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Home My WebLink AboutBLD29108 Final SFR - BLD Permit / Conditions - 10/22/1991 Shorelines: Setback: PI Umb ing:cA- Special Mechanica Conditions: Interior: FINAL: Mobile ame Smoke Detector:��r , oot ing• � Remarks:,� Setback: Fdundation ---- Walls: Fraping:may.-,�/ Fireplace. Wood Stove: TYPE I SI ) C Permit No. 29108 No. Floors Owner Easy Built Syste,ns Iiic Tel 1 S� Ftg 3-- --- Address PO Box 359 Burle 98322 895�8 Date;;9 20 91 Contractor same p Address Legal De]!I lop 30 2 1 r�°B 1P Direction to project site , s �e _ T Left to Larsen Blvd to rtnshor ;d t n _ um ing x c anica x ewer a Fireplace Deck rage o tovLS Basement soft — Other — �rprt,_ BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. 4gg10 g NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER DIRECTIONS TO JOB SITE ��5 PARCEL LEGAL LdTiZLf �LATB E !/ - L, B lAL"?TS NUMBER 1�� J 0002� DESCR.p `c 3 0 4 GDrd'il/!Y NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF BUILDING �C5 GE CLASS OF NEW ✓ ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ ESCR WORK IBE BEDROOMS 3 DECKS YORN CARPORT TOTAL NOTICE TOTAL SQ.FT. 4/ BATHROOMS Z DECK SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR TOTAL SO.FT. OTAGSQ.FT. CONDITIONING. NO.OF STORIES BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT LIVING AREA BASEMENT COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. TOTAL SQ.FT. I CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT �� FIREPLACE ATTACHED SEASONAL SHORELINE 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 BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. Q XOWNER DATE X B Y _ DATE FOR OFFICE USE ONLY / DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION u YES NO YES NO HEALTH x r/ PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING cl PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING 4-(_l MECHANICAL STATE BUILDING FEE STATESURCHARGE APPLICATIOfflaN ACCEPTED BY P S C ECK BY APP ED FOR ISSUANCE PERMIT VALIDATION - �� -,7 - BY a7D" ,( CASH CK MO TOTAL zip PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 �7�✓�j/ 427-9670 DATE ISSUED q/ PERMIT NO. NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER G _ d 929KS LC' 2Z 8'9S�r�8 DIRECTIONS TO JOB SITE LEGAL O�7"Z�F �ir/S!rf� DSGw'P-4 S dL. r OF' PLC DESCR. G� 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 Z WATER CLOSETS FORCED-AIR I GRAVITY TYPE FURNACE 6.00 2 BASINS FLOOR I SUSPENDED FURNACE 6.00 Z BATH TUBS L4BOILER/COMPRESSOR 6.00 Z SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER AIR HANDLING UNITS 7.50 SINKS Z HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS 3 VENT.FAN SYS.3.00 PER UNIT LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER Z� DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL ," 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 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 OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBjlrlqNG GAAAPPPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE X B G22� iJ DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION APPLICATION ACCEPTED BY PLANS CHECK BY 7 JBY CASH CK MO