HomeMy WebLinkAboutBLD4006 SFR - BLD Permit / Conditions - 11/8/1976 Sprague, Jack #4006
11-12-76
Part 2 Lot 1 25-22-3 of Tract 47 Patricia Beach
Contractor
Taurus Construction
Summer Residence
Add o ppc r s l ot,y t`' Plumbing Permit issued-
,,-)(1.5 t/'41 re.s,d�KcP
$20,500.00
'11217-7
BUILDING PERMIT APPLI CA ON
MASON COUNTY
P. O. Box 4W Shelton, Washington 9SS84
DATE ISSUED ah 5; _
PERMIT NO. a U
i1P PHONE
Owhim Ick - '
DIRECTIONS I r ' ,
TO JOB SITE s�— -- C "`I 1 10'1'L. _ WGifi ►l . �g S97 q q g j 9 U
MAIL ADDRESS ZIP
LEGAL � '�L"L�ATTACHED SN[[T) /�
DESCR. -, —�- 2 oT b SP c 7 �o rn P 7--? _ W ��� 7 Rf1 C'1ra e"
MAIL ADORE.$
CONTRACTOR r I� f Jr Fl
USE OF MAIL ADURL35 PNON[ LIC[NS[MO.
BUILDING
urrlmP ',e i t 1c
Class of work: ❑NEW ❑ADDITION ALTERATION '❑ REPAIR ❑MOVE ❑ REMOVE
Describe work: 9 II r
r CTT)I!e-, a KI cP G 4d S±D r a Q e__ w Y -&a'-h '_ C hart
X I sti n!� 2�etjt�_ I,I Iti 1 rCo- 0
Valuation of work:$ s�� PLAN CHECK FEE� PERMIT FEE 4ly` p —
SPECIAL CONDITIONS: CP
APPLICATION ACCEPTED By PLANS CHECKED BY APPROVED FOR ISSUANCE BY
Type of Occupancy
Const. � Group � Division
Size of Bldg. No.of Max.
(Total)SQ.Ft. Stories f Occ. Load
CONTRACTOR AFFIDAVIT Special Approvals Required Received Not Require
I Certify that I am a currently registered contractor in the State
of Washington and the County of Mason and I am aware cf the HEALTH DEPT.
ordinance requirements regulating the wcrk Icr which the permit RKB
is issued and all work done wi;l be in conformance therewith. 145AD DEFT.
Firm -_r4u)C(A_6 (mod NS�ru�TIa�
By
Lic. No7PrU�Z—U�-�l7 C-W Date
OWNERS AFFIDAVIT
I certify that i am exempt from the requirements of the contract.
or registration law RCW 18.27, and am aware of the Mason N 0 T I C E
County ordinance requirements for which this permit is issued
and that all work done will be in conformance therewith. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
HEATING. VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC-
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
Owner Date 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
JPLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
1
PLOT PLAN
ADDRESS /-�� l Tc a u111(77��� COIL, - Z PERMIT NO. F o
= o
a
a o
LEGAL J
_ a
DESCRIPTION LOT�(��L f Z � '�Z�3 BLK i _(: 4 _� ADDITION ^1C;IYcIa, R Each N
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS_ IS 5 Sq. Ft.
INSTRUCTIONS TO APPLICANT
f'
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO Sr\LE OF NOT LESS THAN 1"=20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILG:NG 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 Al"D 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.
6
i
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' .-
1
Vim(
N
ti
3
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval.
NAM (S) OF OWNE (5) F SIT & STRUCTURE(S) (PRINT) SI NATURE O NER(S) R AUTHORIZZ-O REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED L DATE j, `� G.
• MASON COUNTY PLANNING DEPARTMENT
P.O. BOX 186 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT — Complete ALL items. Mark boxes where applicable.
Name Mailingaddress—Number,street.city,and State Zip code Tel.No.
