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HomeMy WebLinkAboutBLD25307 SFR - BLD Permit / Conditions - 3/15/1990 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 _ 427-9670 DATE ISSUED 11 �© PERMIT NO. C-21'fi 36 7 gAME MAILADDRESS CITY&STATE ZIP PHONE OWNER e LU _d 9 y DIRECTIONS TO JOB SITE r►L N oI I c1i 1" orp vJ K MAke- QV,51 h01 . Tav S-ira',cikTooev a,,k 0qj 4 PARCEL 'ILEGAL Makes v� ec7`�ale �A:J�I S� 'NUMBER DESCR. CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO_ P PHONE USE OF BUILDING CLASS OF NEW `- ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE WORK U BEDROOMS DECKS _ CARPORT NOTICE x SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS—v� TOTAL SQ.FT. L RA E 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 SQ.FT. /, ,_ FIREPLACE - DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT � SHORELINE SEASONAL OWNERS AF IDAVIT 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 REGISTRATI 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 RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAIN] G APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X O NE DATE 'n�� CjD X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES NO YES NO HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE INSPECTION S'; 1 N S' - SHORELINE WOODSTOVE PLUMBING 'Z L MECHANICAL c, Ce) STATE BUILDING FEE �L7,(C� 0 STATE SURCHARGE APPLICAT,I,ON ACCEPTED BY PLANS-CHECK BY OF SUANCE PERMIT VALIDATION TOTAL L� 7�7 �- `�j �l BY S� 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. OWNER E MAIL ADDRESS CITY d STATE - ZIP PHONE e DIRECTIONS Q r TO JOB SITE , 7 m; l� , O1 } LO S keProo Wevvirkswa,-c2p . A Ouck- me R, Ii -Slowro L 40% keXT ar ow6h ,6, e Ba7ta of k- LEGAL DESCR. CONTRACTOR NAME MAILADDRESS CITY SSTATE LICENSE NO. ZIP PHONE USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE I NO. TYPE OF FIXTURE FEE WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS (D FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS Q k) BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER AIR HANDLI G 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 F5.00 LAUNDRYTRAYS WOOD STOVES CONNECT TO CITY SEWER WOOD FURNACE DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE •3.00 PERMIT BASIC FEE 10.00 TOTAL TOTAL ZZ 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 OBTAI ING APP VAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. XOWNER 1.r DATE 9) XBY DATE_ FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP AP77 ISSUANCE PERMIT VALIDATION 3—�—�( 2 - IY-\- BY f CASH CK MO J PLOT MAP Lij N E Ass Gay Gk �-,o , � Y � a�CeI F7 Iw 330� WELL _. w IL EEXXLf$TING I i SEPTIC SYSTEM j 7 130 __._...._ 108 -------- I PRROaF(1C�p it - f3U� 0,l Nl � SITE 3 225 i i PARCEL B OF SHORT PLOT 625 RI ' . L ON RICK D. UKKASS