HomeMy WebLinkAboutCOM30990 Seabeck Pizza - COM Permit / Conditions - 7/30/1992 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED 0
PERMIT NO.
NAME AIL ADDRESS CITY&STATE ZIP PHONE
OWNER Jerry Anderson / Belfair 275-2
PC anx
DIRECTIONS TO JOB SITE Corner of Old Belfair Hwy & North shore Rd.
o0a 16
PARCEL 12329 489+6 LEGAL TR 1 of NW SE
NUMBER DESCR.
NAME MAILADDRESS CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTOR SELF
USE OF
BUILDING Pizza kitchen and dinning area &t
CLASS OF NEW ADDITION ALTERATION g REPAIR MOVE REMOVE
WORK
DESCRIBE
WORK Seabeck Pizza is leasing and/or renting additional space in order
to provide dining area for its customers. This space was previously used as
special education classroom. The dining will be designed for a maximum
seatinq cap itV of 40. The kitchen will
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.O 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
DECKS SgFt BATHROOMS SEASONAL RES.❑ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED O 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 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE (i L 3 s- ! 2- X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES APPROVEDJO DEPARTMENT YES DEPARTMENTBUILDING VALUATION f 2�
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL 1I3`��iti BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK ��
SPECIAL CONDITIONS BUILDINGGROUP 2 PRE-INSPECTION X
SHORELINE
W'tk rl8} V e, Yo WOODSTOVE
v� Q. �' PLUMBING
L� q Z 5 r �• _ �? MECHANICAL l�
STATE BUILDING FEE
iU or
APPLICATION ACCEPTED BY PLAN CHECK BY APPROVED O ISSUANCE PERMIT VALIDATION n �J
BY CASH CK MO TOTAL ✓J`
1
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED PERMIT NO. Q� -!
OWNER NAME MAILADDRESS CITY&STATE p ZIP PHONE
-
r I tv /S ow D 0-orGG Gv� / U 190
DIRECTIONS f _
TO JOB SITE o rye e OF- 01 e� �-�� w Or p/e
LEGAL DESCR. T/` lV GtJ - $
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING P6 Z Z P; I d " ' /
- /T / tC 4e v fTn�(/� !/L/Y//US /¢ rC e
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
BATH TUBS BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER AIR HANDLING UNITS 7.50
om
SINKS RN '� HEAT-PUMPS 6.00
FLOOR D INS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT '>
LAUNDRY TRAYS FIRE SUPPRESSION 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER
DISPOSAL
URINALS
A-a/ cor
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL TOTAL j
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 OBTAINING APPROVA ROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNE2" DATE 6--13" 7Z XBY DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY lzAc_vjpv,)v,_
NS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
IBY CASH CK