HomeMy WebLinkAboutBLD27523 Final SFR - BLD Permit / Conditions - 5/22/1991 vvv,A2
Plunbing:
Shorelines: Mechanica
Setback: Interior:
Special FINAL:�cS-
Conditions: Mobile ane: 1
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Remarks: az
Too ting: - c=
Setback:pry
Foundation
Walls:
Framing: i='-,';
Fireplace:
Wood Stove:
TYPE RESIDENCE
Permit No. 27523 No. Floors 1 _ Sq age 2
Owner SOLTIS BOB Tel 27_57_D —2 �-
Zip
Address
Contractor Zip
Address
Legal Description �P c1i F, 1 nt aR
Dirp@tion to project site
NF
p n in ec anica _� ewer Woo Stove
g Deck Garage Car por t
Fireplace Other
Basement —Loft ✓����
BUILDING PERMIT APPLICATION
MASON COUNTY
S 41 DEPARTMENT of GENERAL SERVICES SC
C � .
O� P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUE
pal/ PERMIT NO.CQ
OWNER NA MAIL DDRESS CITY&STAT ZIP PHONE
DIRECTIONS
TO JOB SITE
PARCEL LEGAL /
NUMBER l -OQp�J DESCR. � (o
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
CLASS OF EW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS DECKS YOPIP CARPORT NOTICE
TOTAL SQ.FT.
DECK GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS
TOTAL SO.FT. TOTAL SO.FT. tliV CONDITIONING.
NO.OF STORIES BASEMENT Y THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
LIVING AREA BASEMENT COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.FT. TOTAL SQ.FT. CHECK ONE ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT FIREPLACE 10 ATTACHED
SEASONAL SHORELINE DETACHED
OW ERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I C TIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
RE STRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
RE UIREMENTS 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 ONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OB AINING APPROVAL FROM THEfiVILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER DATE � �' XBY __ DATE
FOR OFFICE USE ONLY
DEPARTMENT YES APPROVEDJO DEPARTMENT YES DEPARTMENTBUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT ZL
D.O.T. BUILDING IZ L PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP 12_ PRE-INSPECTION /
SHORELINE
�OES l�_%� WOODSTOVE
\Z i0C( p PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
AP PTED BY PLANS CHECK BY AP�ROV€0 FOR 1 NCE PERMIT VALIDATION
BY CASH CK MO TOTAL
l
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY IG° #
DEPARTMENT of GENERAL SERVICES �?
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED �O
PERMIT NO.
OWNER N E MA ADD SS CITY 8 STATE ZIP PHON
p �i1S ��7
DIRECTIONS
TO JOB SITE
LEGAL
DESCR.
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 L FORCED-AIR I GRAVITY TYPE FURNACE 6.00
BASINS FLOOR I SUSPENDED FURNACE 6.00
BATH TUBS C o c BOILER/COMPRESSOR 6.00
SHOWERS REPAIR f ALTERATION 6.00
WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER �O v 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 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRS=OBIN HE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER DATE XBY DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY T
BUILDING GROUP AFEpF�6VE F�i ISSUANCE PERMIT VALIDATION
IN
BY� CASH CK MO