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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