HomeMy WebLinkAboutBLD24122 Final SFR - BLD Permit / Conditions - 10/13/1989 Shorelines: Plumbing: -
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile Rome:'
Smoke Detector:
Remarks:
noting:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
Typg RESIDENCE
Permit No. 24122 No. Floors 1 Sq Ftg 86_
Owner RAUH aay T Tel Date 7-21-89
Address Box o Bo Soltis Zip
Contractor Bob Soltis
Address Belfair Zip
Legal Description Beards Cove Div 4 Lot 70
D' n to project site Corner of Larson Blvd &
rcurt MAP ATTACHED
Plumbing xx c anica xx ewer Wood Stove
Fireplace Deck Tar-age —port
Basement —Loft --Other
2 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 71
426-5593 DATE ISSUED 7 _C
s
PERMIT NOf <
OWNER NAME MAIL ADDR S CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE �, ?p `' Sp t7-;S' �4`7,11 A.
PARCEL LEGAL
NUMBER f 7_j j() � . zx DESCR.
AME FATIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR �'� S'o
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK t7 /1.��.-Z✓ .�`
BEDROOMS DECKS CARPORT NOTICE
''',,, SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS_ TOTALSQ.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. FIREPLACE il- DETACHE ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
i
I CERTIFY.�HAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRgION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE ENTS 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 CO ORMANCE THEREWITH, NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI NG APPROVAL FROM THE BUILDING
DIEPARTM T. APPROVAL FROM THE BUILDING DEPARTMENT.
X NER/ _� � " /� C� A�TTE (U X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED
YES NO YES NO BUILDING VALUATION
14,r'�-'
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT 7
D.O.T. BUILDING , PLAN CHECK S�
c
SPECIAL CONDITIONS BUILDING GROUP f7_ PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CH K BY IAPPROVEDf
FOR IS4UANCE PERMIT VALIDATION
.,G� BY Z: - // CASH CK MO TOTAL �� a
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO.
�ME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER Q ',7 �e �?)L 76 7.f-
DIRECTIONS
TO JOB SITE
LEGAL d .S' ��1v1( iCJ /�O /]� 1p
/ L1
DESCR.
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING c
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 FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS n BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER Ln�> 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 5
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 lc'C TOTAL 3 �p
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 ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT F AINING P ROVAL FROM THE BUILDING DEPART ENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
�-
X OWNEIRSTOB D E �" X BY DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY T
BU
NS CHECK BY ILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
APPLICATION ACCEPTED BY
IBY CASH CK MO
PLOT PLAN
ADDRESS PERMIT NO, i o
I s o
O"e D,� y V 7LEGAL
�` ,
DESCRIPTION LOT BLK ADDITION
SITE AREA 7s� U Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft.
INSTRUCTIONS TO APPLICANT l
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE
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 'I"=20'
(
C/
L)
d
I/We certify that the proposed construction will conform to the dlmsnsiMs and uses shown above and that no changes will be made without
first obtaining approval.
Li
NA E(a), F OWNER(S) OF SITE 6 S RUCTURE(S) (PRINT) �T'
RE OF OW _ lS) OR AU RIZE EP ESENTA TIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE