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HomeMy WebLinkAboutBLD22067 Final SFR - BLD Permit / Conditions - 1/7/1992 3 5a Shorelines: Plumbing: Q< 91-z,; 7q Setback: Mechanicali% Special Interior: Conditions: FINAL: ti-7-y;Z z aZ;fdl�W Mobile Home: Smoke Detector: Remarks: 6k,0614 Footing: Setback: Foundation Walls: Franing:� Fireplace: Wood Stove: TYPE RESIDENCE Permit No. 22067 No. Floors 2 Sq Ftg 1230 Owner WRAY, Lester C Tel 275-5230 Date 6-3-88 Address NE 141 Mt View PY Tahuya Zip Contractor Lumbermens Address Silverdale Zip Legal Description Collins Lake Div 3 Lot 66 _— Direction to project site Rt. on Belfair-Tabu a Rd. to Collins Lk.Turn left on Mt View -follow to end of cul- , i eway o e Plumbing X Mechanical X Sewer Wood Stove Fireplace Deck 344 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 PERMIT NO.C.2f cz?;� z� OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE 4 I M L VI—. rx WA 2,53 Zr— Ca DIRECTIONS TO JOB SITE r RATyrr, ,11 J.Y PARCEL LEGAL NUMBER 0r,)d6$ I DESCR Collin,, _ Lcvt 6 NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR SiA IL r F'- ())( "I USE OF © � 7 BUILDING � �� i n N C `. i�1.1 w �G� CLASS OF NEW - ADDITION [ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK �1/ N d j BEDROOMS DECKS , CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. ' GARAGE CONDITIONING. NO.OF STORI ES Z 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. Ul� FIREPLACE DETACHED �- ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERSAFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY T ' T I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATIO LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMEN S 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 CONFOR ANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING A PROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER I DATE X BY DATE DATE -� FOR OFFICE USE O LY DEPART NT APPROVED DEPARTMENT APPROVED BUILDING VALUATION d�7 YES NO YES NO HEALTH PUBLIC WORKS FEE PLANNING lL FIRE BUILDING PERMIT -V 5- L D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP ' - PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING B 0 MECHANICAL •C:�6 STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY PLANSC CKBY APPROVED PERMIT VALIDATION TOTAL BY CASH CK MO , PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. OWNER NAME MAILADDRESS _ CITY&STATE r ZIP PONE r h t= r' r= 0 DIRECTIONS TO JOB ySITE N' IOr I �k � r,' f. LEGAL DESCR. 6k CONTRACTOR NAME IscITY&�MAILADDRESS STATE LICENSE NO. ZIP PHONE USE OF BUILDING .S r� PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS L�, �^ �` FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS �� C BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS �•, REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER �. �, AIR HANDLING UNITS 7.50 SINKS G Gn r HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS -2 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 cp I 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 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 Jt �'S— X BY DATE— FOR-OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION BY CASH CK MO