HomeMy WebLinkAboutBLD30450 Final SFR - BLD Permit / Conditions - 11/3/1992 00t0p c)a CAW
Shorelines: Plumbing:
Setback: Mechanical."
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Conditions: F+inal:fyC,(,4-3-%z.
Mobile Home:
Smoke Detector:��s r;�e 0
Remarks:
Footing: 0A y 7
Setback: '
Foundation z�
Walls: 01 a
Framing:
Fireplace:
Woodstove:
AREA: #1 - FAWVER TYPE: RESIDENCE
Owner: REID REALTY Tel: 275-2868 Date: 05-12-92
Address: P.O. BOX 307, BELFAIR
Permit #: 30450 Floors: 2 Sq F( 1_30,4
Contractor: S & K BUILDERS y'4
Phone: 426-9056
Legal Description: BEARDS COVE DIV 5 LOT 41
Direction to job site: SANDHILL TAKE SECOND LEFT TURN Or
SECOND RT WHICH IS SCHOONER LOOP LOT 41
Plumbing X Mechanical X Woodstove
Fireplace Deck Garage 320
Carport Basement Loft
Conditions: -�a-
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BUILDING PERMIT APPLICATION
MASON COUNTY 0
DEPARTMENT of GENERAL SERVICES
VJ 426 W. CEDAR/P.O. BOX 186 SHELTON,WASHI
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427-9670 /�/� L 12jq ISSUED
v PERMIT NO. I
AME MAI ADDRESS CITY&STATE ZIP PHONE
OWNER ,zz, T� 0. go,t �07 6qi2 ILdc 7 A,.
DIRECTIONS ccAr c-
TO JOB SITE x — c� v /A k cZ.-in L +/P ' 0 �42,�/ UN dce-ctv 12,.j t WTI i,4
Sc�1�oNv,2 I uao 40PARCEL LEGAL
NUMBER I DESCR. Bca v�l s C,
NAME MAIL ADDRESS CITY&STATE 21P PHONE LICENSE NO.
CONTRACTOR K ��t` S plo. 130 �., �I� '�Y E �Bk I&T
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r --
DESCRIBE pp
WORK IV Q�ti? SiC
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE/ _SgFt STORIES t— SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS 1 PRIMARY RESo4__ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS i �L- SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE _ L' SgFt ATTACHED*ETACHED O
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
ROTHE B:Z7TMENT
�/Z' u . frzXOWNER DATE X B DATE
FOR OFFICE USE ONLY /
DEPARTMENT YESPPROVENo DEPARTMENT YES NoBUILDING VALUATION W 116 — Y
HEALTH m'r PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT a (�
D.O.T. BUILDING PLAN CHECK
SPECIAL CON DI IONS BUILDItf GROUP PRE-INSPECTION
Ild)hw � SHORELINE
WOODSTOVE
3 j PLUMBING
MECHANICAL
Q� 4 4- ,t 5 �� �� �,� 14 STATE BUILDING FEE L�
APPLI ATION TCEPTED BY PLANS CHECK BY'� APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
v� a ' CASH CK MO Zia
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 r
427.9670 DATE ISSUED
PERMIT NO.
OWNER NAMEILAD RESS CITY BSTA E PHO E
:J 4L 7 / �.. 0 C) i/L
DIRECTIONS
TO JOB SITE b- co 6ndf �o 2' { wkirk 1
�ti1�G„ram Loc.3 to
LAL
SCR. Z�44 tLo S ce"e- ' kO T y/
NAME MAIL ADDRESS ITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR l�ga,tLp..�C �0. Qt{ >// /Ca/r�vr•� G�k 8u 9M �PS�y L 5'os
USE OF
BUILDING et' c-0-0
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
Z WATER CLOSETS — FORCED-AIR/GRAVITY TYPE FURNACE 6.00
2— BASINS A FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS 2. BOILER/COMPRESSOR 6.00
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 VENT.FAN SYS.3.00 PER UNIT
LAUNDRY TRAYS FIRE SUPPRESSION 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
I DISHWASHER
DISPOSAL S
URINALS
PERMIT BASIC FEE .00 PERMIT BASIC FEE 10.00
TOTAL 1 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 REQUIREMENT EGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL
WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DO WIIIL BE IN CONFO MANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOU IRST BT NING APP AL FROM THE BUILDING DEPARTMENT.
XOWNER DATE XBY DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHEC BY,Q/ FINR APP POVED SU CE PERMIT VALIDATION
i z J B 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 C TY 8 ST TE ZIP PHONE
OWNER 307 i 2 Q
DIRECTIONS
TO JOB SITEi
15 3 cIh t'c rJ't1L Lov 1" l
PARCEL LEGAL
NUMBER DESCR.
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.
O Location of proposed construction on property.
a O Building & septic system setback distances from all property lines& easements.
Indicate North O Well and water line.
In Circle O 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.
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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
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