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Home My WebLink AboutBLD22482 Final SFR - BLD Permit / Conditions - 3/15/1989 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED 7" Z-WN' PERMIT NO. --;Z;2 4A2 NAMf MAILADD SS CITY SSTATE ZIP PHONE NER �, j '�? - iECTIONS JOB SITE f= + " ell-"u 4�'Lua rec"' Urki-I -7k f, PARCEL U NUMBER 6C7 (0' Io I DESCR. V Q LLB �j 7-A NAME MAILADDRESS CI, SS LICENSE NO. ZIP PHONE CONTRACTOR r .�- ►» !ct C'. aGk' YS?Z �` E= / i1 USE OF ef BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK '�'j, P i BEDROOMS_ DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL TOTAL SO.FT. GARAGE CONDITIONING. NO.OF STORIES 9- BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTR CTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION O WORK IS SUSPENDED OR TOTAL SO.FT./ FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER ORKISCOMMENCED. PERMANENT SHORELINE SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXJRMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION LAW RC "8.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND 1 AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENTS FOR W CH 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 EREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT IRST OBTAINING OBTAINING APPROV FROM THE BUILDING DEPARTMENT. APPROVAL FROM T Uj4.DI DEPARTMENT. -le4'� l X OW ER DATE X BY DATE FOR OFFICE USE ONLY APPROVED APPROVED BUILDING VALUATION DEPARTMENT DEPARTMENT 7 (,. YES NO YES NO �� 0 HEALTH PUBLIC WORKS FEE PLANNING ,�j r FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE ill A pep X,33; - -� _�/C7 �. PLUMBING z 4 " MECHANICAL STATE BUILDING FEE - 5' _ STATE SURCHARGE APPLICATION ACCEPTED BY "S CHECK BY APPROVED FOR ISSUANCE r RMIT VALIDATION �L�Z� BY CASH CK MO TOTAL PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 Q _ 427-9670 DATE ISSUED PERMIT NO. b,�? NAME MAIL ADDRESS CITY R STATE ZIP PHONE J ER jbiiti V - PO, 3E? 21 ECTIONS JOB SITE C �• ! l ( _ ng�L Lys-, c ! LE AL DESCR. C�� -2 F C� � aCJ CONTRACTOR NAME MAILADD ESS ITY& TE LICENSE NO. ZIP PHONE USE OF BUILDING ' PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS G "� — FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS // -�- FLOOR/SUSPENDED FURNACE 6.00 CJr BATHTUBS LAG � BOILER/COMPRESSOR 6.00 l SHOWERS — REPAIR/ALTERATION 6.00 WATER HEATERS , e --- REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER aC; 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 �r LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL ., URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 rY ( _ TOTAL ��('- TOTAL 5. J 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 CONF RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST O M s P OVAL FROM THE BUILDING DEPA ENT. J X OWNER DATE X BY � - DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION UJI& BYGV'C e `7� CASH CK MO PLOT PLAN 96 r d ADDRESS - PERMIT NO. o LEGAL DESCRIPTION LOT BLK ADDITION SITE AREA�` Sq'Ft. AREA OF SITE OCCUPIED BY BUILDINGS �� Sq•Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. 0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no c nges will be made without first obtaining approval. NAM[(a) OF OWN[ ) O $1T ST U TURE(S) (PRINT) 8 IGNA T U RXO WNER131 OR A T ORI 3ENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DATE " < DISTRICT AS NOTED Shorelines: r�� r Plumbing: �'r�'✓v� Setback:_ i� Mechanical: w✓vC Special Interior: Conditions:- FINAL:,n,t'�d'7 Mobile Home: Smoke Detector: Remarks: Tears Footing: AtAO-OF stwbcr Setback:'//��ze P�• '` it�c i�y �47 Foundation , Walls: Framing: Fireplace: Wood Stove: TYPE RESIDENCE Permit No. 22482 No. Floors 2 Sq Ftg 1860 Owner VAN HORN, John Tel 275-6817 Date 8-8-88 Address P O Box 1213 Allyn Zip Contractor Olson Const Address 309 West G Shelton Zip Legal Description Tr 4 G.L.3 32-22-1 Direction to project site E 390 Cronquist Rd. Allyn Plumbing X Mechanical x Sewer Wood Stove Fireplace A Deck 96 Garage 594 Carport Basement Loft Other 2 bdrm