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Home My WebLink AboutBLD26688 Excavate Bldg Site - BLD Application - 9/12/1990 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE '773— G Y DIRECTIONS TO JOB SITE 5 L-� I-q 77AG#,5 D /yf A4-;J 44 PARCEL _ LEGAL sic NUMBER 1;132.9 •'S goa�2 DESCR. — S /o/q,i Me- S� 7`I7 CONTRACTOR NAME MAIL ADDRESS 45/' CITY&STATE �ICENSE N ZIP PHONE 8itc.tic'�lry Q�-M,S IT3/a 3 7 3 52�6 USE OF BUILDING S /N6 < CLASS OF NEW (� ADDITION ALTERATION REPAIR MOVE REMOVE WORK DESCRIBE WORK J(C,¢.Y*- !,l /.!h's- G aCJ/�.D ff ��L4v t�� /440C;S5 .1/STissL(� SePT/ 7-zen P90 Vl Dc r -e-Gc5S �o.z (�Ge/vc �v al-14 iTiffs' BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS 2 TOTAL SQ.FT. GARAGE rWiP CONDITIONING. NO.OF STORIES BASEMENT 0'r ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 SAYS, 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 FIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY HAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTR ION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIR ENTS 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 CO ORMANCE THEREWITH, NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OB Al NG APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FRO BUIL ING DEPARTMENT. X OWNER DATE X BY DATE FOR OFFICE USE ONLY DEPARTMENT YES PPROVENo DEPARTMENT YESPPRovEN° BUILDING VALUATION HEALTH PUBLIC WORKS' FEE PLANNING FIRE BUILDING PERMIT D d D.O.T. BUILDING PLAN CHECK O O SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE . 60 STATE SURCHARGE ICATION ACCEPTED BY PL/N K BY APPROVED R ISS NCE PERMIT VALIDATION TOTAL L5 0(-/ i�..� BY � 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 NAME MAIL ADDRESS CITY&STATE ZIP PHONE DIRECTIONS TO JOB SITE 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 p o FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS p P) FLOOR/SUSPENDED FURNACE 6.00 BATHTUBS p cl BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 J WATER HEATERS O D _ REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER O p AIR HANDLING UNITS 7.50 SINKS Q HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT ��c' 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 d TOTAL 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 APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY P N C K BY BUILDING GROUP APPROVED F R ISS U E PERMIT VALIDATION BY � CASH CK MO PLOT PLAN ADDRESS 144wy 300 nDDaESS /7Pf 4/E) PERMIT NO. 4 s �.4-2c.�� /2.325 • '7S•cjoo�/�-- �i�/i-��`'1C' s lm/yS �2G �S�I7U7 �oj•�3 '� 2. 7/��. LEGAL DESCRIPTION LOT BLK ADDITION SITE AREA 04� Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS l �Lf 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. 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. S c=4 1-1i-7;�Gi4 c D 0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' I/We certify that the proposed construction will conform to the dimensions and uses shown above end that no changes will be made without first obtaining approval. NAME(S) OF OWNER(S) OF SITE a STRUCTURE(S) (PRINT) IGNATURE OF OWNER(S) OR AUTHORIZ D P ESEN TA TIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE Directiona to Hilitante property. From Bremerton go to Gorst and take Hywy 3 to belfair. In Belfair turn right on Old Belfair High Way then turn left on llywy 300 towards kxa#fais ' B elfair State Park, Go 0.5 miles and turn right on a gravel private road J and go 0.2 mile. The property is on the left. r ?RP GvT,�OiC �fvc�S c R�V,4 � C 4--s rvrt a� I Si E �Rorbs£� y bit.n/�/ /ica�� nFs�Q� ►oo� ARC/n/ S/ . J U 02. I i f I ' e�g — _-- — ----- I/WE UNDERSTAND THAT THE ESTABLISHMENT OF PROIERIY LINES AND CORNERS ARE BY THE OWNER AND I/WE HOLD ARMSTRONG HOMES HARMLESS SHOULD ANY DISCREf ENCIES OR DISPUTES OCCUR NOW OR IN THE FUTURE. SHOULD THE OWNER NOT BE ABLE_ 10 1.00AIE. PROPERTY LINES, ARMSTRONG HOMES RECOMMENDS, AND MAY REQUIRE, THAT A SURVEY BE DONE. IN THE S gne date signed dae- . EVENT THERE ARE TWO INDIVIDUAL PURCHASERS OF 111EHOME AND ONLY ONE PURCHASER SIGNS THIS 1 tow, DOCUMENT ,THEN THE SIGNATURE OF 111E ONE: INDIVIDUAL SHALL BE BINDING AS IF BOTH OF' THE +PWCHASERS HAD EXECUTED SAME. j