HomeMy WebLinkAboutBLD9265 Final SFR - BLD Permit / Conditions - 10/4/1993 AREA: #1 - FAWVER TYPE: RESIDENCE ZOGEG
Owner: KITSAP HOUSING Tel: 692-5596 Date: 04-23-92
Address: 9265 NW BAYSHORE,-SILVERDALE 98383
Permit #: 30300 Floors: 1 Sq Ft: 1248
Contractor: SELF
Phone:
Legal Description: BEARDS COVE, DIV 5 LOT 51
Direction to job site: NE 60 HARPOON DR, BELFAIR
Plumbing X Mechanical X
Fireplace Deck Woodstove
Carport Garage 308
ar Basement asement
Conditions: NONE Loft Qy_�3
--- -- - -- - - - - _AND5 'I_%s
Shorelines: Plumbin .Qjc�,c _
Setback: - - g�
Mechanical:ac�-zy-g
Special Interior•
Conditions: Final: ' ( - -
Mobile Home:
Smoke Detector:
Remarks
Footing: -.7z- 3 fer rC�;n„
Setback: 3
Foundation
Walls:
Framing: 4VV 6-_3v-53
Fireplace:
Woodstove:
t .
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 Gj'Z,
427-9670 DATE ISSUED II
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PERMIT NO.
A�E AI A RE S �1�S to CITY&STATE ZIP PHONE
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OWNER o,« .r cc c 6 - / 7 ��
DIRECTIONS
TO JOB SITE
PARCEL LEGAL
NUMBER oZ33 o-S.?-000S DESCR.
NAME MAILADDRESS CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTOR 5��,u f a s vcu�t E
USE OF
BUILDING
CLASS OF EW ADDITION ALTERATION TREPAIR MOVE REMOVE
WORK r
DESCRIBE -/
WORK
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE`-9 SgFt STORIES l SHORELINE Q CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.CR THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS x SEASONAL RES.O COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
q ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED Q DETACHED Q
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 ATE �'l =—'— Z X BY_ DATE
FOR OFFICE USE ONLY
DEPARTMENT YEAPPROVEDJo DEPARTMENT YEAPPROVEDIO BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
S ti -
SHORELINE
�! rcf r WOODSTOVE
PLUMBING C C(
MECHANICAL bD
afl��gjc� STATE BUILDING FEE • '�
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
[:�4Q —�>4BY I�'az D4 CASH CK MO TOTAL U '
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 q2
427-9670 DATE ISSUED v
PERMIT NO.
OWNER A E a�Sr/�cM L SS CITY&STATE ZIP PHONE
< o
DIRECTIONS
TO JOB SITE
LEGAL
DESCR. /77 eso.r o.c r /!J 9'✓ '
CONTRACTOR NAME M ILADDRESS CITY SSTATE LICENSE NO. ZIP PHONE
S& �S owe �2
USE OF
BUILDING
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS , O0 FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS pp BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS a, 06 REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER AIR HANDLING UNITS 7.50
SINKS pp HEAT•PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT to
LAUNDRY TRAYS FIRE SUPPRESSION 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER asi Ct z fa ,-
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL vZ ,0 0 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: 1 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 BE IN CONFORMANCE THEREWITH, NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST O NIN" P OV_WROM TH E BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER -- -Q. DATE X BY DATE
FOR OFFICE USE ONLY
PERMIT VALIDATION
APPLICATION ACCEPTED BY PLANS CHECK BV BUILDING GROUP APPROVED FOR ISSUANCE
{pt-) BY �'��'�Z DN- 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
LEGAL
Sr 1 .aV OT
PARCEL
NUMBER �DESCR.
Indicate below: 0 Property lines and dimensions.
0 Easements and roads.
0 Septic, drainfield and reserve area, or sewer.
0 Septic tank and drainfield setback distances from foundations.
0 Location of proposed construction on property.
0 Building & septic system setback distances from all property lines& easements.
Indicate North 0 Well and water line. I
In Circle 0 Saltwater, lakes, rivers, streams,wetlands, drainage.
0 Attach copy of septic system"as built" or septic permit approval.
0 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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