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Home My WebLink AboutBLD26591 Final SFR - BLD Permit / Conditions - 2/25/1991 33� - SCE - C ODD -7 Shorelines: Setback: Pl�mbing:�_il Mechanicar+ Special Interior: Conditions: FINALn,&-7 - Mob i leH ome: Smoke Detector: Remarks: U� noting: / 4?f19/9a �k,/ Setback: Foundation Walls: Framing: Fireplace: Wood Stove: TYPE - RESIDENCE Permit No. No. Floors 1 - Sq Ftg 1232 Owner SOL1 13, bUb Tel Date R-30-An Address PO BOX 767 Belfair Zip Contractor self Address Zip Legal Description BEARM COVE DIV 3 FoT Direction to project site tm ing XX Mechanicalewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other X7— l a 33U � OCOL�"7 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES f P.O. BOX 186 SHELTON, WASHINGTON 98584 � Q 427-9670 DATE ISSUE � PERMIT NO. NAM MAILADDRES CITY&STATE ZIP PHONE OWNER � DIRECTIONS TO JOB SITE PARCEL LEGAL /Je /S C � /� NUMBER r�O�3u`�OG DESCR. /c7 �I-fLc� ICJ/ eJ 3 K7 NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR USE Lam/ J BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE WORK BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.FT. L�� 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./�Z FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION LAW RC 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENTS FOR W ICH 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 EREWITH. N CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROV FROM THE B IL ING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OWN DATE X BY DATE FOR OFFICE USE ONLY DEPARTMENT YEAPPROVENo DEPARTMENT YES NO BUILDING VALUATION y/ .272 HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING $ �29-9v PLAN CHECK SPECIAL CONDITIONS BUILDINGGROUP _3 PRE-INSPECTION SHORELINE WOODSTOVE An Z . Z PLUMBING MECHANICAL _0 STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY P S CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL -E BYJ-. S'-2 y-7V CASH CK MO C PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED�I ' PERMIT NO. OWNER N � � MAIL ADDRESS � �ITY 8 S�E �v ZIP PHONE DIRECTIONS TO JOB SITE LEGAL DESCR. CONTRACTOR NAME MAILADDRESS CITY RSTATE 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 FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS cl BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER f 0 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 DISH WASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL i TOTAL 6 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 CONF,Pf MANCE THEREWITH, NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OB INING AP OVAL FROM THE BUILDING DEPA TIME WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNE DATE X BY DATE_ FOR OFFICE USE ONLY APPLICATION ACCEPTED BY P S C ECK BY BUILDING GROUP APPR FOR ISSUANCE PERMIT VALIDATION /SIN-3 BY • "? °79^;U I CASH CK MO PLOT PLAN ADDRESS � IJ 01)�a PERMIT NO. • LEGAL DESCRIPTION LOT BLK ADDITTIOON^� SITE AREA rSq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS lam/ �✓� 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.) J 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. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' Al I/We certify that the proposed construction will conform to the dlmensi"and uses shown above and that no changes will be m s without first obtaining approval /S,1�5 S0 ' - NAME(a) OF OWNER(S) OF SITE A STRUCTURE(!) (PRINT) 710�'JA TURLaF O ERIS) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED c/ , ,7 DATE DISTRICT AS NOTED d l/