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