Loading...
HomeMy WebLinkAboutBLD24448 Final SFR - BLD Permit / Conditions - 3/12/1990 DEC///11119O � Shorelines: Plumbing: Setback: Mechanical: Special Interior: Conditions: FINAL:b�3//Z c Mobile cme: Smoke Detector: Remarks: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: TYPE RESIDENCE Permit No. 24448 No. Floors 1 Sq Ftg 864 Owner RAUH, Jay T Tel 275-4477 Date 9-15-89 Address % Bob Soltis P 0 Box 767 Belfair Zip Contractor None Address Zip Legal Description Beards Cove Div 3, Lot 58 Direction to project site NE 91 Anchor Way um ing x Mechanical x ewer Wood Stove Fireplace Deck Garage Carport Basement —Loft Other 2 bdrm BUILDING PERMIT APPLICATION MASON COUNTY l DEPARTMENT of GENERAL SERVICES l P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED �3 PERMIT NO4_7:;?' /1 1/ NAME MAILAIDIRESS CITY SSTATE ZIP PHONE OWNER 1�rl7 DIRECTIONS TO JOB SITE Axe4 PARCEL LEGAL NUMBER _1404C Ij DESCR. NAME MAILADDRESS CITY SSTATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF BUILDING CLASS OF W ADDITION [ALTERATION TREPAIR MOVE REMOVE WORK DESCRIBE WORK BEDROOMS 2 DECKS L/ 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. IREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANE T X HORELINE SEASON L OWN S AFFIDAVIT CONTRACTORS AFFIDAVIT I CER FY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGIS RATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQU EMENTS 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 C NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OB NI G APPROVAL FROM THE BUILDING/DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X NE r"J DATE X BY DATE FOR OFFICE USE ONLY DEPARTMENT Y SPPRovENo DEPARTMENT vesPPRovENQ BUILDING VALUATION op HEALTH PUBLIC WORKS FEE PLANNING y� FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP 3 PRE-INSPECTION Wd4J SHORELINE WOODSTOVE PLUMBING MECHANICAL , Q STATE BUILDING FEE 41,66 STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CH K BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL 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. N ME MAI DDRESS CITY 8 STATE ZIP PHONE OWNER ' ii uLi Sc_ r i'7 G✓ ��{ � .n �J 12 DIRECTIONS / TO JOB SITE LEGAL DESCR. _- (.r,,, -k' CONTRACTOR NW AIL ADDRESS CITY RSTATE LICENSE NO. ZIP PHONE USE OF BUILDING PLU BING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS " O Q FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS O O FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS Q (j BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER p jJ 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 j GnZj 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 15-,0d TOTAL /3 vU 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 CON TRACTORS 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 OB AINI G ROVA ROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER D TE X BY____ DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY T ILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION BY CASH CK MO PLOT PLAN ADDRESS (/ 2 /Tltt'' htt 41 PERMIT NO. _ `� f vs LEGAL DESCRIPTION LOT BL ADDITION SITE AREA b Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS (�� -Sq. Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' AAE 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. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' r` h ILI 3f I I/We certify that the proposed construction will conform to the dimansi17ns and uses shown above and that no changes will be made without first obtaining approval. NAME( �owNER(S) OF SITE a STRUCTUREM (PRINT) ION TORE OF OWNERISI OR. UTNORIZED REP E�ENTA V�� DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE