HomeMy WebLinkAboutBLD0295 Final SFR - BLD Permit / Conditions - 3/18/1991 Shorelines: Plumbing:
Setback: Mechanica
Special Interior:
Conditions: FINAL:Z3�y-'� � ,7;os Pryl
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Walls
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Fireplace:
Wood Stove:
TYPE RESIDENCE
Permit No. 0295 No. Floors 2 Sq Ftg 2212
Owner F INpI Ay , G(1RRr1N Tel Date
Address p0 R0X 1772 RPlfair Zip u5u
Contractor R_C_ r'nnct
Address Zip
Leg-1 Description 21 -23-1 Tr 3 SP 1971
Direction to project site very end of Newkirk Rd
NE 620 is address
Plumbing _xx Mechanical � ewer Wood Stove _x
Fireplace Deck Garage _ 4JCarport
Basement i48 Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO. 0-2 /5
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER Q, v -7 �TaiJ' We 4 r
DIRECTIONS
TO JOB SITE Vey E-, of New Kirk O
001 �-
PARCEL LEGAL I U S �1 /32 � 3(�� DESCR.
NUMBER
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR a ,C 0 rs ). QG Q C s2' 7 5' 71
USE OF
BUILDING Aj 'e�tiJ ��� VAN 'e
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
ESCRIBE , 1
WORK 2
D to van -c'
BEDROOMS DECKS YOR N -,kj CARPORT NOTICE
TOTAL SO.FT.
L/ DECK GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR M/
BATHROOMS TOTAL SO.FT. TOTAL SO.FT. CONDITIONING.
NO.OF STORIES L' BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
LIVING AREA BASEMENT -7 COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. TOTAL SQ.FT. CHECK ONE ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT FIREPLACE ATTACHED
SEASONAL__ SHORELINE __ DETACHED
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY TH I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATI LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REOUIREM TS 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 CON RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI G APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT RQQt;A
WNER DATE X BY W J DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO 1 sic
V
HEALTH � - �� PUBLIC WORKS F E
PLANNING FIRE BUILDING PERMIT `
D.O.T. BUILDING PLAN CHECK O
SPECIAL CONDITIONS BUILDING GROUP _rj��' PRE-INSPECTION
i SHORELINE
�j JO WOODSTOVE CxJ
l d PLUMBING 3�(
< '� MECHANICAL �j
STATE BUILDING FEE .S
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK SY AP. V R ISSUANCE PERMIT VALIDATION
TOTAL
" _ " r, BY CASH CK MO W426br
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427.9670 DATE ISSUED
PERMIT NO.
OWNER NAME MAILADDRESS CITY BSTATE ZIP PHONE
r. lau 9C).rlge 177.4 2e1�a'jr We, Y
DIRECTIONS i I ,/�
TO JOB SITE ne V2f ev�Cl a� QwKr,rK 1�
LEGAL
DESCR.
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
—C CC.)v� vuc. ,n �1 -C 5 `l Z 7 -27
USE OF
BUILDING r`U N/''p,_
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE
WATER CLOSETS QQ FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS 0.0 10 FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS oBOILER/COMPRESSOR 6.00
SHOWERS L REPAIR/ALTERATION 6.00
WATER HEATERS 2-0 0 REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER Zdd AIR HANDLING UNITS 7.50
i SINKS Z.o0 ( 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 ZIEj WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
( DISHWASHER Z0Q
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL TOTAL 00
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
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIR T OBTAINING APPROQVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE X BY s,j�J2 DATE el)L//�I U
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLA CHECK BY BUILDING GROUP APP D F ISSUANCE PERMIT VALIDATION
BY CASH CK MO
All 000 33 e
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EXHIBIT 'A'
DESCRIPTION: Order No. : Q-84846
All that portion of the North one-half of the North one-half of the Northeast
quarter of the Southwest quarter of Section 21, Townshp 23 North, Range 1 West,
W.M. , in Mason County, Washington, particularly described as follows :
Starting at a point where the railroad right of way intersects the South line of
said property; thence in a Westerly direction 551.22 feet; thence North 1' 0' 33"
East 327.16 feet; thence in an Easterly direction 625.00 feet to a railroad right
of way; thence� Southwesterly along said railroad right of way to the TRUE POINT OF
BEGINNING. t
EXCEPTING THEREFROM right of way for U.S. Navy Railroad 120 feet in width as
conveyed in Volume 95 of Deeds, page 340, under Auditor's File No. 111802.
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SKETCH OF PROPERTY SET UT IN ATTACHED ORDER
To assist in locating the premises. It is a based on a san
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assumes no liability for variations, say, in dimensionsyand loattio may
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