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Home My WebLink AboutBLD28691 House - BLD Permit / Conditions - 9/4/1990 Q Shorelines: Pl Setback: Mechanics : Special F Interior: Conditions: V FINAL: Mobile Home: Smoke Detector: Remarks: Footing: tf/K Setback: Foundation Z w w% V,ddOW 5 - u i r�l C-Uy- Walls: Gt� --�bY wAtts - -P,- lc� nZ n Framing: A N i L-- R-3v vw,\ n Fireplace. Pv/- - R-�o s1«S w�tin• Wood Stove: t� 6. pack- R-L,t VV'-i n lrtAGE ^sZ a$G91 Permit No. o. Floors 1 — Sq Ftg 864 - Owner HATPT P P Tel 426_n,,�n7 Date q_Q_gn Address E R60 Utf; r-h I k Rd She,ton Zip Contractor (� Add ess Zip �lL99al Description catf�kP Jr- 97 irection to project site H,�, to M;cnn I k Rr; ap r� nx 1 to Catfish �k Rd end c>-f Lk;c1-R uT h;i i uatf;Al Const. si hn on tree P un ing Mechanical Sewer Wood Stove Fireplace Deck arage arport Basement Loft Other 2- 1 ��I t MASON COUNTY 13UILDING PERMIT Permit No ate • �I Address Owner • Job Description Foundation Footing Foundation Wall 0/z Plumbing Inspection Mechanical Inspection Frame Inspection Interior Inspection Final Inspection Applicant Must Call su y 427-9670 for Required Inspection POST THIS CARD IN A CONSPICUOUS PLACE 72 Hours for Approval AT THE FRONT OF PREMISES. This Building NOT To Be Occupied Until Finaled BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SH ELTON, WASH I NGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE OWNER �^ G o zi�r 1'. d 5 r/"� w: 9�s�` 26-rSaT. DIRECTIONS TO JOB SITE PARCEL l.oT /7 LEGAL NUMBER C��; j� jV „ DESCR. 5 3 % j ,v /� �j �✓ 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. 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. jC 1 � d do r ti ii 115 y 1 a �j � o � I/We certify that the proposed construction will conform to the dimens ons aT uses shown above and that no changes will a made without first obtaining approval. SIGNATUR OF OWN (S)OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE i TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE i 3p � II BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. "! NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER r. .S 0 r- La,4 /k. i ss�a ' YZ6-S'3G DIRECTIONS TO JOB SITE /i o PARCEL LEGAL NUMBER Cli F` �, //{ DESCR. ,• 31 %1 it/ A 3 N/ NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR .F �;'� /u 9:jec 1k, 2z7Pr USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK DESCRIBE _ WORK �` i rt BEDROOMS 3 DECKS YORN CARPORT NOTICE TOTAL SQ.FT. f, DECK GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR S BATHROOM — TOTAL SQ.FT. _ $O TOTAL .FT. CONDITIONING. NO.OF STORIES �` BASEMENT Y OR N /� `�r THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT LIVING AREA sy�� BASEMENT p' COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SO.FT. TOTAL SQ.FT. CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT ';K,- FIREPLACE ATTACHED'8r�� SEASONAL SHORELINE DETACHED-10-01 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 D.PARTMENT. APPROVAL FROM THE BUILDING DEPARTM T. X OWNER DATE G-/7^9 X BY / DATE /—/7-9 FOR OFFICE USE ON Y DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION J YES NO YES NO I HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT i D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION r Z Q SHORELINE WOODSTOVE PLUMBING MECHANICAL / �✓_, 5 STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY G, APP ED ISS A E PERMIT VALIDATION /, r / B ASH CK MO TOTAL `�� i y PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 ✓� � 427-9670 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER �, aq fr5is 41 DIRECTIONS TO JOB SITE C �: 1i r LEGAL DESCR. T 2- Al R 3 LI/ ),, I7 C 2T 3 h f a IT tz CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE / Fz— fCff c3):r, /w Iles, c zn !Y26--3-307 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 3 BASINS FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS V. BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER OL 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 19 LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER 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 HICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANC THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CO FORM JCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINI G APP F M THE BUILDING DEPARTMENT. WITHOUT RST FROM THE BUILDING DEPARTMENT. X OWNER DATE „/—/7'c/ X BY F DATE 7 FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY `, BUILDI G GROUP A MildVED#ISSUANCE PERMIT VALIDATION "J` B CASH CK MO