HomeMy WebLinkAboutBLD0007 Final SFR - BLD Permit / Conditions - 5/8/1989 t
Shorelines: Plumbing:��y�/��Z/��'s �
Setback:Df< D9 ro-Z-tV Mechanical:
Special Interior: -
Conditions: FINAL: (f g ,
Mobile Home:
Smoke Detector:
Remarks:
Footing:OIL d9. OE
Setback:
Foundation
Walls:
Framing
Fireplace:
Wood Stove:
TYPE RESIDENCE
Permit No. 0007 No. Floors 1 Sq Ftg 1056
Owner SOLTIS, Bob Tel 275-4477 Date 8-9-88
Address P O Box 767 Belfair Zip
Contractor Self
Address Zip
Legal Description Beards Cove Div 4, Lot 85
Direction to project site NE 300 Larson Blvd
Plumbing X Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
3 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 _
426-5593 DATE ISSUEDZ-
PERMIT NO. yam_
OWNER N E / � MAILADDRESS CI
TY&ST ZIP PHONE }
7c`�
DIRECTIONS ? /-� -/
TO JOB SITE ��� >Q V la/
&'- 'y-
PARCEL LEGAL
NUMBER DESCR.
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE 'f
BUILDING n
CLASSOF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE
WORK l ter
BEDROOMS_ DECKS U CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS ( TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES 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 DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I C RTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
RE ISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
RE UIREMENTS 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
N ONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OB INING APPROVAL FROM TH UILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X N ER DATE `'i/ X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED
YES N BUILDING VALUATION
O YES NO
HEALTH ) PUBLIC WORKS FEE
PLANNING 15 �/ p/ FIRE BUILDING PERMIT 220, E'--.
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP j PRE INSPECTION
SHORELINE
S,UC-t 12 f ntoWOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE f
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION '
'� �� '+�- BY6 VI(- CASH CK MO TOTAL
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO.
N E MAIL ADD SS ITY SATE ZIP PHONE
OWNER � ' 7,
DIRECTIONS
TO JOB SITE '
LEGAL
DESCR.
CONTRACTOR NAME MAILADDRESS CITY&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 &Ll- FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS tLL FLOOR/SUSPENDED FURNACE 6.00
BATHTUBS , BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS �. E-' REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER �, c AIR HANDLING UNITS 7.50
SINKS SLI 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 WOOD STOVES 5.00
CONNECTTO CITY SEWER WOOD FURNACE 5.00
DISHWASHER -
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL 17, `'i` TOTAL
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 1 AM AWARE OF THE ORDINANCE
COUNTY ORDINANCE REQUIREMEN 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 CONFO M NCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OB NG A PR V F ,M THE BUILDING DEPAR MENT.; WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER /
DATE 5 C XBY DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY P/LA,NS,CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
W a Cit��L6i� - BY G�1� CASH CK
14
PLOT PLAN
ADDRESS PERMIT NO. s a
M >
a o
LEGAL 7
DESCRIPTION LOT BLK ADDITION u
SITE AREA Sq.Ft. AREA OF SITE OCCUPIED BY BUILDINGS Id Sq. Ft.
INSTRUCTIONS TO APPLICANT
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 A"ID 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 1"=20'
C
�i
J
i
I/We certify that the proposed construction will conform to the dimentians and uses shown above and that no c nges will be made without
first obtaining approval. 1
1�74
NAME(S) OF OWNER(S) OF SITE & STRUCTURE(S) (PRINT) tIGNA TORE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
6HELTON PRINTIN3 ,