HomeMy WebLinkAboutBLD25540 Final SFR - BLD Permit / Conditions - 6/20/1990 Shorelines:
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Mechanica :
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Conditions: Interior:
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Foundat ion
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Wood Stove:
TYPE RESIDENCE
Permit No. 25540 No. Floors 1
Owner BOB SOLTIS IfJC. —
air �—
_ SI Ftg 1232
Address P 0 Box 767 Belf Tel 275_4477 Date 4- g62 0
Contractor Self Zip--
Address
Legal Description Beards Cove Div g Zip
Direction to project site NE 331 Santa Maria 9Lane
P um in
g x Mechanica x Sewer
Fireplace Deck WOO Stove
Basement soft Garage 480 Carport
Other
3 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
S P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NC -•24:5 L/6
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER
DIRECTIONS
TO JOB SITE �3 3� SA-1-4 4-
PARCEL LEGAL P�-iz�S �ye NUMBER 3 3/-,�/-pdd3 DESCR. �� � /3
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE
BUILDING /gyp
CLASS OF EW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE // /
WORK i1 Q1.rC G� l�I0'-' �X y5! �c
BEDROOMS DECKS CARPORT__ NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
!J
BATHROOMS TOTAL SQ.FT. 6) GARAGE 7 ,�,o CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED 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./�3a- FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS FIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY HAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRA ON LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE ENTS 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 CO ORMANCE THEREWITH, NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI NG APPROVAL FROM THE ILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X O NER DATE X BY ____- DATE
FOR OFFICE USE ONLY
APPROVED DEPARTMENT APPROVED BUILDING VALUATION
DEPARTMENT
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP ��"' _-��_� PRE-INSPECTION
,.Q 0�A 4y p �, J _ O 1"ll N, j c�� SHORELINE
J Qom'
WOODSTOVE
2 3 PLUMBING
00 MECHANICAL cl,el
STATE BUILDING FEE �}
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY E APB D OR ISSUANCE PERMIT VALIDATION
L BY _ MO TOTAL
�_�j L �,_ - CASH CK
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER N E MAILADy��E�JSS CTY&ST TE ZIP PHONE
DIRECTIONS
TO JOB SITE 2�
LEGAL / p�
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 O FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS 1400BOILER/COMPRESSOR 6.00
SHOWERS o REPAIR/ALTERATION 6.00
WATER HEATERS Q- _ 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 CA C O
LAUNDRY TRAYS WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
l DISHWASHER Ezoo
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL Z ape TOTAL kq p,()
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 CONN RMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBT ININ A OV L FROM THE BUILDING�DDEP THE T. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT,
XOWNER DATE 7 XBY _ DATE_
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY c �,`�� BUILDING GROUP VE ISSUANCE PERMIT VALIDATION
q_2ff eo �-3- `J°I L B CASH CK MO