HomeMy WebLinkAboutBLD26272 ADA Ramp, Counters - BLD Permit / Conditions - 7/26/1990 Shorelines: Plumbing:
Setback: Mechanica
Special Interior:
Conditions: FINAL:
Mobile ome:
Smoke Detector:
Remarks:
noting:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE WVZI-C-AP- -R-AMP- & COUNTERS
Permit No. 26272 No. Floors 1 Sq Ftg
Owner FT T rnNZA ram_ Tel 27�-ELa Date 7-�h-9(1
Address 11 NF old RPlfair Hwy Re Uair Zip 9 M28
Contractor
Address Zip
Legal Description 29-23-1 TR 1 of NUJ SE
Direction to prof Frnm ,bpltnn t kP V_30-f _
to RPlfair T r., I at 01d Belfair Hwy site at corner of
1
um ing �_ c anlca _ ewer tove
Fireplace Deck 1 arage —arport
Basement Loft Other
Business is a Pizza Delivery & Pick UP
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 C
427-9670 DATE ISSUED / ��
PERMITNO. (:Z�9s ZZI
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER CoivStAwC wle— 11AIE 0AJ45e,4FRiA le AlFAA F$52'3
DIRECTIONS 11 'I a �2
TO JOB SITE Fror►7 .54c4 oov -r*ke- tom— 3 /V F /IZ -rurAl ZC F A 04 113el_";l1
HGv - e, 517`e A t 7tG Eorve` pf 04d6cl i .vX f1alva-A .S/or- Aq J'arlthr 13v G
NUMBER IZ32 7 0ojc2 DESCR. 7_A / OF A/1,t� sSE
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR Td rr /+n/c�usot" PIl,l3pX 13 ,3crt6cc k/r} lW3 DSO9 3 O yu3
USE OF L /BUILDING Z Z
p/i✓@ /i✓ $ee4 Q
CLASS OF NEW ADDITION ALTERATION L, REPAIR MOVE REMOVE
WORK r
DESCRIBE /
WORK A NC( C-APell-' �
BEDROOMS DECKS YOR N CARPORT NOTICE
TOTAL SO.FT.
DECK GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. TOTAL SO.FT. CONDITIONING.
NO.OF STORIES BASEMENT Y OR N ,S tf 4' THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
LIVING AREA BASEMENT COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.FT. TOTAL SO.FT. 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 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.
I t�&
X OWNER DATE 6 L Fl SO X BY DATE 6- 2-6
FOR OFFICE USE 6NLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION O
YES NO YES NO I
HEALTH PUBLIC WORKS FEE
PLANNING 'I I FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
1 �� WOODSTOVE
VIIPLUMBING ,Q
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY P SIS ECK BY ) APPROVE FOR SUANCE PERMIT VALIDATION �`
TOTAL C
BY CASH CK MO
! 1
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES `
P.O. BOX 186 SHELTON, WASHINGTON 98584 7
427-9670 DATE ISSUED / r.7
PERMIT NO.c-,2w `
OWNER NAME MAILADDRESS CITY&STATE 13e4F41A ZIP PHONE
DIRECTIONS
Pre 4 Co'v, a r' /VE Z w t W 952 =5
TO JOB SITE F►'D 4 c� �jj�ci #� ,j /V To 134Fd/ 7 04W
/9T Cor.vvci o 0[.�/3c�,r�,2 hKcv /51,►�r�/Uo✓ j s�vv n�
LEGAL
DESCR. 3 2. 9 YZ CV/U 7/R Nw
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
e_r •v� rs,A, PD U' 4X Srq c wit IF ts3a Y�3
USE Q `
BUILDING
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 0� 3 REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER AIR HANDLING UNITS 7.50
SINKS a HEAT-PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT 3. 00
LAUNDRY TRAYS WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL ,p� TOTAL ,5 v
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 ORDIN CE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL
WORK DONE I E IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIR T T INII ROVAL FR M THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPR VAL FROM THE BUILDING DEPARTMENT. r�
X OWNEA DATE X BY ✓I DATE A ZG ` y
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
BY CASH CK MO
PLOT PLAN
ADDRESS / N+ Q�Ci/ 3Ci IC41 \ PERMIT NO, 0 0
LEGAL
DESCRIPTION R LOT �23Z / Y Z�c�/C� BLK ADDITION p ��
� IJJ
SITE AREA_ Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 37-00 Sq.Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
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. SH'iW 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.
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
1�1
f�4
1,
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made w'th ut
first obts ining approval.
�anSt�nc-'e�'• ffo�/�� &A,
�f �NAA L%I e Q Pe-
NAME(a) OF OWNER(a) OF SITE !1 STRUCTURE(S (PRINT) I N TURE OF VWRER(S) OR A THORIZED REP EIENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
jE f?
Ro nn tru,.,...^/
TH SE PLANS MUST BE �„ baoc.- +, / .bjw�- �O �; (�Q co, �;o.�
N THE JOB SITE �
- r`' id�OR INSPECTION. RAMP (''"'''
M T MEET ALL CURRENT �
WA�HINCTON STATE CODE _
h -9
t. Y 70/S In o
CHANGES �� 3'°�R ;�.�-
MIT CHANGES FOR APPROVAL
PRIOR TO PERFORMING WORWWO
�N d� ftm
�� Ajo �
OFF I C E G F
3 Doo1C
0 vEN N
N QLh
DooR
r�� w
,i N o '�� �a o,! y L Q
� s/ � APP :...J
Nl + MASON Rim niNG INSPECTOR
CHANGES SUBJECT TO APPROVAL
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