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HomeMy WebLinkAboutBLD17810 Final SFR - BLD Permit / Conditions - 4/2/1986 i TYPE RESIDENCE Permit No. 17810 No. Floors Sq Ftg _ Owner Address Tel 275_ A2n Date R_lC-R5 Tel Nelson Rd Allay. Zip 9R5�4 Contractor Don kinks Address SE 3850 Lynch Rd Shelton Zip Legal Description Tr. 3 of Gov Lot 6 29-22-1 Direction to project site A�pprox 2 miles on Granevies Loop Rd. to Nelson Rd. left 600' rt to drive on left Plumbing x Mechanical x Sewer Wood Stove Fireplace Deck 452 Garage 286 Carport x Basement Loft Other r Shorelines: Setback:, ,- Special Conditions: Foot ing:r+,�� Setback: Foundation Wal s: n e Framing: Fireplace: Wood Stove: Plumbing: 1O,(i-/ S � Mechanical: Interior: /- Final: Mobile Home: Smoke Detector: RQemmaar�k�si: f DATE i BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. OWNER NAME MAIL ADDRESS CITY a STATE ZIP PHONE OR SIB L Loy-D E / NEZSOIII 46 PLC V N W A S2 :�S —2`fZ0 DIRECTIONS I I%SOU T 2 M/LE'S VAJ TO JOB SITE GRAtfLr-vj&W LOON' RD SHOt-WOOD CKEP< TO NRZsoN RE) L �� R Tp DRf LEGAL (❑ SEE ATTACHED SHEET) GN LEF DESCR. 29 — ZZ I __rR_A-G-T 3 of 4av-r GO7 (p NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE CONTRACTOR Z)t9N LjNIfS SF -38,V I-yK(:H RD EH49Z?vN W/-V, jDOA/C2C*I 22- OM USE OF BUILDING 9i551D&k1 CF Class of work: X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: .S/NC L>c STorty Z B4. )R-ooM Hv u E Kira S/NCa(_G- A-7n-cHED 6A-V-n,rs • `V001) 5Tbv6:- , 6) . D Valuation of work: $ PLAN CHECK FEE PERMIT FEE o d SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT❑ NOTICE BATHROOMS TOTAL SO. FT.� GARAGE ?� G ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING. TOTAL SQ. FT t7:2 FIREPLACE ❑ DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR AFFIDAVIT IZED 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 I c tify that I am a currently registered contractor in WORK IS COMMENCED. or State of Washington and I the aware of the FOR OFFICE USE ONLY or finance requirements regulating the work for which /NA/ e permit is issued and all work done will be innformance therewith. PERMANENT ❑ SHORELINES ❑ L1 NKs com,, uc-riml SEASONAL ElFLOODPLAIN ❑ Firm E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. o. DONL'Zc-41F 22$O A4 Date 8 y 8� ZONING PLANNING DEPT. P,, 1 -95- EL/4-8S OWNERS AFFIDAVIT HEALTH DEPT. PUBLIC WORKS I certify that I am exempt from the requirements of the FIRE MARSHAL contract or registration law RCW 18.27, and am aware BUILDING DEPT. of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLAN CHECK BY APPROVED FOR ISSUANCE &L_Owner Date. i��_ BY _� PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH CHRISTMASTOWN PRINTING MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT OF GENERAL SERVICES P. O. BOX 186 SHELTON, WASHINGTON 98584 PHONE 206 - 4265 9� �� DATE ISSUED PERMIT NO. Z 7Z16 LEGAL DESC_ : SEC. _ 2 TWN. Zy NO.,RANGE �_ WEST, W.M. TieA-(-f 3 OF_ 60VT Lo'r to PLAT DIV.— LOT OWNER L LOYD A4095G ADDRESS /7/ /VF1_SoAl P-D A-uYNf WA 9852y CONTRACTOR lboti LINKS ADDRESS SF 3915Z) LVAICrf AD 5h-R--ron+,UTA .7 5Rq DIRECTIONS TO SITE; QAJ c'7~cy/EVE/ LOOP 80" (sft-cwo00 CKEVIc ew reAwt.F) TO N ELSo Ai ,coA p � L (0 0 0 / -17H15 / R 7-0 FN--,-r DA 10 " OA/ LE7r THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE CONFORM TO AL APPLICABLE LAWS OF MASON COUNTY AND THE STATE OF WASHINGTON. 91 A URE OF APPLICANT NO BASIC FEE 10.00 1 Forced-air or gravity-type furnace or burner, including ducts and vents attached to such appliance up to and including 100,000 Btu/h 6.00 la Appliance over 100,000 Btu h including ducts and vents attached 0 2 Floor furnace, including vent 6.00 3 Suspended heater, recessed wall heater or floor-mounted unit heater 6.00 4 Appliance vent installed and not included in an appliance permit 3.00 5 Repair or alteration of, or addition to each heating appliance, refrigeration unit, cooling unit, absorption unit, or each heating, cooling, absorption, or evaporation cooling system, including