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
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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
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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)