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Home My WebLink AboutBLD0170 Final SFR - BLD Permit / Conditions - 12/27/1989 Shorelines: Plumbing: - Setback: Mechanical: Special Interior: 42 Conditions: FINAL: J Mobile Home: Smoke Detector: Remarks: Doting:p 7 �i —V Setback: Foundation Walls: Franing: 2 /p Fireplace: Wood Stove: TYPE K SIDENCE Permit No. 0170 No. Floors 1 Sq Ftg 1232 Owner BOB SOLTIS INC. Te1275-4477 Date 9-12-89 Address P 0 Box Be fair Zip Contractor None Address Zip Legal Description Beards Cove Div 4, L_ot 67 Direction to project site NE 30 Lanyard Ct tm ing x mechanical x Sewer Wood Stove Fireplace Deck arage arport Basement —Loft Other 3 bdrm BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES SP.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED r PERMIT NO. �'� / 0 N E MAIL ADDRES CITY&STATE ZIP PHONE OWNER �� DIRECTIONS / TO JOB SITE z C1/ PARCEL LEGAL �.,,, NUMBER �� ''3��cc c?i DESCR. /, �' l�� -t-�� 14 v NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF BUILDING A/Uy' CLASS OF NEW WORK ADDITION ALTERATION REPAIR MOVE REMOVE ✓ DESCRIBE WORK 0,C/''i BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. - GARAGE CONDITIONING. NO.OF STORIES t 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 TOTA FIREPLACE DETACHED � ABANDONED FORA PERIOD OF180 DAYS AT ANY TIME AFTER WORK ISCOMMENCED. PERMANENT SHORELINE _ SEASONAL OWNERSAFFIDAVIT 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 CONFO MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAININ APPROVAL FROM THE BUI ING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. G' X OW R ,,/, Z�TE X BY DATE FOR OFFICE USE ONLY APPROVED DEPARTMENT APPROVED BUILDING VALUATION 00 DEPARTMENT YES NO YES NO L �, HEALTH v PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT _Yl C c- D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDINGGROUP A-� PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING G U MECHANICAL C p STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CH/!qK By APPROVED FOR ISSUANCE PERMIT VALIDATION _ BY Q��/r CASH CK MO TOTAL �� O PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. ME/ MAILADDRESS CITY&STATE ZIP PHONE OWNER r `��/ DIRECTIONS TO JOB SITE ZA LEGAL ,t DESCR. CONTRACTOR NAME MAILADDRESS MY&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 c% FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS c, n FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS ' BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER e-z, AIR HANDLING UNITS 7.50 SINKS 0 p HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT 6.0 C) LAU N DRY TRAYS WOOD STOV ES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER p�) DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL C C^ TOTAL / , O e> 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 CON O MANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH, NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINI APR(7VAU FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER '1' DATE Gy X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION IBY CASH CK MO L PLOT PLAN o '- / o ADDRESS f( p ) Z-47, /�9C-C�' PERMIT N0. o ,��.�p //J� e ll` 1,G'7J Z •�/i LO LEGAL ,_��"� S c��%� DESCRIPTION LOT BL ADDITION M n SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft. INSTRUCTIONS TO APPLICANT Vj THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE C, 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 r PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEW 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. C_ INDICATE NORTH IN CIRCLE GRAPHS UARES ARE 5' X 5' OR 1"=20' �1 i i� i i� 5 C / 1/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be ede without first obtaining approval. NAME(S) OF OWNER(a) OF SITE ! STRUCTURE(S) (PRINT) IGNATURE OF OWNER(S) OR AUTHORIZED REP ESENTATIVE DO NOT WRITE BELOW THIS LINE AD f DISTRICT ASS NOTED DATE