installation of controls regulated by this code 6.00 6 Boiler or compressor to and including three horsepower, or each absorption system to and including 100,000 Btu/h 6.00 6a Over three horsepower to and including 15 horsepower , or each absorption system over 100,000 Btu/h and including 500,000 Btu/h 11.00 6b Over 15 horsepower to and including 30 horsepower , or each absorption system over 500,000 Btu/h to and including 1,000,000 Btu/h 15.00 6c Over 30 horsepower to and including 50 horsepower, or for each absorption system over 1,000,000 Btu/h to and including 1,750,000 Btu/h 22.50 6d Boiler or refrigeration compressor over 50 horsepower, or each absorption system over 1,750,000 Btu/h 37.50 7 Air-handling unit to and including 10,000 cubic feet per minute, including ducts attached thereto 4.50 7a Air-handling unit over 10,000 cfm 7.50 8 Evaporative cooler other than portable type 4.50 9 Ventilation fan connected to a single duct 3.00 10 Ventilation system which is not a portion of any heating or air-conditioning system authorized by a permit 4.50 11 Hood which is served by mechanical exhaust, including the ducts for such hood 4.50 12 Domestic-type incinerator 7.50 13 Commercial or industrial-type incinerator 30,00 14 For each appliance or piece of equipment regulated by this code but not classed in other appliance categories, or for which no other fee is listed in this code 4.50 15 For each gas-piping system of one to four outlets 2.00 15a For each gas-piping system of more than four outlets per outlet .50 TOTAL SPECIAL CONDITIONS APPROVED BY DATE PEMIT VALIDATION CK. MO. CASH MASON COUNTY P.O. BOX 186 Shelton,Washington 98584 PLUMBING PERMIT APPLICATION IMPORTANT—Complete ALL items.Mark boxes where applicable. Name Mailing address—Number,street,city,and State Zip code Tel.No. ,. LLo`lb AA09S,-- /71 NELSON gL) q Z� 275- — Owner AtCyN *VA 98S2-11( 2q2o z. am "/V.<5 s67 38.5a LYAIC4f if 98s18N 4U — Contractor SL , 985Bq 9s7q The owner of this buildini4V the undersigned agree to conform to all applicable laws of Mason County and State of Washington 1 Signature of applicant r Address Applicati n data Ax&A-�-u" I A-bOr457 LEGA SCRIPTION 29 - 22 - j 7-P-A-c-r 3 OF C CV--r. c_o r 6 Location ABOUT 2 M/ VAI- Of UQAOEV1VK/ LOOP RID 6Sh)0zW= t 2EW €u7K*'VCe TD /V&-LSOAJ Building D z--- 6001 7o AR I vE onr L,4e�-7 NO. PLUMBING FIXTURES FEE 2 WATER CLOSETS O O Z BASINS r p p / BATH TUBS _ SHOWERS Ej / WATER HEATERS O Q AUTO.WASHERS O 0 SINKS t5 b r FLOOR DRAINS DRINKING FOUNTAINS / LAUNDRY TRAYS �0 Connect to City Sewer DISH WASHER 0 DISPOSAL URINAL (Show Street Names 8 Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT .)��j SKETCH IN SEPTIC TANK 3 DRAIN FIELD LOCATION OR SUBMIT ON OTHER SKETCH. DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Approved by Permit tee Date pemit issued Permit number Remlpt No. CHRISTMASTOWN PRINTING PLOT PLAN ADDRESS r 1-71 /V_-.`0Al RJ• PsL_i_yAl , WR /952-1 PERMIT NO. _ o ^ s 29 - ZZ —/ 'T/LACT LEGAL ^ DESCRIPTION LOT BLK ADDITION SITE AREA 1 ZOf 000 —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 '-20'IARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PL N.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: L ATIO OF q PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBA K DI EN- Z SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STRE T EL VA- TION A`ID SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND E ECTR CAL O SERVICE LINES.SHOW LOCATION OF SURVEY PINS,SPECIFY THE USE OF EACH BUILDING AND JOR�OR- TION THEREOF, I INDICATE NORTH IN CIRCLE / GRAPH SQUARE 5' A, O 1"-20' Z.pO rrkwv k51 10 P I D B N hL b ' 1/We certify that the proposed construction will conform to the dlmansldns and uses shown above and that no changes will be made without first obtaining approval. C�C JfN Le T G-LDy D M oRs� NAME(a) OF OWNER(S) OF SITE a STRUCTURE(S) (PRINT) #IGNATURE OF _O\N R ) OR AUTNO RIZED R P ES EN TA 7IVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE CHRISTMASTOWN PRINTING