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Home My WebLink AboutBLD23029 Final SFR - BLD Permit / Conditions - 2/28/1989 /y Plumbing: �— Shorelines: /I/ Mechanica Setback: Special Interior: Conditions: FINAL:,�fi!Z/�8 Mobile Home: Smoke Detector: Remarks: Footing: Setback: / / 7.2 iF� V Foundation Walls: mrk Framing:-CAL Fireplace: Wood Stove: TYPE RESIDENCE Permit No. 23029 No. Floors 1 Sq Ftg 1056 Owner SoLTIS, Bob Tel 275-4477 Date 11-15-88 Address P O Box 767 Belfair Zip Contractor Self Zip Address Lot 30 Legal Description Beards Cove Div 6, Direction to project site NE 141 Santa Maria Lane P l umbing X _ Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other 3 bdrm BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED ' PERMIT NO. N i MAILADDRESS CITY&STATE ZIP PHONE OWNER .4 i=' L� %,>�S ? -V(1 DIRECTIONS TO JOB SITE 114 PARCEL LEGAL NUMBER DESCR. NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF BUILDING CLASS OF NEW ADDITION 7ALTERATION REPAIR MOVE REMOVE WORK DESCRIBE ; WORK ✓IJC�tsv l t cs-�"\ BEDROOMS_y,�_ DECKS _� CARPORT l) NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING. NO.OF STORIES BASEMENT ATTACHED 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 TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT —_X 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 CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTI},INING APPROVAL FROM TH UILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. 5 X WNER DATE X BY DATE F R OFFICE USE ONLY APPROVED APPROVED �, �y G DEPARTMENT YE No DEPARTMENT YES No BUILDING VALUATION .3S 6, . HEALTH J PUBLIC WORKS FEE J PLANNING FIRE BUILDING PERMIT �� '- D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP -�j PRE-INSPECTION 1 PA SHORELINE WOODSTOVE PLUMBING C MECHANICAL STATE BUILDING FEE STATE SURCHARGE �)n APPLICATION ACCEPTED BY P NS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL C) BY CL l� �S io CASH CK MO - PLOT PLAN .0 Syr sq,✓�/+ �c� .�-�� ADDRESS _ PERMIT NO. 4 0 z /f LEGAL �aC.' ^ L.chJ{ �! `�� d —3G ' DESCRIPTION LOT BLK ADDITION SITE AREA 22Z' Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS , C�J �3 Sq. Ft. INSTRUCTIONS TO APPLICANT r� THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF �. PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. ) 0 J INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' V� U r �4 G� • 11 101, ^J v 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. '96) -- NAME(S)'OF OWNER(!) OF SITE s STRUCTURE(!) (PRINT) I ATURE OF OWNER(S) OR AUTHORIZED REP ESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. NE MAILAD $S /1 �� CITY ST - r� � zip PHONE OWNER i 1 ir/ G/�',�''/ ;�7 DIRECTIONS - �I TO JOB SITE (� _' j �t•ri,� ; : ? Air LEGAL /� _ DESCR. / 6Zti` CONTRACTOR NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE USE OF � BUILDING 1 /`7c PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS .121,_ — FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS Z FLOOR/SUSPENDED FURNACE 6.00 BATHTUBS — ' BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS ,,?. REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER „7 -- AIR HANDLING UNITS 7.50 SINKS t7� — 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 SEVwFIR WOOD FURNACE 5.00 DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL "2- 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 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 CONE RMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING AP VAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. r X OWNER DATE - �� X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK Y BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION BY �4 �/ r� CASH CK MO