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Home My WebLink AboutBLD92-0229 Cancelled SFR - BLD Permit / Conditions - 12/21/1992 MASON COUNTY Mason County Bldg. 111 426 W, Cedar P.O. Box 186 Shelton, Washington 98584 9 4 1 .0 it h 1 0 111 Ir-11 q, t IIA, 9 If 4 1 R 1-0 9 0 2 "1 � A AIM 170 AY(',Ok BE A(.:H OR I- II t fWA01-1 3AHU'.4 (.01NIHOL1.Y 427-4081 I 1: 1111WAUP BAY HU F L Of H-'. 011 -.9841 Aloft 1111EAC111 81117 1 11,14 40 fX is 46720 49 141 A011141 ip] fyvf A111011111 1 ®a IlAi f Rrmp,i I YH (W-A 0 14 i ptiol t I PIN I 19j.i1 f1lk I b 12 4 1 1 1 I f 1 `4 0 VA 111 A I 1 0 14 i I MINI 44 f 0 R f A I I lit T4 11.11 to 1 1 life,) 11"1., 11 1.,A I N 0 f N I y I I IVI "t Nil I f I I r4-1,. 1 N i III I N 1 0 %,I N I I t.1ltrIIf Vf I I N 1)k 1 N it t i 1 AI # -jj t l4oi I I H N t 1 1 1 No, f41 1 14 t 110,41 1 7 0 0 0 If Ii I N It t 0 410 o i-I.m t I G A !111 i I PROJECT 9 )(RIP 1 '011 If 110EN(I PROJECT 1141 k I 101 It AVOCi Of A(N - 11 Vifii k Ot 6t 9 OR I VE I N I.i I I 14AVP f 111 5 F F F i I ?f Af 01111 AND VOID tr woot 04 (0 0 1 f Q I,I I h 4 A Y I H 0 P 1 0 V) Not f(INAM10 411410 1911 DAYS, 06 It folt';4111104 14 ullpt ll, �fllipFllpfp t4R A M108 A Ilii[ Af!fp WoRk jS ('4#1 MID, 1`140tNQ OF (ONT)IIIA110111 Of UORl' A INSPEMON 01111-0 flit !K$ lillif PfRIAO I I N A f IN P F I 10 N 0 If SI 1 11 f 411PROV; lit f 0 1 1011111 fAN fir 01,11plf p OWNER OR A it A 1 01 11A I E- ato Mi. ray! CONCRETE MECHANICAL MOBILE HOME Foot.,gs Setback date Q 'G% s sec-,'� Ribbons date C.jP by �' Z3gZ Gas Piping date by Fo4dation Walls date by Set Up date eg '+ by —2_. INSULATION date by BG/SLAB Insul>Ion `q� OK Final date by date 7 � Z by date by FRAMING Walls �uD-4 I FIRE DEPT. d e date y 31 4 by F i v5 1, date by LUMBING �ir+r5 `Z4 r�i'� Attic OTHER Groundwg L'W date �� date byD.W.V. WALLBOA D NAILING date at� - - a byWater LinSPECTION date date lam' j� date by v y e r izkai ag I BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER jAvAC,i C0-p,s-WV I ql0 0 l `` Sl+t--L- or.1 4 wA, 2 - DIRECTIONS TO JOB SITE OLo G k- I L-O' ZU ar r— 15CAC-1 1212--A✓C — 04Ae- l3 L-1 L L-t uL)A-J PARCEL O U(U Z!? LEGAL NUMBERS S DESCR. �l CZ�L- I�jt 3x 44 �LIL t t (�(j r ZC NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO. CONTRACTOR U�u%/ty i3�0Qh , Pow tt U�l. u�q, f3SSS '$7? bµ u�1531�� - USE OF BUILDING IZt`31►�E'�NZ�- CLASS OF NEW tl� ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE WORK Z S7L �oMT-�4�� /C1�� ((rtVZ�c �X�v �' T-111 Wl�-DIUt AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS I PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS --jZ-0 SgFt BATHROOMS SEASONAL RES. COMMENCED WITHIN 180 GAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GGARAGE GARAGE jk - SgFt ATTACHED W' ETACHED❑ 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. DATE X OWNER _ X BY ` -'� DATE FOR OFFICE USE ONLY APPROVED APPROVED DEPARTMENT YES No DEPARTMENT YES No BUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING PLAN CHECK ) SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL l�j Q 2 STATE BUILDING FEE C-)� APPLICATION AC EPTED BY PLANS CHECK BY APPRO ED FO ISSUANCE PERMIT VALIDATION TOTAL DC,1" J� BY h� ZED CASH CK MO PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE OWNER S GoNIUU i tU IJ� 13 St{�i- wA , Cl ��$ 42-7-qO DIRECTIONS TO JOB SITE 1 7O � 4} p<: OC- QIU � (.v L4L w 4 STS_ LEGAL DESCR. gLAL I W c;A" CONTRACTOR NAME MAIL ADDRESS CITY SSTATE LICENSE NO. ZIP PHONE IL(l.LIwAU RA-p Poe,I 4 L4LL4u;,gvn , uJR, t-ALi, t3 2v ' c_ J?5Y977-40,41 USE OF _ BUILDING kASAGALL (LES(1761-� PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE �i WATER CLOSETS 41 i-0 FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS 4, cry FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS 7-, W BOILER/COMPRESSOR 6.00 SHOWERS 00 REPAIR/ALTERATION 6.00 WATER HEATERS cyv REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER �N 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 ro LAUNDRY TRAYS FIRE SUPPRESSION 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL 10?, 00 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 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, WITHOLA FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. XOWNER DATE ----- XBY- f DATE YIZ914/ "1-- FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROV D FOR ISSUANCE TCPASH ERMITVALIDATION BY`7 CK MO --- --- I7D 14 &A i3ecck WAgss-E5 I Go rrcGf'cd y } ttass� % b i 23' c 19� -- _ _ Ivs' STrsor4