HomeMy WebLinkAboutBLD30301 Final SFR - BLD Permit / Conditions - 9/24/1993 shorelines: Plumbing: nLl- 7--6-5.34-(_J
setback: Mechanical• - - ' � J
Special Interior:C
conditions: Final:_ 53 �'-✓
Mobile Home:
Smoke Detector:
Remarks:
Footing: Qr. .
Setback:
Foundation
Walls: a K-Di 3 -gam
Framing: ffZ 76-
Fireplace:
Woodstove:
AREA: #1 - FAWVER TYPE: RESIDENCE
3wner: KITSAP HOUSING Tel: 692-5596 Date: 04-23-92
Address: 9265 NW BAYSHORE, SILVERDALE 98383
Permit #: 30301 Floors: Sq Ft: 1008
Contractor: SELF
Phone:
Legal Description: BEARDS COVE, DIV 8 LOT 21
Direction to job site: NE 150 SABER DR, BELFAIR
Plumbing X Mechanical X Woodstove
Fireplace Deck Garage 288
Carport Basement Loft
Conditions: NONE
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED e
PERMIT NO.
OWNER AME MAILADDRES v ITYSSTATEcF- S�� �IP S�[O'ef PHONE
C o�rSo� d a� - 6us:�� S ore�a/� 3 SS5;;,--
DIRECTIONS
TO JOB SITE
PARCEL LEGAL
NUMBER la ���-sj- 0000z/ DESCR.
NAME MAILADDRESS E ZIP PHONE LICENSE NO.
CONTRACTOR pCc��1 f
te
USE OF / A
BUILDING
CLASS OF EW ADDITION PAIR MOVE REMOVE
WORK ✓
DESCRIBE �� /�
WORK f 6�s;ic
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE/ fSgFt STORIES / SHORELINE❑ CONDITIONING.
BASEMENT sgFt BEDROOMS j3 PRIMARY RE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS Ft BATHROOMS COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
Sq SEASONAL RES.� ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE '�� IS CARPORT4 ARAGE
GARAGE SgFt ATTACHED,'R'bETACHED❑
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.
OWNER ,C = DATE T �� XBY DATE
FOR OFFICE USE ONLY
DEPARTMENT Y SPPROVEDJO DEPARTMENT YESPPROVEDIO BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT AQg5ss
D.O.T. BUILDING 14 PLAN CHECK aS�=
SPECIAL CO ITIONS BUILDING GR U 'L, PRE-INSPECTION
SHORELINE
I �c� WOODSTOVE
PLUMBING (rj
�$a ;�$12 MECHANICAL C
:�
STATE BUILDING FEE G�
APPLI ATIO ACCEPTEDBY I PLANSCHECKSY APPROVED FOR ISSUANCE PERMIT VALIDATION �0
BY /�'`�Z CASH CK MO TOTAL ��1
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W. CEDAR/P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED 93Z
PERMIT NO.
NAME MAIL ADDRES CITY d STATE ZIP PHONE
OWNER �°C' 9v�w� a � .z S
DIRECTIONS / A�
TO JOB SITE
LEGAL o o�/� i►/ i S%o n ��1a 2�✓S o d
DESCR. /;z'aSor1 ro�r� CAN
CONTRACTOR NAME MAIL AD RE S CITY SSTATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
PLUMBING FIXTbRES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE
WATER CLOSETS o7 . U C, FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS ,pC) FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS 0C, BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS �� REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER cc) AIR HANDLING UNITS 7.50
SINKS d6 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 FIRE SUPPRESSION 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL /S. 00 TOTAL >i
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 OBT gAPPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRSTOBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER DATE 7� PZ- XBY _ DATE—
FOR-OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPOVED FOR ISSUANCE PERMIT VALIDATION
f lByq.to
L1 Z CASH CK MO
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.----
-N-----AME MAIL ADDRESS_ CITY&STATE - ZIP PHONE
'
OWNER
DIRECTIONS
TO JOB SITE -----
NUMBER -- --� T DESCR. _a, ' Of✓
Indicate below: O Property lines and dimensions.
O Easements and roads.
O Septic, drainfield and reserve area, or sewer.
O Septic tank and drainfield setback distances from foundations.
O Location of proposed construction on property.
C_T�_ 0 Building & septic systern setback distances from all property lines& easements.
Indicate North 0 Well and water line.
In Circle O Saltwater, lakes, rivers, streams, wetlands, drainage.
O Attach copy of septic system as built or septic permit approval.
O Indicate topography profile of property and structure on reverse side.
/O
0
r
t
s'
b E ot7
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval.
SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
T]POGRAPHYPR0F(LEOF PROPER TY AND LOCATION C)FGTRUCTURE
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