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Home My WebLink AboutBLD26913 SFR - BLD Permit / Conditions - 10/15/1990 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 J/��C� 427-9670 DATE ISSUED 7 PERMIT NO. NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER l o " -2 c $ DIRECTIONS �- TO JOB SITE <r/f-PARCEL �IEGAL NUMBER J � JJ6D0�� DESCR. AME MAILA DRESS CITY&STATE LIC NSE NO. ZIP PHONE CONTRACTOR c PsCS G � � P ��•,�-� _ /Sa USE OF BUILDING CLASS OF NEW L/ ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK �($� BEDROOMS DECKS YORQ CARPORT NOTICE TOTAL SQ.FT. DEll SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. TOTAL GARAGE SEPARATE FT. ygd CONDITIONING. NO.OF STORIES BASEMENT YORA THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT LIVING AREA BASEMENT COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SO.FT. TOTAL SO.FT. CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERM ENT FIREPLACE ATTACHED SEA NAL SHORELINE DETACHED O NERS AFFIDAVIT CONTRACTORS AFFIDAVIT I ERTfFY THAT I AM EXEMPT FROM THE REQUIREMENTS.OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF R GISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND 1 AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE R QUIREMENTS 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 I CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING TAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. OWNER DATE X _ DATE FOR OFFICE SE ONLY APPROVED APPROVED ` 522 Cam' BUILDING VALUATION DEPARTMENT YES NO DEPARTMENT YES No L J HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP _03.p{\- PRE-INSPECTION S'�vCV_ t11"4 SHORELINE WOODSTOVE PLUMBING123 L MECHANICAL I cl ,&0 C, STATE BUILDING FEE no STATESURCHARGE LACCEPTED BY PLANS CHECK BY AP` ED FOR ISSUANCE PERMIT VALIDATION =J TOTAL C) - BY CASH CK MO J PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. g�_?b _/ OWNER NAME MAILADDRESS STATE ZIP PHONE t� � Pr_ f � DIRECTIONS TO JOB SITE LEGAL / , I n �i DESCR. l�'T 1�-�-t Y CONTRACTOR NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE cry M 1 USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE WATER CLOSETS I„ Q i ORCED•AIR/GRAVITY TYPE FURNACE 6.00 01- BASINS FLOOR/SUSPENDED FURNACE 6.00 �- BATH TUBS �� BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS ( REFRIGERATION COMPRESSOR SYSTEM 6.00 I AUTO.WASHER O AIR HANDLING UNITS 7.50 I SINKS Z -HEAT•PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS 3 WENT.FAN SYS.3.00 PER UNIT i LAUNDRY TRAYS CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL 'Z .0C) 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 OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHO FI OB AP VAL FROM THE BUILDING DEPA TMENT. X OWNER DATE X DATE FOR OFFICE SE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPS ED FOR ISSUANCE PERMIT VALIDATION I f✓' �I o _ -��--h l� I IBY CASH CK MO r)Q/�1 n/C4("t WATTPI IN i nn tl. 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