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.
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110
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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
..
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