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Home My WebLink AboutBLD31901 SFR - BLD Permit / Conditions - 12/23/1992 Shorelines: Plumbing: Setback: _ Mechanical:Q3-.fry f=-� Special Interior*! f��S= �� Conditions: Final: - Mobile Home: Smoke Detector: Remarks: Footing: Setback: Foundation Walls: .01e— ►•q-5 Framing: fy< -.?o-?J Fireplace: Woodstove* AREA: # - i TYPE: �es�der'e� Owner:gjSj Lefty-►. Tel:;3-�3-4b3�hDate:to-a3-9A ()�' Address: Permit #:. 0&1 Floars:,q Sd Ft: Contractor: Phone: � lot 33 3Legal Description:IF3 -s C� D<�2Ard Direction to,fob site- Lon LarScm LC9 dn r)0 ve,. Plumbing Mechanical X - Woodstove Fireplace DeckoI03 Garage Carport Basement IAft j Conditions: BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W. CEDAR/P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED / PERMIT NO. 31 AME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER DIRECTIONS TO JOB SITE m a7 PARCEL LEGAL NUMBER /LLB ` DESCR. NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO. CONTRACTOR �C USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK 2 ' AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE W4- SgFt STORIES�_ SHORELINE❑ CONDITIONING. BASE qFt BEDROOMS PRIMARY RESJ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS ,, 5 Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR q ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE SgFt ATTACHED Q 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 CONFORMAN THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROV FROM THE BUILDING DEPARTMENT. APPROVAL F M THE BUI DING DEPARTMENT. 4�X OWNE DATE AA1X Byl DATE FOR OFFICE USE ONLY APPROVED APPROVED DEPARTMENT YES No DEPARTMENT YES No BUILDING VALUATION HEALTH /fir PUBLIC WORKS FEE PLANNING ! FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING PLAN CHECK < < SPECIAL CONDITIONS BUILDING GROUP )2� PRE-INSPECTION Aq VA%ccld 'L'51/6'Js -lallj.� G 4. SHORELINE WOODSTOVE a7 �0 r'c� �` 7 y�j ?� PLUMBING . ! ;- MECHANICAL STATE BUILDING FEE APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION Z '►�i - lBt �_ CASH CK MO TOTAL PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE OWNER Lill DIRECTIONS TO JOB SITE Aksolrh U LEGAL � -- - -,---- -- - DESCR. -- CONTRACTOR NAME MAILADDRESS CITY 8 STATE CENSE NO. ZIP PHONE USE BUILDING 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 BASINS r FLOOR/SUSPENDED FURNACE 6.00 BATHTUBS BOILER/COMPRESSOR 6.00 SHOWERS REPAIR I ALTERATION 6.00 / WATER HEATERS j_ -_ REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER AIR HANDLING UNITS 7.50 SINKS i HEAT•PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS 7 VENT.FAN SYS.3.00 PER UNIT /z- - LAUNDRY TRAYS FIRE SUPPRESSION 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISH WASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL TOTAL 22 aP— 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 1 AM AWARE OF THE ORDINANCE COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENT§REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE WILL E IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE ILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST AINING APPROVAL FROM THE BUILDING DEPARTMENT, WITHOUT OBTAI G APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING JOUP APPROVED FOR ISSUANCE PERMIT VALIDATION CZ- 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 PHONE OWNER - DIRECTIONS TO JOB SITE r J PARCEL LEGAL NUMBER /a �._S Z- x� SDESCR O'U - 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. 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. I/We certify that the proposed construction will conform to the dimensions and uses shown above d that no changes will be made without first obtaining approval. SIG ATURE OF OWNER(S OR U ORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED nICTQI(IT _ __ TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE