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