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Home My WebLink AboutBLD30139 Addition - BLD Permit / Conditions - 3/25/1992i shorelines: — lum in :oK.n�- 4-« Setback: Mechanical:e?'l,,o-u-9z C7� Special Interior: Conditions: Final: Mobile Home: Smoke Detector: Remarks:PIPE IAI z 40" Footing: 0Kl b b�3IT42. 11; 1,0,4, Z7e4w 1&6• s0c.,0 t3Lor,K Setback: 1'/a>iC Jv�si-/Y�Fira9r�l=cgr- Foundation T� c.41:f: <.1941(1E414 Walls: Jc�IS!?,y 5- Framing: `1 >�-��•-�� i�/ i/-B1v�k dti�E'i:� Jy�s Fireplace::: _ �'� VA49 A0 Woodstove: /-/ -?.z AREA: #l. - FAWVER TYPE: ADDITION Owner: ROCKE, STEVE Tel: 275-4725 Date: 03-25-92 Address: NE 351 SCHOONER LOOP BELFAIR 98528 Permit #: 30139 Floors: 2 Sq Ft: 612 Contractor: SELF Phone: ;fin-q7,25 Legal Description: BEARDS COVE DIV 5 LOT 43 Direction to job site: NORTH SHORE TO SANDHILL LEFT ON LARSON RT ON SCHOONER FOLLOW AROUND TO BACK HALF OF LOOP BLUE HSE BLE FENCE ON LT Plumbing X Mechanical X Woodstove Fireplace Deck 224 Garage Carport 228 Basement Loft Conditions: RECORD UTIL ROOM NOT BEDROOM BUILDING PERMIT APPLICATION MASON COUNTY +[" Slq, DEPARTMENT of GENERAL SERVICEBett*. 1"ve 426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 427-9670 DATE ISSUE PERMIT 0.41 OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE or - h " zs- DIRECTIONS rr r / TO JOB SITE r ! T C LQ�'So a S . 7 QW Q'rOUAb( -P -Gl:tk 61-P o r 0 •as eru_ oa I er--f- PARCEL [[ LEGAL J _ ` NUMBER U33Q JZa� F, DESCR. ��L ��V i 1� LD � L1 NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO. CONTRACTOR Se, I-P USE OF I, BUILDING �y (j YV1G CLASS OF NEW ADDITION ✓ ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK t� LULL.' aL lI Al I/ �r l 1 a j er Led &-lbromnin AREA: (012, NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING. BASEMENT $qFt BEDROOMS PRIMARY RES.�it THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS 22 $ Ft BATHROOMS SEASONAL RES.O COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR q ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT Z?,-!. SgFt FIREPLACE_ IS CARPORT/GARAGE GARAGE SgFt ATTACHEDV 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 OBTAINIfjG PP OVAL FROM TH ILDING DEPARTMENT. _ / APPROVAL FROM THE BUILDING DEPARTMENT. X'OWNE DATE X BY DATE FOR OFFICE USE ONLY DEPARTMENT VEAPPROVEDJO DEPARTMENT YEAPPROVEDO BUILDING VALUATION HEALTH M PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS j/ (BUILDING GROUP PRE-INSPECTION ' a AAA N l( (1) 1 . :...1 SHORELINE ' L�lilj WOODSTOVE im �Jc4,u0^A- PLUMBING �Z o2 MECHANICAL �3 'z ,5 lz o STATE BUILDING FEE Z I qqd APPLI A ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION C- � BY CASH CK MO TOTAL II PLUMBING & MECHANICAL PERMIT APPL �A ON i MASON COUNTY 5 DEPARTMENT of GENERAL SERVICES 'sue 426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED 30� NQ ^ PERMIT NO. NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER 5 e J '' �' > r` DIRECTIONS TO JOB SITE NodhLai J „ S - I rcu "f etct< ha La' r, LEGAL DESCR. O h ±_ &D4 4j_-4 &-n 4S c o llL CONTRACTOR NAME MAIL ADDRESS �^ CITY&STATE LICENSE NO. ZIP PHONE USE OF BUILDING j y� PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS FORCED-AIR I GRAVITY TYPE FURNACE 6.00 I BASINS Q FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS a BOILER/COMPRESSOR 6.00 SHOWERS REPAIR I 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 3 LAUNDRY TRAYS FIRE SUPPRESSION 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL I TOTAL 13 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 ORDIN NCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK QQNIE ILL BE IN CONFO ANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WiT T FI OBTAINING APP V L FRO THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X W DATE 12 _ X BY DATE_ FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR IS DANCE PERMIT VALIDATION �. BY CA CASH CK MO I PLOT PLAN ADDRESS PERMIT NO. f 0 = a n f LEGAL D DESCRIPTION LOT BLK ADDITION u SITE AREA 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. 0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' 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. NAME(S) OF OWNER(S) OF SITE & STRUCTURE(S) (PRINT) IGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE