HomeMy WebLinkAboutBLD24205 Cancelled SFR - BLD Permit / Conditions - 12/28/1992 NULL &�VOID By EXPIRATION
QATE �L=l�4BY "" Plunbins
Shore ines::
Setback: Mechaniga
Special Interior:
Conditions: FINAL:
Mobile ome:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Franing:
Fireplace:
Wood Stove:
TypF RESIDENCE
Permit No. 24205 No. Floors 2 Sq Ftg 884
Owner SWANSON, James r4. Tel 884- 9 Date 8-4-89
Address th NW ar Zip
Contractor Sel
Address Zip
Legal Descr ptio n of 79
Direction to t si E 2460 Tahuya-Blacksmith Rd
T
ur- g - 000�4--
um ing x c anical—x Sewer Wood Move
Fireplace Deck gage arport
Basement Loft 340 Other
SooZ. bdrm PX e�
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES C:7c/- 4 ep�;l
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
,::V45�6S PERMIT NO.
OWNER NAME MAILADDRESS CITY&STATE ZIP ,.,�Lc/'L PHONE
J S w / gT
DIRECTIONS
TO JOB SITE rj 466
PARCEL LEGAL
NUMBER DESCR. AOT 747 UjpOTen 7-ie4C. S
CONTRACTOR
NAME_ MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
�USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE i
WORK
BEDROOMS_ DECKS CARPORT $ NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS_ h� TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES BASEMENT '$' ATTACHED $ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
Ait COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOT F . _ � I EPLACE---'-& DETACHED w4P-- ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT _ SHORELINE
SEASONAL
OWNER AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTI THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTR ION C 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE ENT OR W CH 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 CON R NCE T EREWITH. O ANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINI PROV FROM TH L G DEPARTMENT. Q APPROVAL FROM THE BUILDING DEPARTMENT.
X-Al. TEv X BY DATE
FOR OFFICE USE ONLY
D PARTMENT YESPPROVENo DEPARTMENT YESPPROVENQ BUILDING VALUATION
3`
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT .
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
„ = PLUMBING
i
3 llo a MECHANICAL
.2 33 � STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY 1,PLAN CHECKSY APPROVED FOR ISSUANCE PERMIT VALIDATION �Q
IBY l0c- �Sl1/f CASH CK MO TOTAL ��J�,a�
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&ST TE ZIP PHONE
DIRECTIONS
TO JOB SITE
LEGAL DESCR. A cT ' Gt1007-e,,y TRog c, /S
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING I
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
BASINS 24FLOOR/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 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 _Z,
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 AFFI T: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED
THE CONTRACT R RE ISTRATiON 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 R UIREMENTS FO WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL
WORK DONE WILL B N CONFO E THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBT NING APP R M THE BUILDING DEPARTMENT WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OW R ..- X BY DATE_
FOR OFFICE USE ONLY
APPLI ATION ACCEPTED BY PLANS CHECK BY ILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
�'� &t"r-uox BU BY/J�'< S CASH CK MO