HomeMy WebLinkAboutBLD29407 SFR - BLD Permit / Conditions - 10/25/1991 TYPE -?ES3DENC-E- - - - --
Permit No.29407 No. Floors 1 Sq Ftg1875
Owner : Pear 73-5-77=ius Te1373-1954 Date-10�ci
Address: NE 680 Barbara Blvd Belfair Zip
Contractor same
Adress: Zip
Legal Description: 29 23 1 Lot C SP 1347
Direction to job site: Sandhill Rd and A] Iison TanP-
NE 81 Allison Lane
Plumbing x Mechanical x Woodstove
Fireplace Deck x Garage x Carport
Basement Loft Other
Conditions:
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BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES"
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO. Cq V
AM E MAIL ADDRESS CITY&STATE ZIP PHO 5�
OWNER 1►✓�jo, (9, ( 65-
DIRECTIONS
TO JOB SITE A/i
PARCEL I LEGAL
NUMBER ^�� DESCR.
NAME MA}k,QDDRESS CITY 8 STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDIT ON ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE IF
,� 'e
WORK �%!J
BEDROOMS DECKS CARPORT ' NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ. FT. GARAGE CONDITIONING.
NO.OF STORI ES BASEMENT 11C) ATTACHED �• 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
TOTALSQ.FT.� FIREPLACE DETACHED ABANDONEDFORA PERIOD OF180 DAYS AT ANYTIME AFTER WORK ISCOMMENCED.
PERMANENT L SHORELINE
SEASONAL
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 F HI CH 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 CONFOR CE T REWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAININ PPROVAL F HE BUILDING E.PARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNE «DATE X BY ______ ___ DATE
FOR OFFICE USE ONLY
DEPARTMENT YES APPROVEDJO DEPARTMENT YES DEPARTMENTBUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK 7
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
1 �U MECHANICAL i
1 STATE BUILDING FEE
STATE SURCHARGE
4CCEPTED BY PLANS CHECK BY c
9 APPR R ISS ANCE PERMIT VALIDATION r
r!t / B CASH CK MO TOTAL jc�_ �(„Z � .Jl.
J
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED _a I
PERMIT NO.
OWNER ;t;E /,//,ILADDRESS Ya TAT ZIP PH
DIRECTIONS
TO JOB SITE f - ����►-J
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 FE NO. TYPE OF FIXTURE FEE
WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS 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
DISHWASHER
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL TOTALS --
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 OR EOUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL
WORK DO WILL B IN ONFO ANC THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT RSTOBT G V M THE BUILDING D ARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNE V"<'DATE X BY DATE_
FOR OFFICE USE ONLY
V ACCEPTED BY 17�
CK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
BY CASH CK MO
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg. III 426 W.Cedar
P.O. Box 186 Shelton, Washington 98584
(206) 427-9670
building parks&recreation fair/convention center planning fire marshal
October 16, 1991
Pearson C. Hillius
NE 680 Barbara Blvd
Belfair, WA 98528
RE: Heat loss calculation
Dear Mr. Hillius,
The permit package that you had submitted on 9-9-91 has been
approved with one exception. The heat loss calculation/energy
audit that you supplied is not acceptable. No where through out
your permit package do you indicate the type of heating source you
will be using. Once you have addressed these items to our
satisfaction, your permit can be issued.
If you should have any further questions, please feel free to
contact me at (206) 427-9670 ext 356 .
Thank You,
Tami Griffey
Building Department
g- TICOR TITLE ,------i `--}`'L---I 111J'J----------
J INSURANCE THIS SPACE �aRt�da�R�4 .
RE0JEST Q -
53133:s 91 AUG 23 PM 3- 35
Filed for Record at Request of `EEL �!i,;_t�FRAME i n:`_
Name PEARSON C HILLIUS A: " (C .d;w011 CO I„{ f�_
Address NE 680 BARBARA BLVD
City and State BELFAIR WA 98528
Ft1e No. '
91-RC-546 -------------------------------------------
Full Reconveyance
The undersigned as trustee under that certain Deed of Trust,dated DECEMBER 7 19 88,
in which.' PEARSON C HILLIUS AND MARTHA V HILLIUS, HUSBAND AND WIFE is grantor
and ROBERT A SOLTIS AND JOYANNE SOLTIS, HUSBAND AND WIFE is beneficiary,
recorded on DECEMBER 8 , 19 88 , as Auditor's File No. 488517 ,in Volume 414
of Mortgages,at page 914 records of MASON County,Washington,
having received from the beneficiary under said Deed of Trust a written request to reconvey, reciting that the
obligations secured by the Deed of Trust has been fully satisfied, does hereby reconvey, without warranty, to the
person(s) entitled thereto all of the right, title and interestw held by said trustee in and to the property described
SON
in said Deed of Trust, situated in County, Washington, as follows-
TRACT C OF SHORT PLAT NO. 1347, AS RECORDED DECEMBER 1, 1988 UNDER
AUDITOR'S FILE NO. 488275, AND BEING APCRTION OF THE SOUTHWEST
QUARTER OF SECTION 29, TOWNSHIP 23 NORTH, RANGE 1 WEST, W.M.,
Dated AUGUST 21 ,19 91
TICOR TITLE INSURANCE COMPANY, FORMERLY PIONEER
NAT N TITLE INSURANCE_COMPANY_•,••••••••••••-••••••,,,,,,,,,,,
(Tru )
By.. .. ..
GARY G. DO (Name-Title) ASST. SECRETARY
.........................................................7
y.................................... Name-Title)
STATE OF WASHINGTON STATE OF WASHINGTON
1 ss THURSTON ss
COUNTYOF.............................. COUNTY OF ..................................
On this day personally appeared before me On thij2hirday of.............
'.A. mar:......... 19 9�..
before me,the undersigned,a Notary Public in and for the tate of Washington,duly
...................................... commissioned and sworn, personally appeareO-4......., ...r V..,.........................
to me known to be the individual described in and who GARY G. DOLMAN F Lu!",,,F-r :....::...................
executed the within and foregoing instrument, and ............................................................ F '�
acknowledged that ................... signed the same as and .......................................................9t a;..,.,....�.(,.r... ...�................
...........................free and voluntary act and deed,for the — aa
uses and purposes therein mentioned. to me known to be the................... 40.Tr`a..l...........Secretary
TICOR TITLE•INSUQ:R � ¢ 'AfIY
rcspcctively, of ................ ..W ,. .................:......
GIVEN under my hand and official this the corporation that executed the foregoing instrument; acknowledged the said in-
stalstrumcnt to be the free and voluntary act and deed of said c n,for the uses
day of........................................ 19........ and purposes therein mentioned,and on oath stated that.................................
authorized to executed the said instrument and that the seal affixed is the corporate
..........................................I....................
l
Notary Public in and for the State of Waahington, sea of said corporation.
Wi
reeidingst truss my hand and official seal er to affixed the day and year first above
................................................................. written.
Myappointment expires on ....................................... ....
........................ .
Notary Public in and for the of Washington,residingat .9L)a1z1A,..........
m
.................................................. Myappointentexpireson ........
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