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Home My WebLink AboutBLD0007 Final SFR - BLD Permit / Conditions - 5/8/1989 Shorelines: A,14- Plumbing:�i,r�/��5� dip Setback: Mechanical: Special Interior: Conditions: FINAL:P -3 F fs / Mobile Home: Smoke Detector: Remarks: f' Footing:r/ Setback: Foundation Walls: Fireplace: Wood Stove: TYPE RESIDENCE Permit No. 0007 -f No. Fl )ors 1 Sq Ftg ipi 56_ Owner SOLTIS, Bob Tel 275-4477 Date 8-9-88 Address P O Box 67 Belfair Zip Contractor Self Address Zip Legal Description Beards Cove Div 4 Lot 84 Direction to project site NE 2 00 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 ISSUED "—�r9 PERMIT NO. N l�MAILADDRES CITY&STATE? - ZIP PHONE OWNER �C> 71("2 7 DIRECTIONS TO JOB SITEPARCEL LEGAL NUMBER Al?3. C% �� CJCJUD DESCR. CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF BUILDING a' CLASS OF eE ) ADDITION ALTERATION TREPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK BEDROOMS__ DECKS (�� CARPORT +; NOTICE * SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.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. �� 1V FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL 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 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 CON RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING 0BTA NNI G APPROVAL FROM THE 'I DING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X O ER - DATE X BY DATE FOR OFFICE USE ONLY DEPARTMENT YESPP vE No DEPARTMENT YES NO BUILDING VALUATIONS HEALTH PUBLIC WORKS FEE PLANNING Y FIRE BUILDING PERMIT SILL D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDINGGROUP 3 PRE-INSPECTION SHORELINE Irk �y.�.' -� �"_�._1 WOODSTOVE PLUMBING MECHANICAL ' STATE BUILDING FEE STATE SURCHARGE LAPPLICATIONACCEPTEDBY PLANS CHECK BY FBYI,�IIC ED FOR ISSUANCE PERMIT VALIDATION 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. OWNER E 7 MAIL ADDRE J TY8 T TE ZIP PHONE s 7 U/4 �S 7 DIRECTIONS TO JOB SITE LEGAL DESCR. / ) ��►-v-� a 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 FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS �� - FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS -�' BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS ' r 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 WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISH WASHER ,�• ��` DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL m 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 1 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 REQUIREMEN OR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE WILL B CONF NCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST O INING PP L OM THE BUILDING DEPARTMENT. _, WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION /� IBY k/,� J�� CASH CK MO PLOT PLAN ADDRESS PERMIT NO. t o w /' / s LEGAL ^ DESCRIPTION u LOT BLK ADDITION (/ SITE AREA •3 - Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS —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 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. r INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE '5- -6=6R 1"=20' y 9 % I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. 113 0A'� TiS NAMES) OF OWNER(a) OF SITE S STRUCTU E(S) (PRINT) IGNATURE OF OWNER(S) OR AU TMORIZED REP ESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE