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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: ks 1z 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 ........ ror.r er•7