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Home My WebLink AboutBLD30419 SFR - BLD Permit / Conditions - 5/7/1992 horelines: Plumbing:cat2 ak r �y setback: Mechnical: •Qq z.. pecial .onditions: Final: Mobile Home: Smoke Detector Remarks: Footing: ro I�go 61 nexw�n`1� etback: 5ae' 4 rs- oundation / U KLOO.. 51A6 „t,sOI mD 2 Va1Ls: 11� L,D Via., s p�.S-��-1'3z raming: cyLJ= .�- ireplace: �E57"s �Z ,rs Voodstove: �.REA: #3 - LUM TYPE: RESIDENCE owner: PEDERSON, KURT&MARTel: 630-3522 Date: 05-07-92 address: KENT, WA 98072 (NO OTHER ADDRESS GIVEN) ermit #: 30419 Floors: 2 Sq Ft: 1660 'ontractor: C&H CONST / CHCOHI-229BA hone: NOT PROVIDED .•egal Description: OLYMPIC VISTA LOT 14 lirection to job site: HWY 106 PAST ALDERBROOK INN, 1 MILE CURN RIGHT UP OLYMPIC VISTA DR, HAFT WAY UP HILL .►N LEFT (C&H SIGN) -lumbing X Mechanical X Woodstove ireplace Deck 650 Garage 624 / .arport Basement 1036 Loft (� 'onditions: NONE BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER 41*s 9gG') � �,� 35 L DIRECTIONS Ntti �`/ / / i�� l2 .5tZc`)l` t k TO JOB SITE ff� ( .--1t 6 JS5CC /t �" •y.., [c �r i P h Q i v-� �-' .t/ G.'1 All I/ PARCEL LEGAL NUMBER s/-ODD% DESCR. �� > I NAME1 MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO. CONTRACTOR c 7 w ce, /07,.3 S, 4OA x«5 z r OL - Gv x- QYso t"/fC��/ 'ciy -4 USE OF BUILDING r yy--/ -611-1 CLASS OF NEW �/ ADDITION ALTERATION REPAIR MOVE REMOVE WORK ::I I DESCRIBE WORK AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING. BASEMENT I SgFt BEDROOMS 3 PRIMARY RES.;, THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT i COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR DECKS ___C- SgFt BATHROOMS _� SEASONAL RES.❑ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE (i 7-9 SgFt ATTACHED Cl 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 VA AWARE O'THE OR (NANCE REQUIREMENTS REGULATING THE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK WHICH THE PERMIT �S D AND ALL WORK DONE WILL BE IN IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CO ORMANCE HEREWITH.NO C AN E )ALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. PROVA THE BUILDING D PAR T XOWNER DATE _ X Y /� fuY` DATE FOR OFFICE U DEPARTMENT YES PPROVENo DEPARTMENT YES NO BUILDING VALUATION �L{ HEALTH PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING PLAN CHECK D 50 SPECIAL CONDITI S BUILDING GROUP �•3 PRE-INSPECTION SHORELINE A wti� s u_c� ClS WOODSTOVE L PLUMBING J 3 3/ ECHANICAL STATE BUILDING FEE �0 0 'ATI IN ACCIEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION ( Q q� 1"A BY CASH Cl MO TOTAL I nI PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 yj 427-9670 DATE ISSUED y1��/�� d PERMIT NO. NAME MAIL ADDRESS CITY BSTATE ZIP PHONE OWNER I./CI vt r3 lqv -S S'- 1-9' i4 .L #o, z_ ��3>1- DIRECTIONS j TO JOB SITE �[ (�e6 C r. 1t cr v� S/r a }�o.-tick Al �tJ z 06 A1v.-� vo C1 a, z wl / � '� ?S7- 4�arzlk /j�loolc +r. LEGAL DESCR. 1-y`nel le 0- CONTRACTOR NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP b cc"Sd". 10 2- 5 d A++�. -,L4 C NGo u i Z2 tg ?ITAc i 9 USE OF BUILDING L PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE 43 WATER CLOSETS 6 1 FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS FLOOR/SUSPENDED FURNACE 6.00 Z BATHTUBS Y BOILER/COMPRESSOR 6.00 ' SHOWERS 2 REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 I AUTO.WASHER Z AIR HANDLING UNITS 7.50 SINKS HEAT-PUMPS 6.00 0 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET a Q DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT l`j 0 LAUNDRY TRAYS FIRE SUPPRESSION 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 ' DISHWASHER Z ' DISPOSAL Z 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. 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 FIRS OBTAI NG P OVAL FROM THE BUILDING DEPARTM . X OWNER DATE X BY DATE FOR OFFICE E ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUIl01NG GROUP rs PPROVED FOR ISSUANCE PERMIT VALIDATION Y 4'I '0'9z- CASH CK MO BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER /�1tM't' /�p�2 su.•.-- t`1 y 2.ti— i_ L4' t'Tr' 17kCi7 L 43v •3�L DIRECTIONS / TO JOB SITE Tv e,.. 1o1 fzss-d ALO$IL13n-k iNV PARCEL LEGAL NUMBER DESCR. Indicate below: O Property lines and dimensions. O Easements and roads. O Septic, drainfield and reserve area, or sewer. O Septic tank and drainfield setback distances from foundations.o s. O Location of proposed construction on ro ert . P P Y O Building & septic system setback distances from all property lines& easements. Indicate North O Well and water line. J In Circle O Saltwater, lakes, rivers, streams, wetlands, drainage. O Attach copy of septic system "as built" or septic permit approval. O Indicate topography profile of property and structure on reverse side. � � I C� ;4 U r ` , N9 nc '` - - - a I I/We co aPP+,•wal. P''E•—+�-�i�T_'.-ri=_ ?�sr �` SIGNATURE OF OWNER(S)OR AUTHOPIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED nATF TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE i - 3S br ....Z 5� J � �- i