The URL can be used to link to this page

Home My WebLink AboutBLD30840 Final SFR - BLD Permit / Conditions - 10/4/1993 Shoreline. : Plumbing: Setback: Special Mechanical:( Conditions: Interior: z-9�L Final: ,s=sue Mobile Home: ~— Smoke Detector: Footing: �Z J t 3 Remarks: Setback: Foundation s Walls: �.k�( Framing: ALZ—�-s z ,��c .tom� Fireplace: Woodstove: _ AREA: # - r TYPE: - - Owner:titsap Nor;; T�i�q 0"s a Date: -] Address:N& qoo � icc. �vlar�� Permit #:3o84p Floors: Scl Fl: /10 01 %,Ontractor: so-vvj. Phone: Legal Description:k*CLM 15 e<51tf �v 8 �' 7� Direction to job site: -1r- r-� r,�� Lx,� U � L° Ca+V S S C Y d i Wt�rl, CL., Lvt iS b.ehQe-aQ bri �oC Plme Mechanical �ar c-��' Q�Voodstove Fireplace Deck Carport �arage 32 , J� Basement Loft —A3 i s�':nditions: pv�. 7 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. A E MAILA DR S o.2�,j�fL(J ITYB 9TATE ZIP PHONE OWNER a.� o•�s ;� u � e S; F,e,/ DIRECTIONS 41 —74- TO JOB SITE PARCEL LEGAL f 71"' NUMBER 76 DESCR. V.-,,So. CONTRACTOR NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO. USE OF / BUILDING diet. rS•c>/f�>G� CLASS OF WORK RE NEW ADDITION ALTERATION PAIR MOVE REMOVE DESCRIBE WORK St�T - Ba�fi�cG zo ,P sal AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS _ 5 PRIMARY RES 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 DETACHED❑ 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. X OWNER DATE X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION lI YES NO YES NO 517,�� HEALTH MT PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING PLAN CHECK S SPECIAL CON DITI S BUILDING GROU 3 PRE-INSPECTION SHORELINE {' un SteC ✓vo WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE (�!� APPLICATION EPTEDBY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION �l BY t'Z3' CASH CK MO TOTAL `v2 SL PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. EK �L aKs MgIL QD i(J LcJ TY&STATE / ZIP 6 ' -�PHONE / OWNER 5 4ae� P• i�ur.�a-1f �3�� 6 !o DIRECTIONS � TO JOB SITE S�`� �c aC LEGAL rc?,P S v[l DESCR. �Sa� 6�" CONTRACTOR NAME MAYL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF BUILDING .SH /f /1!ay;/ F S. fylr PLUM ING FIXTU ES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS 00 FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS a .0 BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS D O REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER O 0 AIR HANDLING UNITS 7.50 SINKS 6 HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS 2 VENT.FAN SYS.3.00 PER UNIT (C 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 /��G>U TOTAL Ita 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 16.27, 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 PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION rr BY Z CASH CK MO I BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO.--_- . NAME NfAfL ADDRESS CITY'8 STATEt ZIP PHONE OWNER S Aa✓� �/ !/Cr �--„� 6 IONS TO JOB / arso� �)J TO JOB SITE L �-h i os Lan PARCEL LEGAL NUMBER 1 DESCR. I 7 y e-a.,, s ec' 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. /1 O Location of proposed construction on property. O Building & septic system setback distances from all property lines& easements. Indicate North O 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. 1 ; ' 0 t o' �o h Ift- J O 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 TOPOGRAPHY PROFILE C)F PROPERTY AND LOCATION OFSTRUCTURE