The URL can be used to link to this page

Home My WebLink AboutBLD22279 SFR - BLD Permit / Conditions - 7/5/1988 Shorelines: Plumbing: AV< Setback: Mechanical: Special Interior e i Conditions: FINAL: 8` ,fr% Mobile Home: Smoke Detector: Remarks: Footing: i 2 / Setback: Foundation Walls: Framing: t, Fireplace: Wood Stove: TYPE RESIDENCE g3-600006 Permit No. 22279 No. Floors 1 'Sq Ftg----J b' Owner NEWMAN, Tom Tel 275-3593 Date 7-5-88 Address P O Box 9 Belfair Zip Contractor Self _ Address Zip Legal Description SW SE Direction to project site 1673 Old Belfair Hwy 1-1/2 miles down Old Belfair Hwy from Belfair_ Taff- at Newman sign Plumbing x Mechanical x Sewer Wood Stove x Fireplace Deck Garage 528 Carport Basement Loft Other 2 bdrm BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED 7 }� ,,g7 eyT /P]ERMITT NO.�C OWNER NIII NcwmA PH MAIL/1DDRfIJO/l I��Lr! /��T•�E f1 1 /`V a735 9� DIRECTIONS /, �o��// ` f TO JOB SITE [ a��:� 6"t Y'� /aNt C� ►/ ��F ct tPARCEL LEGA NUMBER 12- 1-7 43 60Oea IDESC43 W 1 � � F^ 'Iu "f&jioni l h- 3 A NAME /� MAIL ADDRESS CI &STATE LICENSE NO. ZIP PH E CONTRACTOR JJ r/ USE OF BUILDING CLASS OF NE ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK C7v45e W ara ta( �a f-{� BEDROOMS DECKS -- CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.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 TOTALSQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE`— SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CER IFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGI RATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQ REMENTS 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 NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBINER ING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. `�► DATE X BY DATE 61 FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES NO YES NO 7 HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK S AL CONDITIONS BUILDINGGROUP PRE-INSPECTION SHORELINE CkJ' 41.1 / ; 1 WOODSTOVE , d PLUMBING Os MECHANICAL ff �" STATE BUILDING FEE O� l STATE SURCHARGE APPLICATION ACCEPTED BY PLAN"HECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL iml BY !. CASH CK MO PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. E MAIy�oDRES C TY&STAT i ZIP PHONE OWNER OiK cJw10 f�DR k 24 � 5q,5 DIRECTIONS TO JOB SITE 1A2_ l/J'1!/�S �G �16�/�4�ri`/� �! (fl /di►I1�F r.1_ i�fi�t A'4�c wimi-eJs n CcJfess 1673.) LEGAL DESCR. / oo r-t' e(9C xN 0 ! J ec f,47 t6weti k'i`,23 ( f'P "1 CONTRACTOR NAM�� / MAILADDRESS CITY&STATE LICENS O. ZIP PHONE USE OF ' BUILDING L`L'A PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS � FORCED-AIR/GRAVITY TYPE FURNACE 6.00 ✓ BASINS FLOOR/SUSPENDED FURNACE 6.00 BATHTUBS "p, _� BOILER/COMPRESSOR 6.00 / SHOWERS OeJ REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 1 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 •d LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER NCB DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL 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; IN C NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DON - B CONFORMANCE THEREWITH, NO CHANGES SHALL BE MADE WITHOUT FIR BT`jININ PPROVAL FROM THE BUILDING DEPAR ENT. WITHOU IRS OB APPROVAL FROM THE BUILDING DEPARTMENT. �(XOWNER l CIb✓� ��' DATE 2 �6 X BY 7NG `�"�'`, DATE 6 2V Fu FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLAN CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION BY L�� CASH CK MO a 31-1 - L-13 - DOOLP d PLOT PLAN ADDRESS A!z- k /_� OvOIX//(x/i✓ �u1c� � � �f1 �� ERMIT NO. 4 0� s � LEGAL DESCRIPTION LOT BLK ADDITION c SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS �r�� Sq. Ft. v� INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF C PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL r SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF, INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' A07r 10 Al �lz � Aj e b f s ra c I/We certify that the prO4 constfionill conform to tha-�ptbs?1sio�E shown above and that no changes will be made without first obtaining approval. O IV r M IUV NAMES) OF OWNER(S) OF SITE S STRUCTUREIS) IPRINTI IGNATU O WNERIS) OR AUTHORIZED REP ESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE