The URL can be used to link to this page

Home My WebLink AboutBLD19630 Carport/Remodel Kitchen - BLD Permit / Conditions - 12/3/1986 TYPE CARPORT/REMODEL KITCHEN Permit No. 19630 No. Floors Sq Ftg 528 Owner ELLIS, Ron `Del 426-4684 Date 12-3-86 Address E 31 Sprinewood Lane Shelton Zip Contractor 3-M Const Co Address SE Lynch Rd Shelton Zip LegalDescription S rin wood Lot 13 Direction to project site Springwood development. 2nd right grey house on corner Plm bing x Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other '� l Shorelines: ,Vf} Plumbing: Setback: Mechanical: Special Interior: Conditions: FINAL: Mobile Home: Smoke Detector: Remarks: Footing: Setback: Foundation Walls: Framing:�� Fireplace: Wood Stove: muLL VG, + EXPIRATION JAPE I- 9-y' .BY BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED/'--�)r PERMIT NO. NAME MAILADDRESS CITY BSTATE ZIP PHONE OWNER - U N 1-0S S 17eC fb1v ,:4 . . y1G--L�c DIRECTIONS TO JOB SITE ` SP41 AI�/Wd0 S ,01/J e:Q!?i1l/ flf— LEGAL DESCR. / 13_.fir NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE CONTRACTOR 3/✓, sr,em). SF. L tf/VGIfi /?--jO S �A)j wa/ TH -/-v , USE OF BUILDING �� ;rOfl..�N41 r liL7t/ I, 4-7 55 CLASS OF NEW ✓ ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK BEDROOMS 3 DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS_,. TOTAL SQ.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. 1360 FIREPLACES DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT �,� SHORELINE SEASONAL OWNERSAFFIDAVIT 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 REQUIR MENTS 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 C FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING 08TA ING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. WNER DATE - `� �g`^� X BY DATE FOR OFFICE USE ONLY DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENO BUILDING VALUATION C, HEALTH _ PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT �� `' L D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE PLANNING PLUMBING 5, r MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION BY e � TOTAL ' ' CASH CK MO L- PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. NAME ' MAILADDRESS CITY&STAT I ZIP PHONE r- S I�clti'AL IcicfC►(� f) ' ti►1 � c�le �46/L' 1() OWNER Sfi �Tsy y� yr DIRECTIONS ` TO JOB SITE ? ( I;IA.;(LEGAL ;ItJO'C%C lCJs�1t_ DESCR. !-'; NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP �! S �"it PHONE CONTRACTOR -�� ('ck Js - E . C� net► "-� )e t" v'r Three -M.C. i _ � 7.l-976 USE OF BUILDING 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 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 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 �,-', o o 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 WILLE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OB INING APPROV FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER 11t1dC��`� DATE ��- X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS C CK BY BUILDING GROUP APPROVE FOR ISSUANCE PERMIT VALIDATION IBY �� CASH CK MO PLOT PLAN ADDRESS 3 ! 5��Lw�Q[� 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 A"'D 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' tell E o1 r � P1,61 4r- rG \ I Q i c .3 . I/We certify that the proposed construction will conform to the dlmensicros and uses sho above and that no changes will be made without first obtaining approval. STRt=�C &'Z z l S NAME(S) OF OWNERM OF SITE k STRUCTURE(S) (PRINT) IGNATURE OF OWNERM OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE CHRISTMASTOWN PRINTING