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Home My WebLink AboutBLD20563 SFR - BLD Application - 7/7/1987 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO.c::; Q � NAME MAILADDRESS CITY BSTATE ZIP PHONE OWNER Mij 2/a/,�/�¢R,O .�. 2/Z/ r cFi4/P �/ /t 275 TO OBISITE 1zt> m , 00 D/0 �GFi�/2 Melt( 20�DIRECTONS '7 /�l2C i14T/�� Ng L-, )ZO, PA) L Se-A r. 10481-'a ?qcaoS S IL.D. �yG�•rf! ndB/Bo�u+S Foe l''I,�KJce2S LEGAL DESCR. S I s LcJ �� NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR CcVsrAcx r1 c Al 1Q,9, Z12 IGFA/2 w ,EGFA 27 �,/7� USE OF �^ BUILDING J FCC"` CLASS OF NEW j/ ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE Q B�� y'p WORK R O y- J O F 'T J +D• F �.� : 02 P,Ec• S t.� BEDROOMS DECKS t CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. if 0 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 SO.FT.rl�" FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTI THAT 1 AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGIST TION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIR 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 IN CO ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCEAPPROVAL THE BUILDING THEREWITH. N CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAIN NG APPROVAL FROM THE BUILDING DEPARTMENT. T. �D 30 X\OW ER DATE X BY DATE FOR OFFICE USE ONLY APPROVED DEPARTMENT APPROVED BUILDING VALUATION L ��,� DEPARTMENT YES No YES No PUBLIC WORKS FEE HEALTH PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING ' PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP 3 PRE-INSPECTION SHORELINE PLANNING PLUMBING MECHANICAL STATE BUILDING FEE STATESURCHARGE , APPLICATION ACCEPTED BY PLANS C CK BY APPROVEDD FOR SUANCE PERMIT VALIDATION TOTAL f�/��O BY;& CASH CK MO PLUMBING & MECHANICAL PERMIT APPLICATION 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 DIRECTIONS TO JOB SITE LEGAL DESCR. CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS T�( � FORCED-AIR/GRAVITY TYPE FURNACE 6.00 3 BASINS c FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS 7 BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS 2 C- C' REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER J. C"�, AIR HANDLING UNITS 7.50 SINKS "7 r 0 HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT (y_ C LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL -757 r c' TOTAL /z, re 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. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION IBY CASH CK MO