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HomeMy WebLinkAboutBLD29743 3rd Addition - BLD Permit / Conditions - 12/20/1991 Plumbing: Mech '�3 shorelines: a ca ,Wtback: 7 ;pedal Final: conditions: Mobile Home: Smoke Detector: Remarks: ooting: jetback: roundation `• Walls: Framing: Fireplace: Woodstove. TYPE: ADDr.ION AREA: ALFItED Tee: 27:-6580 Date: 12-20-91 'Jwner: A�OBOX 171, BELFAIIt, Address: P.O.Permit #: 29743 Floors: 1 Sq Ft: 504 Contractor: SELF Phone: S COyE DIV 6 LOT 6 LEFT) FOR Legal Description: D BEARHILL TO LARSON BLVD ( Direction to job site: SAND LEFT TO 3RD LOT ON LEFT 1/2 MI TO SALTY DRIB y2ilot-iw" Woodstove X Plumbing X Mechanical X Garage Fireplace Deck Basement Loft Carport Conditions: NONE BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED O �� PERMIT NO. NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER ALFRED M. ARDON P.O. Box 171 BELFAIR, WASH. 98528 275-6580 DIRECTIONS From Belfair take hwy. 300 to Sandhill Rd. , right on Sa.ndhill Rd. TO JOB SITE . , g g to Larson Blvd. , go left on Larson Blvd., for a 112 mile to Salty Dr, go left on NUMBER 12330 53 00006 DESca. Beard's Cove Div. 6 Lot 6 Belfair Mason County. NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR SELF USE OF d eroom `� r�� BUILDING B �Qsp� C, n CLASS OF NEW ADDITION im ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK New Construction = 3 BEDROOMS_ DECKS n a CARPORT n a NOTICE BATHROOMS TOTAL SQ.FT. GARAGE n a SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. NO.OF STORIES 1 BASEMENT n a. ATTACHED na 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 TOTALSQ. FT. 504 FIREPLACE n a DETACHED n/a ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT yes SHORELINE ri a SEASONAL-m/a 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 BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. 1/26/91 X OWNE `12 DATE _ X BY_ DATE__ FOR OFFICE USE ONLY APPROVED APPROVED DEPARTMENT YES No DEPARTMENT YES No BUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING Q J2 FIRE BUILDING PERMIT Z -3 J D.O.T. BUILDING � PLAN CHECK 7 f' SPECIAL CONDITIONS BUILDING GROUP _ PRE-INSPECTION SHORELINE WOODSTOVE (11� / .� l� PLUMBINGno LI pL �3� MECHANICAL STATE BUILDING FEE L� STATESURCHARGE A CCATION ACCEPTED BY PLANS CHECK Y PP ED FOR ISSUANCE PERMIT VALIDATION TOTAL �� ''� B CASH CK MO PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED D PERMIT NO. 7 OWNER NAME MAILADDRESS CITY BSTATE ZIP PHONE ALFRED M. ARDON P.O.B ox 171 BELFAIR, WASH. 98528 275-6580 DI OBIONE From Belfair take hwy. 300 to Sandhill Rd. go right on Sandhill Rd. �RlWIVn J44. 919? ;fifthplifi:7'4dl*hg$iea 1 2 mile to Salty Dr.., go left on LE AL Beard-Is Cove Div. 6, hot 6 Belfair, Wash. Mason County # 12330 53 000 6 CONTRACTOR AME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE Self. USE OF BUILDING Bedroom PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE L WATER CLOSETS > FORCED-AIR/GRAVITY TYPE FURNACE 6.00 1 BASINS FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS Z co BOILER/COMPRESSOR 6.00 SHOWERS 2-0 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 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISH WASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL H _nc) - - TOTAL � 00 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 1 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 HEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST TAINING APPROVAL THE BU OILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER ^/ DATE 1/26/91 X BY DATE FOR OFFICE USE ONLY CATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP AP ED FpfR ISSUANCE PERMIT VALIDATI h BY s:��— CASH C MO