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HomeMy WebLinkAboutBLD28430 Final SFR - BLD Permit / Conditions - 12/19/1991 3acj ? 5 . TYPE Residence Permit No. 28430 No, Floors 1 Sq Ftg 1522 Owner Fessenden Tel Dat Address 3165 A-=ean B v remerton Zip-7j3T0-- ContractorArmstron Address Legal Description TrC of sp 349 1p Direction to project site ore Hill Rd-R to Allison Ln- o oW to rerwoo air o an C in Allison Acres Deve o ent - to t P tm ing x Mechanical x ewer Wood tove Fireplace Deck Ta aage x carport Basement soft Other Shorelines: Plumbin Setback: Special Mechanicalav Conditions: Interior: ,- FINALh, Mobile Home: Smoke Detect or•T • Remarks: ; ooting: 1 _ _ Setback;X Foindati Walls:d,k Framing ,gyp Fireplace: Wood Stove: GE �y6�jS k ��by�lr(19 l��aN`•�,�q a� �i l� - ,ol 77YIIA _ w - - 7-1 " " i _ i � I I t I I ! � i 4 TOPOGRAPHY PROFILE: � f l�D,oDsEO EXI.s T/�vG Direction: Scale: Approval: for office use Building Permit number: Building: Owner/Applicant: Date of Planning: application: Env. Health: Parcel Number: BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED `�''v_/�!�� -�/ PERMIT NO. �0 45 D OWNER ME MAIL DDRESS CITY BST ZIP PHONE 3 CEiv C't-I/`r�.N•�• X7l DIRECTIONS TO JOB SITE �(I. <Y �C.(�. WE'jh I(i tL P-.;r, T Ato�,oIV zw, - 'I 4so P'� '4l t,9tA)o � 2611ff8t� �L•- 114 j© ZrT :I�, Au r PARCEL LEGAL /y,, NUMBER - 5' DESCR. l`7► �T' I�4-i /7" NAME MAIL ADD SS CITY B STATE LICENSE NO. ZIP PHONE CONTRACTOR jjgp�6, 7-<`3 tiS F301 L rl 5lo USE BUILDING CLASS OF NEW v ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ —t DESCRIBE WORK BEDROOMS---a— DECKS CARPORT NOTICE / SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTALSQ.FT. GARAGE J✓/ CONDITIONING. NO.OF STORIES I BASEMENT ATTACHED I 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. ISoZ FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT V SHORELINE SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT 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 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. AP FROM THE BUILDIN EPAR MENT. XOWNER DATE XPROV TE FOR OFFICE USE ONLY DEPARTMENT YES APPROVEDJO DEPARTMENT YES DEPARTMENTBUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT -f D.O.T. BUILDING f PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE Q PLUMBING MECHANICAL r STATE BUILDING FEE J STATE SURCHARGE "17e APPLICATION ACCEPTED BY PLANS CHECK BY APPR ED I U kPERSITVALIDATTOTALAH CK MO PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED w7 PERMIT NO. O.-4 OWNER _,NAME MAILADDRESS CITY&STATE ZIP PHONE DIRECTIONS y (�� TO JOB SITE 1. _ �7/fit, - --� LEGAL ;�� _ DESCR. /?� ��� Sr" ���`l�1 .4 U, N,,A„„M��E MAIL ADD Y&STATE LI NSE NO. ZIP PHONE CONTRACTOR SSZS / 'G' �. USE OF BUILDING PLUMBING FIXT RES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP F NO. TYPE OF FIXTURE FEE �- WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS FLOOR/SUSPENDED FURNACE 6.00 BATHTUBS L BOILER/COMPRESSOR 6.00 SHOWERS L REPAIR/ALTERATION 6.00 / WATER HEATERS Z�7 REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER j AIR HANDLING UNITS 7.50 SINKS HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS J 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 f­_ TOTAL 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. WNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED E 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 UNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL RK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK NE WILL BE I CO F RMANCE THEREWITH. NO CHANGES SHALL BE MADE ROUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHO T FIRST OBTAIN GA 0 �L/FOM THE BUILDING DEP TMEN .WNER DATE X B S � 1 DATE / FOR OFFICE USE ONLY TION ACCEPTED BY PLANS CHECK BY BU ING GROUP ISS AN E F