HomeMy WebLinkAboutBLD27681 Final SFR - BLD Permit / Conditions - 10/22/1991 Shorelines: Plunbing:/
Setback: Mechanica
Special Ems- = -`- u
Conditions: Interior:
F I NA
Mobile Home:
Smoke Detector:
Footing: -
Remarks:
Setback: l 9� O /t
Foundation '
Walls:
Framing:�A-
Fireplace: .�� `�1/-=-
Wood Stove:
TYPE RESIDE,iCE
Permit No. 27681 No. . Floors
Owner SMITH P1ERTON f�. Tel — Sq Ftg
Address 8645 Beacon Ave o SPattly_��7� Date -B
Contractor Zip
Address self
Legal Descri tion Lk Zip
p L� L �m rick div 5 lnt �n
Direction to project site _f.lnnak� lt Sri
to end In! on Left n ci o- fc;r j
um ing ec anica _ ewer Woo tove
Fireplace Deck �_ Garage Carport
Basement soft Other
LUMBERMEN'S
HOMES
y�,4► Plot Plan:
Merton Smith
/ Lot 29, Div. 5
Lake Limerick
Scale: 1" = 30'
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LUMBERMEN'S HOMES
Final Approved Copy
Subject to approved Chan orders
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P.O.BOX 700 FRONT AND PINE SHELTON,WA 9&%4(206)42&2614
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BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 l
427-9670 DATE ISSUED
PERMIT NO. We
OWNER NAME MAILADDRESS CITY SSTATE ZIP PHONE
DIRECTIONS
TO JOB SITE
PARCEL ILEGAL
NUMBER -5L-nnn?g I DESCR.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR wner
USE OF
BUILDING residence
CLASSOF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK Construct a new residence
BEDROOMS 9 DECKS X CARPORT N/A NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. _ GARAGE CONDITIONING.
NO.OF STORIES �_ BASEMENT (1/n ATTACHED gyp— 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. t:� FIREPLACE DETACHED Lil 11 ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT X SHORELINE N/A
SEASONAL
OWNERS/FFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIF/THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REOU19EMENTS 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 C(4NFORMANCE 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.
r ! _
X OWNER DATE I" �� ' C' _ X BY DATE_
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING 1. B FIRE BUILDING PERMIT 10).
D.O.T. BUILDING QG( PLAN CHECK r
SPECIAL CONDITIONS / BUILDINGGROUP /? -3 PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
3-/Y-y/ BY J "�y y/ CASH CK Mo TOTAL '=
1
I
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 -�
427-9670 DATE ISSUED r !
PERMIT NO. 0 Mo
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE See Attached
LEGAL
DESCR.
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
Owner
USE OF
BUILDING
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE
WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00
] BASINS FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
1 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER AIR HANDLING UNITS 7.50
1 SINKS HEAT•PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
O DRINKING FOUNTAINS ' VENT.FAN SYS.3.00 PER UNIT 61 'f
LAUNDRY TRAYS WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
O DISHWASHER
DISPOSAL `
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
-r L s
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 FIRST OBTA NIN APPROVA FROM THE BUILDING DEPARTMENT, WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER FIRST
XBY 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 