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HomeMy WebLinkAboutBLD22390 Final SFR - BLD Permit / Conditions - 9/27/1988 Shorelines: A/ ,q Plumbing: pKa'13iA?e Setback: /< Mechanical : Special Interior: Conditions: FINAL: *,C MobileHome: Smoke Detector: Remarks: Footing: Setback: Foundation Walls: Framing:t4,< f -V,f � Fireplace: Wood Stove: TYPE RESIDENCE Permit No. 22390 No. Floors 1 Sq Ftg 1056 Owner SOLTIS, Bob Te1275-4477 Date 7-27-88 Address P O Box 767 Belfair Zip Contractor Bob Soltis Address Zip Legal Description Beards Cove Div 8, Lot 58 Direction to project site Larson Lk Rd next to lot with_ fence Plumbing X Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other 3 bdrm BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO.' E MAIL AD SS CIT BST T ZIP PHONE OWNER Ag _�o , 7 DIRECTIONS TO JOB SITE LEGAL / DESCR. NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS _ TOTAL SO.FT. 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 TOTAL SQ.FT( FIREPLACE DETACHED_ ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL_ _ 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 CO FORMANCE THEREWITH. CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM TH UI DING DEPARTMENT, APPROVAL FROM THE BUILDING DEPARTMENT. X.O ER DATE X BY DATE OR OFFICE USE ONLY DEPARTMENT YESPPROVENo DEPARTMENT vesPPRovENQ BUILDING VALUATION d' HEALTH PUBLIC WORKS FEE PLANNING AIL FIRE BUILDING PERMIT 0 a D.O.T. BUILDING ���� PLAN CHECK , SPECIAL CONDITIONS BUILDING GROUP R PRE-INSPECTION 74;L. SHORELINE PLANNING PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE •�`� APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVE FOR ISSUANCE PERMIT VALIDATION TOTAL BY l✓+KCw CASH CK MO PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. OWNER N E MAILADD CIT STAT ZIP PHONE d41 �? //z DIRECTIONS TO JOB SITE LEGAL DESCR. / �1 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 �9= FORCED-AI R/GRAVITY TYPE FURNACE 6.00 BASINS ���� FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS �, �'u BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS u'�� REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER <<?� AIR HANDLING UNITS 7.50 SINKS c73t 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 REQUIREMENT 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 CONF ANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRSTOB G APP AL F OM THE BUILDING DEPARTMENT WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT, X OWNER DATE /� X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS HECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION BY �'C1l\ CASH CK MO PLOT PLAN ADDRESS PERMIT NO. 4 0 LEGAL ��� (�v c � DESCRIPTION LOT BLK ADDITION �J M SITE AREA 0C) Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS �� Sq. Ft. INSTRUCTIONS TO APPLICANT V I THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE J FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) �- FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE C� �— I y I/We certify that the proposed construction will conform to the dimensions and uses shown above and that nq changes will be made without first obtaining approval. /3c � � 1 6= NAME(s) OF O ER(S) OF SITE a STRUCTURES) (PRINT) IG7qV11rURIE OIF OW RISI OR AU TMORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE