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Home My WebLink AboutBLD20702 Final SFR - BLD Permit / Conditions - 5/24/1988 Shorelines: AIA Plumbing: ,i/s9 � Setback: Mechanical : Special Interior: oK_2/1a/e,):- f Conditions: FINAL: L,4 S-Z3 Mobile Home: Smoke Detector: Remarks: Footing: Setback: , Foundation Walls: Framing: Fireplace: Wood Stove: TYPE RESIDENCE Permit No. 20702 No. Floors 1 Sq Ftg 936 Owner LINDBLOM, John— Tel Date 8-5-87 Address P 0 Box 1006 Allyn Zip Contractor Address Zip Legal Description Lake Limerick Div 4, Lot 223 Direction to project site Mason Lk. Rd. to Olde Lyme Rd. Rt. to Old Lyme. 1st drive past Peebles Ct on 0 L.l Aa P um ing _x Mechanical x Sewer Wood Stove x Fireplace Deck Garage Carport Basement - Loft Other 2 bdrm BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 4W-559 q,�7-67O DATE ISSUED`-' PERMIT NO.5kl OWNER NAME MAILADDRESS CITY SSTATE ZIP PHONE J)kAjLo JAIL , DIRECTIONS , TO JOB SITE L/�t L � - fiuP,rt' Jei ` Y 0/dam LY�r - �2--/' Ofl�£4'r�lE - f//zsr g,-csr f'na�d� S C'oct 7 PARCEL LEGAL LvT 22 �� L-fl�(E L;yE �cK NUMBER-3'l/Z' 3 O0 2_-J .S DESCR. NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF BUILDING kc-S-j k1C _ _ CLASS OF NEW �( ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE WORK k'FC` wc:k 94- ' BEDROOMS � DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.FT. GARAGE CONDITIONING. NO.OF STORIES BASEMENT ATTACHED 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. FIREPLACE-' DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT ,C SHORELINE SEASONAL OWN RSA AVIT CONTRACTORS AFFIDAVIT I CER 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 X BY DATE FOR OFFICE USE ONLY DEPARTMENT YES DEPARTMENT YESPPROVENO h BUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT 200', 00 D.O.T. BUILDING PLAN CHECK Z Cj Off SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION .� SHORELINE WOODSTOVE 6 PLUMBING MECHANICAL STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY EC A �SS PERMIT VALIDATION CASH CK MO TOTAL PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNERt;e t��/ Z,,A,Z+r� ,l) C, go Ok> LL iL� U)1-2- DIRECTIONS TO JOB SITE 5,:,r l G-It Dold C i IS et I ® L LEGAL DESCR. 3Z � '] 33 oG3-?? LT 1 2 �� -u /_'r7K£ L: CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF t/ BUILDING 1\ 6 K PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS ��Q FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS FLOOR/SUSPENDED FURNACE 6.00 BATHTUBS BOILER/COMPRESSOR 6.00 SHOWERS Cam/ REPAIR/ALTERATION 6.00 WATER HEATERS G REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER UQ AIR HANDLING UNITS 7.50 SINKS 4 'z_A 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 ah -- CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER -- DISPOSAL I URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL (i 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 FIQSTOPTAINING APPROVAL FROM THE BUILDING DEPA.TMENT.Ll WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNE ..� ;-c "-' DATE " X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION IBY CASH CK MO PLOT PLAN ADDRESS lL/lO� �� PERMIT NO. a f o LEGAL /� a DESCRIPTION LOT BLK ADDITION u 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. 0 INDICATE NORTH IN CIRCLE j GRAPH SQUARES ARE 5' X 5' OR 1"=20' �. c ° I 4_ C57 71 I/We certify that the proposed construction will conform to the ) s uses own above and that no changes Will be made without first obtaining approval. I-y� n L � uses Jc� r�n,1 �'�� Lihf/��c_cl/•/ ,� NAME(S) OF/OWNER(S) OF SITE k STRUCTURE(S) (PRINT) NATURE OF OWNE IS) OR A TMORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE