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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