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Home My WebLink AboutBLD28900 SFR - BLD Permit / Conditions - 8/26/1991 Shorelines: Plumbing: lcumbi g Setback: Special Interior: .f Conditions: FINAL: Mob i le _ Smoke Detector: Remarks: noting: • -r2 Setback: ,E' Foundation Walls: Franing l0k Fireplace: Wood Stove: TYPE RESIDENCE Permit No. 28900 No. Floors 1 S1 Ftg 600 Owner Aurelia Rosenstiel Tel 9467870 Dateg 26 /91 Address 10 S 256th P1 kent 98032 Zip Contractor Lunbermans Address ip Legal Description 27 21 3 Lake Limerick Div 5 Lot 2 Direction to project site North on State Rt 3 from Shelton for 4.2 miles left on Mason Lake Rd for 2.8 miles. right- on C onakilt Dr 2nd lot on left. um ing x c anlca _� ewer Stove Fireplace Deck Garage arport Basement Loft Other 'SrCLL- ALL STRUCTURES SHALL COMPLY WTH I 5' SIDEYARD SETBACKS. TO FINISH RESIDENCE ADDITIONAL PERMITS ARE REQUIRED. BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE OWNER �r �. 1,110-$0• �P Wes , 9 903A9y&- 8 DIRECTIONS ` TO JOB SITE Ivor 11 S�o_� of row. Vor R,j YW,�e'6, V-� ON o i,o-dte Rk r M- `rt5 i kk coN C.koNg Dr. WO L.eSP LEGAL 1 NUMBER 3a1a"7 sy Gb00 _ DESCR. PARCEL �,p�Kc, L,w.er�G1� �rJ�S�pN '4S l�oT � CONTRACTOR NAME MAIL ADDRESS ITY 8 TE LICENSE NO. ZIP PHONE Krt�� oSeNs4ie( �. r•weJ. V o t Id -So— 5 e W 9y6-4170 USE OF BUILDING j ko v". •e CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE I G S . II�o 1 I to WORK ( 9 BEDROOMS DECKS ��` CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS_ TOTAL SQ.FT. ®' GARAGE 0' CONDITIONING. NO.OF STORIES 1— BASEMENT -,�" ATTACHED AEP THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT ��,�.,,,�� COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. 6(X> FIREPLACE -P- DETACHED _�_ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE -d" SEASONAL 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 ANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL F OM THE BUILDING ARTMENT. X OWNE TE C 44— 9 X BY DATE ,V'Q'�_2 -v FOR OFFICE US ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES NO YES NO HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING OUP �3 PRE-INSPECTION 'z'+e-. SHORELINE ALL �,r 1.c_11 i WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APP VED F R ISSUANCE PERMIT VALIDATION TOTAL BY JILL CASH CK MO 1 PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAIL1DDRESS CIT &ASTTE,,. ZIP PHONE OWNER ` cal I 'so.- � 99U3� - 7 DIRECTIONS TO JOB SITE oY' sZ. o rn�\tg LEGAL u DESCR. I h�� r� D1ViS �ON T CONTRACTOR NAME MAIL ADDR S t Vw s W fW&STATE LICENSE NO. ZIP �� PHONE �� o NC!v6 1.t�Yh8�Rw1 'S *AtS S - /� J(o USE OF BUILDING 1 II L,4 crest- "-Vo ,; p I -ti(y, iL owwtrA �r' Co �o PLUMBING FIXTURES MECHANICAL FIXTURE 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 BATHTUBS 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 .8" DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT ,49r" LAUNDRY TRAYS WOOD STOVES 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 APPROPA.,FROM THE B—UI/LDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER E =�S-`�1 X BY DATE_ FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION IBY CASH CK MO 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&''1STATE ZIP PHONE OWNER DIRECTIONS TO JOB SITE ov` o �, IS o Aj a r Vas �F 1 rj �,W. yV\I aS 0" 0-101v0. d Dr. om NUMBER DESCR PARCEL LEGAL 3a 11? S�OQdO . �o.FZ� �; `G� D;y Indicate below: O Property lines and dimensions. O Easements and roads. O Septic, drainfield and reserve area, or sewer. O Septic tank and drainfield setback distances from foundations. O Location of proposed construction on property. O Building & septic system setback distances from all property lines& easements. Indicate North O Well and water line. In Circle O Saltwater, lakes, rivers, streams, wetlands, drainage. O Attach copy of septic system as built or septic permit approval. O Indicate topography profile of property and structure on reverse side. 01- :a 0 o' 1 o d JOT Xg v o° a �a : O/ < < v 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. - l/ �� /�e- SIGNAT RE OF OWNER(S)OR AU HORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE -77