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
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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