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HomeMy WebLinkAboutBLD26983 Expired SFR - BLD Permit / Conditions - 1/9/1991 Shorelines: Plumbing: Setback: Mechanica 1 1;;2 5, o Special Interior: Conditions: FINAL: Mobile cme: Smoke Detector: Remarks: Footing: ' b X,940 Kt AD-? Setback: �oc,�iid,. .tiC6y styt�2Ess fi Foundation Walls: Framing:,„��f9� i! ,Fireplace: NULL L & VOID By rmitATION Wood Stove: ny TYPE RESIDENCE Permit No. 26gR.1 No. Floors 1 Sq Ftg 1404 Owner HAI I FTT, P._I _ Te1275-524g Date 10-25-go Address PO Rox 1636 RPlfair, WA Zip 1 r Contractor SPIf Address Zip Legal Description 2g-2'�-1 1nt C. W 17ag Direction to project site Allicnn ArrpS l01 25 gL) „p Plumbing XX ec anical XX Sewer Wood Stove Fireplace Dec L,_,— arage _JgWfort Basement �,oft:.�p�t�ere �n l�WBY ����TIpN r I BUILDING PERMIT APPLICATION MASON COUNTY I DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 ` 427-9670 DATE ISSUED PERMIT NO. NAME MAILADDRESS CITY STATE ZIP PHONE OWNER 'L S_ DIRECTIONS TO JOB SITE D - C /1 NUMBER 3 DESCR. o 13 /r�✓ ur(�� �D 9 NAME MAILADDRESS CITY 8 STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF 106 Bo- L /'� 5o BUILDING &_5 ,G1 e C CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK BEDROOMS_ DECKS jq 0 CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS_ TOTAL SQ.FT. GARAGE CONDITIONING. NO.OF STORIES _L_ BASEMENT ATTACHED y' THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 JAYS, 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 L— SHORELINE SEASONAL 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 X BY DATE FOR OFFICE USE ONLY DEPARTMENT YES SPPROVE NO DEPARTMENT YES NoBUILDING VALUATION �I `� HEALTH v PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT 00 D.O.T. BUILDING PLAN CHECK t� SPECIAL CONDITIONS BUILDINGGROUP _ `�.� PRE-INSPECTION SHORELINE CaNqTRLICTION MUST MEET 41 WOODSTOVE OR EXCEED LOCAL CODES-QUESTIIC)his PLEASE THIS PLUMBING Z� �}Q OFFICE BEFORE CONSTRUCTION. (� 3 MECHANICAL f' �crl STATE BUILDING FEE STATESURCHARGE APPLInCy4TION ACCEPTED BY PLANS CHECK BY Ate` DvID F ISSUANCE PERMIT VALIDATION tia�lYcc �O- BY CASH CK MO TOTAL �/J PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTCN, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. ME MAILADDRESS CITY TATE ZIP PHONE OWNER L c , a DIRECTIONS TO JOB SITE '/ Q _ ioci n �qxo ! /, `t74 EEG XL DESCR. - .53 4 OT 13 CONTRACTOR NAME MAILADDRESS LITY&STATE LICENSE NO. ZIP PHONE 3 L C 9�z 0 qg= USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS r) ® FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS c' Q'0 FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS ?-0c BOILER/COMPRESSOR 6.00 SHOWERS 1- cI REPAIR/ALTERATION 6.00 WATER HEATERS ® REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER 2-,Go AIR HANDLING UNITS 7.50 SINKS HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER 20 DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL p- 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 FOR OFFICE USE ONLY APPLICATION ACCEPTED BY P N'S CHECK BY B ING GROUP l PROYIED F SUANCE PERMIT VALIDATION l`� - ��l "' �- ►�' BY s CASH CK MO PLOT PLAN n� Age ADDRESS �L CG t 6 PERMIT NO. �lli5on flcR�s i 3 9 75 96a 5.3 - 0 v /j Y9 t /v LEGAL DESCRIPTION LOT BLK ADDITION,/ SITE AREA 'Y Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS ,�1- �Y 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. 1 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' ell 1 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. _ );5 NAMR(SI OF OWNER(S) OF SITE A STRUCTURE(al (PRINT) SIGNATURE OF OWNER($) OR AUTHORIZED REP ESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE VO CGX Pt�y Cot tr-7VF9---4UOv 7g6-It �TtJca Al ' ��� llT�t-�( 'f�•G I SUB. -4xlo —3 XE--Ix4 6ILISCLIT - _ 4 pi us \ 2x G- Slt_t v�r/ Gfd: rEt--r /z"xI�' (, MIL Vls.0015•V4 it j• �: ��.-_ _ . Llrl r.�I:•ri h'I..E•r:. �t- I�GIt = I' MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W.Cedar P.O.Box 186 Shelton,Washington 98584 (206)427-9670 BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION August 2 , 1994 RE: Building Permit No. . Dear A recent review of our permit records indicates that a final inspection of the above permit has either not been done as required per the Uniform Building Code or we do not have the accurate update information in our files. If the final inspection has been performed, please send a photo copy of the orange building permit with the signature and date of final inspection so that we may update our files. Pursuant to the Uniform Building Code, Table 3-A and Mason County permit fee charts, the building official has the authority to charge $25 .00 for inspections on expired permits, an expired permit is defined as a permit with no activity within a 180 day period. However, if you find that you do not have record of the final inspection, we will waive the final inspection fee of $25 .00 if you contact our office prior to September 2, 1994 to arrange for the inspection. All permits to which there is no response will be marked null and void by expiration. Any request for a final inspection after the permit has been voided will require the inspection fee to be paid. If you should have any further questions, please contact this office. Sincerely, Cheryl JRaan Building Department Q� CC: Property File Taxpayer (if applicable) Title Owner (if applicable) Contract Owner (if applicable)