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