HomeMy WebLinkAboutBLD23529 Final SFR - BLD Permit / Conditions - 8/1/1989 Shorelines: Plunbing: p/N-�G /Z�7
Setback: Mechanica
Special Interior:
Conditions: FINAL:
Mobile Hcme:
Smoke Detector: wk
Remarks: S ti Szz&40t
Footing: Vt /,r//,c A" -
Setback:
Foundation
Walls:
Framing:p/,�-Z,
Fireplace:
Wood Stove:
TYPE RESIDEPJCE
Permit No. 23529 No. Floors 1 Sq Ftg 1058
Owner SHELTON CONSTRTION Tel 42�T600 Date 4—10-89
Address E 1451 Anthonyra eview Zip
Contractor e
Address zip
Legal Description a1n ow Lake Lot 5
Direction to project site Hwy 3 to Mason Lk Rd. Left to
Evergreen Dr Left to 4th lot on right
p um ing x _ Mechanicalx _ ewerStove _ x
Fireplace Deck Garage 293 Carport
Basement Aft Other
3 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 �f p
426-5593 DATE ISSUED � " 4GJ�
PERMIT NO.��
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE -Y C'rj✓ ' " f'
PARCEL 5 LEGAL
NUMBER j�/3`7�'�"Q-UOn / DESCR.
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE r>�7
BUILDING
CLASS OF NEW �j' ADDITION ALTERATION REPAIR MOVE REMOVE
WORK � I
DESCRIBE
WORK c,l c A
BEDROOMS , DECKS CARPORT NOTICE
-, SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. GARAGE t CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED 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
TOTAL SQ. FT. S FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERSAll DAVIT CONTRACTORS AFFIDAVIT
I CERTIFY I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMOR 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 C FOE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI IN PPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
o
X OW R ' DATE '.� 3' �% X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENO BUILDING VALUATION
HEALTH r PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT S
D.O.T. BUILDING t i PLAN CHECK O4K -
SPECIAL CONDITIONS BUILDING GROUP _ PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING 71 00
MECHANICAL
,STATE BUILDING FEE
STATE SURCHARGE
APPLICATION CEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
C BY k�� y LJ �� CASH CK MO TOTAL
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO.
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
S o > / ! 'ray DIRECTIONS
�y6 /a6 /Ge
TO JOB SITE �1 (-11 S'0 v </� Al-/- `•,e .J
LEGAL
DESCR. �/% �(�
Ire-
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR "J..
t-L C %..260 .
USE
BUILDING
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS .� FORCED-AIR I 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 2-•r 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 49;1
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 /7 '. 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 BTAINING APP OVA FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNE 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
PLOT PLAN
ADDRESS 7O EL/Pa'9/7 ee, cIJR ✓E' PERMIT NO. _ 0 o
z s
LEGAL
s o
• o
DESCRIPTION LOT / BLK ADDITION A 1 l f 11M
SITE AREA 0�7 Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Z Sq.Ft. 1�
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 D
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.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
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C•-� r Y
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I/We certify that the proposed construction will conform to the dlmenslgns and uses shown above and that no changes will be made without
first obtaining approval.
VL (X,.I I r r` -
NAMEtSI OF OWNER(S) OF SITE a STRUCTURE(6) (PRINT) (GN, TURF OF OWNF. S) OR AUTHORI ED REP ESENTATIVE
DO NOT WRITE BELOW'THIS LINE
APPROVED
DISTRICT AS NOTED DATE
INVESTIGATION REPORT FORM
Revised 11/14/06
Case Number: 2-q Parcels '3y 3 1- - 5D - 0006
Violation Site Address:7o 1E . Eiycm-Q2h br
Property Owner(s): $_ ��r. $j�►�;,�. �orkn_ __3�_ Telephone:
Mailing Address: 20 Sic it S 5i--
Occupant of Site or Operator:_
Complainant Name: Obf Q&V1 Telephone:
Complainant Address: 0
_
Location of Concern/Directions to Site:
Nature of Concern: JaD or 5 �-
2 hu erAt& amA Ukri^& lawr o
Department of Concern: K)Building' gfEH Septic IWEH Solid OPlanning ❑Fire ❑Public Works
(For Official Use Only Be and This Point)
Received By: ky," Date: zq I o8
Referred To: Date:
Investigation Date and Findings: _
(9
G0 Aa1
Resolution:
Name: Date: L V