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HomeMy WebLinkAboutBLD20195 Cancelled Addition - BLD Permit / Conditions - 1/9/1991 Shorelines: A, /t Plumbing /li Setback: Mechanic • Special Interior: Conditions: FINAL: Mobile Hone: Smoke Detector: Remarks: Footing: Setback: Foundation Walls: Framing: I efy// PERMIT Fireplace: LL & VOIDS BY gXEIRATION Wood Stove: DATE_L-`!___9/ TYPE ADDITION Permit No. 20195 No. Floors l Sq Ftg 580 Owner ROCKE, Steve Tel275-4725 Date 5-4-87 Address NE 351 Schooner Loop Belfair Zip Contractor Self Address Zip I.-gal Description Beards Cove Div. 5, Lot 43 Direction to project site NE 351 Schooner Loop Sand colored house PiL=lng Mechanical Se%er ove Fireplace Deck Garage Carport Basement Taft Other 6x15 addition to bathroom BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUE05 7- c5e7 PERMIT NO.C-----R2UZ OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE 6 z DIRECTIONS 25 TO JOB SITE S © S ` . , p U 2, c PARCEL LEGALI NUMBER A33a 000 ESCR. NAME MAILADDRESS CITY SSTATE LI ENSE O. ZIP PHONE CONTRACTOR USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK Ynia baAronm g � 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. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEAS AL fREIREMENTS RS AFFIDAVIT CONTRACTORS AFFIDAVIT FY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF ATION LAW RCW 18,27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE 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 FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING NG APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. EAk 10 /�C DATO 2 X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES NO YES NO HEALTH PUBLIC WORKS FEE PLANNING ('� FIRE BUILDING PERMIT D.O.T. BUILDING W/`• PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP - 3 PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING 9 QQ MECHANICAL STATE BUILDING FEE tJ Q STATESURCHARGE APPLICATION ACCEPTED BY I tPLANS CHECK BY APPROVED FOR FOR ISSUANCE PERMIT VALIDATION BY �1,� 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 NAME MAILADDRESS CITY&STATE ZIP PHONE DIRECTIONS TO JOB SITE ( e �,� 5 OF C7 :� S JO 1cY1 P U1 US LEGAL DESCR. L- 42 Cb Ve'� 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 C7 d FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS !1 cad FLOOR/SUSPENDED FURNACE 6.00 BATHTUBS 2p BOILER/COMPRESSOR 6.00 SHOWERS 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 WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER 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 FIRS BTAINING AP OVAL FROM THE BUILDING DEPARTMEtT. 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 CASH CK MO 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 PHONE1 OWNER oilrJZ U1 DIRECTIONS TO JOB SITE cr f f on Larson - I dr - Polk 0) � o..rounj 10 back. ka rof to-')P - ril h4 bla �ousg,� enc 0 Le PARCEL LEGAL 9O 7 J L_/ /S CAVQ� NUMBER DESCR. L / Q�7! 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. 0 O Location of proposed construction on property. 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. r ti 8. Ie E r S � c I 101 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. SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE 1 41 1 -- [- i .. 1 I L � G