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Home My WebLink AboutBLD430 Final SFR - BLD Permit / Conditions - 10/1/1992 Se ack�nes: 96c�ian�a 1 Special Interior: _ Conditions: FINAL: ) Mobile Hcme: Smoke Detector 71,77i7.p Remarks: ooting: / �'7a Setback: Foundation Walls: Framing:1V 2-7--yz✓ . Fireplace: Wood Stove: TYPE RESIDENCE_ - _ _ _ - - Permit No. 430 No. Floors 1 Sq Ftg1344 Owner Don Carstensen Tel 21 _5� 195 Date 9 4 Address 5161 Wilk Rd W Bremerton 98312 Zip Contractor same Address Zip Legal Description Div 8 Lot 8 Beare Cove RAlfair Direction to project site See attached Plumb ing I _ Mec anica Sewer Wood Stove Fireplace Deck tar—age arport Basement —Left —tether FOLLOW INSTRUCTIONS ON SEWAGE APPLICATION VERY CAREFULLY. BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED �� PERMIT NO. 14310 N ME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER o/,l r5 e"vs* 10" i3 -,im t-oj sh W,3jz I SS DIRECTIONS TO JOB SITE PARCEL LEGAL / (` NUMBER DESCR. � U L0 t c� 13e4-1- � 5 \ /�jV ' 1� �LTt,ItL NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO. CONTRACTOR USE OF BUILDING l� WORK CLASS OF, NEW I�/ ADDITION ALTERATION REPAIR MOVE REMOVE DESCRIBE WORK i-- AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE Ll SgFt STORIES I SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS PRIMARY RES.O THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS SgFt BATHROOMS _�� SEASONAL RES.❑ 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. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE SgFt ATTACHED O DETACHED❑ OWNERSAFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACT THE STATE OF REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REP ENTS REGULATING THE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED NS'ALL VVORK DONE WILL BE IN IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGE LL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEP ENT. XOWNER&lA DATE �— /� X BY s ' DATE FOR OFFICE USE ONLY DEPARTMENT YES No O DEPARTMENT YES APPROVEDBUILDING VALUATION i �L HEALTH PUBLIC WORKS FEE PLANNING ��_ FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDINGGROUP - PRE-INSPECTION 'll�T>'7 J _ SHORELINE 7'/ O Uw ir_5 r,'J _ a tl- 54, ✓1,-C4G J�� WOODSTOVE Ci 14 - Pi. >riij/Y�Pe - / PLUMBING MECHANICAL O STATE BUILDING FEE G �� APPLICATION ACCEPTED BY PLANS CHECK BY APPR VED FOR ISSUANCE PERMIT VALIDATION 7 I £ TOTAL BY CASH CK MO PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. ✓� OWNER ""ME C� r I S DDREsse N S P ^ CITY ATE / Z� �� 2 PHONE ip DoAlDIRECTIONS TO JOB SITE /lA a LEGAL l C DESCR. DI V, `-� I-3 ea l J I Ca v cQ CONTRACTOR NAME ' MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF BUILDING R Q- S PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE WATER CLOSETS ou FORCED-AIR I GRAVITY TYPE FURNACE 6.00 BASINS 6 FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS 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 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 DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY BY ILDINGGROUPAPPROVED FOR ISSUANCE PERMIT VALIDATION t,�NCHECK , IBY CASH CK MO tSUILUINU rtMMI I FLU i FLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES c;71-- P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. N E MAIL ADDRESS CITY&STATE ZIP PHONE OWNER 5/6 I �-� L W. 2 L`'s 2 DIRECTIONS y�� TO JOB SITE c PARCEL LEGAL - L-� 1 Y NUMBER DESCR. Indicate below: Property lines. 8 Location of proposed construction on property. p Building & septic system setback distances from all property lines & easemt N Easements and roads. Septic tank and drainfield setback from foundations. Saltwater, lakes, rivers, streams, wetlands, drainage. Septic, drainfield and reserve area, or sewer. Well and water line Attach copy of septic ys.tem "as built" or septic permit approval. C. ev f 1 � I/We certify that the proposed construction will conform to a dimensians and um shown above and that no changes will be made without first obtaining approval. t..J IGNA TORE OF OWNER OR AU THORI D R E! N ATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE