HomeMy WebLinkAboutBLD24449 Final SFR - BLD Permit / Conditions - 3/12/1990 Shorelines: �0"4/J-A/"�
Setback: Plumbing: 0��
Special
Mechanicar—' 'Conditions: Interior:FINAL:
i2 r
Mobile name:
Smoke Detector:
'Foot ing:o�5- Remarks:
Setback:
Foundation
Walls:
Framing: p,�. I� 90
Fireplace:
Wood Stove:
TYPE RESIDENCE
Permit No. 24449
Owner No. Floors l Sq Ftg 864
R/ B Jay T Te1275-4477 Date 9-15-89
Address Bob Soltis P 0 Box 767 BelfairZip
Contractor None
Address
Legal Description Beards Cove Div 3 Lot 66 ip
Direction to project site NE 110 Anchor 6Jay
un ing X riteumanicai X ewer W00a Stove
Fireplace Deck G e L
Basement ft g ` -port
Other
2 bdrm
BUILDING PERMIT APPLICATION
' MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO. `,7/—111
OWNER
NAME MAILADDRESS CITY&STATE ,ZIP PHONE
DIRECTIONS
TO JOB SITE
PARCEL LEGAL _
NUMBER J.�330 S� rf�TE1 DESCR.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING /� r
CLASSOF N ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS_ DECKS _ � CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE tI 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. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS 4FIDAVIT 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
REQUIREM TS 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 CONFO MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAININ4 APPROVAL FR M THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
OW E + DATE /Y X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES
PPROVENo DEPARTMENT YES No BUILDING VALUATION y C?CC7
HEALTH PUBLIC WORKS FEE
PLANNING �� FIRE BUILDING PERMIT egg s
D.O.T. 1 BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP �— PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE J
APPLICATION ACCEPTED BY PLANS CHEC Y APPROVED FOR IS UANCE PERMIT VALIDATION
TOTAL
r `s�--�/ BY 3 CASH CK MO
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
S427-9670 DATE ISSUED
r PERMIT NO.
NAME AIL_ADDRESS CITY&STATE _ ZIP PHONE
OWNER 4�L1.4 cT �> lti } .-��,7a
DIRECTIONS / l
TO JOB SITE ' !,� fL (✓`! i
LEGAL
DESCR.
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING eI
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS p FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS p o FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS -2 c O BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS v REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER p O AIR HANDLING UNITS 7.50
SINKS L) HEAT-PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT 3 O v
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 5.00 TOTAL 5 (J
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 CO RMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBT ING A P OV L FROM THE BUILDING DEPA prMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
ems- c
XOWNER G DATE X BY ____ DATE
.,
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
APPLICATION ACCEPTED BY PLANS CHECK BY 7
IBY CASH CK MO
PLOT PLAN
ADDRESS �J�'�/U C`i i . PERMIT NO. 4 0
= e
� o
LEGAL ,,ten ' '
DESCRIPTION Ae`f r`-"r4COT G �` ADDITION 1 N
SITE AREA 7Byy SQ. Ft. AREA OF SITE OCCUPIED BY BUILDINGS S4. FL
INSTRUCTIONS TO APPLICANT `
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' AAA
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.
n
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
h
C
3
o }
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.
NA ( ) QP O ER(S) OF SITE S STRUCTURE(S) (PRINT) N , U E OF OWNER(S) OR AUT RIZED REP ESEN TA TIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE