HomeMy WebLinkAboutBLD25681 Final SFR - BLD Permit / Conditions - 9/26/1990 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED%6 - q40
PERMIT
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
IA/ OULV17
DIRECTIONS y
TO JOB SITE 14/4Sr ON L AkX- ,CA"V-q '6? N 7-0
(NOTE:A.8a16 'gaw'�SS i S e
PARCEL /2;40 -,6-7_00027 LEGAL or�! ,c/i,tEL/3.✓U viLL.� Mv,q
NUMBER LO/ / IVQ, DESCR. 1 p
CONTRACTOR NAME OW V MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
Gl ox S>1 LL rY
USE OF
BUILDING
CLASS OF NEW �/ ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r /, j I I
DESCRIBE
WORK f?Z'
BEDROOMS f�! CARPORT NOTICE
/ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL S0.FT.,/ �O GARAGE CONDITIONING.
NO.OF STORIE �� BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
TOTAL FIREPLACE �S COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT-- SHORELINE -4&
SEASONAL
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OWNERSAFFIDAVIT ?� CJ`,[/ CONTRACTORS AFFIDAVIT
1 CERTIFY THAT 1 AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST 'ON LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIR J.
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 CO 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.
NE L�?YI�✓"f� DATE c3� X BY
7DATE
FOR OFFICE USE ONLY
DEPARTMENT S O APPROVED DEPARTMENT YES
PPROVEN
YES
BUILDING VALUATIONAz
V
HEALTH PUBLIC WORKS FEE,
PLANNING FIRE BUILDING PERMIT 101g U Z>
D.O.T. BUILDING PLAN CHECK ,? p U
SPECIAL CONDITIONS BUILDING GROUP -3 PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING 3 0 C)
MECHANICAL c9n
STATE BUILDING FEE �•JQ
i
STATE SURCHARGE
4PPLICAzlg1 ACCEPTED BY PLANS C K BY APPROVED O ISS CE PERMIT VALIDATION
"�1 F" � IBY
rTOTAL -7 l %5
CASH CK MID /
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
lit/, L.L EtJi¢,
DIRECTIONS
TO JOB SITE „/� _ IiI�L P aL'E Li$/1� ,�� /QLl,6t i✓D '-CLOD
5<�v7-, D,&OeEss %s :T4 So vR.S w,
5 4r7eX-ov.9, 98>6c ,vy�,rrt / cam,//-7&roZ
LEGAL
DESCR. yoL./O 041473 P~S&01,�/i,tZ_
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
Odv/t o ALL `ASS'
USE OF
BUILDING
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
c- WATER CLOSETS e O FORCED-AIR/GRAVITY TYPE FURNACE 6.00
j BASINS k.0 d FLOOR/SUSPENDED FURNACE 6.00
02 BATH TUBS 4.400 BOILER/COMPRESSOR 6.00
SHOWERS �ri REPAIR/ALTERATION 6.00
WATER HEATERS d L� REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER d b AIR HANDLING UNITS 7.50
SINKS CI HEAT-PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT
LAU N DRY TRAYS WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISH WASHER !J6
DISPOSAL �, d p
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL 5 pU 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 OBT 1 N APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWN E r' DATE 44 O X BY DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS E APPROVEDBY �j BUILDING GROUP APPROLANCE PERMIT VALIDATION
// A f— IBY CASH CK MO
i ,�e�F ALG rk!ICEF
r' KELAND VILLAGE CLI lHUNITY CLUB
ARCHITECTURAL CONTROL COr'IHITTEE
P. 0. BOX 164
ALLYN, WA 98524
JANUARY 3, 1 a92
W I LL I AH AND RUTH DUHAR
P.O. Box 81 1
ALLYN, WA 98524
,,RE: LOT 21 , LAKELAND V I LLAGE D I V I S I ON NUMBER 9
GEAR HR. AND HPS. DUNAR:
IT HAS BEEN BROUGHT TO 11Y ATTENTION, BY A CONCERNED LAKELAND
VILLAGE RESIDENT, THAT A POSSIBLE HEALTH HAZARD EXISTS ON THE
NORTH SIDE OF LAKELAND DRIVE, JUST WEST OF YOUR DRIVEWAY.
THE HEALTH HAZARD CONSISTS OF POOLS OF STAGNANT WATER WHICH ARE
BREEDING GROUNDS FOR BACTERIA AND V10SQUITOS AND COULD POSSIBLY
CAUSE DETERIORATION OF THE ROADWAY.
}
IN ORDER TO ALE V I ATE THIS PROBLE11, WE ARE REQUESTING THAT YOU
INSTALL A CULVERT OF THE APPROPRIATE D I HENS I ONS SO THAT THIS
HAZARD HAY BE ELIHINATED.
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RESPECTFULLY YOURS,
I
6/�
HANK GUNPEL, CHA I PHAN }
HGlcp
CC: MASON COUNTY DEPT. OF HEALTH SERVICES
MASON COUNTY DEPT. OF PUBLIC WORKS
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THE "CURE° WILL BE FOR THE COU�TY TO EXTEND THEIR DRAINAGE DITCH
(ON [HE SOU7H EDGE QF DUMAR ' S PROPERTY LIWE AND THE SOUTH EDGE OF
[HE LAKELAND [OMMUNITY PROPERTY LINE) . A CLOSE EXAMINATION OF THE
SOURCE OF THE NATER MAY AL9O BE OF IN7ERE5T. IT IS TO BE NOTED
THA� FOR SOME TIME THE PROPERTY ON THE SOUTH EDSE OF OUR PROPERTY
PAS BEEN USED FOR A "TURN AROUND SPOT" . IF A DRAINAGE DITCH IS
INSTALLED. A "DEAD-END"SIGN SHOULD BE POSTED AT THE HEAD OF THE
ROAD.
WE WILL BE HAPPY TO MEET WITH YOU� THE COUNTY REPRESENTATJVES AhD
ANY CONSTRUCTIVE INTERESTED PERSONS IN THE RESOLUTIO� OF THIS
PRO8LEM.
WILLIAM AN� RUTH DUMAR
CC: MAS[)N [OUNTY DEPT. QF HEALTH SERVJCES*-
NASOM COUNTY DEPT. OF PUBLIC WORKS
�
__ - _
Shorelines: Plumbing:
Setback: Mechanica :
Special Interior:
Conditions: FINAL: "
Mobile Home:
Smoke Detector:
Remarks: _
Footing: 6X 125/9 a e
Setback: oto Foundation - 7 -g ;.,,AR Kg1��
Walls: ge," _
Framing: nc3T4 — 04 W05
Fireplace: Igtot�
Wood Stove: �-c o S,k,#D .J er— U z y.r'c tAw
TYPE RESIDENCE
Permit No. 25681 No. Floors 1 .5 Sq Ftg 3154
Owner DUMAR, W. Tel Date 5-16-90
Address P 0 Box 811 Allyn Zip
Contractor Self
Address Zip
Legal Description Lakeland Village Div 9. Lot 21
Direction to project site W on Lakeland Dr. to end of rd. 1st
lot east of horse stable.
Plumbing x Mec anica x Sewer Wood Stove
Fireplace x Deck 660 Z;arage S�Za port
Basement x Aft Other
4 bdrm
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