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Home My WebLink AboutBLD30138 SFR - BLD Permit / Conditions - 3/25/1992 Shorelines: Plumbing: r Setback: Mechanical-----) Special Interior: Conditions: Fina1:Q!C/O/3 -Ya Mobile Home: Smoke Detector:T�s;-/:! ) Remarks:^/-,% A*0�IV f vR Footing: 0< tR Zvi d_y 5;'2'0 i/,;rar9ry! Setback: 44 Foundation Walls: v/< 1A)44,1 . ('/3-s-/*;? Framing: Fireplace: Woodstove: AREA: #1 - FAWVER TYPE: RESIDENCE Owner: STERMOLLE, STEVE Tel: 275-4847 Date: 03-25-92 Address: P.O.BOX 274, BELFAIR 98528 m Permit #: 30138 Floors: 1 Sq Ft: 1353 Contractor: SELF -Z Phone: Legal Description: AEARDS COVE IDIV 8 LOTS 43-47 Direction to job site: N. SHORE RD, RIGHT ON LARSON LAKE RD, PROCEED PROX 1 MILE, PROPERTY IS ON LEFT NE LARSON LKD Plumbing X Mechanical X Woodstove Fireplace Deck Garage 440 Carport Basement Loft Conditions: NONE BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 J 427-9670 DATE ISSUED C� PERMIT NO. C�I��I� NAME MAIL ADDRESS CITY d STATE ZIP PHONE OWNER 7r0_lr f ks74t 5T,6eH0L P•d, 80/27y eLv jFf/,Q 52 275--5/ffg7 DIRECTIONS _ TO JOB SITE STAR Yw. 300 N• SheAl QD.). i2/aAT am L4kscm L eke RD, P cttd up L Qs t CK: RD r P Ro 1 H i . P o lk 1 is oti -ray LEFT, 57i2ei, #de)Q_sS cfs 1 OJ, 9, C 4RSOA, L K Rd. PARCEL LEGAL 7 NUMBER I2331�-5111 0ociQ I DESCR. 6�.�Rds Coot QIU. $ L07 '43-7 NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO. CONTRACTOR - ti/fq Cu1,U� 6 USE OF BUILDING R(SiOI -iu Ti*L WORKCLASS OF NEW ✓ ADDITION ALTERATION REPAIR MOVE REMOVE ✓ DESCRIBE p WORK I�LfS%(. L 56h k Oki- 57OR 04 LER 1,v 4ee w/r L PL I to 6�_ Ca/I S . iv0 Ip?k S-Ruc 74'vs AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE /j l SgFt STORIES SHORELINE❑ CONDITIONING. BASEMENT N/,# SgFt BEDROOMS 3 PRIMARY RES.U�-' THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS ��/� S Ft BATHROOMS /• is SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR q ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE NIA IS C>4RP614-/GARAGE GARAGE SgFt ATTACHED®'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 B;MATE ENT. APPROVAL FROM THE BUILDING DEPARTMENT. d X OWNER ' �J �� S��i X BY - --- DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION i YES NO YES NO HEALTH PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDINGGROUP ��% C•- PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE J APPLIC TION CCEPTED BY PLANS CHECK BY A OVED ISS A CE PERMIT VALIDATION �� L C�f B h L� CASH CK MO TOTAL 1 PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER STtuA kil_i STEko`leea .27y 9 SziS a7 '-54 4 DIRECTIONS TO JOB SITE 6T4I`E HWI ,dap AU, 5-*-k0Af jO ki < - kSON tAkt kd. Adoclttd u .09 �RSG� Lk.Q0. '4PPA,6X , .1 H , �iQo d►2T is oAj ?niE LtP, ,4DG �s 9.�1 4 . L.also ; L� �'��. ESCR. A)w_A Cout P1`Il+ 8 LoT 43-7 P+4c--,C. _* 12331 -51- ocjoj CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO ZIP PHONE USE OF BUILDING Rp-,S I R1uT14 1, PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FE NO. TYPE OF FIXTURE FEE WATER CLOSETS 1_ FORCED-AIR/GRAVITY TYPE FURNACE 6.00 ;Z BASINS 14FLOOR/SUSPENDED FURNACE 6.00 BATHTUBS BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 L WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER AIR HANDLING UNITS 7.50 SINKS �l�—� 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 A-Df_rS URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL TOTAL [277'- 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 aBlAtNTRG ARPR HE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER- 9 DATE �� X BY _ ______ DATE_ FOR OFFICE USE ONO, APPLICATION ACCEPTED BY PLANS CHECKBY BUILDING GROUP OVE R ISS A CE PERMIT VALIDATION / 1 CASH CK MO �r ��. 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 ,T 147 5TI/yet& �C a7-Y &ELr,+/, 9 �75 yb�5/7 DIRECTIONS n _ TO JOB SITE j7,+TE Hwy So 0 Qi shokc 0) ew t eQ 0--so u L+AE -C L.460J L- kf RA A O _ , 2 tit, Pke) gRT i,S del -TAIt JtFT, 40VAM `�Sl u� CAesoa PARCEL LEGAL NUMBER 11233ii-S-Pooyel� DESCR. 614RJS COuit Diir• Ld l 93-7 Indicate below: (RS Property lines and dimensions. col Easements and roads. (Y Septic, drainfield and reserve area, or sewer. (F Septic tank and drainfield setback distances from foundations. a Location of proposed construction on property. Building & septic system setback distances from all property lines& easements. Indicate North O/Welland waterline. (wi't UMI+uA,4T9 u 4-U,-) U Saltwater, lakes, rivers, streams,wetlands, drainage. In Circle & Attach cop y of septic system "as built" or septic permit approval. U Indicate topography profile of property and structure on reverse side. a ' C sE i0 13 ' �.i JQI aI EUQ / 47 i I �\ Y � TR. c>t U151 rATt w 2' I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no than made w e1h out first obtaining approval. SIGNATURE OF OWNE (SI OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED r)1CT01(^T no KillTrrn r1ATC TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE I ,