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HomeMy WebLinkAboutBLD30405 SFR - BLD Permit / Conditions - 5/6/1992 Shorelines: �� Plumbing.ir1�,W„�.SIrH� Setback: Mechanicakx y-.�-gz�y- Special Interior: Conditions: Final: Mobile Home: Smoke Detector: Footing: Remarks:Cl/l E b6k i�ya ak Dr1 5/�tl9Z Zisofl,, �/��o •r� // Ly Setback: ������` � Foundation Walls: G/vi ,��ivc vyt s Framing: Fireplace: Woodstove: AREA: #1 - FAWVER TYPE: RESIDENCE Owner: MAC KINNON, JASON Tel: 876-6619 Date: 05-06-92 Address: 314 SIDNEY, PORT ORCHARD 98366 Permit #: 30405 Floors: 2 Sq Ft: 1344 Contractor: SAME Phone: Legal Description: BEARDS COVE DIV 4 LOT,$roc: Direction to job site: SANDHILL RD LEFT ON LARSON FOLLOW 1/2 MILE LOT ON LEFT Plumbing X Mechanical X Woodstove Fireplace Deck 80 Garage 480 Carport Basement Loft Conditions: NONE Cry _ o�- BUILDING PERMIT APPLICATION u MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 C 427-9670 DATE ISSUED PERMIT NO. � y`S NAME A ' MAIL ADDRESS CITY&STATE ZIP PHONE OWNER DIRECTIONS TO JOB SITE L- rc- L�C�I25t, (S e,PARCEL LEIA� � NUMBER DESCR. D,') k_4 t�:4 ° 1�3 a Slate tom' NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO. CONTRACTOR gjc�c_kr!nworz c-,1c7 ck(c"C'Uk USE OF BUILDINGS`31� �1Z� CLASS OF NEW X ADDITION ALTERATION REPAIR MOVE REMOVE ✓WORK DESCRIBE WORK AREA: 13y NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENC ' qFt STORIES ( SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS 3 PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS ( $ Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE ( SgFt ATTACHED Q 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 APPROVAL FROM THE IBUILDING DEPARTMENT. 2 APPROVAL FROM THE BUILDING DEPARTMENT. l X OWNER ° ° DATE i �� X BY DATE FOR OFFICE USE ON LY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES NO YES NO HEALTH MT" PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING - PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION al 1 L 0,^ StoO -t t((0,A SHORELINE 0 39 /-TC WOODSTOVE PLUMBING c� y MECHANICAL CIE, STATE BUILDING FEE APPLICATION ACCEPTED BY PUNS HECK BY 7VED�71SZE PERMIT VALIDATION ✓� VI ,� `I�Z �� B " ( SH CK MO TOTAL �)I - PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 y 427-9670 DATE ISSUED J �� PERMIT NO. OWNER NAME MAIL ADDRESS CIT STATE ZIP PHONE k'- � lK Si O �� i DIRECTIONS TO JOB SITE (/t SL,Qy'(- 16 L, I ( IQ bt, r q rs011 TN'S4 CA_ooc&S4C LEGAL DESCR. rj CONTRACTOR NAME MAILADDRESS CITY&S TE LICENSE NO, ZIP PHONE USE OF BUILDING ��. i � I b6� PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP F EE NO. TYPE OF FIXTURE FEE WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS FLOOR/SUSPENDED FURNACE 6.00 a BATH TUBS BOILER/COMPRESSOR 6.00 SHOWERS L REPAIR/ALTERATION 6.00 WATER HEATERS 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 VENT.FAN SYS.3.00 PER UNIT LAUNDRY TRAYS FIRE SUPPRESSION 5.00 CONNECT TO CITY SEWER WOOD FURNACE ' 5.00 DISHWASHER &JQG. de- I-QcJ e-r5 DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.0 TOTAL TOTAL SPECIAL CONDITIONS: _ NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONS RUCTION 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 D WTNG APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIR T OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER L " DATE a' 3-S a X BY f DATE Z'►3 - -/G FOR OFFICE US ON L APPLICATION ACCEPTED BY PLANS CHECK BYC, UILDING ROUP APP D FOR S ANCE PERMIT VALIDATION /✓` ( l m''/ BY ASH CK MO I BUILDING PERMIT PLOT PLAN 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 DIRECTIONS C- PARCEL LEGAL NUMBER i��3Z�S 'Xj DESCR. 7 �r�S C n Ad,-1 V__ 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. 0 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. 1. �- Ti_ V4 i J I/We certify that the proposed construction wil!conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. SIGN TURE Or OWNER(S)OR AUTHORIZED RE?RESENTATIVE 00 NOT WRITE BELOW THIS LINE TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE I