1 F� NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER Jim Printz P.O. Box 192 !-ort Orchard Wash. 98366 DIRECTIONS TO JOB SITE Map attached PARCEL LEGAL NUMBER _32235 75 00170 1 DESCR. _! CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO, ZIP PHONE Owner USE OF BUILDING Res. CLASS OF NEWew ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE WORK New construction BEDROOMS 1 DECKS none CARPORT 11011om NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS I — TOTAL SQ. FT. n nn GARAGE y—@Ls— CONDITIONING. NO.OF STORIES .1_ BASEMENT n n n o ATTACHED ye-8THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT TOTALSQ.FT5 COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR FIREPLACE nQna DETACHED 1�0 ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT yes SHORELINE none SEASONAL n0 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 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. X OWNER DATE �b X BY _ --DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION, YES NO YES NO r HEALTH PUBLIC WORKS FEE PLANNING l FIRE BUILDING PERMIT -� D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDINGGROUP PRE-INSPECTION SHORELINE 64 WOODSTOVE e '5 PLUMBING MECHANICAL J STATE BUILDING FEE J STATE SURCHARGE 1 APPLICATION ACCEPTED BY PLANS CHH/ECKZZ BY A VE R IS U NCE PERMIT VALIDATION ^ r(C�' �,C CASH CK MO TOTAL ��`, i LUMBE MEWS OMES M yo� .1°6^PRO �pnN�Ny I � o � rR� LUMBERMEN 'S HOMES Final Approved Copy Sub'ec to appro e �ers E NA rat P.O.BOX 700 FRONT AND PINE SHELTON,WA 98584(206)426.2614 WA CONT.LIC.#LU-MB-EW-323RT