HomeMy WebLinkAboutBLD26167 Final SFR - BLD Permit / Conditions - 10/24/1990 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 y ��
427-9670 DATE ISSUED '
PERMIT NO. f ��
NAME MAILADDRESS CITY STATE ZIP PHONE
OWNER A`fs CE 3 22 4 u nfr�i. .W. Ca 1 CAA eiR. D� 4S -3 22
DIRECTIONS
TO JOB SITE S E_�. b E t N A o LP<KE.LP D �R1
?Roc.l�rc.Q -rn & LEFT TIARZK' p1yTo mT. VIEC�J PRIvr,, FoLLoL ) A Aok?40 Za 3�
L,CT N L'e' PAsr c k tAF-u Rnva-
PARCEL LEGAL /
NUMBER D ESC R. L or 2(v Div, 'J L_t,�L.ANv v I L_-ar2,F.
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR 8
USE OF
BUILDING
CLASS OF NEW f ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE �.
WORK L
BEDROOMS DECKS CARPORT_ NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS Z TOTAL SQ.FT. GARAGE J�/�� CONDITIONING.
NO.OF STORIES BASEMENT G ATTACHED r 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. /_4L4�7 FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT v--' SHORELINE _
SEASONAL
OWNERS AFFIDAVIT 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
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.
X OWNER DATE X DATE 6—11
FOR OFFICE USE ONLY
APPROVED APPROVED
DEPARTMENT YES No DEPARTMENT YES No BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING '` PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP (fit._ PRE-INSPECTION
SHORELINE
Y�.A
WOODSTOVE
PLUMBING _��
L_ �' � i MECHANICAL ' �Y
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY AP.PAQ-VED FOR ISSUANCE PERMIT VALIDATION
�� TOTAL
�"-C� '�� BY �'�`� CASH CK MO �
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 . - 6'0
427-9670 DATE ISSUED 7
PERMIT NO.
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
PAyS FRAn1uS 352z aLa►.1T S�. tJ,LJ . G �r� ��ZBo2 '_-JA. R51-3922
DIRECTIONS
TO JOB SITE 114 ILL N.L.LYr4 Wk. oj4 l--AGr.-_L-.x#At> SLlvp_
P4Rd44�17_-o -To Lr-Fr Ttn2N oaTci �,(T. �111`vJ 21 , 1=ouo•a R0L.4D ?'0 3R9> Lcf['
N {-z LEFT 'Q ltS`r �}I AN r1E L pR�vE
LEGAL
DESCR. LpKr L-A�lD �IILLAG�
CONTRACTOR NAME MAILADDRESS CITY&STATE W,1�CEf�SFND1a Ktj ZIP PHONE
Al-rr-- I n1L '35Z2 LA NdT ST tAW LA)b- Q 33S 551-"�22
USE OF
BUILDING L_F_ L.\/ Iz�j1D�l��
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS i FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS `% FLOOR/SUSPENDED FURNACE 6.00
t BATHTUBS BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS b% REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER "i AIR HANDLING UNITS 7.50
SINKS 2 m� HEAT-PUMPS 6.00
U FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS 4 VENT.FAN SYS.3.00 PER UNIT 12
[� LAUNDRY TRAYS WOOD STOVES 5.00
�J CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER 2�'
DISPOSAL
Q URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL 2Cj' TOTAL 2�
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
�APPR VAL FROM THE BUILDING DEPARTMENT.
XOWNER DATE XB DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP F`PPWeVEq FOR ISSUANCE PERMIT VALIDATION
In- BY��� / '\, CASH CK MO
Shorelines: Plumbing:
Setback: Mechanical:" _
Special Interior:
Conditions: FINAL:,e � pa
Mobile Home:
Smoke Detector:
Remarks:
0o ing:v /Q
Setback:
Foundation
Walls:
Framing:tbe!r9f�� 9
Fireplace:
Wood Stove:
TYPE - - RESIDENCE- - -
Permit No. 26167 No. Floors 1 Sq Ftg 1667
Owner. HAYS; FRAN ES Tel 922 Date—T-TF-77—
Address 3522 Hunt St NW Gig Harbor Zip 98335
Contractor Waite & Assoc. Inc.
Address Zip
Legal Descr ption Lakeland Village Div 5 lot 26
Direction to project site Enter Lakeland Village on Lake
lam—preceed In Left turn on rat view Dr follow to 3rd lot
1ng- --XX mechanicai AX Sewer Wood Stove XX
Fireplace Deck -Cara 45 ge 1 arport
Basement Loft Other