HomeMy WebLinkAboutBLD25281 Final SFR - BLD Permit / Conditions - 7/16/1990 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
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PERMIT NO. �
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER .
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DIRECTIONS ye-IL ATO JOB SITE - 0 - f r tl_ w.qzwp � , LcG, c
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PARCEL LEGAL
NUMBER 1.223�yoa�v$-�', DESCR. '� 0Fl: nc_ Ta.0 , 'o, 4el L--7/4oY
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
6 AV iU oz C 6l va
USE OF
BUILDING f
CLASS OF NEW ��-- ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK Ale 1. , Znf
BEDROOMS DECKS CARPORT — NOTICE
�-7 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS_ TOTAL SQ.FT. GARAGE � CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED &Oeo� 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. l_� FIREPLACE DETACHED ` ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAV CONTRACTORS AFFIDAVIT
I CERTIFY THAT I M EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENT OR 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 CONFOR NCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING PROVAL FROM THE BUILDING DEPARTMENT. APPROVAL OM THEBUILDI G DEP„ MNT.
XO ER DATE XBY f
' S> DATE r2 - `cl C'
FOR OFFICE USE O LY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION r
YES NO YES NO 5 J�
HEALTH c I PUBLICWORKS FEE
PLANNING FIRE BUILDING PERMIT 3 J
D.O.T. u BUILDING _ PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP r ��,1 PRE INSPECTION
U c t\ �A' d- a SHORELINE
T 1 r WOODSTOVE
Q( PLUMBING Z L
MECHANICAL a ��
s-0 STATE BUILDING FEE �Q
Cj 1 QLld �J STATE SURCHARGE
APPLICATION ACCEPTED BY 1PLANSCHECKBY jApPROV"11SSUANCE PERMIT VALIDATION
TOTAL
BY - CASH CK MO
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
DIRECTIONS
TO JOB SITE 3 dA., v : e L ,
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p . � \
LEGAL aiv44' N F
DESCR. zd Vi 2" c. j7 No
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
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7E it 2 co6
USE OF
BUILDING IS ER
PLUMBING PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE
WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS BOILER/COMPRESSOR 6.00
SHOWERS QC) REPAIR/ALTERATION 6.00
WATER HEATERS .t-� REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER AIR HANDLING UNITS 7.50
SINKS HEAT-PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT _ �)
LAUNDRY TRAYS WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER
DISPOSAL l 'cT rl C a
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL I 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 DO WILL BE IN CO FORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHO FIR OITAINI GA �ROVA PROM THE BUILDING DEPARTMENT.
X OWNER DATE X B DATE oZ ` 7"41
FOR OFFICE USE O Y
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP PROVE _ OR ISSUANCE PERMIT VALIDATION
I - I\ , -j.- �S�_ BY CASH CK MO
Shorelines: P1unb1ng: d 1224L
Setback: Mechanica : '
Special Interior:
Conditions: FINAL:dc''
Mobile Home:
Smoke Detector:
Remarks:
Footing: 3 7i
Setback: 0,,e-
Foundation
Walls:
Framing: 0
Fireplace:
Wood Stove:
TYPE RESIDENCE
Permit No. 25281 No. Floors 2 Sq Ftg 1595
Owner SASTEN, Dwight H Tel Date 3-12-90
Address 1827 Rolling Hills Ave SE Renton Zip
Contractor Shelton Const
Address E 1451 Anthony Rd Grapeview Zip
Legal Description Tr 5 G.L.3 32-22-1
Direction to project site E 380 Cronguist Rd Hwy 3 to Grapevievd
Loop right to Cronguist right to above address. Right down drive.
Plumbing �_ Mechanical �_ ewer Wo Stove x _
Fireplace Deck Garage 576 Carport
Basement Loft Other