HomeMy WebLinkAboutBLD29299 Final SFR - BLD Permit / Conditions - 12/10/1992 Shorelines: Plimbing:
Setback: Mechanica :
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector• ,/LU-
oot ing: V k- _� Mom.
Remarks:
Setback,
Foundation
Walls:
Framing:Co,-
Fireplace:
Wood Stove:
TYPE RESIDENCE
Permit No.29299 No. Floors 2 Sq Ftg 1196
Owner Ken Frank Tel + =- 077 Date- /77/"gr
Address 1227 W Ftarvard Shelton Zip
Contractor Auseth Const 426-7368
Address E 6301. Agate Rd Shelton Zip
Legal Description 221 ;
Direction to project site Lae imeriEF t Andrews Ur to
Left on Tintagel P1. -- E 51 UranberrY Lake
P um ing x Mechanical x ewer Wo tove
Fireplace Deck x Z arage carport — x
Basement soft Other Shoreline
ks ��irrFvAs" rT<, �
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.'D �`D S
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER 9 e S9 / zL -307
DIRECTIONS
TO JOB SITE S 7 ,, L/i Dit
T/ ( pt , A .5 / C AL4--Y 1?,e,l�x V 2-6 — 3 0 7
PARCEL ��ffi� LEGAL
NUMBER ;� JC/ DESCR.�AsvN 8 �� •- 2/ -
NAME MAILADDRESS CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTOR
USE OF 0 i
BUILDING
CLASS OF NEW / ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓ v
DESCRIBE
WORK �.� N " L✓ S u"7 it it A- C',4 L?7
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING
BASEMENT i SgFt BEDROOMS 2 PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS / �- S Ft BATHROOMS COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g �_ SEASONAL RES.❑ ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
CARPORTAI,Q SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE / 0 SgFt S T-V'f ✓ ATTACHED O DETACHED❑
OWNE IDAVIT CONTRACTORS AFFI DAVIT
I CERTIFY THAT I A S
OM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT 1 AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCWD AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICRMIT IS ISSUED AND ONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THERNO CH HALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FRO G DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X Oww - `DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVENC DEPARTMENT YESPPROVENo BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT F
D.O.T. BUILDING PLAN CHECK 5
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
h > SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
0-0
STATE BUILDING FEE F'ti-�
APPLICATION ACCEPT B PUNS CHECK BY APP D F �FSSUANCE PERMIT VALIDATION
�/�` o F c,�, BY CASH CK MO TOTAL �)
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 )
427-9670 DATE ISSUE
PERMIT 140.'_��9 n
OWNER NAME _ MAILADDRESS CITY&STATE ZIP PHONE
,EN L L , y 8S8 0
DIRECTIONS
TO JOB SITE t,4 K L.4, S7- 'ne 0/xc AlIx L p I_z,,c o
ty
CK L 1-5, L46 30 77
LEGAL
DESCR. /yi gSoN C'0 2 $ - 2
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR 3 01c ,�' o,� T _ N -Sp-C -20 -13P 9�Sgy L/L6 3a7
USE OF
i
BUILDING
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS 0 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 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 FIRE SUPPRESSION 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL 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
7//F /
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY ING GROUP PP�R��D�ISSUANCE
PERMIT VALIDATION
0�9 BY CASH CK MO
I
BUILDING PERMIT PLOT PLAN
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 C,� K - cL !Z �./S l.t
PARCEL LEGAL
NUMBER DESCR. Os� e o 2 — Z I — 3
Indicate below: O Property lines and dimensions.
O Easements and roads.
O Septic, drainfield and reserve area, or sewer. `
n Septic tan', and drainfield setback distances from toundations.
O Location of proposed construction on property.
0 O Building & septic system setback distances from all property lines & easements.
Indicate North O Well and water line.
O Saltwater, lakes, rivers, streams, wetlands, drainage.
In Circle O Attach copy of septic system "as built" or septic permit approval.
O Indicate topography profile of property and structure on reverse side.
0
0 Air
3 r%
S --
/A
SO
I
I/We certify that the proposed construction will conform to the dimensions and uses shown above andthat no changes will be made without first obtaining approval.
SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE
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