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HomeMy WebLinkAboutBLD28749 Final SFR - BLD Permit / Conditions - 11/7/1991 r,Mii�i� CyC�uvO U K Shorelines: Plunbing: Setback: Mechanics : .< Special Interior: Conditions:— F INAL;Q(l //- Mobile Home: Smoke Detector. E :04"1 Remarks: q oot ing:,.. Setback , Foundation Walls: Framing;5% -6-fl A, Fireplace: Wood Stove: TYPE RESIDE4CE Permit No. 28749 No. Floors 1 Sq Ftg 1056 Owner SOLTIS, BOB Tel 275-4477 Date 8-2-91 Address P.O. Box 767 Belfair Zip Contractor Same Address 1p Legal Descrip ton Beards Cove div 6 lot 27 Direction to project site �TF 11' cgntg Mari, 1111 in uimii ing ec anica ewer o tove Fireplace Deck arage —port Basement Loft -Other ��3 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO ,��L NAME MAI ADDRESS ITY&STATE ZIP PHONE OWNER So i rJ �/fs .� 7 DIRECTIONS TO JOB SITE 5%e_-C /�l /✓ PARCEL / LEGAL NUMBER Id,330j,3 (,Yj(/ Z IDESCR. . /1-ols jy P /�/ NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF BUILDING ALT CLASS OF NEW ADDITION ERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK BEDROOMS DECKS _ d CARPORT_ eoo NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS / TOTAL SQ.FT. GARAGE CONDITIONING. NO.OF STORI ES ! BASEMENT ATTACHED 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/" FIREPLACE 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 CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE BUI NG DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE X BY ._.__ DATE FOR OFFICE USE ONLY DEPARTMENT YESPPROVEN0 DEPARTMENT YESPPROVEN0 BUILDING VALUATION �` J HEALTH PUBLIC WORKS FEE PLANNING ] FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION '� > _� SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE -� STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPR ED ISSU E PERMIT VALIDATION ��J / ?Y Y CASH CK MO TOTAL J PLUMBING & MECHANICAL PERMIT APPLICATION 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 (� o//iS ACC o i2 �rS�2-X- 226 —9- 7 DIRECTONS TO JOB SITE /U � 4f LEGAL DESCR. I' / CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE WATER CLOSETS FORCED-AIR I GRAVITY TYPE FURNACE 6.00 BASINS FLOOR/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 L� 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 CONFO ANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST G APP AL F OM THE BUILDING DEPAR MENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER OBT IN DATE 7 X BY __ DATE FOR OFFICE USE ON Y APPLICATION ACCEPTED BY PLANS HECK BY BUILDING GROUPAPP ED F I SUA PERMIT VALIDATION 17- BY _ CASH CK MO APPLICATION ACCEPTED BY PLANUHECK BY 7 Beards Cove Div. 6 Lot 27 Bob Soltis, Inc. Scale: 1"=20' North a, �c v �qi m <v ti rP 6 T • ti �o 1b 0► 0} h ti O 24q 0q o� iy m v