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HomeMy WebLinkAboutBLD28921 Cancelled SFR - BLD Permit / Conditions - 8/19/1994 Shorelines: Plumbing: Setback: Mechanical: Special Interior: Conditions: FINAL: MobileHome: Smoke Detector: ooF g, r: Remarks: Setback: Foundation — Framing: r� Fireplace: Wood Stove: TYPE RESIDE14CE Permit No.28921 No. Floors 1 Sq Ftg 1200, Owner Fred i sQn _ Tel a7 935 Date S 2g 91 Address NE Sclioop0,,Cjfl(\��Belfair Zip Contractor Custom-Co c�rc.te & Concrete Address Zip Legal Description 30 23 1 Beards Cove Direction to project site tort s ore R toward State Park turn R onto Sand Hill-M, turn on Larson Blvd R on the 2nd SchooEer Le Rd, to to first court on L cont um ing x Mecfianical x ewer Wood St-ovp Fireplace x Deck x 7arage x -Ca port Basement soft Other turn L onto Schooner Ct. ItTs on the right hand side. 1 r BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATEISSUED PERMIT NO. NAME 1 MAIL A DRESS CITY&STATE ZIP PHONE OWNER , 11 rid )' 5cl�oon+ti - C Bpf ' ►' DIRECTIONS 1� TO JOB SITE 00A NCtY( V1lt{11 I st-t A r I-" rri J Onto l ptl 'T'wr n ph 4tkrStev,131 u f 5 r 1 A*be -0 re- v GeM�t-,►t•-r . ',rk4-rn R i4h On tip e. Jr3 var)er �p Fru fu }�e ► t d.��-�^,o e C t r-h e t a>n r. 'T a- PARCEL LEGAL h 1 NUMBER Q Qb0 DESCR. �,e"Y`4S �pve� eU�lfS �aJ 3 NAME MAILADDRESS CITY d STATE LICENBE NO. ZIP PHONE CONTRACTOR ~ HONE ti'E psT otC S"Z Z71T S 9,34 USE OFOF BUILDING CLASS5 WORK O✓ NEWy'l ADDITION ALTERATION REPAIR MOVE REMOVE DESCRIBE WORK !/- 3 ' rills 2 0 cw �� l -r/ v 4� Ct� [!lC-I` f h C t•�' G /L i 1� 4 I'-evialt x,t w f 11 f / // BEDROOMS___ DECKS CARPORT "-~ - NOTICE ` SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.F "" � GARAGE rClf I} CONDITIONING. NO.OF STORIES l BASEMENT ATTACHED YGS THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT./ZJU FIREPLACE yr1 DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT lfj_ 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 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 FF.ROMTHHEE BUILDING DEPARTMENT. X OWNE �-' DATE X BY k- �,te f---u p".1 `Z_DATE4!�6 J FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED YES NO YES NO BUILDING VALUATION �J HEALTH i% PUBLIC WORKS FE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING c f PLAN CHECK �. � •� SPECIAL CONDITIONS BUILDING GROUP it PRE-INSPECTION pv - SHORELINE WOODSTOVE f 1 i PLUMBING MECHANICAL Jf ` STATE BUILDING FEE r` Ir'•: STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROY£D FdR ISSUANCE PERMIT VALIDATION , .?/-Y/ `' ' ' TOTAL = J /' l 1 BY �: ��,. .CASH CK MO /, t' PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. cU _ OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE 'Frc.cl I . k1 Y, ti b 0►wr CT.DIRECTIONS Douse 0Vrfln _'Jt'lv'rc +0Lvtlrc\ St'A4 FItrlV. 'T-l-LY'rI ic�k-r in' S«Yk� N, r/ RJ TttTn TO JOB SITE / -r' o A !, r i✓ j . n ,' r i' Y T' � f , t Nc ,GN-u'-Ae'(- )L,P Rd , c3 b.{ti f-ke Vir X t Cu,r4 O'n -tile 4e T 7�e.t >7 � r { T en40 on Cr. / t f j t \ C- e I-.0 IECI P LEGAL DESCR. $cur $ C,)� e JJ 1 U S �0 CONTRACTOR NAME CLtSr n1 MAIL ADDRESS CITY 6r'STATE LICENSE Ns. ZIP PHONE O' Ct C dig' i// �Cd !�'I �1'(�� Oj 4tocC. 17K5ag) a7-5 � USE OF f BUILDING +! ' i Jea A ct -i T h T—cc C 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 jt BASINS _ FLOOR/SUSPENDED FURNACE 6.00 BATHTUBS BOILER/COMPRESSOR 6.00 SHOWERS REPAIR I ALTERATION 6.00 WATER HEATERS >_ REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER r. AIR HANDLING UNITS 7.50 SINKS HEAT•PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS i $`- VENT.FAN SYS.3.00 PER UNIT LAUNDRY TRAYS 7 WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL to URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL I ','I` ITOTAL -,' ;, SPECIAL CONDITIONS: NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 190 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:1 CERTIFY THAT I AM EXEMPT FROM THE REOUIREMENTS OF CONTRACTORS AFFIDAVIT: 1 CERTIFY THAT I AM A CURRENTLY REGISTERED THE CONTRACT OR REGISTRATION LAW RCW 18.2/,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 9BTAINING APPROVAL FROM THE BUILD NGDEPAR MENT. WITHOUj,FIRST OBTAINING A PR VALFROMTHEBUILDINGDEPART T. b Off] �/ ` X Bk- -�� Z-Z DATE X OWNER DATE FOR OFFICE USE ONLY q LICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR fSSUANCE PERMIT VALIDATION ` ' l ! } BY p: ; CASH CK MO BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SH ELTON, WASH I NGTON 98584 427-9670 DATE ISSUED PERMIT NO, NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER j" (`ecl i�. �r' . � ���t oo yr c: QT }3 L r Y, DIRECTIONS TO JOB SITE 00Ljq �er� •�h�Yc.-Yau%r{r Sal�a�e PRrk r f rt i � c• fr `Scawc� }l<i // Jfic� 7' 4e(- on Carson tuc . rt�s rlphT rfWre eCe+,•e1.,v�r), Turn Ri�Ltt anrl�e 5reon�l �cl�o�ncr Go 4V The �1'V S CUB• 1 1�n tJh� AeFT. Ticrn kPf? pVt fL St�oortCr CT. t��17'�t t+i han 1 5ide PARCEL I LEGAL NUMBER t'.L 30�5.?1)o! ' ESCR. qra 5 Coo f d t L) 5 •C o 3 ,C.e� tar cty. Indicate below: Qf Property lines and dimensions. Cl c'c1 �l V Easements and roads. 9 Septic,drainfield and reserve area,or sewer. ©' Septic tank and drainfield setback distances from foundations. 0 (*a Location of proposed construction on property. Building&septic system setback distances from all property lines& easements. Indicate North Well and water line. In Circle d Saltwater, lakes, rivers, streams,wetlands, drainage. O Attach copy of septic system as built or septic permit approval. O Indicate topography profile of property and structure on reverse side. C 1 r- G - Tv o 2 D �G , ✓ + a 1A) L �i N e.✓ y v 1/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. 2!�- LU C22 - SIGNATURE OF OWNER(S)OR AUTHORIZED REPAESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE L =� t -- a