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Home My WebLink AboutBLD23527 Final SFR - BLD Permit / Conditions - 8/1/1989 Shorelines: Plunbing: Setback: Mechanica Special Interior: Conditions:_ FINAL: ,4- Mobile Home: Smoke Detector: 10( Remarks: OOt I rig e Setback: Foundation Walls: Franing:_��-nth Fireplace: Wood Stove: TYPE RESIDEiPXE Permit No. 23527 No. Floors 1 Sq Ftg 1 C)5B Owner SHELT5tJ CONSTRUCTION Tel 4_26-1600 Date 4-10-89 Address E 1451 Anthony Rd Grapeview Zip Contracuor e T Address Legal Descrl tlo ip nRainbow L Lot 2 Direction to project site Hwv 3 to P,1asnn I k FriPft. 1:� McEwen Prairie Rd. . 2nd lot N f in P'�SPrtinn P un ing k lechanicaL X Sewer Woo Stove _� Fireplace Deck Garage 293 Carport Basement Loft Other 3 bd BUILDING PERMIT APPLICATION i MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED `D"-_ �7� PERMIT NO.� NAME MAILADDRESS CITY BSTATE ZIP PHONE OWNER L a o E1,4151 ///1,&g!vv led. DIRECTIONS /, N4J0 TO JOB SITE �/� � �, Sd,, L/t - L c11f-p c-P /? 1A !l�J 01' PC) C> / G O N PARCEL LEGAL NUMBER �r /r�y-_0" 000.0„� DESCR. NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR C*260/,' USE OF BUILDINGCLASS WORK Or NEW ADDITION ALTERATION REPAIR MOVE REMOVE DESCRIBE WORK BEDROOMS 3 DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. GARAGE 2q3 CONDITIONING. NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT /OSS COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. FIREPLACE DETACHED ABAN DONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE 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 CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OW N ER= DATE X BY DATE FOR OFFICE USE ONLY DEPARTMENT YES NO NO DEPARTMENT YES NO BUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNI JG FIRE BUILDING PERMIT D.O.T. BUILDING �U/� PLAN CHECK SP CI CONDITIONS BUILDING GROUP �� h,� PRE-INSPECTION /`, -7� - SHORELINE ytfj� Gu(714 elAI!-IA:�L'%IlAet bfZ '1 _rl WOODSTOVE PLUMBING QQ /a's-,p )C�j. . iq 35f�I y )MECHANICAL o(/ �� n y � _ �'S" STATE BUILDING FEE r 3fiRTE SURCHARGE r APPLICATION ACCEPTED BY PLANS CHHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION > .�` ��Z�u` BY l C�j(, �J�� '7 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. NAME/ MAILADDRESS CITY&STATE ZIP PHONE OWNER Slie�To. L"/ a - �- Je11� �w `; �5Y `lr.?�'-/you DIRECTIONS l / TO JOB SITE �, /�`/1 a `�1 ✓��Gi Le !U /`�� r ti✓ �' 1 � D c G /i O A,/ LEGAL / DESCR. 1 v h/17�v/4i CONTRACTOR NAME _ MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE USE OF BUILDING j PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS I. - FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS 4— BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS 2_-'— 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 G.-c�t— 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 CO FOR ANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRS OBTAINING A PR AL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. XOWNER. DATE ? �i '�I XBY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION �l,lG-zi= �►1 "� BY u��t L CASH CK MO PLOT PLAN ADDRESS /- / , sl_; �� /1 [ PERMIT NO. 4 8 a e LEGAL DESCRIPTION LOT % BLK ADDITION -at/ Z= (a `J SITE AREA k'5 X Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS /3 / Sq. Ft. J \ 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. n INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' 4 L/•�J Af i f G s' r' f Su I 0 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. '(- I A - S A 0/j�/. 1/U L / , , /' -el' / , Z/� NAME(S) OF OWNER(S) OF SITE & STRUCTUREIS) (PRINT) Wfr.NATURE OF OWNE ISI AUTHORIZED REP EIEN TATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE