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Home My WebLink AboutBLD21121 Final Garage - BLD Permit / Conditions - 12/18/1987 Shorelines: Plumbing: Setback: Mechanical: Special Interior: Conditions: FINAL: 4,,,E /7 �g g 2 Mobile Home: Smoke Detector: Ranarks: Footing: o Setback: Foundation Walls: Framing:tr Fireplace: Wood Stove: TYPE GARAGE Permit No. 21121 No. Floors Sq Ftg 576 Owner POTTS, Robert D Tel 275-8167 Date 10 28- 87 Address NE 60 Davis Farm Rd Belfair Zip Contractor None Address Zip Legal Description Tr 8 NW,NE 29-23-1 (Tr C S/P 898) Direction to project site No. on Old Relfair u T 1/9 m; iP from Northshore Rd. West on nav;G Farm Rd, 30! 'Loa right Plumbing x Mechanical x Sewer Wood Stove Fireplace Deck Garage 576 Carport Basement Loft Other BUILDING PERMIT APPLICATION 4' MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 rr 426-5593 DATE ISSUED/K_c��?_Cl�/� PERMITNCJ�x AME - MAIL ADDRESS CITY&STATE ZIP PHONE OWNER Y -PZ- 1 � U . J kflY , )e DIRECTIONS <:>2 7S_ TO JOB SITE N or-I- M r orn PARCEL I LEGAL NUMBER I �9 /� CIDQ DESCR.�� / AJ L=~ s)p# I C NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF _ BUILDING �� j� E CLASS OF NEW WORK � ADDITION ALTERATION REPAIR MOVE REMOVE DESCRIBE ( WORK BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.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 TOTAL SQ.FT. FIREPLACE DETACHED V ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNJE S AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTHAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIENTS 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 CORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAIG APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X W (� DATE X BY DATE FOR OFFICE USE ONLY DEPARTMENT YES APPROVEDJO DEPARTMENT YES DEPARTMENTBUILDING VALUATION OCJ HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT .SU D.O.T. BUILDING PLAN CHECK S. SPECIAL CONDITIONS �—/ BUILDINGGROUP PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY I P S C CK A=PD OE PERMIT VALIDATION / TOTAL U B CASH CK MO PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. AME AIL ADDRESS �� CITY&STATE ZIP PHONE OWNER p - Q i t � .`C .� 1 J �S � f��(VV �� L E411 Q DIRECTIONS _RFLEA 79 7 - TO JOB SITE 0 AI 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 , 00 FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS co 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 7.50 SINKS HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS I VENT.FAN SYS.3.00 PER UNIT 3.00 LAUN DRY TRAYS ES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISH WASHER 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 CON 3 STRUCTION 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: 1 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 SHA L BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OP T E INING ApPBO.YAL F THE BUILDING DEPARNT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWN lO 7� DATE X BY DATE FOR OFFICE USE ON Y APPLICATION ACCEPTED BY PLANS CHECK BY BU,LDI IG Go PRO FOR I UA PERMIT VALIDATION M V BY CASH CK MO PLOT PLAN ADDRESS I V . . nl/ I JA V( S 1-4P1'Y') 4A Lf A 1K PERMIT NO 0 o h > T� �F N � NC l o� �P+� i1��-7 LEGAL DESCRIPTION LOT BLK ADDITION SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20 ARE JL_ FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) f (� 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. �;7 < a INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' J� 0 2 s � o, Z) fA %D V I I I 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. NAME(S) OF OWNER S) OF 3-FT" STRUCTURES INTI SIGNATURE OF OWNER(S) OR OR Z REPRESENTATIVE J ` 7� d5AI T WRITE BELOW THIS LINE p t f DISTRICT /'-� ASS NOT-- ��D DATE -2 6 N c eiLN&FAN VEaTa o-ruaou4N ROOF O J Z V BREAKER Box r Ro��T Po�-s N E,lvU i�w►s �A2M Rb 8�L4F�lR W A .