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
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