HomeMy WebLinkAboutBLD28419 Final SFR - BLD Permit / Conditions - 8/27/1991 Shorelines: Plumbi n` g:~�Gyie`�9<����
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Setback: Mechanical: ,,
Special Interior:
Conditions: FINAL; $��y��
Mobile home:
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Footing� s�lGj -j_ >;r>;9�^, a -
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Foundation
Walls:
Framing-,qZ '-9/
Fireplace:
Wood Stove:
TYPE Residence
Permit No.28419 No. Floors 1 Sq Ftg 232
Owner Bob Soltis Tel ate r_20_cl
Address PO Box 767 Bel air Zip
Contractor Self
Address Zip
Legal De scriptiongeards Cove Div 6 Lot 44
Direction to project site Beards co,,,. W. 4n �7 r)-r
Plumbing x Mechanical x Sewer Wood Stove
Fireplace Deck Tarage arport
Basement —Loft Other
f
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
. BOX 186 H A H I N T N 98584-� O S ELTON, W S G O �
E427-9670 56 ��/ � DATE ISSUED �T I
,.� PERMIT NO.
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER v Sn 7�i S /41 & )&e�
DIRECTIONS
TO JOB SITE /v ,
PARCEL LEGAL
NUMBER oZ DESCR.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING ..
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS 691 TOTAL SQ.FT. GARAGE L5) CONDITIONING.
NO.OF STORIES /_ BASEMENT ATTACHED e!!�_) THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. �� FIREPLACES_ DETACHED__ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
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 C GES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FRO THE BUIL G EPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER DATE ��2 0 —9�_ XBY- DATE
FOR OFFICE USE ONLY
DEPARTMENT YES
PPROVENo DEPARTMENT YESPPROVENo BUILDING VALUATION / �a
HEALTH l j PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
0/1 - � � , ✓/r WOODSTOVE
PLUMBING - �
MECHANICAL /
C c4 a
�- STATE BUILDING FEE 1 J
STATE SURCHARGE
APPLICATION ACCEPTED BY LPLANSCHECKBY APPR E R ISSU NCE PERMIT VALIDATION
BY t CASH CK MO TOTAL -�
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO. CW
OWNER ME MAIL ADDRESS CITY& TATE ZIP PHONE
DIRECTIONS
TO JOB SITE
LEGAL
DESCR. `Z
CONTRACTOR NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE
USE OF
BUILDING ✓ "��
PLUMBING FIXTURES MECHANICAL FIXTURES
a
2.00 PER FIXTURE OR TRAP F E NO. TYPE OF FIXTURE FEE
WATER CLOSETS FORCED-AIR I GRAVITY TYPE FURNACE 6.00
BASINS FLOOR I SUSPENDED FURNACE 6.00
BATH TUBS BOILER I COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER AIR HANDLING UNITS 7.50
SINKS 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 WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 -
TOTAL 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 REQUIREMEN 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 CONF ANCE THEREWITH, NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST AININ AP FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWN DATE X BY DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
IBY CASH CK MO J