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HomeMy WebLinkAboutBLD21323 Final Remodel - BLD Permit / Conditions - 2/3/1988 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 _ DATE ISSUED/,1?_�2 �/ F a � J// PERMIT NO. / OWNER NW MAILADDRESS 11&hY f STATE ZIP PHONE DIRECTIONS TO JOB SITE H l &H tn.1/q- '�*I 06 A U J C S T F D,4L-13 V RcL PARCEL LEGAL 1 6-(5 1) -) R �D®` DESCR. NUMBE NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP HONE CONTRACTOR �ZtE�C�, CAO, SjF X V/ E.3 b WLAN 0 DA U.Al10bJ UJA, GjQE6CS /61C USE OF BUILDING -T- L)-R AJT- CLASSOF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE WORK nd G RgM 0 QE L_ R O F K i l c i-f E t3 47-ti BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING. NO.OF STORIES _ BASEMENT ATTACHED 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. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERS FIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRAT N LAW RCW 18 ! AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREM TS FOR WHIC IS 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 CONF MANCE THE WITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAIN1N APPROVAL OM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. c ` X O R / �-' ATE j 7 X BY DATE FOR OFFICE USE ONLY DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENo BUILDING VALUATION Q� 6 HEALTH PUBLIC WORKS It FEE PLANNING FIRE BUILDING PERMIT cU D.O.T. BUILDING PLAN CHECK , 4-9 ECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION D 00 SHORELINE WOODSTOVE �-----L PLUMBING 00 MECHANICAL CIO STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLA CH B n_ aA CE PERMIT VALIDATION C TOTAL TBJ CASH CK MO / BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAb1E MAILADDRESS CITY&STA/TE ZIP PHONE gZC 421 DIRECTIONS TO JOB SITE �Q %i /'457�/ PARCEL LEGAL }1 N U M B E DESCR. t CAL G NAME TAAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF BUILDING 8'—'s.nL ew-/ l CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE ` WORK /��- BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING. NO.OF STORIES _ BASEMENT ATTACHED 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 TOTALSQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT 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 BY DATE FOR OFFICE USE ONLY DEPARTMENT Y SAPPROVED 0 DEPARTMENT YESPPROVEDIO BUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL BY CASH CK MO PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 ] 426-5593 DATE ISSUED PERMIT NO. r OWNER AME7 MAILADDRESS ITYBSTATE ZIP �?� � Q� �•- DIRECTIONS TO JOB SITE Gb}Wr}y Ofl 01 LEGAL OiS ��-o�� a o d �3 ll C 6 e D /d e DESCR. CONTRACTOR NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE USE OF BUILDING RES TAU 7- 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 BATHTUBS BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION WATER HEATERS 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 -5,OD LAU N DRY 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 TOTAL TOTAL 00 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 REGj,%TRATION 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 R UIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE W B IN OONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUTFIRSTO ININ APPROVALF THE BUILDINGDEPART ENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. XOWNER � fiDATE XBY DATE FOR OFFICE USE ON Y APPLICATION ACCEPTED BY PLANS CHECK BY AD I GR P A R ISSN PERMITVALIDATION Y CASH CK MO G � ' 1 I �1 I 1 1 1 D ` +,j I I 1 I I • �` � ! � y w o I ` a 1 0Co �,1 --- - --'t-- ---- j 40 Cl j e w t�, 0 I 30' ?o' I •� ' • F I � I n, , MASON COUNTY DEPARTMENT of GENERAL SERVICES Courthouse Annex I N. Fourth & W. Cedar P.O. Box 186 Shelton, Washington 98584 ' (206) 427-9670 building environmental health maintenance landfill parks&recreation fair/convention center planning sewer&water September 25, 1987 Victoria Rice E211 Arellem Road Union, WA 98592 Dear Ms. Rice: Inspection of the old Robin Hood Inn indicated the following: (1) Complete architectural plans must be supplied this department for the proposed renovation as Per Uniform Building Code, Chapter 3, Section 302B. (2) Plans shall include approved hood and suppression system as required by law. (3) Plumbing and sanitary facilities to meet Uniform Plumbing Code. (4) All exit doors to have lighted signs as per RCW. This office realizes there is no Change of Use but building must comply with all Life Safety Codes. Respectfully, B.E. Piland, Inspector DEPT OF GENERAL SERVICES BEP/jw Shorelines: ei.< Plunbi Setback: << Mechanical�� J3 Special Interior: Conditions: ZIEZ211- A-f F INAL:,, 2--3/iOy Mobile Hcme: Smoke Detector: noting: Remarks: Setback: Foundation Walls: Fr aning. Fireplace: Wood Stove77 TYPE REMODEL Permit No. 21323 No. Floors Sq Ftg Owner RICE victoria Te1898-4400 Address E 211 Arellem Rd Date 12-15-87 Contractor Gre Union Zip gg s Carpentry Address E 30 Hyland Dr Union Legal Description Union Hood Canal Land & Imp. Bl. 100; Direction to project site ots , E Lot Hwy 106 & West of Dalby P u i x Mechanical x Sewer Wood Stove Fireplace e Deck Cage carport Basement Loft Other