HomeMy WebLinkAboutBLD28713 SFR - BLD Permit / Conditions - 7/31/1991 Shorel ities: Pl unb ing• or-bY
Setback: Mechanicalry
Special Interior:
Conditions: FINAL:
MobileHome: '
Smoke Detector ��'-
Remarks:
Footing:, 7,j A In - -
Setback: 4 A,0
Foundation
Walls: N011AlVE fIVAJ 66rx )Y� nywe ' lam
Framing;nL-_ -q2r
Fireplace:
Wood Stove:
TYPE RESIDEKE
Permit No.28713 No. Floors 1 Sq Ftg 576
Owner Jim Printz Tel Date7/31/91
Address PO Box 1923 Port Orchard 98366 Zip
Contractor Same
Address zip
Legal Description
Direction to pr0.ect site See attached man.
> i ik 'J
umb fr1g x Mechanical x Sewer Wood Stove
Fireplace Deck arage arport
Basement soft —Other
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1
U. PUBLIC UTILITY DISTRICT NO. 1
OF MASON COUNTY BOARD OF COMMISSIONERS
DANIEL C. SCOTT, President
N. 21971 Hwy. 101 RICK BUECHEL, Vice President
Shelton, Washington 98584 KRIS BOLENDER, Secretary
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JUN 29
jUi--ic7 26, 1992
'MaSC1171 COLAI-VtV GLIfle-Fal Se-r-vic:e,:-, r- ,�o—n jCEC
F'D Box, 1.68
Shielto-n,F W.) 98584
FZE: Jaffu-is F-,-ir-itz
Dear Da r-,:
Ir-i i--E�fei-ei-tc:e to the., hICIUSE- built foi- Jim F-i--ii-jtz i!-I Tifftb-g�--rjj.de q MOts-5c,11-1
COLA-1-1-L" PLJD #1 did tl-ie ir-ispecticir-i ovi Mai-c-l-) 261
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F'atrtici4�-�t McDo-,-jald
Consul-va-tico--i Cooi-diriatoi- '7131
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(206) 877-5249 * 1-800-544-4223 (ln WoshingLon Only) • FAX (206) 877-9274
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO. D �D
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER Jim Frintz P.O. Box 1923 Port Orchard, Wash. 98366
DIRECTIONS Map attached
TO JOB SITE
LEGAL
DESCR.
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
Owner
USE OF
BUILDING Res.
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
1 WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00
1 BASINS FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
1 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
1 AUTO.WASHER AIR HANDLING UNITS 7.50
1 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
DISH WASHER
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 -
TOTAL G- 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 REQU EMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL
WORK DONE B I ONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIR T O T I N VAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE ��__ L X BY DATE
FOR OFFICE USE ON
APPLICATION ACCEPTED BY P S C C BY BUILDING GROUP APP_ D F SSUA C PERMIT VALIDATION
f i �r� 2 8Y t 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. 1 F�
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER Jim Printz P.O. Box 192 !-ort Orchard Wash. 98366
DIRECTIONS
TO JOB SITE Map attached
PARCEL LEGAL
NUMBER _32235 75 00170 1 DESCR. _!
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO, ZIP PHONE
Owner
USE OF
BUILDING Res.
CLASS OF NEWew ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE WORK New construction
BEDROOMS 1 DECKS none CARPORT 11011om NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS I — TOTAL SQ. FT. n nn GARAGE y—@Ls— CONDITIONING.
NO.OF STORIES .1_ BASEMENT n n n o ATTACHED ye-8THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
TOTALSQ.FT5
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
FIREPLACE nQna DETACHED 1�0 ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT yes SHORELINE none
SEASONAL n0
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 �b X BY _ --DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION,
YES NO YES NO r
HEALTH PUBLIC WORKS FEE
PLANNING l FIRE BUILDING PERMIT -�
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDINGGROUP PRE-INSPECTION
SHORELINE
64 WOODSTOVE
e '5 PLUMBING
MECHANICAL J
STATE BUILDING FEE J
STATE SURCHARGE 1
APPLICATION ACCEPTED BY PLANS CHH/ECKZZ
BY A VE R IS U NCE PERMIT VALIDATION ^
r(C�' �,C CASH CK MO
TOTAL ��`,
i
LUMBE MEWS
OMES
M yo�
.1°6^PRO �pnN�Ny
I �
o �
rR� LUMBERMEN 'S HOMES
Final Approved Copy
Sub'ec to appro e �ers
E NA rat
P.O.BOX 700 FRONT AND PINE SHELTON,WA 98584(206)426.2614
WA CONT.LIC.#LU-MB-EW-323RT