HomeMy WebLinkAboutBLD22081 Final Addition - BLD Permit / Conditions - 12/8/1988 Shorelines: Plumbing:
Setback: Mechanical :
Special Interior: OX 7-1N
Conditions: FINAL:t,g�2/g�g� /%
MobileHome:
Smoke Detector:
Remarks:
Footing: OsTC
Setback:
Foundation
Walls: e *-__
j Framing: ,,/<-
Fireplace:
Wood' Stove:
TYPE ADDITION
Permit No. 22081 No. Floors 1 Sq Ftg 1064
Owner SHEARER, Al Tel 275-4601 Date 6-6-88
Address P OBox 789 Belfair Zip
Contractor Kitsap Const
Address 3739 S Mission Rd W Zip
Legal Description Tr 3 Survey 4/79 30-23-1
Direction to project site Northshore Rd, right on Sandhi
Left on Larson Lk. Right on Mast, End of road.
Plumbing x _ Mechanical Sewer Wood Stove
Fireplace Deck 420 Garage Carport
Basement Loft Other
ADD BATHROOM, REC ROOM
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
- (/
PERMIT NO. c � l�l 1
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
Al p_ iklfAk -L
DIRECTIONS
TO JOB SITE T
PARCEL n LEGAL p�
NUMBER (� (�vv3 IDESCR. / 30 a 3 —
NAME MAILADDRESS CITY&STATE- LICENS O. ZIP PHONE
CONTRACTOR } -
USE OF d
BUILDING
CLASS OF NEW ADD[TA
ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
F
BEDROOMS_ DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS._ TOTAL SQ.FT. Q GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED 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
TOTALSQ.FT. �rl' FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT r, SHORELINE
SEASONAL
OWNERSAFFIDAVIT 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
RQGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
R 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
INPCONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
O AINING APPROVAL FROM
yTHE
�BUILDING
,,,DEPARTMENT. � APPROVAL FROM THE BUILDING DEPARTMENT,
\ItNER. I JYl 1 I I � )V1i 0ALVATE 1 c 7.� Q !1
Q I rJx X BY j 'G� /.��2>l� DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT S
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CH NBY APPROVED FOR ISSUANCE PERMIT VALIDATION
��/�� ;l�� IBY . / CASH CK MO TOTAL 6-5. 60
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
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 FORCED-AIR/GRAVITY TYPE FURNACE 6.00
+ BASINS 2, p G� FLOOR/SUSPENDED FURNACE 6.00
BATHTUBS BOILER/COMPRESSOR 6.00
SHOWERS aCn u REPAIR/ALTERATION 6.00
WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER AIR HANDLING UNITS 7.50
SINKS 1 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 FIRST OBTAINING APPROVAL FROM THE BUILDING DEP RTMENT. WITHOUTQFIIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER(T. m 1 1 6LICUJ�E '� S XBY�I/(lC T %� DATE�S� S�
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
IBY CASH CK MO
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