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BLD29124 Final SFR - BLD Permit / Conditions - 11/21/1992
Shorelines: Plumbing:1 1-03`l1 b K M9 Setback: Mechanical:11-13-11 pr< j%� Special Interior: rle4L /Ae, e fA- Conditions: FINAL: B ,,O. Mobile Ha e: Smoke Detector: Remarks: Footing fl , TFtin 65y, Setback: Foundation Walls:nnu 2-y� Framing: U-t3--1JL nK= ikkf3 Fireplace: Wood Stove: 3� �,`? . S� .- Cr TYPE iRESIaHiCE �) Permit No. 2912/+ No. Floors 2 Sq Ftg Owner Joseph Davis Te1��60 Date Address 3317 S Mt Baker Blvd Seattle Zip Contractor same My Address Zip Legal Description See attached Direction to project site Lake Limerick Div 5 Lot 79 ICE Crn R 'rfl AP- Plumbing x Mechanical x Sewer Wood Stove Fireplace Deck ZT age Za port Basement aloft Other BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 / 427-9670 DATE ISSUED PERMIT NO. OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE72S_ZI O U► 05r- So ITT L K LUD s 1 DIRECTIONS TO JOB SITE PARCEL LEGAL NUMBER LOT �Cj DESCR. �CsT _ C1 tip o.3 _ L NAME MAIL ADDRESS CITY&S ATE LICENSE NO. ZIP PONE CONTRACTOR (o- USE OF BUILDING 5i F--Aw%vL CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE -- -- WORK l rnQu.+ BEDROOMS_ DECKS CARPORT &--+ NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS_ TOTAL SQ.FT. 7-7-0 GARAGE A CONDITIONING. NO.OF STORIES Z BASEMENT AJ-/4 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. l FIREPLACE A64 DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE %,_)-4 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 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. XOWNE DATE L 7—at 01 1 XBY �r DATEIO FOR OFFICE U E ONLY DEPARTMENT Y SPPROVE NO DEPARTMENT YES No BUILDING VALUATION cl HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP 7 PRE-INSPECTION SHORELINE WOODSTOVE Q PLUMBING MECHANICAL --� STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY L�py R ED ISS A CE PERMIT VALIDATION j CASH CK MO TOTAL PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 61 427-9670 DATE ISSUED PERMIT NO. 65< OWNER NAME MAIL ADDRESS CITY&STATE ZIP 1 qLf dS 3 l SO M Lt�D S (/1S. DIRECTIONS TO JOB SITE LEGAL DESCR. CONTRACTOR NAME vp vtq iLADDRESS miplintis � CITY&S#Ak' T 4 LICENSE ZIP JbD ,�w,_Y;3V USE DI ��1\`��� ` Y/ �L-y II„I �/` �7Y BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE I WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS iT/ FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER AIR HANDLING UNITS 7.50 SINKS 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 FIRE SUPPRESSION 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISH WASHER 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 REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE ILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE W HOUT FIR B I yiG AP ROV+AL FROM THE BUILDINGpDEPARTMENT. G� WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. OWNER � "' - DATE 1 I� X BY DATE FOR OFFICE USE ON Y APPLICATION ACCEPTED BY PLANS CHECKY�� BU i GRQI jP APP ED FZ�U;r PERMIT VALIDATION i BY CASH CK MO PLOT PLAN b'144- ADDRESS �3 `� �M�" r; lJ �W©- PERMIT NO. ° o = s w > a ° ° LEGAL ' n DESCRIPTION LOT -7 �LU1S►U tJ BLK I.KLI�t/I (� ADDITION SITE AREA 1(011396-5 Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS (0UU Sq. Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE 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 5' X 5' OR 1"=20' a0--3 1 POPE ILA ty J d b 5 riP I� i r- 47 2 � � J ICY a certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without fire obtaining approval. NAMES IF OWNER(SI OF SITE S STRUCTURE(S) (PRIN SIGNATURE OF OWNER131 OR AUTHORIZED REPRESENTATIVE D T NOT WR/ E BELOW THIS LINE DISTRI� APPROVED AS NOTED DATE