LA C isv K. 2�1s-
•D.1.} � —�
Owner
Contractor
he mer of thi uilding and the updersigned agree to conform to all applicable laws of M�aon County and State of Washington
S Ala of applica Address Application date
` 2J3 N'a�Z—\
L L C I
Location
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS CO
tBASINS df)
BATH TUBS
SHOWERS d'O
WATER HEATERS ! O'D
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
i
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
i
O (Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT
' ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
rPW�it—lee Date mit issued Permit number Receipt No.
Appro byPe//
BCC2007-00213 '
32225-51-00049 �--
10971 E. State Route 106, Union
Site investigation 10/10/2007 - BTA _.
Case closed, no evidence of
construction or work done that requires a R i
county permit.
�.'. a .�.w,.. ;a3e8€...u: •-sc' '.`-a'.E'.'^Y�:?:3`,..a4:..:s3Bs: ..., „i
L
■
_ - - Puxl• �
a
INVESTIGATION REPORT FORM
Revised 11/14/06
Case Number: 13(c2001-0y2� Parcel# &da0,5 - 51 - �bOy�1
Violation Site Address: W.A 12,969
Property Owner(s): L Telepho�:le:
Mailing Address: :ffi Ue _. UjA
Occupant of Site or Operator: :, y 1 4 d h • Y: "rtb0S C=
Complainant Name: A ►'lo►-1 j4 moo5 Telephone:
Complainant Address:
ocation of Concern/Directigns to Site: 5 -
a--
LZ -1 -- 6 U -
Nature of Co ern:-f'L
�. r `7 Lo -
.�Y1 UG�L� (, a lk�jtc4 no+ lay— ci
Department of Conce e: 7LfB/uild4in)gf3'EH Septic ❑EH Solid ❑Planning ❑Fire ❑Public Works
fficial Use Only Beyond This Point)
Received By: - Date:
Referred To: A ej-& M c r-cL_ Date: _
Investigation Date aqd Findings:
lgwc 01 ,
Co rm.�f any new mnst ualon at mwy LpjjY i dmcil)cv--ifo o r Df ipmy,
ah bna, hour -
Resolution: Wod a avv
D 1,07 D
Name: Date: tolID1071
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1
Q IMAROVEMENT SHEET
BUILDING i CONSTRUCTION STORIES 1 2 1/2 B 19 ; —
Cabin Frame No. Rooms 19
--] E�
,i Dwelling Double Living 19
Apartment Conc. Blk. Dininn 19
ar Built Year Remod.
st Condition
ASS 1 11/2 2
)UARE FT.
to Adjustment — +
se Rate
Heat '
Base Rate
DED FEATURES — + Extend
:ement/Rooms
sting
mbing
,place
ached Garage
c
k
;hes
port
aL
JSTMENT
X Rate
�d Features
E acement Cost
it X Local
% CPLT/Dep/Obs
9ciated Value -
tional Bldgs. _
\L ASSESSED VALUE
32225 41 0004 ITIONAL BUILDINGS Full
Value
TOTAL
Revised 7-77 — -- --- - —
APPR. NO. CHG. REASON _4 MR =t ---- PAGE OF
_4 . ... . .. .
SIZE MOBILE HOME • .
MAKE
MODEL
SERIAL NO.
USE CODE j ---- - --- --
- -
PARCEL NO.
ASSOC. RIP PARCEL NO.
BUILDING TYPE CONTACT CONDITION BUILDING LIFE
DATE BUILT RENTER CONSTRUCTION STYLEP!
BLDG. USE CODE === REMODEL DATE EFFECTIVE AGE MARKET MODIFIER
CHARACTERISTICS PLUMBING FLOORING BUILT-INS
QUALITY SINK = FLOOR CONST. �=LJZS::* ALLOWANCE INTERCOM
EXTERIOR W.H. = FLOOR COVER ALL6Wi_S RANGE OVEN = VACUUM
T TYPE % DISHWASHER MICROWAVE
ROOF COVER LAV.
