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BLD27306 Final SFR - BLD Permit / Conditions - 5/22/1991
Shorelines: I Setback: Plunbing: vNk'G-/zvvpoA Special Mechanica Conditions: Interior: FINALj! Mobile Home: Smoke Detector:;�z. Footi Remarks: iW QLZ Setback:pl�2_-�oZ��- --y� Foundation Walls: Frarcing:y'Y-.73-�i. Fireplace: ����© Wood Stove: TYPE - -RBSIDENCt STOCK PLAN Permit No. 27306 No. Floors 1 Owner Bob Soltis Tel Sq Ftg 864 Address � 275-4477Date 1 Contractor0�� 7h� Zip 98528 Address Legal Description LLLS iP Direction to project site, fn��P `�' " �r,t �n see attached ma uI'Fil ing canica ewer Woo Stove Fireplace Deck Mr e Basement Loft ag carport Other BUILDING PERMIT APPLICATION MASON COUNTY 1� DEPARTMENT of GENERAL SERVICES �O P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NA E o NO. MA PHONE U STATE ZIP OWNER DIRECTIONS TO JOB SITE PARCEL LEGAL ( /� NUMBER �a� 3 d/ DESCR. NAME MAIL ADDRESS C TY&STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF BUILDING CLASS OF NE ADDITION FALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK lveeo , BEDROOMS 2— DECKS YO N CARPORT NOTICE TOTAL SQ.FT. DECK GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.FT. c2TOTAL SO.FT. CONDITIONING. NO.OF STORIES BASEMENT Y O N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT LIVING AREA BASEMENT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SO.FT. TOTAL SO.FT. CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT_ FIREPLACE ATTACHED SEASONAL SHORELINE DETACHED 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 B ING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE / X BY _ DATE FOR OFFICE USE ONLY APPROVED APPROVED BUILDING VALUATION y�, /�O® Y DEPARTMENT YES NO DEPARTMENT YES No .0 L 7` HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT S(, D.O.T. BUILDING e PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP '_ 3 PRE-INSPECTION &d Ito SHORELINE S/ WOODSTOVE PLUMBING J C V MECHANICAL I tD STATE BUILDING FEE 7 STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CTK BY APPROVED FOR ISSUANCE PERMIT VALIDATION f"1 �%���-� BY LYG/ CASH CK MO TOTAL 7/ L BUILDING PERMIT APPLICATION MASON COUNTY �j DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 3VA600! 427-9670 DATE ISSUED PERMIT NO. NAME MAI ADDR SS CITP& TATE ZIP PHONE OWNER Sv/f D o 76-7 O'V DIRECTIONS TO JOB SITE e- PARCEL LEGAL NUMBER �233 �3avc�eo DESCR. s' C , v NAME MAIL ADDRESS CITY S STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF �^ _ BUILDING CLASS OF EW ADDITION ALTERATION REPAIR MOVE REMOVE WORK DESCRIBE WORK BEDROOMS DECKS Y O N CARPORT NOTICE TOTAL SQ.FT. �/ DECK GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS o2 TOTAL SO.FT. TOTAL SO.FT. 10 CONDITIONING. NO.OF STORIES BASEMENT Y O THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT LIVING AREA BASEMENT BASEMENT COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SO.FT. /z 3 2 TOTAL SO.FT. __& CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT FIREPLACE 0 ATTACHED SEASONAL SHORELINE DETACHED 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 BUIL DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. XOWNER DATE XBY _ DATE FOR OFFICE USE ONLY DEPARTMENT YES NO NO DEPARTMENT YES No BUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION r;- eCt ox ped s!*- -D)a,,n SHORELINE F-vI07 e S Se CS , WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION tip 4 IBY CASH CK MO TOTAL V PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED/)� PERMIT NO. C7`' OWNER NA MAILADDR /9 -76 CITY& ATE ZIP HONE � �/�) may! DIRECTIONS TO JOB SITE LEGAL rod _ __ i/ DESCR. +*� /V 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 ou FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS 9 ,0 BOILER/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 O 0 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 TOTA 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAI G APP AL ROM THE BUILDING/DEPART ENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE ! X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING G;OUP APPROVED FOR ISSUANCE PERMIT VALIDATION 1_2 A7l(zl 7 IBY CASH CK MO