HomeMy WebLinkAboutBLD92-00039 Final SFR - BLD Permit / Conditions - 8/31/1992 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date g110 2 by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMIVf Walls FIRE DEPT.
date g//p`4� _ by *7 Cf date by date by
PLUMBING OTHER
Groundwork Attic
date b /%4 C date by
D.W.V. WALLBOARD NAILING
date by date - 7- 7Zyy
Water Line FINAL INSPECTION
date by date REX — date by
zaTP31 � -
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..CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
data by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
I§G/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by
PLUMBING date by OTHER
Groundwork Attic
�! date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
CONCRETE 4Y4 9�ys ,,/ MECHANICAL MOBILE HOME
Footings-Setback plc date by Ribbons
date 6-/p-- by Gas Piping date b
Foundation Walls date by Set Up
date / — Z b date b
y INSULATION y
13G/SLAB Insulatio6 Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by
PLUMBING date by
G Attic OTHER
Groundwork
date by
date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
I
1
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
V, '7//BUILDINGQ PERMIT APPLICATION A -.06 MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUES - -
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER Gray, Allison 527 Bellevue Shelton, Wa 98584 )-A Kl __ r �(
DIRECTIONS
TO JOB SITE See Ma
PARCEL LEGAL
NUMBER 32127-54-00048 DESCR. Lot 48 Division 5 Lake Limerick
NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTOR Fredson Homes E1650 Shelton-- Springs Rd 98584 427-5399 V, 1 11
USE OF
BUILDING single family residence
WORK O✓ NEW X ADDITION ALTERATION REPAIR MOVE REMOVE
CLASSDESCRIBE
WORK 3 bedroom 1 bath home stock plan
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE _11WERFt STORIES 1 SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS -- PRIMARY RES.�Y THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS 1 SEASONAL RES.O COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE 2 8 0 SgFt ATTACHED C*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 _ X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
11 YES NO YES NO �Q -
HEALTH J PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT t�N, J
D.O.T. BUILDING PLAN CHECK
SPECIAL CON DIT NS j BUILDING GROUP PRE-INSPECTION
+T U
1 i SHORELINE
wit
WOODSTOVE
/ �� I r ��Z. PLUMBING /0'
MECHANICAL
STATE BUILDING FEE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED
�FOR(ISSUANCE PERMIT VALIDATION
B-Y--W fU'I,&U,4Q- GASH CK MO TOTAL 'r�Q
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 r��
427-9670 DATE ISSUE �i
PERMIT NO.
OWNER NAME MAILADDRESS CITY SSTATE ZIP PHONE
Gray, Allison E1650 Shelton-Siprings rd Shelton q` "
DIRECTIONS
TO JOB SITE see map
LEGAL
DESCR. L
CONTRACTOR NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE
USE OF 650_Shelton-Springs___rd 427-539BUILDING single family nesidence
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS .r1- FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS �'` 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
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 PERMIT BASIC FEE 10.00
TOTAL %3- TOTAL /,�OV
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 1 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. WITHO T FI STTOOBT INI�P R6VAL OM THE BUILDING DEPARTMENT.
XOWNER DATE XBY ll�� DATE `A
FOR OFFICE USE ONLY
APPLICATION A�EPTED BY PLANNS/COECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
Q .5-177 S N BY CASH CK MO