Loading...
HomeMy WebLinkAboutBLD93-00100 SFR - BLD Application - 1/21/1993 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED �1 (oZpoj(-v� PERMIT NO. 43C-IA - d ltb NAME MAILADDRESS CITY BSTATE ZIP PHONE OWNER John & Renee'Zirkle 8645 Kimnie Street 01 is WA 98512 2 DIRECTIONS TO JOB SITE Go to Mason Lake Road East, go all the way to the north end of road and look to our left PARCEL LEGAL NUMBER 22233 52 00086 DESCR.1 North 112 of lot 86, Madding Sunnyshore #6, Mason Lake NAME MAILADDRESS CITY&STATE ZIP PHONE LICENSE NO. CONTRACTOR Self USE OF BUILDING residence CLASS WORK O✓ NEW XX ADDITION ALTERATION REPAIR MOVE REMOVE DESCRIBE WORK --r-1Constru/ction of new home. N /Td- G O AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE 24�, 1 SgFt STORIES 3 SHORELINE 0 CONDITIONING. BASEMENT SgFt BEDROOMS 2 PRIMARY RESA THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS r S Ft BATHROOMS 3 SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT��gFt FIREPLACE no IS CARPORT/GARAGE GARAGE Ft ATTACHED O DETACHED❑ 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 APPRO L FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. XOWNER DATE _ XBY - - DATE dj O OFFICE USE ONLY 3 DEPARTMENT YESPPROVED O DEPARTMENT YEAPPROVEDO BUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT ©ro D.O.T. BUILDING 2� PLAN CHECK O SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION O L1 © (Z SHORELINE ��i ✓ WOV7rTOVE f1GcUl� PLUMBING i MECHANICAL STATE BUILDING FEE APPLI TION AC EPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE I PERMIT VALIDATION / TOTAL BY CASH CK MO ?741' PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE John and Renee Zirkle 8645 Kinnie St. Ol npia WA 98502 754-8131 DIRECTIONS TO JOB SITE lake Hwy. 3 north out of Shelton to ['.bson Benson Road, turn left go to Mason Lake Drive fast turn ris,lit to �o to end of road property on left. LEGAL DESCR. No. lialf of lot 86 lladiii�s Sunnyshore Addition #6 CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE SELF USE OF BUILDING horse PLUMBING FIXTURES MECHANICAL FIXTURES NO. 3.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS I FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS i FLOOR I SUSPENDED FURNACE 6.00 1 BATHTUBS i BOILER/COMPRESSOR 6.00 3 SHOWERS REPAIR/ALTERATION 6.00 1 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER 3i AIR HANDLING UNITS 7.50 SINKS HEAT-PUMPS 6.00 U FLOOR DRAINS EACH GAS PIPING SYS.400 PER OUTLET `L Q u DRINKING FOUNTAINS "VENT.FAN SYS. 0 PER UNIT 0 LAUNDRY TRAYS FIRE SUPPRESSION 5.00 0 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL 0 URINALS PERMIT BASIC FEE OO PERMIT BASIC FEE plpo TOTAL TOTAL a pp oD SPECIAL CONDITIONS: — NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR COaT�UC ITON 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 FIR STAINING APPROVAL FROM THE BUILDING DEPARTMENT. 2/ WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNERI DATE Q3 X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BYTUI_)DNG GROUP JAZ!VSUANCE PERMIT VALIDATION CASH CK MO 11 . a sa o00 8� 5,�!✓�w-- ._.. . _4F f./.�;�=cam ----_ U�- reE . j - -=�� - • - - r -ter bit( a D 'F - Jb aiw C- a�, C Esc w`t 71 13,8/5 i ' I zw P , t�ricT ry" ,kr f EY./ST/h'G s OR/YE � D ]ALA.4/1 93 L oRtAtNCRVI ' Pro Pbs� CES wcl � tlr,L �x/s ruyc, 1"fdSON L,C r'�D.