HomeMy WebLinkAboutBLD27542 Final SFR - BLD Permit / Conditions - 8/20/1991 Shorelines: Plumbing:6
Setback: Mechanica ;�-,,e _��9 J
Special Interior:
Conditions: FINAL: . - `I (
Mob i lei Home: �
Smoke Detector:
Remarks
Foot ing Setback� ���_� • i Y
Foundation '
Walls:
41-11
Frami
Fireplace:
Hood Stove:
TYPE RESIDENCE
Permit No. 27r42 No. Floors 1 Sq Ftg 1166
Owner SHE TON CONSTRIIf Ttnni Tn�r Tel 426-16D(l Date 2_21-91
Address E 145, Anthony rd Gr ppyiew Zip
Contractor same
Address Zip
Legal Description _Rainbow 1.k lot .h
Direction to project site Hwy ; to Ma,
nn i k Rd to
Rainhnw nr I to end of rirl rip ear nn
Wing -X— c anica y ewer Wood Stove
_
Fireplace Deck Garage Carport 484
Basement soft - Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER NAME _MAILADDRESS CITY&STATE ZIP PHONE
/1 ,/'ve, lew ils 5"a6- /boo
DIRECTIONS 0
TO JOB SITE ti /1 S�.v Lk J�
7 �e /-J'
PARCEL3LEGAL
NUMBER �213V-5-0 -0005 4� DESCR.
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
C Go 1p
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK .ollO
BEDROOMS DECKS CARPORT Y NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS�_ TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED Y 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. FIREPLACE ✓ DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT i' SHORELINE
SEASONAL
OWNERS AF IDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY T T I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
CERTIFY
LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREME TS 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 CONFO MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAININ PPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING EPARTM NT. 9
X OW R DATE X BY DATE ��,3�``�
FOR OFFICE USE ON Y
DEPARTMENT YES NO
NO DEPARTMENT YES No
BUILDING VALUATION
C
HEALTH PUBLIC WORKS FEE
PLANNING Mv
FIRE BUILDING PERMIT 2�, 6c)
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDINGGROUP PRE-INSPECTION
SHORELINE
AtC CONS I RUCTION MUST WOODSTOVE
OR EXCEED LOCAL CODES MEET
ANV 1 L 5.Qn PLUMBING
SE CALL THIS MECHANICAL
OFFICE BEFORE CONSTRU TI
STATE BUILDING FEE ,
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROSED FOR ISSUANCE PERMIT VALIDATION
ZO` BY CASH CK MO TOTAL ��
Z
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 J
427-9670 DATE ISSUED lql
PERMIT NO. 2 _
OWNER /NAME MAILADDRESS CITY&f�TAATTE+ ZIP PHONE
xy
DIRECTIONS
TO JOB SITE
.2P / Ao oc C2 p
LEGAL
DESCR.
CONTRACTOR NAME MAILADDRESS CITY BSTATE 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 L C)Q FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS ocBOILER/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 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 .O
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 1 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 C NFO NCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT F S OBTAINING PP VAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE X BY DATES--31 91
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY LDING GROUP AP E R ISSUANCE PERMIT VALIDATION
L Z_ 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 MAILADDRESS CITY&STATE ZIP PHONE
OWNER /
DIRECTIONS
TO JOB SITE V sd yV ,��-��� lOvh o4i/ I V-e le
//-,P e t-Cam' U Ide_ �L, P
PARCEL LEGAL L
NUMBER ✓�,Z/3y-ffl UOOSL 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.
O Location of proposed construction on property.
0 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.
a
F
LIU
_44-
t 1
w e teti
I/We certify that the proposed construction will conform to the dimensions and uses shown above and th no changes will be made without first obtaining approval.
SI TUBE OF NER(S)OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS E
APPROVED
DISTRICT AS NOTED DATE
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE
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