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HomeMy WebLinkAboutBLD27318 Final SFR - BLD Permit / Conditions - 4/12/1991 Shorelines: Plumbing:C)(� Setback: Mechanics Special Inter ior:,,4,3 _?�_��/z Conditions: FINAL:Es � ��_iz� >� Mobile Home: Smoke Detector: notin Remarks:.-D�,�,re g: _ Setback•,&A!e i2 i ��,j Foundation Walls: P. Framing: Fireplace: Wood Stove: TYPE RESIDENCE Permit No. 27318 No. Floors 1 Sq Ftg 1100 Owner BAKER, OBE Tel 3500 Date�— Address evens ton Zip Contractor Address Legal Descrip ion aim ow a<e o 1p Direction to project site _Hw.y 3 E to hason turn son Lk Rd to Rainbow Lk L on Rainbow Dr Pumin n g �� Mechanical xx _ Sewer Wood Stove Fireplace Deck Garage aaL� Carport Basement Loft Other BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 _ Z 427-9670 DATE ISSUED '— PERMIT NO. NAME MAILADDRESS CITY BSTATE ZIP PHONE OWNER o LR� lr.�AwoR Ak_ �`l� STeVc�s c , L7n�, Lup 9858c/ 50'� DIRECTIONS TO JOB SITE rjiw 3 aLa t4 k1z '•P 'Sv Y.w 1_G F Svc_C.""' A-A&G OLD ttl �P�\N cN-J i-Akl �-CFt 1+� w w IUL. % QU-L—O = -SFA- T k+p OFRA),114" R uE PARCEL LEGAL NUMBER 3a1 3L/-j0-006$S DESCR. 1p� 55 �� KI. NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR eG1-EWL wfT �'/T-- 73 w =cc) 9DSS� USE OF BUILDING E. 'c1Pol. CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE WORK G-R-E NY-N E5 =mac- ' L3 �t BEDROOMS 3 DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS Z- TOTAL SQ.FT. '� GARAGE --I-- 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 SO.FT. 1100 FIREPLACE -4F:1_ DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT ✓ SHORELINE SEASONAL OWN/PPROVAL VIT CONTRACTORS AFFIDAVIT I CERM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIHICH 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 COHEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAI FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE X BY S� DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES NO YES NO HEALTH (/SA. PUBLIC WORKS FEE PLANNING �-Ouul FIRE BUILDING PERMIT 36 v D.O.T. BUILDING PLAN CHECK Z SPECIAL CONDITIONS BUILDING GROUP _� PRE-INSPECTION S� SHORELINE WOODSTOVE PLUMBING Q MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLANS C K BY APPROVED FOR S ANCE PERMIT VALIDATION �l CO TOTAL �� BY 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 MAIL ADDRESS CITY&STATE ZIP PHONE -tiv oR &`w ►ham s -u sue_ 5w «�o way 9353 k/ DIRECTIONS TO JOB SITE o A ►J G.Akrc `?,I) 'C�,.�tw 1. a✓PT � �.L�J r►1��.., LgKE ko a QR� w t-i�kE I-l_FT +,w C`u.L -x>E- Ae- AT Etiv df �Aink3oc.��� LEGAL DESCR. �O rJ rJ R�rJ 1 AlC F CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE u . o `C1-r Q& c-aQvaFc_c_- 1 g a.0�3 78Z-9 95/3 A93 USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE 2 WATER CLOSETS .0 V FORCED-AIR/GRAVITY TYPE FURNACE 6.00 2 BASINS 4, 00 FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS Q 1? BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 I AUTO.WASHER Q(J AIR HANDLING UNITS 7.50 SINKS HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS 13 VENT.FAN SYS.3.00 PER UNIT O i1 LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL (!.N o r W l,'" URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL p d TOTAL / L) 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 F�ST OBT INI G PROVAL FROM THEBUILDING DEPART NT XOWNER DATE XBY!/•u144z .6, Jof[k6 .s��TE z 'r 4A FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHEP.!(,BY �� BUILDING GROUP APPROVED F�j'ISS NGE PERMIT VALIDATION v� k�`' 3 BY �r CASH CK MO SIop61 to- Lot G►edint Typ• _PLOT PLAN- SCALE • 1" • 20'•0" .00 a i PRvPog� -p�2.ii�NFlrc�Y� IH to F • t 0 o ?- v, � 7C UVF ICI C- FL.EL J N 0 4 -- � �n V � O P"c" Cl cl p � t4.ov' LEGAL DESCRIPTION SS , T-f,IriZ L Ake JOHN E. C'ARNELL � �N E LVtv w) m'A3 C 1%J cot+trRArroN Na MW�cc�bige • W n g 1i 1►�cr—!�'`� r 0.. Box 119, McCI?ary {ya,h4yton 98687 by G$� DATE: O' V-