HomeMy WebLinkAboutBLD0267 Remodel - BLD Permit / Conditions - 5/29/1990 .4A 04
Shorelines: Plumbing: tQ j_ 6�eR-7,rw—.
Setback: Mechanical:
Special Interior:
Conditions: FINAL:44 90
Mobile Home:
Smoke Detector:
Remarks:
Foot ing: e qV
Setback:
Foundation
Walls:
Framing: q��2
Fireplace:
Wood Stove:
TYPE ALTERATIONS
Permit No. 0267 No. Floors _I Sq Ftg 576
Owner LEWIS, Chris Te1275-3390 Date 5-29-90
Address NE 2060 Old Belfair Hwy Be fair Zip
Contractor None
Address Zip
Legal Description Tr 4 NE,SE 17-23-1
Direction to project site 2.5 miles North of Belfair on
ld Belfair Hwy. Right side of rd. above address.
Plumbing X Mechanical Sewer Wood Stove
Fireplace Deck Z arage import
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 s
427-9670 DATE ISSUED✓
PERMIT NO. 0 �/
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER C h/�/S 4 EIU45 AJC=4$46o Oc.O 64ECA m 46,E4F41P- 1,04, 9d,5z.I&P cO) 339 0
DIRECTIONS
TO JOB SITE X& InZ1E s AJOA rV Op •BE4,- 1 Z, D A-1 6140 ,r,4i.�
�'/� O/- Ra R O U r
PARCEL LEGAL
NUMBER 14317 4// 0005/ DESCR. / / - 499 -
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
SU177.#n4,e Re AW r/d U /QOa /�'1 GtJ/ eg77 1-?6e)/rJ
BUILDING
CLASS OF NEW ADDITION ALTERATION ��jREPAIR MOVE REMOVE
WORK
DESCRIBE OAJ&,2,-� FL00,2. Bi9TNi2Ga/)) -(7-0/c-ET"'
WORK ADO �RD/(JT AN,O �./c./ (2
f4NQ �S/N 6AJ1-c/�.TQ EX I sST//Uk, �B 11/trd/ti`(� C7�1�N Oou3 c A002S
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS_ TOTAL SQ.FT. 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
TOTALS�FT. 16 FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS FFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY HAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTR ION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIR ENTS 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 CON ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI G APPRROOVAAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
40 NERs v �DATE t!!r-/ XBY DATE
FOR OFFICE USE ONLY
DEPARTMENT Y AD SPPROVEN0 DEPARTMENT YESPPROVEN0 BUILDING VALUATION C
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT 1-4 o 's j
D.O.T. BUILDING PLAN CHECK 1'
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
L !' MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE /
APPLICATION ACCEPTED BY PLANS CHECK APPROVED40R IS ANCE PERMIT VALIDATION /]
TOTAL
� BY CASH CK MO
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
0
427-9670 DATE ISSUED
PERMIT NO.
OWNER NAME MAILADDRESS CITY SSTATE 3�P PHONE
�i'AI&I5 4 EWIS A/E SDI o Ozo 6E I F:A/R 6,,L)y 6tif Wl e, 10.4
DIRECTIONS
TO JOB SITE oZ �/a iniA_F_S t)e-erw 0r- /_r'Ofe, oxi cr -d "V/6v7- /`69" S/6e
(n F ,)010R4
LEGAL Q� �(/� S,G
DESCR. 7'R 'tjl
CONTRACTOR ME MAILADDRESS 8 LICENSE NO. ZIP PHONE
USE �j �/g7W,1?66/7'7
BUILDING SCl'/!'ll�I�`� ,E� 11dI77
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE
WATER CLOSETS . 00 FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS 4 d FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
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 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 7 0d 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. WlTHOUjj_F4ST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNERC �yLI �- DATE X BY' _' DATE_
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS r'e_�
BUILDI G GROUP APPROVED F S ANCE PERMIT VALIDATION
BY C CASH CK MO