HomeMy WebLinkAboutBLD28164 Final SFR - BLD Permit / Conditions - 12/5/1991 TYPE RESIDENCE
Permit No.a�, No. Floors 1 Sq Ftg 1955
Owner SIAINLLY, Tel 086 Date
Address , Be air Zip.
Contractor Sun at ergy
Address 3460 N Mission Rd, W. Bremerton Zip 98312—
Legal Description 29-23-1 Lot A SP 1748
Direction to project site North Shore Road 1 mi right
on Sand Hill 1/4 mi. rt on Maple Wood Court
NE 177 Ma le Wood Court
P I um 1ng x mechanical X Sewer Wood Stove x_
Fireplace Deck gage arport
Basement soft Other
Shorelines: Plumbing:,�Wg�z,
Setback: Mechanicalt.Y4
Special Interior• --ZO
Conditions: FINAL:
Mob i le Home:
Smoke Detector
Remarks:
Foot ing: _
Setback*
Foundation
� Walls:�k
Framing;a,8-. 7-91, /O.'tx� c
Fireplace:
Wood Stove:
1
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER Lewis & Debra Stanley, E 18630 HWJI 106 , Belfair, Wa 98528 275-8086
DIRECTIONS Right on B Rd f North Sho
re from elfair, 1 mi., Right on Sand Hill Rd 1/4 mi. Ri
TO JOB SITE N g g
Maplewood Court, Lot to left at cul-de-sac. Al,F_ 177 11V(4&,,ae ? Ca, fA Y
PARCEL 12329-75-90070 LEGAL Lot A, Short Plat #1748,1/11/88 Aud#476303
NUMBER DESCR.
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR SUN PATH ENERGY 3460 N Mission Rd. W Bremerton SUNPAE*166LA 98312 275-5759
USE OF Single Family Residence
BUILDING
CLASS
WORK Or NEW X ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE Build 1901 sq.ft. single family rambler residence
WORK I
BEDROOMS 3 DECKS Yes CARPORT no NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS 2 TOTAL SQ.FT. 50 GARAGE Yes CONDITIONING.
NO.OF STORIES 1 BASEMENT no ATTACHED Yes 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
TOTAL SQ.FT. lye FIREPLACE 1 DETACHED no ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT X SHORELINE no
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 FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK R WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFOR NCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APP OVAL FROM THE BUILDI G DEPARTMENT.
X OWNER DATE X DATE
FOR OFFICE USE ONLY /
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION V
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT Z-,S QQ
D.O.T. BUILDING PLAN CHECK s^D
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
T7 ,w Cj SHORELINE
WOODSTOVE J
PLUMBING
d MECHANICAL iq�.s
C 4:1 3�j Cyr STATE BUILDING FEE
STATESURCHARGE Al
AP LIGATION ACCEPTEgD BY PLANS C,Hg�ECK BY ZY �
R SUANCE PERMIT VALIDATION
' ' y .?_ // l� rB CASH CK MO TOTAL y
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER Lewis & Debra STanley, E18630 Hwy 106,Belfair, Wa 98528 275-8086
DIRECTIONS No. Shore Rd from Belfair, 1 mi., Right on Sand Hill Rd 1/4 mi. Right on
TO JOB SITE
Maplewood Court, Lot to Left at cul-de-sac.
PARCEL LEGAL
NUMBER 12329-75-90070 DESCR. Lot A, Short Plat #1748, 1/11/88 Aud.#476303
Indicate below: (E(Property lines and dimensions.
i 4 Easements and roads.
e Septic, drainfield and reserve area, or sewer.
O'Septic tank and drainfield setback distances from foundations. 10
C°f ocation of proposed construction on property.
O'.Building& septic system setback distances from all property lines& easements.
Indicate North Well and water line.
In Circle e'-Saltwater, lakes, rivers, streams, wetlands, drainage. NU t -4-Tz {
e Attach copy of septic system"as built' or septic permit approval.
Indicate topography profile of property and structure on reverse side.
Al
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I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval.
S
SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED
DATE
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.a2fl ( -
NAME MAIL ADDRESS CITY d STATE ZIP PHONE
OWNER Lewis & Debra Stanley, E18630 Hwy 106, Belfair, Wa 98528 275-8086
DIRECTIONS North Shore Rd from Belfair, 1 mi., Right on Sand Hill Rd 1/4 mi. Right on
TO JOB SITE
Maplewood Court, Lot to Left at cul-de-sac.
/`1A11,IIF411fa colic
LEGAL Lot A, Short Plat #1748,1/11/88 Aud#476303
DESCR.
CONTRACTOR NAME MAIL ADDRESS CITY 8 STATE LICENSE NO.. ZIP PHONE
Sun Path Energy,3460 N Mission RdW,Bremerton, WA SUNPAE 166LA 98512 275-5759
USE OF
BUILDING _ Single family residence
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE
2 WATER CLOSETS k o FORCED-AIR/GRAVITY TYPE FURNACE 6.00
2 BASINS 14oc FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS `7 BOILER/COMPRESSOR 6.00
J SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER AIR HANDLING UNITS 7.50
SINKS D HEAT-PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT
LAUNDRYTRAYS
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISH WASHER
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL " TOTAL ZZ.Co
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 REQUI)DN
ENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL
WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORKK WILL B IN C NF RMAt CE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHIOI T OBT I ING P V FROM THE BUILDING DEPA TM CT..
XOWNER DATE XBt DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP P VE F R ISSUANCE PERMIT VALIDATION
7
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