FOUNDATION TOILET TYPE GARB DISP. HOT TUB
SHOWER HEAT TRASH COMP. SAUNA
BEDROOMS = TUBSHOWER = HEAT-COOL REF
BATHS = OTHER FIREPLACE(S) HOOD&FAN
TOTAL
BLDG. SIZE BASEMENT GARAGES CARPORTS PORCHES
1st FLR. 111 r 7 n.n, BSMT.QUAL. GAR.QUAL. C.P.QUAL. PRCH.OUAL. c-C,0
1/2 FLR. I BSMT.TOT. I ROOFING ROOF CVR. CONC. 1,l L
2nd FLR, q] 91 .
cl- FINISH JJ EXTERIOR C.P. Ill DECKfp
3rd FLR. FIN.QUAL. GAR.TOT. DIRT FL. BALC. J�
SPLIT LEV. MISCELLANEOUS GAR.TYPE DEPR, ROOF(p
--ASPH. DEPR. SITE VALUE ROOF TYPE
CONC. IT' WELL ENCL.
SKIRT MH SEPTIC DEPR.
I
ASSESSED VALUATION RECORD REP,COST A MH/OTHER BLDG.
A.Yr. CURR.USE MKT. LAND IMPROVEMENT TOTAL DEPR. LUMP SUM 4• A .1
4 A%comp. LAND VAL j
ADJ.BLDG.VAL. TOTAL AV.
OTHER IMP.
N.C.
TOT.BLDG.VAL. TOT.MN O.S.
4 5-0 C; I 14 4 5, 11�44 5
METHOD1 CLASS IWATERFRONT VIEW I RD. TOPOGRAPHY AMEN.
O LAND En
> 0 w
USE RATE VALUE �: 0
L"Uj QUANTITY cc Z Z Z
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in.
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EN SPACE QUANTITY METHOD RATE VALUE$
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Adjustment
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•
MINE
' ■m = ■ e1010011
Rate Adjustment
' ■� ■�i■■■i - ■e®
■ ■ ••- ■■�
Fireplace
i _ADDED F
Air ■�■■■■i -S -.. ■■■�
-.. ■ - ■ems■■■■■iBrick
-. . - ■e ..
r��■ . ■ : . iAttached _ :. 90 -mom
_
Exhaust Fan+
C
X Rate
• Features
icement Cost
Local
• • •• r-
- Value
•am. 0:11150•
�TIONAL BUILDINGS
32225 0104• -
SEEM
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sommusummoommum
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N iHMMrMMNrrMMt■MMMMMMMMWEM MN!t/MMMMM/M//owes \M M /MMus /
NONE
ME
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13 IMPROVEMENT SHEET
-4k
BUILDING CONSTRUCTION STORIES 1 2 1/2 B 19
Cabin Frame No. Rooms 19 '
,j Dwelling Double Living 19
Apartment Conc. Blk. Dining 19
Commercial Kitchen 19
Farm PLUMB BASE Family — Year Built
Year Remod.
Sink Lay. Bed Cost Condition
JEE
ATION D.W. Toilet Bath �_ CLASS 1 Yz Z
te GD. Shwr. SQUARE FT.
Blk W.H. z_ Tub-Shr. INTERIOR WALLS
W• Dry Wall Rate AdjustmentIOR WALL HEATING/COOLING Panel Base Rate
iding Plaster Heat
s Fireplace Flr./WI. FLOORS Ad . Base Rate
Blk. Frcd. Air Soft ADDED FEATURES — + Extend
ly. H.W. B.B. Hard en. Elec. B.B. Carpet Heating
Ht. Pum Concrete Plumbing
ROOF EXTRAS Fireplace
Flat Oven-Range BASEMENT Attached Gar-age
;- Hip Exhaust Fan: None Conc. Fir.
Gable Part Dirt Fir. Attic
Shed Full Gara a Deck
Da lite }
Porches
Carport
kkL
JSTMENT
X Rate
d Features
j acement Cost
it X Local -
% CPLT/Dep/Obs
=ciated Value
Donal Bldgs. _
�L ASSESSED VALUE
TIONAL BUILDINGS Full
Value
32225 51 00049
TOTAL
,9evised 7-77 --- —