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Home My WebLink AboutBLD0519 Final SFR - BLD Permit / Conditions - 11/30/1987 w Shorelines: Al A Plumbing: Setback: Mechanic ale Special Interior: Conditions: FINAL: MobileHome: Smoke Detector: Remarks: Footing: 1',</ Setback: iC r L Foundation C,-,J C*�, �7/io s, Walls: Framing: , /1L-/8> �/ Fireplace: ' Wood Stove: _ 1 TypE RESIDENCE permit No. 0519 No. Floors 1 sq Ftg 1248 Owner BOB SOLTIS INC. Tel 275-4477 Date 4-28-87 Address P 0 Box 767 Belfair Zip Contractor Self Address Zip Legal Description Lot C of Tr 6 S P #1350 29-23-1 Cirection to project site Sand Hill 1Rd. lst lot on right going North Allison Acreage Tracts Pltrbing x mechanical x Sewer Wood Stove Fireplace Deck Garage 528 Carport Basement Loft Other 3 bdrm J BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. Zi OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE v ,s 4 76 7 -s-- DIRECTIONS TO JOB SITE LEGAL DESCR.CONTRACTOR - NAME 0 MAILA DRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF BUILDING U CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK I BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING. NO.OF STORIES BASEMENT ATTACHED 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 TOTAL SQ.FT. ��` FIREPLACES DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINES 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 REGISTR TION 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 FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAI ING APPROVAL FROM THE ILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X O NER DATE � X BY DATE FOR OFFICE USE ONLY ARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES NO YES NO !s. S c�. HNALTH r PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMITG D.O.T. BUILDING PLAN CHECKc% SPECIAL CONDITIONS BUILDING GROUP '_ -' PRE-INSPECTION SHORELINE PLANNING PLUMBING C„�S , MECHANICAL STATE BUILDING FEE �� 1 STATESURCHARGE _ J APPLICATION ACCEPTED BY PLANS CH K BY APPROVED FOR ISSUANCE PERMIT VALIDATION � TOTAL BY 'Z, CASH CK MO PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. OWNER N MAILADDRESS CITY TATE ZIP PHONE 2,7 DIRECTIONS TO JOB SITE , 1 / �, p, 't/ LEGAL DESCR. CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE S" USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS d U FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS (, o p FLOOR/SUSPENDED FURNACE 6.00 o;;2- BATHTUBS a o BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS p REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER �, p AIR HANDLING UNITS 7.50 SINKS a p 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 C c DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL TOTAL ��, n p 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 / ING OVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWN Ejl�, DATE X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION IBY CASH CK MO PLOT PLAN ADDRESS _ PERMIT NO. f o LEGAL �C'�1� ��J d"� �< � � •7 C Tl�/S /�c��C ffC �/�!<-G 9 9 DESCRIPTION U +� (,� LOT BL - — ADDITION u SITE AREA- Ft. AREA OF SITE OCCUPIED BY BUILDINGS 7,t� 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.) V l\ 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 A"ID 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. \I INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' f� C_ � I < 1 1 I/We certi y that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtai ing approval. NNA4AfiTS) OF OWNERM OF SITE 6 STRUCTURE(3) (PRINT) GNATURIE OF OWNER(Sl-,i�UTHMRIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE CHRISTMASTOWN PRINTING