HomeMy WebLinkAboutBLD21460 Final SFR - BLD Permit / Conditions - 9/1/1988 Shorelines: Pl Lin bing 3Il S
Setback: Mechanical
Special Interior
Conditions: FINAL• y ��
Mobile Home:
Smoke Detector:
Remarks: v �
Footing:d / �� �,
Setback: eK
Foundation
Wal Is: a e<
Framing: 3
Fireplace:
Wood Stove:
TYPE RESIDENCE
Permit No. 21460 No. Floors 2 Sq Ftg 1106
Owner ANDERSON, Rick Tel 851-8537 Date 1-27-gg
Address P O Box 1986 Gig Harbor Zip
Contractor Self
Address Zip
Legal Description Lakeland Village Div 10, Lot 4
Direction to project site uA hill in Allyn towards Tak[d
land Village, turn right on Allyn View Drive. Lot on left.
Plumbing x Mechanical x Sewer Wood Stove x
Fireplace Deck Zoo Garage 552 Carport
Basement x_ Loft Other
3 bdrm
II
I
I
11
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
— +�
PERMIT
OWNER
MAILADDRESS CITYBSTATE ZIP PHONE
DIRECTIONS I
145 37
TO JOB SITE tI ( 1 w ( 40 W ArdS ✓l��
PARCEL �� ^��/l -J LEGAL
N U M B E C�C�CXJ•S/ DESCR. A0Q /,g�,GQ
CONTRACTOR NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP (/Pl4ONE
USE OF
BUILDING
CLASS OF WORK �/NEW ADDITION ALTERATION REPAIR MOVE REMOVE
✓ J`
DESCRIBE
WORK �e
i
BEDROOMS 3 DECKS CARPORT NOTICE
BATHROOMS Z TOTAL SQ.FT. Z�4 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
GARAGES5 ONDITIONING.
NO.OF STORIES _ BASEMENT C ATTACHED�_ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF TOTAL SO.FT �1SC FIREPLACE DETACHED ABANDONED FORA ERIODO 180 DAYS T ANY TM AFTER WORK SCOMMENC D.UCTION OR WORK IS OR
PERMANEN x SHORELINE
SEASONA
OWNER AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTI THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST ION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIR ENTS 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 CON RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAIN I APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X W ' �4TE ''��-(�l� X B DATE- I CI 6 U
FOR OFFICE USAE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED
YES No YES No BUILDING VALUATION 3 O O v
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT G
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP - �L PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL '
/9.OD
STATE BUILDING FEE \�6. 150
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVE F R I UANCE PERMIT VALIDATION
>� 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
'C ZIP PHONE
DIRECTIONS
A- Rk3 m 5 -853
TO JOB SITE ��- B
r v�
J oe
LEGAL
DESCR.
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
c �OOU C,
USE OF
BUILDING Q o
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 1 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS &, 0 p FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS pv FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS C C7 BOILER/COMPRESSOR
6.00
SHOWERS REPAIR/ALTERATION
6.00
WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER n AIR HANDLING UNITS 7.50
SINKS O p HEAT-PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS 3 VENT.FAN SYS.3.00 PER UNIT c' dU
LAUNDRY TRAYS WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER
DISPOSAL Z)Q 0
URINALS
PERMIT BASIC FEE 3.00 PERMItBASEICFEE 10.00
TOTAL �3 Oc� AL
/900
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 1 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 FROA THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNE -w DATE I�/°f -�� X BY D DATE
FOR OFFICE U8vt ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE Fcp',A
RMITVALIDATION
BY SH CK MO