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Home My WebLink AboutBLD21153 SFR - BLD Permit / Conditions - 11/4/1987 TYPE RESIDENCE Permit No. 21153 No. Floors 1 Sq Ftg 1144 Owner ARDON, Alfred M Te1964-4141 Date 11-4-87 Address 270 N Shipman Ave La Puente, Ca if Zip Contractor Self Address Zip Legal Description Beards Cove Div 6, Lot 6 Direction to project site Hwy 300 to Sandhill Rd. , go rt. to Larson Blvd. , turn left for 1/2 mi. to Salty Dr.Turn im ing x Mechanical x Sewer Wood Stove x Fireplace Deck image Z'rport Basement Loft Other 2 bdrm PERMIT NULL & VOID BY EXPIRATION DATE By BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED �/ C 7 PERMITNO.-_-2Z Is" s� NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER ALFRED M. ARDON 270 N. SHIPMAN AVE. LA PUENTE, CALIF. 91744 818-964-41-41 DIRECTIONS TO JOB SITE From go left on Larson Blvd. for a 1/2 mile to Salty Drive,make a left on Salty Dr. 3rd. lot on left. PARCEL LEGAL NUMBER DESCR. BEARD'S COVE DIVISION 6 LOT 6 BELFAIR--- MASON CO. NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR L USE OF BUILDING RESIDENCE CLASS OF NEW XXXX ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK NEW CONSTRUCTTON BEDROOMS 2 DECKS none CARPORT none NOTICE BATHROOMS 1 none SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR TOTALSQ.FT. GARAGE CONDITIONING, NO.OF STORIES 1 BASEMENT none ATTACHED n a 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. 1144 FIREPLACE none DETACHED n a ABANDONED FORA PERIOD OF180 DAYS AT ANY TIME AFTER WORK ISCOMMENCED. PERMANENT 3/es SHORELINE -n/a SEASONAL NI a OWNERSAFFIDAVIT 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 REG TRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQ .REMENTS 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 ONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING)BI kINING APPROVAL FROM THE B�U�ILDINDEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X WN DATE 9-14-87 X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION i YES NO YES NO HEALTH q- - PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP - PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING J MECHANICAL STATE BUILDING FEE t� 5 STATE SURCHARGE APPLICATION ACCEPTED BY PLANS C CK BY APPROVED FOR ISSUANCE PERMIT VALIDATION �J CASH CK MO TOTAL C� BY� �Q��i PLUMBING & MECHANICAL 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 Alfred M. Ardon 270 N Shipman Ave. LaPuente, Calif. 91744 818-964-4141 DIRECTIONS TO JOB SITE go to Hwy. 300,H1,ry 300 to Sandhill Rd. go right on Sandhill Rd. to Larson Blvd. go left on Larson Blvd to Salty Drive,go left on Salf:� Dr. 3rd lot on left is Lot 6 LEGAL DESCR. Beard's Cove Div. 6, Lot 6 12330 53 00006 CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE SpIf USE OF BUILDING Residence PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE 1. WATER CLOSETS ?511 FORCED-AIR/GRAVITY TYPE FURNACE 6.00 1 BASINS FLOOR/SUSPENDED FURNACE 6.00 BATHTUBS and shower conbine DD BOILER/COMPRESSOR 6.00 SHOWERS °� REPAIR/ALTERATION 6.00 1 WATER HEATERS �� REFRIGERATION COMPRESSOR SYSTEM 6.00 1 AUTO.WASHER Q AIR HANDLING UNITS 7.50 1 SINKS HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT 4 i1 QQ LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER ] WOOD FURNACE or -pro-pane 5.00 DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL TOTAL /,66 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 WILD BE IN CONFORMA CE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST T NING APPRO 'FROM THE BUILDING DEP RTM T. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNE / DATE _ X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY7"_� K BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION 1BY CASH CK MO