HomeMy WebLinkAboutBLD24505 Lab. Building - BLD Permit / Conditions - 9/26/1989 Shorelines: Plumbing: ����
Setback: Mechanica :
Special Interior:
Conditions: FINAL: ec r.,< T/Gy
Mobile Home:
Smoke Detector:
Remarks: Aezx �,Qurs �s
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE LAB. BUILDING
Permit No. 24505 No. Floors Sq Ftg 300
Owner ALDENBROOK DEVELOPMENT COTel 898-2155 Date 9-26-89
Address E 7090 Hwy 106 Union Zip
Contractor None
Address Zip
Legal Description Sunnj Beach Lots 7-11 (Parcel 3 S/P
Direction to project site 1664)
ABOVE ADDRESS
Plumb ing X Mechanical x Sewer Wood Stove
Fireplace Deck 7arage import
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NOyl1 6'5
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER I
DIRECTIONS
TO JOB SITE 6 /�j ti/c Av6
PARCEL -I -_ LEGAL H
NUMBER 3 SI1 � t#((o�p DESCR. Nam_ < < �-
NA E MAIL ADDRESS LICENSE NO. ZIP` PHO
CONTRACTOR 1
USE OF
BUILDING
CLASS OF WORK ✓ NEW r_ ADDITION ALTERATION REPAIR MOVE REMOVE
DESCR
WORK IBE lal( ' ldl
BEDROOMS DECKS CARPORT N/9 NOTICE
/ MSEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. A GARAGE CONDITIONING.
NO.OF STORI ES BASEMENT ✓(4 ATTACHED N A THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. 300 FIREPLACE IICW e- DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT X SHORELINE IYA
SEASONAL
OWNE S AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTI Y THAT 1 AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST ATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUI I.
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 C FORMANCE 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.
X NER DATE X BY DATE
��2v— KP
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION �t
YES NO YES NO
HEALTH jap PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT �v
D.O.T. u BUILDING (t)l( PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL 1
16
STATE BUILDING FEE 1,
STATE SURCHARGE
APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
/�, r/� BY CASH CK MO TOTAL
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 MAILADDRESS CITY&STATE ZIP PHONE
Lo air F' c; , �c� a6 G! iAsl,. s�iat -piss
DIRECTIONS �^
TO JOB SITE (ate/? /r a f lQ/� � rLEGAL
1 6&
DESCR. I �LI r ' /tL CC 6u tjN) O 64 Lov-3 4
CONTRACTOR A E MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
PLUMB NG FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS ,� a FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS „? O FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS BOILER/COMPRESSOR 6.00
SHOWERS - REPAIR/ALTERATION 6.00
f WATER HEATERS O REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER Q AIR HANDLING UNITS 7.50
2 SINKS D HEAT-PUMPS 6.00
FLOOR DRAINS _ Q EACH GAS PIPING SYS.2.00 PER OUTLET
0 DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT 6. �—
Q LAUNDRY TRAYS WOOD STOVES 5.00
CONNECT TO CITY SEWER (j WOOD FURNACE 5.00
O DISHWASHER
® DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL 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/FFIIRSTTOO,T,AINING AP ROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE X --DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
IBY CASH CK MO
PLOT PLAN
ADDRESS /D!6 //IQ/41141a & G // ji7 JJ14. W_5V PERMIT NO. _ _ 0 o
1, = s
n >
x o
LEGAL
2 1 �7 c C� s
DESCRIPTION iQ(?'e 1 J LOT a 12C!'/101 d-F J- 'J_S l7 ib 9 1 BLK ADDITION u
SITE AREA 7GV Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS !36 " 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.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
ir1 �►' K e e
i
R4
i � %n
At j
I/We certify that the proposed construction will conform to the dimansicns and uses shown above and that no changes will be made Without
first obtaining approval.
L4,42NAME(S) OF OWNER(S) OF SITE S STRUCTURE(S)I(PRINT) IGNA TYRE OR OWNERISI OR AUTHORIZED REP ESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE