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HomeMy WebLinkAboutBLD30302 Final SFR - BLD Permit / Conditions - 10/4/1993 AREA: #1 - FAWVER TYPE: RESIDENCE Owner: KITSAP HOUSING Tel: 692-5596 Date: 04-23-92 Address: 9265 NW BAYSHORE, SILVERDALE 98383 Permit #: 30302 Floors: 1 Sq,Fc: 1008 Contractor: SELF Phone: Legal Description: BEARDS COVE, DIV 5 LOT 52 Direction to job site: NE 80 HARPOON DR, BELFAIR Plumbing X Mechanical X Woodstove Fireplace Deck Garage 308 Carport Basement Loft Conditions: NONE P i /ice shorelines: Plumbing:_ �k -Z tt _y3 Setback: Mechanical:: 2 Special Interior: (-"'" -'^$4< vrc e Conditions: ==�— '' = « -s3 1�inalr�o y-53 w ll�C Mobile Home: Smoke Detector: Footing: _ Remarks: Setback: Foundation Walls: , Framing: cG,c_ Fireplace: Woodstove: BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED )05 PERMIT NO. ` '✓ E r - / IL AS C TY&STATE / ZIP PHONE OWNER `%n DIRECTIONS TO JOB SITE PARCEL LEGAL o S-2 v'-�- NUMBER ,233U 3�Z-ooOS� DESCR. N`S��r au K !/ NAME MAIL ADDRESS CITY&STATYJ ZIP PHONE LICENSE NO. CONTRACTOR USE OF � BUILDING FS rcYF:t c CLASSF WORK NEW ; ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK �� AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE/00j SgFt STORIES�_ SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS PRIMARY RESX THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS S Ft BATHROOMS SEASONAL RES.a 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/GA_ RAGE GARAGE,-;?-F t, SgFt ATTACHES 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 OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE Z/ �J�/�' X BY _ DATE FOR OFFICE USE ONLY DEPARTMENT YEAPPROVEDJO DEPARTMENT YES DEPARTMENTBUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING PLAN CHECKSb" SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION v� �V SHORELINE WOODSTOVE -3� PLUMBING aFj !2 MECHANICAL (o STATE BUILDING FEE (�SO APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION BY d-)O.9Z y5>� 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. 3 0`5 v f ME N AI AD9RE C17� $� CITY&STA�TE ZIP PHONE OWNER ;7�st• `.OKK o KS a :��7�� b �C oiPf IP. S,�t�f,2��/E $Y 72 o b G -SS DIRECTIONS TO JOB SITE LEGAL S� ;u:S;o,1 S fa,2q/5 auE DESCR. CONTRACTOR NAME ILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE S ctJ £ USE OF BUILDING - / �fti; S`tyf6r� PI-WbING FIX 'ORES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE WATER CLOSETS ,Lld FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS „Qp FLOOR/SUSPENDED FURNACE 6.00 BATHTUBS .Oo BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER `�O AIR HANDLING UNITS 7.50 SINKS O HEAT•PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS,2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT i r LAUNDRY TRAYS FIRE SUPPRESSION 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER b/t f rroZ i✓! DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL S, pb TOTAL '/0n 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 E IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST TA NING APP ?VAL ROM THE BUILDING DEPART ENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. -e.- fr X OWNER DATE X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION U�, Q BYP14 040,?Z 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 DIRECTIONS TO JOB SITE PARCEL LEGAL NUMBER DESCR. � D IV ,r atncv L/Ic Icate 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. 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 r l n f 110 a r r i L) 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 .. CERTFICATE OF CONFORMANCE RE : PROPOSED RESIDENCE KITSAP COUNTY CONSOLIDATED HOUSING AUTHORITY (Self-Help Housing Program) **************************** The undersigned, being duly Registered and Licensed Architect in the State of Washington, does hereby states, that he examined the following items: A. Drawings designated as Plans for proposed residence as Plan # 1"..bearing date of ��f lz and as subsequently revised or up-dated as of.el(Val B. Drawing designated as # X'.Z..up-dated as showing Typical Section Detail with Constuction Notes. C. Standard FHA Form # 2005, the "Description of of Materials" as prepared for and by KITSAP COUNTY CONSOLIDATED HOUSING AUTHORITY, Self Help Housing Program. Based upon this examination and to the best of my knowledge and belief, I hereby find that the above documents meet the Minimum requirements for Residential Construction of the Uniform Building Code as required by K itsap County Department of Community Development Regulations and applicable State and local Energy Conservation R equire m ents. -------- - ---- --------------- - Signed y W.J. orowski, Architect Date jAlE RFGISTEEHITE1 SKIOF WASHINGTON