HomeMy WebLinkAboutBLD30405 SFR - BLD Permit / Conditions - 5/6/1992 Shorelines: ��
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Special Interior:
Conditions: Final:
Mobile Home:
Smoke Detector:
Footing:
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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
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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.
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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