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Home My WebLink AboutBLD28938 Final SFR - BLD Permit / Conditions - 8/6/1992 Shorelines: Plumbing: Setback: Mechanical: Special Interior: Conditions: FINALiQ-0g-6-9� Mobile Home: Smoke Detector: d Remarks- Foot Setback: Foundatio Walls:DK Framing:&//2-.,y9/ //'00iftit Fireplace: Wood Stove: ' _ a TYPE RESIDENCE Permit No. 28938 No. Floors 3 Sq Ftg 4365 Owner Richar PSI. Ra ston Tel 275-4035 Date 8 30 91 Address PO Box 1709 Belfair Zip Contractor Address Zip Legal Description 21 23 1 Direction to project site Go to end of Katchemak Lane, Cross R7, tracks and turn left along tracks, 2nd tin ing x MeChan-ical x Sewer Wood Stove Fireplace x Deck x Tar—age z-Ca port Basement Loft Other its BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 1 427-9670 DATE ISSUED PERMIT NO—i �'�,� 1 r` am S NAME MAIL ADDRESS CITY&STATE ZIP PHONE �'ctict M, Ruls n Sh �0, 6a �70 ,�, w,4 '794 AS' A7-,V— OWNER S DIRECTIONS 1 / 1 TO JOB SITE 6o 78 ,pn d d f A /It°qi ma k 4 ne O-OYS Aq 7 k4C,� Q n d Arrj k f-'� Qlohy bvok And b-wew4i doPARCEL LEGAE ,/� r,,s NUMBER 0j0;.0 D SCR. 7f4CJSy /Y / 1(/ F) J Vv N E MAI ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR o d, �h E� USE ' /e �,;ly resl�dence BUILDING f�h� CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE WORK Cbn Y/-aC7� h etv gi,;,q/e 3 kh BEDROOMS DECKS YOR N Y CARPORT NOTICE TOTAL SQ.FT. DECK GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.FT. S_ 0 TOTAL SQ.FT. CONDITIONING. NO,OF STORIES B SEMENT Y OR N / THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT LIVING AREA „ SEMENT ,('� COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. d OTAL SQ.FT.( s+ 6 0- CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED, PERMANENT FIREPLACE ATTACHED —��— SEASONAL SHORELINE DETACHED 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 REQUIREMfATS REGULATING THE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK R WHICH THE PERMIT IS ISSUED AND ALL RK DONE WILL BE IN IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORM E THEREWITH.NO CHANGES SHALL DE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FRO E BUILDING DEPART XOWNER IRATE XBY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES NO YES NO HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT 0�1 D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP --5 I pPRE-INSPECTION 7 SHORELINE WOODSTOVE PLUMBING ou MECHANICAL STATE BUILDING FEE l� STATE SURCHARGE APPLICATION ACCEPTED BY jjLANSCHECKBY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL w 3--Z'7-91 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. 1-r OWNER NJME MAILADDRESS CITY&STATE ZIP PHONE W cu-d ih► flals4w S►.•Via, 8cA /76 Be i W 8 �9-73=4633- DIRECTIONS N/ //�� np ,/ TO JOB SITE C'nd 6� �C4fiP (,� G4�e �/� /l i/ � C/c.S acid 7�crrrl a Oh fva4,_ )401 dkille4voy on r%�9�f DESCR. E'7.4'/ S , 9 ) A/ j S LY Pal-ce) # 3;%/- 3l - 0/o :�_D CONTRACTOR MA IL AIL AD RESS CITY&STATE LICENSE NO, ZIP PHONE h, d m,n USE OF Sih /J (� / BUILDING � m/ d PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS a I FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS (7 FLOOR/SUSPENDED FURNACE 6.00 3 BATHTUBS m BOILER/COMPRESSOR 6.00 3 SHOWERS _ REPAIR/ALTERATION 6.00 WATER HEATERS LL REFRIGERATION COMPRESSOR SYSTEM 6.00 1 AUTO.WASHER 2� 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 J LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 1 DISHWASHER ', DISPOSAL 2 a 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 WILL BE IN CONFORMANCE JHEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIR�024A GAPPJI` E ILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. XOWNER ORATE Y XBY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY w NS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION BY I CASH CK MO BUILDING PERMIT PLOT PLAN ` MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME // AIL ADDRESS CITY&STATE ZIP PHONE OWNER /GI14yd / /J4 /�OjX 174 C� p �,C ONS TDOJOB(SITE �e j eoO 0T /t74PN�G'�C !1h&' C4TSS /1�l //'+ f 0,1741 TuY-n IPJY a�Dh y 'oh74, NUMBER 3�-PARCEL 0% LEGAL DESCR. 5-4-1 ti� �l�G i SLU Indicate below: O Property lines and dimensions. O Easements and roads. O Septic, drainfield and reserve area, or sewer. O Septic tank and drainfield setback distances from foundations. 0 O Location of proposed construction on property. O Building& septic system setback distances from all property lines& easements. Indicate North O Well and water line. In Circle O Saltwater, lakes, rivers, streams,wetlands, drainage. O Attach copy of septic system"as built' or septic permit approval. O Indicate topography profile of property and structure on reverse side. CIO 4 4 Q I/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. SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE