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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