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Home My WebLink AboutBLD N/A Cancelled SFR - BLD Application - 2/20/1992 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WAS HINGT 427 9670 E ISSUED L% PERMIT NO. NAME MAIL ADDRESS CITY R S .c ZIP PHONE OWNER _ _ , _ DIRECTIONS ,� TO JOB SITE N'�- �� /�EGLLG cT, %?C' /1epj eC'G`G� A 6j 3�- PARCEL _ LEGAL NUMBER 1�SL� '=�/ D6�0��' DESCR. NAME MAIL ADDRESS CITY R STATE ZIP PHONE LICENSE NO. CONTRACTOR USE OF BUILDING CLASS OF NEW I fDIN TIO ALTERATI E I I MO REMOVE WORK ✓ DESCRIBE IN WORK AREA: NUMBER L NDICATE: TIC SEPARATE RM ARE REOUI FOR MBI TING, VENTILATING OR AIR RESIDENCE/ SgFt STORIES S ELINE❑ CONDITIONI BASEMENT SgFt BEDROOMS PRI RY RES. HIS PERMIT BECO ES NULL AND VOID IF RK CON UCTION AUTHORIZED IS NOT Ft BATHROOMS Z S NAL RES.❑ OMMEN WW� L``LTTH 180 DAYS, OR IF CONST CTION WORK IS SUSPENDED OR DECKS $ g BANDO 10 %10D OF 180 AT YTI AFTER ORK IS COMMENCED. CARPORT SgFt FIREP IS CARPORT/GARA GARAGE ;2�W SgFt A HEDXDETAC OWNERSAFFIDAVIT CONTRACTOR FFID I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM U N EGISTERED CONTRACTOR IN THE STATE OF REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COLIN 0 WASHINGTON AND I AM A R F THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK NE WIL E WORK FOR WHICH THE IS ISSUED AND ALL WORK DONE WILL BE IN IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WIT T FIRST CONFORMANCE THEREWITH. ANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING D MENT. X OWNE �e�a DATE A-742—4� X BY DATE FOR OFFICE USE ONLY APPROVED APPROVED �� DEPARTMENT YES NO DEPARTMENT YES NO BUILDING VALUATION -[_l � HEALTH ttiI PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING PLAN CHECK a� SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION 3 SHORELINE J`f(6 WOODSTOVE (X7,D PLUMBING yq&? MECHANICAL 1 _ �,� r V�c�S STATE BUILDING FEE SO 13 APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSVNC� PERMIT VALIDATION r C�4 TOTAL p. e,rl 1 CASH CK MO PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. OWNER NAME MAILADDRESS CITY SSTATE ZIP PHONE S DIRECTIONS TO JOB SITE LEGAL P e _6 e>32 OT ZS-T3L.4 D�f 167 E DESCR. CONTRACTOR NAME MAILADDRESS CITY SSTATE 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 Z (BATHTUBS BOILER/COMPRESSOR 6.00 %SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS Z REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER AIR HANDLING UNITS 7.50 SINKS HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS _3 VENT.FAN SYS.3.00 PER UNIT LAUNDRY TRAYS FIRE SUPPRESSION 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 r DISHWASHER L DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL 15 TOTAL 11 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 OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST BTAIN 1 PPROVAL FROM THE BUILDING DEPARTMENT. �J X OWNER DATE X BY DATE Z-Zd 72 FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION V � �- IBY CASH CK MO MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W.Cedar P.O. Box 186 Shelton,Washington 98584 (206)427-9670 BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION December 28, 1993 RE: Permit # Dear On �/,)a cam, this office approved for issuance the above permit number. Pursuant to the Uniform Building Code, Section 304, this permit, once approved for issuance, must be issued within 180 days to stay valid. Failure to pick up the permit within the 180 day time frame will void the permit and it will be necessary for you to re-apply for the permit thus, meeting all new review requirements . Further, the Uniform Building Code, section 304 allows for the collection of the plan review fee if a plan review has been performed and the permit cancelled. In the event that you no longer require the permit or choose to cancel the permit, the plan review fee due on this permit is $ 9!5 . GG . The check or money order should be made payable to the Mason County Treasurer and submitted to this department for processing. Once the plan review fee is paid, we will return the plans to you and cancel the permit request. If you wish to obtain your permit now, the amount due for your building permit is $ (9 Once received, we will issue the permit, either in the office or we can process the issuance through the mail . The permit will remain valid for a period of 180 days. At the end of this 180 days, an inspection will be required or a one-time only extension can be granted through letter request however, all future extensions must be granted by progress inspections. Please respond to this notification prior to January 17, 1994 . Sincerely, 0� -a��f) Cheryl gan Building Department (206) 427-9670 cc: Property File