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Home My WebLink AboutBLD0330 SFR - BLD Application - 11/27/1990 BUILDING PERMIT APPLICATION MASON COUNTY 7` DEPARTMENT of GENERAL SERVICES �� P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. ME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER 7� 7 DIRECTIONS TO JOB SITE o v rA)& 7L) 'ejn 1 PARCEL dolol LEGAL NUMBER �`j� DESCR. (��•C/ « / NAME MAIL ADDRESS CITY&STATE LICENSE NO. zir PHONE CONTRACTOR USE OF /l BUILDING CLASS OF EW [ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK BEDROOMS DECKS YOR CARPORT NOTICE TOTAL SQ-FT. DECK SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. _1 TOTAL GSO.FT. CONDITIONING. NO.OF STORIES BASEMENT Y Of! O THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT LIVING AREA 2 BASEMENT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SO.FT. ! TOTAL SQ.FT. CHECK ONE ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT FIREPLACE ATTACHED Of SEASONAL SHORELINE DETACHED OWN RS AFFIDAVIT CONTRACTORS AFFIDAVIT I CER fFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGI RATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQ REMENTS 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 NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBT INING APPROVAL FROM THE ILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE / 7j X BY _ DATE FO OFFICE USE ONLY DEPARTMENT YES APPROVEDNO DEPARTMENT YES DEPARTMENTBUILDING VALUATION y r HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE k - STATESURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY AP OVED FOR ISSUANCE PERMIT VALIDATION TOTAL , 2� � 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. y 3 3 V OWNER AME MAILADDRES CITY TATE ZIP PHONE r?� DIRECTIONS TO JOB SITE LEGALDESCR. �O 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 FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS C) BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS ato REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER 1-lc AIR HANDLING UNITS 7.50 SINKS 2rz)0 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 ZlDlo 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,08 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 AT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CO IFORMANCE THEREWITH. NO �WS M E WORK DONE WILL BE IN CONFORMA JCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRSTTOOBTAAIININ PROVAL FRO.TH UILDING D T FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNEF��1'U ' N E X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP AMPROVEPFOR ISSUANCE PERMIT VALIDATION -�Z (� BY CASH CK MO