HomeMy WebLinkAboutBLD28371 Final SFR - BLD Permit / Conditions - 9/24/1991 Shorelines: Plumbing: ye- S<<j a21-
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TYPE .RESIDENCE -
Permit No.
28371 :Vo. Floors 1 _ Sq Ftg 1008
Owner ,40T.T,FP,� ,MT'T Tel Date
Address 1406 iigv- 1 �nShel ton Zip
Contractor
Address F 1 h�0 ShPI tnn �=ri ng�� �hPl tnn 1P
Legal Description '
T al<p T i mori rlr fl;v 4i T nt 1 RC,
Direction to project site MAp A-17ACHFn
Plumbing y_ Mee anica Sewer Wood Stove
Fireplace Deck �_ Garage carport
Basement -Loft Other
AS NOTED ON PRINTS
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMITNO. C2463
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER Scott Moller Teri Patten 1406 May Shelton Wa 98584 42130
DIRECTIONS
TO JOB SITE
PARCEL LEGAL
NUMBER 32127-53- 1 DESCR.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR FREDSHI142N1 427-539
USE OF
BUILDING Residence
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK New Construction
BEDROOMS 3 DECKS YOFiFj) CARPORT NOTICE
TOTAL SO.FT.
DECK GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS 1 TOTAL SQ.FT. TOTAL SQ.FT. 360 CONDITIONING.
NO.OF STORIES 1 BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
LIVING AREA BASEMENT COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. 1 n 0 8 TOTAL SO.FT. CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT X FIREPLACE ATTACHED
SEASONAL SHORELINE 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.
X OWNER DATE 5/9/91 X BY _ DATE
FOR OFFICE USE ONLY
DEPARTMENT YES
SPPROVE NO DEPARTMENT YES No
BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT a 2
D.O.T. BUILDING Coif PLAN CHECK L21S .
SPECIAL CONDITIONS BUILDING GROUP �3 .q �ES PRE-INSPECTION
S r L �D Li SHORELINE
WOODSTOVE
PLUMBING
33 F2ZCF MECHANICAL
3z NLl STATE BUILDING FEE
S✓ `�of STATE SURCHARGE Imo/
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
�l� BY 0 .��/�� CASH CK MO TOTALc?
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
DA ��0�
427-9670 TE ISSUED '
PERMITNO.QXL50—
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
Scott Moller/Teri Patten 1406 May St Shelton 98584 426-2130
DIRECTIONS
TO JOB SITE Lake Limerick to tilde Lyme Rd
LEGAL
DESCR. Lot 186 , Div. 4
CONTRACTOR LICENSE NO. ZIP PHONE
NAME MAILADDRESS CITY&STATE 7-5399
Fredson Homes, inc. E 1650 Shelton Springs Rd FREDSHI142N1 42
USE OF
BUILDING _ Residence —
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
1 WATER CLOSETS 2 FORCED-AIR/GRAVITY TYPE FURNACE 6.00
1 BASINS Z- FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS Z' BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS Z_ REFRIGERATION COMPRESSOR SYSTEM 6.00
/ AUTO.WASHER 2_ 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
LAUNDRY TRAYS WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER
DISPOSAL Cadet Wallheaters
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL /s' 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.
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 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. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE X BY _ DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
GUIC - m -( BY ���/�`/��� CASH CK Mo
August 16 , 1991
To: Scott Moller & Terri Patton
Re: New Home Construction
E 130 Olde Lyme Rd.
Shelton
Please be advised that in the interest of water conservation, all
plumbing facilities in your home are installed with conservation
devices . Included in these devices are low volume flush toilets,
shower restrictors, and faucet aerators . Removal of any of these
devices is restricted and would constitute a violation of County
requirements . The home owner is required to maintain use of the
low flow features .
Please sign below to acknowledge the conse
rvation requirement and
to agree to the continued maintenance of the low flow features
throughout your ownership of the home.
Scott Moller
Terri Patton
I
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son MICHAEL FREDSON
SOLAR R FR-ED-SH-201'NR
CONVENTIONAL E. 730 Gosser Rd.
omes
Shelton, WA 98584
426-2646
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