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HomeMy WebLinkAboutBLD27681 Final SFR - BLD Permit / Conditions - 10/22/1991 Shorelines: Plunbing:/ Setback: Mechanica Special Ems- = -`- u Conditions: Interior: F I NA Mobile Home: Smoke Detector: Footing: - Remarks: Setback: l 9� O /t Foundation ' Walls: Framing:�A- Fireplace: .�� `�1/-=- Wood Stove: TYPE RESIDE,iCE Permit No. 27681 No. . Floors Owner SMITH P1ERTON f�. Tel — Sq Ftg Address 8645 Beacon Ave o SPattly_��7� Date -B Contractor Zip Address self Legal Descri tion Lk Zip p L� L �m rick div 5 lnt �n Direction to project site _f.lnnak� lt Sri to end In! on Left n ci o- fc;r j um ing ec anica _ ewer Woo tove Fireplace Deck �_ Garage Carport Basement soft Other LUMBERMEN'S HOMES y�,4► Plot Plan: Merton Smith / Lot 29, Div. 5 Lake Limerick Scale: 1" = 30' I n M \7S Q oRivi.✓�itL 1) 22 a /ems:9s LUMBERMEN'S HOMES Final Approved Copy Subject to approved Chan orders CJ MONA I URE r - Z1 -f I U IL P.O.BOX 700 FRONT AND PINE SHELTON,WA 9&%4(206)42&2614 �AfA (`nNJT 1 , , 11-eft r--- nT BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 l 427-9670 DATE ISSUED PERMIT NO. We OWNER NAME MAILADDRESS CITY SSTATE ZIP PHONE DIRECTIONS TO JOB SITE PARCEL ILEGAL NUMBER -5L-nnn?g I DESCR. NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR wner USE OF BUILDING residence CLASSOF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK Construct a new residence BEDROOMS 9 DECKS X CARPORT N/A NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.FT. _ GARAGE CONDITIONING. NO.OF STORIES �_ BASEMENT (1/n ATTACHED gyp— 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. t:� FIREPLACE DETACHED Lil 11 ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT X SHORELINE N/A SEASONAL OWNERS/FFIDAVIT CONTRACTORS AFFIDAVIT I CERTIF/THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REOU19EMENTS 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 C(4NFORMANCE 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. r ! _ X OWNER DATE I" �� ' C' _ X BY DATE_ FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES NO YES NO HEALTH PUBLIC WORKS FEE PLANNING 1. B FIRE BUILDING PERMIT 10). D.O.T. BUILDING QG( PLAN CHECK r SPECIAL CONDITIONS / BUILDINGGROUP /? -3 PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION 3-/Y-y/ BY J "�y y/ CASH CK Mo TOTAL '= 1 I PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 -� 427-9670 DATE ISSUED r ! PERMIT NO. 0 Mo OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE DIRECTIONS TO JOB SITE See Attached LEGAL DESCR. CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE Owner 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 BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 1 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER AIR HANDLING UNITS 7.50 1 SINKS HEAT•PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET O DRINKING FOUNTAINS ' VENT.FAN SYS.3.00 PER UNIT 61 'f LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 O DISHWASHER DISPOSAL ` URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 -r L s TOTAL I ; '>, 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 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 OBTA NIN APPROVA FROM THE BUILDING DEPARTMENT, WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. XOWNER FIRST XBY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION APPLICATION ACCEPTED BY PLANS CHECK BY 7 IBY CASH CK MO �