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HomeMy WebLinkAboutBLD30524 SFR - BLD Application - 5/26/1992 BUILDING 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 DIRECTIONS / / ', f TO JOB SITE j m A lt. S- cr-E' rl .C/ S GZ--'t GS' 7z4yn r"l j �� vsS =� wh��- h0LkS e. � >G11bx)roU��o `',P�ru -ram le"S� n ot o PARCEL LEGAL f NUMBER 2-o2.3 oov 9 & DESCR. 7 MAIL DRESS CITY&STATE ZIP PHONE LICENSE NO. CONTRACTOR USE OF % BUILDING VA(n 6'- 'av n CLASS OF OWADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERM FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE/640 SgFt STORIES SHORELINE CONDITIONING. BASEMENT 1f ''0SgFt BEDROOMS PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS �� 7 $ Ft BATHROOMS SEASONAL RES. COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR g ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE SgFt ATTACHED❑DETACHED❑ OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT 1 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. / L 1 X OVlIp► 1� �' � ATE �� a` / X BY DATE FOR OFFICE USE ONLY DEPARTMENT YES PPROVENo DEPARTMENT YESPPROVENO BUILDING VALUATION $ S� HEALTH M'` PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT 3 D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDINGGROUP 12_7> PRE-INSPECTION ��t / SHORELINE (p IZ WOODSTOVE v ='P i'C r'r/UrPj PLUMBING 3 z50 MECHANICAL zZ (1G0 STATE BUILDING FEE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED IFOR(ISSUANCE PERMIT VALIDATION �`� }� BY�I�("1� CASH CK MO TOTAL .�1 PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED LI!R 121 PERMIT NO. NAME dell, ��14 �$TY.STATE S ZIP S PHONE OWNER z ESS '001IS #1e(Ak_ j 106 OS- ,os�- DIRECTIONS �j[ �,� TO JOB SITE �m S bee Cc a&n r LCY U unA trL_ :L DESCR. r l-44 tmZ'fit-' See ct+6ckeK� CONTRACTOR NAME MAILADDRESS CITY SSTATE LICENSE NO. ZIP PHONE USE OF BUILDING �mv"' 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 'y BASINS q FLOOR/SUSPENDED FURNACE 6.00 l BATH TUBS 77- BOILER/COMPRESSOR 6.00 SHOWERS Z REPAIR/ALTERATION 6.00 I WATER HEATERS Z REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER 'Z AIR HANDLING UNITS 7.50 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 12 I LAUNDRYTRAYS 2, FIRE SUPPRESSION 5.00 e CONNECT TO CITY SEWER WOOD FURNACE 5.00 D DISHWASHER O DISPOSAL D URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL TOTAL ZZ 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 WI E IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRSM_"J� GPR APL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. XOWNER ` DATE �l' X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION (�• BY 5 �aZ CASH CK MO MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W.Cedar P.O. Box 186 Shelton, Washington 98584 (206) 427-9670 building environmental health fire marshall parks & recreation fair/convention center planning Sub j e c t : a-v, � �w� Applicant : This building permit shall be approved with the following conditions ( . . . marked conditions only) : A Road Access Permit is granted by the Mason County Department of Public Works. For more information contact Jay Harmon, Mason County Right-of-Way Agent, at (206) 427-9670, ext . 456 . A Road Access Permit is granted by the Washington State Department of Transportation. For more information contact Paula Hammond, Transportation Planning Engineer, at (206) 357- 2620, ext. 630 . A Hydraulic Project Approval is granted by the Washington State Department of Wildlife. For more information contact Stephan Kalinowski, Habitat Biologist, at (206) 871-6076 . A Hydraulic Project Approval is granted by the Washington State Department of Fisheries . For more information contact Neil Rickard, Habitat Biologist, at (206) 586-2193 . All contruction debris and excavated materials should be stored away from the shoreline. Dirt or miscellaneous debris piles adjacent to the shoreline should not exceed a height of 2 feet . i y 5^r'iu�ie a✓e,� 3� �.,. �uc� �ua�" 6.c. � �3 �o v2 b�c�tc ac� - The date or dates of construction will be provided to the Mason County Planning Department, at least 1 week prior to construction. This condition page shall be signed and dated by the applicant, agent or co actor prior to issuance of the permit: date zG ** Failure to comply with any of the above conditions will result in enforcement proceedings . These proceedings may entail, but not be limited to, the removal of any unauthorized structures and the complete restoration of the site.