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Home My WebLink AboutBLD24255 Addition - BLD Permit / Conditions - 8/14/1989 LNo w)£ Shorelines: Plumbing: y y'/4-70 Setback: Mechanica ;ye Special Interior: Conditions: FINAL: Mobile Bone: Smoke Detector: Remarks: ffc�n ooting: ffit17f.Rf .iV0111y va/ l�Orr� Y�6 Setback: C.4, yyQ-fo Foundation Walls: Franing: Fireplace: ---N-U-EU& VOID BY F-XPIHATIUN— Wood Stove: EWFE QV Aal ADDITION Permit No. 24255 No. Floors Sq Ftg 741 Owner ARNOLD, Lisa Tel 426-9330 Date 8-14-89 Address E 211 Olde Lyme Rd Shelton Zip Contractor Self Address Zip Legal Description Lae Limerick Div 4, Lot 225 Direction to project site Above address um ing x Mechanical x Sewer Wood Stove Fireplace DeckTar—age Carport Basement Loft Other Add dining room, den, TV move utility and bath BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 p 427-9670 DATE ISSUE PERMITNO��L/ —� NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER - DIRECTIONS TO JOB SITE PARCEL , LEGAL NUMBER -j�/.27—S� G �aS DESCR. ZA e �IC�G NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR S EL f USE OF BUILDING $/ WORKCLASS OF NEW ADDITION x ALTERATION REPAIR MOVE REMOVE r DESCRIBE ,/� WORK i9/NNeN ESN = i6 /T ,0 N BEDROOMS DECKS CARPORT NOTICE (1Fn SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING. NO.OF STORIES -L- BASEMENT ATTACHED 1 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. 7y1 FIREPLACE DETACHED._ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT 'v SHORELINE SEASONAL OWNER AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTI THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGIST TION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUI MENTS 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 CO FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAI ING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. O NER DATE X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION �j O YES NO YES NO .0 4,5 S-e. HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT S-O D.O.T. BUILDING PLAN CHECK 2 5 C26 SPECIAL CONDITIONS BUILDINGGROUP 3 PRE-INSPECTION jO C SHORELINE WOODSTOVE PLUMBING ,QQ MECHANICAL Q i STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY I PLANS CCH CK BY APPROVED FOR ISSUANCE PERMIT VALIDATION { BY -Z�, CASH CK MO TOTAL 3y, od 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 DIRECTIONS TO JOB SITE LEGAL 3 l27 - DESCR. 71Z 2Z-S� CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS c-) FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS �� e-U FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER '7�] �J AIR HANDLING UNITS 7.50 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 URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL el TOTAL 1L. e,,- 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 APPLICATION ACCEPTED BY PLANS CHECK BY 7 IBY CASH CK MO PLOT PLAN _ADDRESS + ,(�, �� Irne- -.C`� Oa PERMIT NO. 4 `moo 7— 53 - 00z_LEGAL Vt_ o e DESCRIPTION U*T I c/C y Big' LZS ADDITION SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS,SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. INDICATE NORTH IN CIRCLE It rfto H( WAPES ARE 5' X 5' OR 1"=20' I Ar , y" s ,Ti V I V r - o 4 I/We certify that the proposed construction will conform to the dirmnsiohs and uses shown above and that no changes will be made without first obtaining approval. NAME(S) OF OWNER(3) OF S1TE S STRUCTJRE(S) (PRINT) SIGNATURE OF OWNERS) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE