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HomeMy WebLinkAboutBLD28419 Final SFR - BLD Permit / Conditions - 8/27/1991 Shorelines: Plumbi n` g:~�Gyie`�9<���� ,Ac- Q:z g�of Setback: Mechanical: ,, Special Interior: Conditions: FINAL; $��y�� Mobile home: Smoke Detector i�sT,,,�-7, Sy/ 7`/D y Remarks - - Footing� s�lGj -j_ >;r>;9�^, a - -Setback:,) 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