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HomeMy WebLinkAboutBLD27307 Final SFR - BLD Permit / Conditions - 4/23/1991 i Shorelines: PlLmbing: Setback: Mechanic a Special Interior: /a� s �, Conditions: FINAL:�S' - - y ¢�_ Mobile ode: yja-9i Smoke Detector,7��Afts;h" Reflmarks:(7 ilff FoR r�,r/sft ooting: r 61 Yy-g-91i74 /0zei2 L.yckEA Setback:-/*o I.,GAP Foundation n­,qt co.w Walls: ,, SIA06 e,.( 01- Framing: t"Yoram, Fireplace: Wood Stove: �tWmun N2N%'^ n TYPE RESIDENCE STOCK PLAN Permit No. 27307 No. Floors 1 Sq Ftg 1232 Owner Bob Newman Tel 275-3524Date 1 -3-91 Address NF 8361 Northshore- BP1f Zip 98528 Contractor KitsaD Construction Address zip Legal Description Beards Cove div 4 lot 64 Direction to project site see attached map Lm ing . x— Mechanical ewer Wood Stove Fireplace Deck arage arport Basement Loft Other BUILDING PERMIT APPLICATION qa MASON COUNTY owly $ I DEPARTMENT of GENERAL SERVICES 90 P.O. BOX 186 SHELTON, WASHINGTON 98584n S�,�O�Goe'()(L�''�� C// 427-9670 1 DATE ISSUED'mg el�611 f 4 PERMIT NO. O 41 NA E MAILADDRESS CITY&STATE ZIP PHONE !� OWNER L--W Q,---1 (A)c c 83G R Y e-,k Fes. ✓j. DIRECTIONS TO JOB SITE PARCEL j �.3 3 a S _�Od -LEGAL / NUMBER / 6 DESCR. �L) ``�' � b NAME IL ADMR C TY&STATE CENSE NO. ZIP PHONE CONTRACTORAz Cam+Q USE OF BUILDING S CLASS OF 6E�W ) ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE WORK 1 0 c N -r-k (/c BEDROOMS DECKS YO CARPORT O NOTICE TOTAL SQ.FT. DECK GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.FT. d TOTAL SQ.FT. CONDITIONING. NO.OF STORIES / BASEMENT Y OF6? THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT LIVING AREA BASEMENT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. TOTAL SO.FT/ TOTAL SO.FT. CHECK ONE PERMANENT C FIREPLACE L ATTACHED SEASONAL SHORELINE DETACHED OWNERS AFFIDAVIT 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 REQUIREMENTS 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 CONFORMANCE THEREWITH, NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING RQVA�FROM,TAIE BIJILE_DING DE.PAARTME�T�G APPROVAL FROM THE BUILDING DEPARTMENT. X OW/v �1.��!lJ Y' elf ..y.+ E l�r �(BY __ DATE FOR OFFICE USE ONLY DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENO BUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT �JC) D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS A BUILDING GROUP 3 PRE-INSPECTION U, 6-ro� i�(�!4N u4 (AiBmL _ ib SHORELINE 1. C 4 e y 70 "' Lj 1i I's o O WOODSTOVE c� PIZ [? � G- D L O � L fT MBING J ©o OCT �,G1 (,7 ( � C MECHANICAL STATE BUILDING FEE r'J� �L STATESURCHARGE APPLICATION ACCEP ED BY PLANS C ANCE 1 PERMIT VALIDATION ti: TOTAL I;,-- 4L- B 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. NAME MAIL ADDRESS CITY&STATE ZIP PHONE - OWNER t'`v",) u1^4A k)c ,C e/1 s R A- DIRECTIONS TO JOB SITE LEGAL DESCR. &,4,k Ds V C �f V y 407— A Y CONTRACTOR NAME MAILADDRESS CITY&STATE 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-AI R/GRAVITY TYPE FURNACE 6.00 BASINS 0'0 FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS •O (D BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS 'L0 c) REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER AIR HANDLING UNITS 7.50 / SINKS 0HEAT-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 DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL �j TOTAL - 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 WIT FI T I ING PP V L RO T E IL G DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. ' ` ,.t' ,,LR �'�.P�! X OWNE DATE �a X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY ��ILDIN- ROUP AP ED F ISSUANCE PERMIT VALIDATION -�, "' BY CASH CK MO BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER DIRECTIONS TO JOB SITE PARCEL pooh LEGAL NUMBER Ij�'0 S DESCR. Indicate below: O Property lines and dimensions. O Easements and roads. O Septic, drainfield and reserve area, or sewer. O Septic tank and drainfield setback distances from foundations. O Location of proposed construction on property. O Building & septic system setback distances from all property lines& easements. Indicate North O Well and water line. O Saltwater, lakes, rivers, streams,wetlands, drainage. In Circle O Attach copy of septic system"as built" or septic permit approval. O Indicate topography profile of property and structure on reverse side. 7H 7 L 7' I/We certify that the proposed construction will conform to the dimensions and uses sho ove and that no cha s will be made without first obtaining approval. SI ATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE