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�
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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
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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 •
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r 0.. Box 119, McCI?ary {ya,h4yton 98687 by G$� DATE: O' V-