HomeMy WebLinkAboutBLD0116 SFR - BLD Permit / Conditions - 5/23/1989 TYPE RESIDENCE
Permit No. 0116 No. Floors 1 Sq Ftg 1476
)weer BRAINARD, MiJTs Tel 275-3470 Date5-23-89
kddress NE 2121 Old Belfair Hwy Zip
contractor Piles Const
address Same as above Zip
Legal Description Por NE,SE Lot D-1 S P 1682) towepwr
Direction to project site 2 -miles from Belfair Thrift-
way out Old Belfair Hwy to above address
1aia i i'. OFI ods[ n/itr (.L taIFA,if— H-jr
Plumbing R- Mechanical X Sewer Wood Stove X
Fireplace Deck Garage 484 Carport
3asernent Aft Other
Shorelines: /�,rz Plumbing: CA/e// i
Setback: Mechanical:
Special Interior:p�9
Conditions: FINAL: i
Mobile ome:
Smoke Detector:
Remarks:
ooting:e/
Setback:,Oic
Foundation
Walls:
Framing:f��fi i
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
' ` 1 MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED-S
PERMIT NO.
NAME �A/��L� MAIL ADDRESS CITYBSTATE ZIP PHONE
OWNER �v. 2. viaB�cF41ti /,/a�>
r - 2 75 3 7V
DIRECTIONS
TO JOB SITE e- - &4 _ /L k, acr ) . _
NUMB/ER p� �/ QO D
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR �/L E S OLu tit Al.� 2�2 ��tgLLr'Ap N�
USE OF
BUILDING [ L
CLASS OF NEW �� ADDITION ALTERATION REPAIR MOVE 7REMOVE
WORK r
DESCRIBE
WORK N L- W 3 842. L / E
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORIES —j— BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT./V-7 FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT _ SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY T AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRAT N LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREM TS 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 CONF MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINI APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X Y ER DATE X BY DATE C
8
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION 3 C
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT 5
D.O.T. BUILDING PLAN CHECK 7
SPECIAL CONDITIONS BUILDING GROUP _3 PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING C--' C-)
MECHANICAL L)
STATE BUILDING FEE
STATESURCHARGE ,
APPLICATION ACCEPTED BY PLANS C BY APPROVED FOR I ANCE PERMIT VALIDATION
TOTAL
1- 16cLi-C-� BY elf I CASH CK MO iJ ��
I
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAILADDRESS ���ITY&TAB Hey' ZIP PHONE
OWNER i AV Ziz yr
DIRECTIONS
TO JOB SITE '-4 Q - C
(.CJ,
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 , p 0 FORCED-AIR/GRAVITY TYPE FURNACE 6.00
Z BASINS pc3 FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS ev n BOILER/COMPRESSOR 6.00
SHOWERS a C't) REPAIR/ALTERATION 6.00
WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER ., AIR HANDLING UNITS 7.50
SINKS ;p 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
DISHWASHER G,
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL 3 c-) TOTAL / ei)
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 APPROYOIL FROM THE B DING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
C1
X OWNER ATE X BY DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
IBY CASH