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Home My WebLink AboutBLD0631 Final SFR - BLD Permit / Conditions - 10/24/1989 Shorelines: A/,u Plumbing: Setback: Mechanical Special Interior: Conditions: FINAL: �'��c, Nbbile cme: Smoke Detector: Remarks: N r=} Footing: _-7 p� Setback: ,,- '/ y Foundation �6 Walls: Framing: -''�— Fire place : Wood Stove: TYPE RESIDENCE Permit No. 0631 Nb. Floors 1 Sq Ftg _1862 Owner HERTH, Ralph Tel275-3848 Date 4-5-88 Address NE 300 Haven Lk Dr Tahuva Zip Contractor Self Address Zip Iegal Description Tr 2 of Survey 30-23-2 Direction to project site Northshore Rd to Belfa9r-Tahuva Rd to Haven Lk. Turn left at NE Haven Lk Dr_ to NE 300 Turn left up driveway PTUW1-n—g x Mechanical x Seuer Vbod Stove x Fireplace Dec;c Garage Carport Basement Loft Other, 3 bdrm BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED /S PERMIT NO. OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE r7" 411Z, � orJ van k 'or % q��rY y�3 Y DIRECTIONS TO JOB SITE L7/W�✓ /?�� PARCEL LEGAL / NUMBER 2 Z 30^7 7-odd DESCR. 2 NAME MAILADDRESS CITY STATE LICENSE NO, ZIP PHONE CONTRACTOR d 2l/h Pif" USE OF n BUILDING CLASS OF NEW Y GS ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS a- TOTAL SQ.FT. GARAGE CONDITIONING. NO.OF STORIES BASEMENT ATTACHED 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 TOTAL SQ.FT./ FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT - - - SHORELINE SEASONAL OWNERSAFFIDAVIT 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 REQUEMENTS 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 COJNFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAI ING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. i X NER 4�6DATE X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED YES NO YES NO BUILDING VALUATION s. HEALTH PUBLIC WORKS FEE PLANNING v 'y FIRE BUILDING PERMIT �•, �� D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP 7 PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING �_ MECHANICAL STATE BUILDING FEE 3. STATE SURCHARGE APPLICATION ACCEPTED BY PLAN CH K BY APPROVED FOR ISSUANCE PERMIT VALIDATION 7 , TOTAL 156-1,+.IJ"d BY CASH CK MO PLUMBING & MECHANICAL 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 DIRECTIONS TO JOB SITE LEGAL DESCR. CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS , O Q FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS (p, fJ O FLOOR/SUSPENDED FURNACE 6.00 .Z BATHTUBS Q BOILER/COMPRESSOR 6.00 z SHOWERS �� Dd REPAIR/ALTERATION 6.00 WATER HEATERS �, Q' REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER 2 d d AIR HANDLING UNITS 7.50 SINKS 2 Q d 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 , p D TOTAL 1 j e- 0 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. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE X BY _ DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION APPLICATION ACCEPTED BY PLANS CHECK BY 7 IBY CASH CK MO PLOT PLAN ADDRESS PERMIT NO. s 0 = s n > s o 0 LEGAL DESCRIPTION LOT BLK ADDITION SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. Now 1Q SG a4-e, INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' Irk I/We certify that the proposed construction will conform to the dimensiMs and uses shown above and that no changes will be made without first obtsin1ng approval. NAMES) OF OWNER(S) OF SITE 6 STRUCTUREIS) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE