HomeMy WebLinkAboutBLD23967 Final SFR - BLD Permit / Conditions - 9/28/1992 Shorelines: i Piunbin q/C /c
Setback: Mechanical
Special Interior: -
Conditions: FINAL: de-
Mobile
Smoke Detecto
Remarks: yo�,e. y�
noting: ) -7 o Esc
Setback: -
Foundation "r—y—qd
Walls:
Framing 0 G O
Fireplace:
Wood Stove:
---- ------ -- -----------=- -
TYPE RESIDENCE
Permit No. 23967 No. Floors 2 Sq Ftg 960
Owner FROHP]ADER, Robert Tel 922-9480 Date 6-28-89
Address 7223 48th St E Puyallup Zip
Contractor TBp
Address Zip
Legal Description W 401 . W 380' G.L.3 35-22-3
Direction to project site Hwy 106 at 9 mile sign.
(501 approx East of sign on South side of Hwy)
Plumbing xx Mechanical Sewer Wood Stove
Fireplace Deck404 -arage arport
Basement 6TT--]Loft Other
2 bdrm
j 1
t
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED Co
PERMIT NO. c7:23 94:�)
NAME MAIL ADDRESS � t'O� ��, CITY&STATE �1u q�in� qa a�/�g0
ZIP PHONE
OWNER a _ID !r� J(
DIRECTIONS 'J On W,,4, S�
TO JOB SITE II WTI I ob / a+- 94W M;12 S 1 q K) — SO Vt M �'S+ � $ N
0� N-y .
PARCEL LEGAL
NUMBER a�3s �ioC62/ DESCR. E yo' of ►,/ 3gOi Gov. L.ot .35 3 "?`2_
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR �/ l�rrr►in
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓ I ,
WORK DESCRIBE COnS4-uN� cA ao' X 3- / r2S icl&,ce
BEDROOMS_ DECKS CARPORT NOTICE
r� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS 3 TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES 7 BASEMENT (40 ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
,� COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.FT. g 1 v FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERVFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIS•RATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQU EMENTS 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 NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT NING APPROVAL FRO THE BUILD G DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X NER
�� DATE �`�� X BY DATE
FOR OFFICE USE ONLY
D ARTMENT APPROVED DEPARTMENT YES NOBUILDING VALUATION
YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING �l�/� PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP �- PRE-INSPECTION
l In i SHORELINE
4t WOODSTOVE
PLUMBING
q _ JYg.00=S-j'o CHANICAL
1ERr►l/� 'A1� Crl' �q X �y-Sv :Z/ -sTATE BUILDING FEE Q
326 � ?��-S �/O �j;t C STATE SURCHARGE
APPLICATION CCEPTED 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
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER
DIRECTIONS
TO JOB SITE
LEGAL
DESCR.
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
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 c4l FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS LJ. 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
DISHWASHEROka I
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL 3 , 001. 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WIT �STTAIG APP OVAL FROt, HE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X ATE CO- S' P` X BY DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
I��,,I, BY &1' CASH CK MO
PLOT PLAN
ADDRESS PERMIT NO. 4 0
n s
' o
LEGAL '
DESCRIPTION LOT BILK 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 AND 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. o/
J
N INDICATE NORTH IN CIRCLE GRAPHS UARES ARE 5' X 5' OR 1"=20'
C.
ol
y
i
I
)
ul
I/We certify that the proposed construction will conform to the dlmensinna and uses shown above and that no changes will be made without
first obtaining approval.
NAME(S) OR OWNER(S) OF SITE a STRUCTJRE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REP ESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
STRUCTURE PROPERTY SETBACKS
495441
Chanter 14.08.180 of Mason County Code
Building setback from property lines, right-of-way, or the closest
projection shall be five
p � s 1 (5) meet to said line.
A variance may be granted to said line if a hardship can be shown and
the adjacent property owner has no objection and is willing to incumber the
deed to his/her property and to be recorded with the Auditor of Mason
County a written statement on his property deed as follows:
The property owner described ( 1 ) Legal Description F, yo I of W. 3 Ro /of
Go V. lo+- 3 and the property adjacent (2) Legal l Description
S t-r c r- L-, .3-i,,' ,� been granted a variance of a feet to the
Mason County property in�L'setback regulations. The variance shall be for
the life of said structure or structures so located.
Dated this �b- day of FLU L 0 S
Signed by property owner(s) . ...m
N
VJ N PROPERTY OWNER
A47A(-&Nr PROPERTY OWNER
STATE OF WA.SBINGI'ON)
)SS.
COUNL'Y OF r�CIS )
REQUEST OF
On this day personally appeared before me,
to me known to be the individuals described in and executed the foregoing
instrument, and acknowledged that they signed-.-'the same as their free and
voluntary act and ded, for the uses and purposes therein mentioned.
Given under my hand and official seal this J�ay of
SFA.L t L(,(.C_ J
NOT Y PUBLIC in and for the
o shsington, residing atZte
� rtr.ermore the variance so granted must be recorded on the property
deed of that parcel of property and a copy of the Auditor's Receipt returned
to the Department. of General Services.
o
Reviewed by the Director of General Services � l vt,� 41
Approved by Mason County Commissioners Director Date
Date 1 - .
O y 7 �J
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DIST NO.903 � 3 L ♦0
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