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Home My WebLink AboutBLD20645 SFR - BLD Permit / Conditions - 7/24/1987 Shorelines: Plumbing: CK�/is-/s�� Setback: Mechanical : Special Interior: Conditions: FINAL: Mobile—Home: Smoke Detector: Remarks. ngam••00 1 g 07 Setback. _ Foundation Wal 1 s• 7 —r Framing:o,�9%�s/8 > P PERMT Fireplace: N AVOID BY 1=XPIRLI r Wood Stove: TE .. TYPE RESIDENCE Permit No. 20645 No. Floors 2 Sq Ftg 1472 Owner WRIGHT, Jerry Tel 275-3366 Date 7-24-87 AddrpSS P 0 Box 1145 Belfair Zip Contractor Self Address Zip Legal Description Por SW SE 29-23-1 Direction to project site Across Hwy 3 frnm Ralfnir Cafe P um ing x Mechanical x Sewer Wood Stove x Fireplace Deck 157 Garage 1104 Carport Basement Loft Other 2 bdrm BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE Ste , /! d- i -33 DIRECTIONS TO JOB SITE 4-4-0-S l v' LEGAL DESCR. NAME MAILA D ESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTORUSE OF S,+ BUILDING I CLASS OF WORK NEW ADDITION ALTERATION REPAIR MOVE REMOVE DESCRIBE WORK cr f1 s lrq / BEDROOMS DECKS _/J:77 11 CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR A BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING. NO.OF STORIES --t BASEMENT ATTACHED �� THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NO COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT.I FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIMEAFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL 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 CONFO.MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OE 3TA NNIN APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. JX OW R DATE X BY DATE FOR OFFICE USE ONLY DE TMENT Y SPPROVEDJO DEPARTMENT YESPPROVED1O BUILDING VALUATION dd U33 HEA Hfa PUBLIC WORKS FEE PLA ING FIRE BUILDING PERMIT D.O.T. BUILDING Q z7, �? 7 PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION �3 - 9 3) / SHORELINE 67,A#?A6,4 /fd 4W9 36 - PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY P NS CHECK BY APPR ED FOR ISSUANCE PERMIT VALIDATION �� CASH CK MO TOTAL , QQ PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. NAME .MAIL ADDRESS CITY&STATE ZIP PHONE OWNER '.4ig, CV DIRECTIONS TO JOB SITE LEGAL DESCR. CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF BUILDING _< 1-ic- 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 Jy FLOOR/SUSPENDED FURNACE 6.00 BATHTUBS BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 / WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER / AIR HANDLING UNITS 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 DISHWASHER -� DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL TOTAL , ? C 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 STAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE "7- s�- '/ X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK B BUILDING GROUP APPRD D FOR ISSUUAA CE PERMIT VALIDATION ,(� '� 3 BY/ �ti ; ;r `�7 CASH CK MO PLOT PLAN ADDRESS L %i / Q 7C �� G�/��}//�� q �Z PERMIT NO. 0 o % z `` > /yi�i CllC�, N ' o LEGAL DESCRIPTION LOT ,'� S�ja�Ti�G�}Cl sw /jS/ ADDITION /.0 3.`L -yj--G!t'N%&!) " u SITE AREA L,10'57'r Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS r � Sq. Ft. 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 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 SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. JNDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' EJ 2SICE T� ✓ ,` � x � , 1/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. NAME(S) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED 141 /? DISTRICT AS NOTED 7' �� DATE