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HomeMy WebLinkAboutBLD26988 Final SFR - BLD Permit / Conditions - 12/31/1991 2•�•- Shorelines: Plumbing:;,; Setback: Mechanica k�;�_ Special Interior: Conditions: FINAL: Mobile Home: Smoke Detector:mit:. �K yE Remarks: Footing: L Setback: ,- 41 Foundation Z V Walls: Framing:C));, Fireplace: Wood Stove: , lec,4 So w 4F TYPE RESIDENCE Permit No. 26988 No. Floors 2 Sq Ftg 4500 Owner WILS N-HOSS, R. Tel 426-2999 Date10-25-90 Address E 170 Bal ,lantrae Shelton Zip Contractor self Address Zip Legal Description 4-21-3 Direction to project site R at Dartmoor R at Woodbridge Ln _across from Balbriggan E. 211 Woodbridge Lri Plumbing xy c anica xX ewer -Stove Fireplace Deck 700 age 1550�rport Basement �nnn��oft Other 4 • t it y� /� ^ ! oc'-An,- 'VO7 i j �/� pv7 ��a� S�i�vc ccry t. �CLYi�1/4 j�vl 6vz 7eoaJOE* �l1 e &6*010 �j _- BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES !0 `0? .5 10 P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED �i W % PERMIT NO. �(? /j C)O NAME MAILADDRESS CITY B.STATE ZIP PHONE OWNER L)&oN SS �, l"1 D W_�/J ct8"S9 4" 144 DIRECTIONS TO JOB SITE �-,. �, �oy7(� Lakl-C ac re)Ss &4m B W o o d 6►;�. (ten PARCEL I ODo60DDESCR LEGAL NUMBER . �I -4p Plah NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. ZIP PHONE CONTRACTOR sc( f_ USE OF i�Jeo-Ge- BUILDIDING { CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ F►P16T DESCRIBE WORK BEDROOMS DECKS YOR N Y CARPORT NOTICE TOTAL SO.FT. S DECK '^,,� GARAGE ( SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.FT. J SCSI TOTAL SO.FT. 5 5� CONDITIONING. NO.OF STORIES �- BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT LIVING AREA BASEMENT COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. Soft TOTAL SQ.FT. 2000 CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT FIREPLACE ATTACHED SEASONAL SHORELINE DETACHED WNERS 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 GISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE QUIREMENTS FOR WHICH THIS PERMIT IS ISSUItD AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN I CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING O TAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. XOWNER ftk "" '3'" DATE 1011 jib XBY DAT FOR OFFICE USE ONLY G DEPARTMENT YES APPROVEDJO DEPARTMENT YES DEPARTMENT BUILDING VALUATION �r OAeo. HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING �vk PLAN CHECK SPECIAL CONDITIONS BUILDING.GROUP - /�-� PRE-INSPECTION G,E S- m` T! = //6Jj1�Gye r 'f' SCV&S ',jj& SHORELINE WOODSTOVE / PLUMBING , MECHANICAL STATE BUILDING FEE 0 STATESURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION y TOTAL 1 BY�tlq,, � CASH CK MO PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. OWNER NAME ' c MAIL ADDRESS 0k , * & CITYSTA � T r H G 7 G—. �'1 D R., �-l.K O J Y 7 DIRECTIONS II TO JOB SITE G �( JR a� WotJ 6 d f LYE ►-nrS C3wl br► . -�. w od 6►-►` LEGAL DESCR. CONTRACTOR NAME(� MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE USE OF I BUILDING l�e✓1 PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE S WATER CLOSETS /!, FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS FLOOR/SUSPENDED FURNACE 6.00 JAI BATH TUBS BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS 2___ REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER 2. AIR HANDLING UNITS 7.50 1 SINKS HEAT-PUMPS FLOOR DRAINS �_ EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS �_^ VENT.FAN SYS.3.00 PER UNIT ec LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER 2 r DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL s' -�� TOTAL 17- 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 FIRglk,1OL4�4 �ATE BTNGG APPROVAALFFOMTHE UILDINGDEPAR MENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. XOWNER X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY TPLANS/CHECK BY BUILDING GROUP APPROVED FOR ISSUA CE PERMIT VALIDATION [� �J7 BY /�(��C O �� CASH CK MO -�� l l R� PLOT PLAN ADDRESS L • )1-I I J�J(,008P ItD66 L4}IJ & PERMIT NO, o N E 1(c� n� i(1 W�� �� 5.3�-� j Ll (J. 3 Y� /�or�lt of GG✓►kr�l✓u D� uG��.rg r oa c! o LEGAL DESCRIPTION LOT BLK ADDITION M pRop&5 eD SITE AREA259i and Sq. Ft. AREA OF SITE OCCUPIED BY/BUILDINGS �co Sq. Ft, INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING 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 AND 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. 2 l '2>20 INDICATE NORTH IN CIRCLE 4F6t _ - IN 1 Ajof rn I b ho e f' a ' ,$e-s 6 3 0 3 �` � - r5 l We certify at the pmpoesd construction will conform to the dlmensidns and uses shown above and that no changes will be made without first obtaining th approval. NAME(S) OF OWNER(C OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REP ESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE 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. OWNER ME 1�) MAILADDRES IT &STA�E, �;Jj _ZIP PH01�2`ny �y{`lJ�fl DIRECTIONS TO JOB SITE PARCEL LEGAL y NUMBER DESCR. VJ. r NAME MAIL ADDRESS CITY&STATE ZIP PH NE LICENSE NO. CONTRACTOR USE OF BUILDING CLASS OF NEW ADDITION ALTERATION' REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK Vk'l4=�lC�t�l�E � - AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS $ Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 SAYS, 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 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 BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT, X OWNER (bkl(/4_)D(&�� �"DATE 5I('1 I� X BY _ DATE FOR OFFICE USE ONLY DEPARTMENT YESPPROVEDJO DEPARTMENT YES DEPARTMENT BUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION - ' SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL BY CASH CK MO 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. A E11 MAILA RES CITY STATE / ZIP PHONE OWNER 1 ,�� DIRECTIONS TO JOB SITE PARCEL LEGAL NUMBER DESCR. ( NAME MAILADDRESS CITY&STATE ZIP PH NE LICENSE NO. CONTRACTOR USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK AREA:12c'u NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS PRIMARY RES.Cl THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS S Ft BATHROOMS SEASONAL RES.0 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 SgFt ATTACHED 0 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 CL.A DATE 51l X BY _ DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION 1 YES NO YES NO )` HEALTH PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT Z. :;0 D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE APPLICATIO ACC ED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION r BY 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. OWNER A MAILA ESS nl C TiTE DIRECTIONS TO JOB SITE LEGAL DESCR. CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES 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 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 DISH WASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL I I 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 FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION BY 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&STATE ZIP PHONE OWNER ifw% ?O 5*1-1W Z DIRECTIONS TO JOB SITE s • i fijW SA110r, AAAP% PARCEL LEGAL NUMBER Z/0 0000 DESCR. 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.r 0 O Location of proposed construction on property. O Building& septic system setback distances from all property lines& easements. Indicate North O Welland waterline. ✓ 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 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. SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE r TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE All that portion of the Northeast quarter of the Northwest quarter of Section 34, Township 21 North, Range 3 West, W.M., in Mason County, lying northerly of the centerline of the existing road running in a Northeasterly direction across said land. EXCEPTING therefrom road rights-of-way. Parcel No. 32134 2100000.