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BLD30494 Final SFR - BLD Permit / Conditions - 5/20/1992
BUILDING PERMIT APPLICATION 'L MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O.BOX 186 SHELTON,WASHINGTON 98584 ✓ 427-9670 DATE ISSUED�� PERMIT NO. NAME MAILADDRESS ,CI Y&STATE ZIP PHONE OWNER e�� Dot t S iP 1/'l `_7i` © t:.tvi,� ok, %41 0 6-6/61 DIRECTIONS 1 ' ,_ TO JOB SITE LA 10r� S� cg+�t `L® 19 �'r-s °1 � `r s+ PARCEL LEGAL 1 -'7^� / _ NUMBER '� ,DS �877 DESCR. �I� -1 �� 1 / e `�S �a ve NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE No. CONTRACTOR ��;,.e ti. C-�, 3(t-f 66(i tA*c_L;( USE OF i ` C�r� BUILDING �"�i -p- CLASS OF NEW WORK ✓ ADDITION TALTERATION REPAIR MOVE 7REMOVE DESCRIBE WORK AREA: NUMBER OF: ' PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE qFt STORIES SHORELINE a CONDITIONING. BASEMENT SgFt BEDROOMS 3 PRIMARY RES.O THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS S Ft BATHROOMS Z SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR q ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE SgFt ATTACHED O DETACHED* 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. � ►3� ,a X OWNER DATE X BY DATE 2 FOR OFFICE US ONLY APPROVED APPROVED DEPARTMENT YES NO DEPARTMENT YES NO BUILDING VALUATION 1J HEALTH KT PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT u D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP K,3 PRE-INSPECTION / 1 " le-co"��j SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE AP LICATIO/N�ACCEPTED BY PLANS CHECK BY APPROVED FO ISSUA C PERMIT VALIDATION �� BY' T ►� /¢ 1' CASH CK MO TOTAL PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O.BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. OWNER NAME MAILADDRESS CITY&STATE ZIP W.7 PHONE DIRECTIONS TO JOB SITE S2�l + 1 1 iD �r-.56,�,, (,� � '1 "� � 11 l LEGAL DESCR, tb t*1 1-4 Lp+ -7� �"v`fv(3 6. - NAME MAIL ADDRESS CITY&ST��,TE LICENSE NO. ZIP PHONE CONTRACTOR +`�. � ( � etTc__USE OF L < ES4 G BUILDING k_5 t IG 1 ' I PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FE 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 REPAIR/ALTERATION 6.00 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 LAUNDRY TRAYS FIRE SUPPRESSION 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 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. ail OWNERS AFFIDAVIT: 1 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 'I 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 O TAINING APPR V L F ^THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. G XOWNER °� DATE �` ` XBY DATE FOR OFFICE USt ONLY APPLICATION ACCEPTED BY PLANS CHECK BY ING UP APPROVED FOR ISSUANCE PERMIT VALIDATION i Y O i IBY ICASH CK M WA i , ;..!!It} ,.. SUPER,_., G%)t...... CENTS =-i ..i.. i~:...,;_ .. COMPLIANCE REPORT r : ist Glazing '+ ":.,::NORTHWEST_ ALUM 1 i .,./.),y CLEAR :. +::�l:;i, -i��- Htom;'~,_-- ALUM , .f: , I O 1 . ."'!i -!;. _ _ _ _,,_ i.. , ... N q � ii r !-. ALUM t I ;r t 3 I �•F L (- i , ' i • _ AG Wall a::;.,... ,.. Ceiling R49 blown Attie STD Standard„ .baffled infiltration i { i i ; t - fion i e l J '` -0. _ ,r _ } _ . . ------------------------------- Proposed ..._........._..... ........... ............. - --...... ....._-...................•...... _......._................ _............_ .. ...... ... ....... i MaximumHeating System Type: Electric: Zoned-! Modified Efficiency: 100 System Size,, 6 .4 ktit) Average Annual Heat: 8820 v 'iif: . !at 1 on System: integrated Spot'; PartiallySolar Access: J__..:..- -_. .--.--'-'----'---...__._. _._...----__.__-- --._- -----•--.-.-._....--._ _.__..__.__ :...--..-------------'-"- ---...._---- -"_-_.._.._. ....__.. __..._. South:GLAZINO ORIENTATION .x. ... Northwest .,. East:Southeas ^ _ _ Northeast,-+ Southwest '' 1.5 ....-_.._..-_-_. -__.-___________.._._-_...__._..-_..-__.....-._..._ 1 t..>ii_ :. and i, a energy consumption estimates are designed for comparative Qes only . t , .:}ia 1. Cost for heating S.I. S l vary depending : . ...... . :.. : Shorelines: Setback: Plumbing: fq�,��. Special Mechanical- Conditions: Interior: Final- Mobile Home: Smoke Detector: Footing: , Remarks: Setback: Foundation '� L73 Walls: Framing; fYl -iD a 9 Fireplace: Woodstove: AREAS #1 - FAWNER TYPE: RESIDENCE ' Owner: . MAC KINNON, JASON Tel: 876-6619 Date: 05-06-92 Address' 314 SIDNEy, PORT ORCHARD 98366 Permit #: 30494A Floors: 2 Sq Ft; 1728 Contractor: SELF Phone: Legal Description: BEARDS COVE DIV 4 LOT 77 j Direction to job site: SANDHILL TO LARSON TO FIRST SAC PAST ANCHOR CUL-DE j Plumbing X Mechanical X Woodstove Fireplace Deck 84 Garage. Carport Basement Conditions: Loft 04 1