HomeMy WebLinkAboutBLD92-00374 Final SFR - BLD Permit / Conditions - 10/26/1992 3
MASON COUNTY
Mason County Bldg, III 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
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CONCRETE MECHANICA 'MOBILE HOME
Footings-Setbapk 7 date f 2— by ,L.Oe Ribbons
Sate 7`/(-��- by Gas Piping date b
Fou"idation Walls date by Set Up
datb _/ - by Z, h. INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls
1 FIRE DEPT.
date ZS/ Z�Y 6�'� date by date by
PLUMBING OTHER
Groundwork Attic
date L b ,C� date by
D.W.V. WALLBOARD AILING
date by date by
Water Line FINAL INSPECTION
date by date/L L by mL C-1C, date by
I
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e d s o n MICHAEL FREDSON
SOLAR a FR-ED-SH-202'NR
CONVENTIONAL E. 730 Gosser Rd.
Shelton WA 985 4�
omes
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BUILDING PERMIT APPLICATION �L-Pq D3 1`f
MASON COUNTY
E. 571 Dartmoor DEPARTMENT of GENERAL SERVICES
Shelton,Wa
426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER Avery, Stacey E. 360 E. Lakeshore Dr. Shelton Wa 98584 427-0286
DIRECTIONS
TO JOB SITE Highway 3 to Mason Lake Rd. Follow Mason Lk Rd just past
Lk. Limerick store take right on Dartmoor, Follow almost to end.
Lot 122 on left, 3rd lot from end, see map
PARCEL LEGAL
NUMBER 32127-53-00122 DESCI Lot 122 Division 4 Lake_ Limerick
NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTOR Fredson Homes E 1650 Shelton-springs She_ 1ton,Wa 98584 427-5399
USE OF
BUILDING Single family residence
CLASS OF NEW Y ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK New Construction 1104 s . ft, home with attached garage
Long terin super good cents
AREA: 11 04 NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE I I n Sq Ft STORIES 1 SHORELINE❑ CONDITIONING.
BASEMENT n j aSgFt BEDROOMS 0 PRIMARY RES.3 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS n aS Ft BATHROOMS 1 1 COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
q _� SEASONAL RES.❑ ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
CARPORT n aSgFt FIREPLACEn/a IS CARPORT/GARAGE
GARAGE 2 6 4SgFt ATTACHED 6 DETACHED❑
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 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. APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER DATE _ ___ XBY. _DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVE NO DEPARTMENT YESPPROVENO BUILDING VALUATION 3 O
HEALTH NJ T- PUBLIC WORKS FEE
PLANNINGI FIRE MARSHAL BUILDING PERMIT ���
D.O.T. BUILDING 2� PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP It-� PRE-INSPECTION
SHORELINE
WOODSTOVE
FI! PLUMBING Q
MECHANICAL
STATE BUILDING FEE �.
APPLICATION ACCEPTED BY PLANS CHECK BY AP O ED R IS U CE PERMIT VALIDATION
TOTAL
BY CASH CK MO
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
Avery, Stacey E. 360E.Lakeshore Shelton, Wa 98584 427-0286
DIRECTIONS
TO JOB SITE See Map
LEGAL
DESCR. Lot 122 Division 4 Lake Limerick
CONTRACTOR DSHI142N1 NAME MAIL ADDRESS CITY&STATE LICENSEN0 IP P`° E
Fredson Homes E. 1650 Shelton-Springs Shelton FRE 427- 99
USE OF
BUILDING Single Family Residence
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS Z FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS Z r BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS 2-- 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 Qp
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 0O TOTAL
e
SPECIAL CONDITIONS: -- NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR L`DNSQ7 IT-ON
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 1 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 WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH, NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHQYT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE X BY
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP VED FOR ISSUANCE PERMIT VALIDATION
-3, n'lv BY CASH CK MO