Loading...
HomeMy WebLinkAboutBLD28806 Final SFR - BLD Permit / Conditions - 10/11/1991 Shorelines: Plunbing Setback: Mechanica Special Interior: c Z / Conditions: FINAL: © � LC atie Ingr MobileHome: Smoke Detector: Remarks: Footing: 0 Setback: p L 5 1,4 Foundation y_y Walls: C' F— !' � Fr arc i ng:C)C Fireplace: Wood Stove: TYPE RESIDENCE Permit No 28806 No. Floors 1 Sq Ftg 1104 Owner Joyce L. Blanck Tel 495-4106 Dateg 13 91 Address PO Box 3394 McCleary 98557 Zip Contractor Carnell Constr. Address -zip Legal Description 34 21 3 Lot 47 Rainbow Lake Direction to project site Hwv 3 to Mason Lk Rd' T on Mason Lk Rd. Procped to Rn i nhny, T lr, T. nn Ra;nhnc,z nr, Site im ing x Mechanical x Sewer Wood Stove Fireplace Deck 7rage -'7- t Basement Loft Other BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 2 427-9670 DATE ISSUED v(�/�-�J PERMIT NO. ' ,�L NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER o e,- �1-A)-ick f'o Fbx 3517Y Mc-GJ RjW A DIRECTIONS TO JOB SITE '5 To `chh5oo 1.-k. RD an+ AlA5oh / A JR D ?ROC a ku ow A 4C L on+ AxdN ow g,u6 S/TIr om C��,u�+ o p '?_4� .29&L DXIVE- _' LAkF t, 66D 1-�✓E PARCEL LEGAL NUMBER 3213y-50-000'1 DESCR. �_OT Al X4)-' B6c.J L.A-KE' NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. ZIP PHONE CONTRACTOR C14APF-LL Co"5rC. 703,,X /y ly\'C_LMRj W& CA NECc/g Y55 7 9/3-7693 USE OF BUILDING E CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ ✓ DESCRIBE WORK 1�:'-A f C C A /.c r_ M �d S` 1►w 6,l•E A_ T �` Cp C° It Cr- BEDROOMS 3 DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS Z TOTAL SQ.FT. GARAGE ' CONDITIONING. NO.OF STORIES BASEMENT ATTACHED 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 TOTALSQ.FT. 110N FIREPLACE DETACHED ABANDONED 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 1 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 OWNER DATE X BY DATE 7` `9 FOR OFFICE USE ONLY DEPARTMENT YES No DEPARTMENT YES NO HEAL BUILDING VALUATION J TH PUBLIC WORKS �FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE Lin PLUMBING MECHANICAL STATE BUILDING FEE `J AP STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPR F IS§SU N E PERMIT VALIDATION c MO � TOTAL r BY CASH CK PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 /�� 427-9670 DATE ISSUED //^ PERMIT NO V� NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER o ae ?0 ;5-sx3391V mccLz 4R IVA ff55r y9✓r- 5�/0!0 DIRECTIONS T/O JOB SITE 131b Asouc+ LK "iKD. I-B T ON au 1-4 R�D 1' oC�tn 7a /xEN--+ d- DEFT OAN ZAj)J6#il wit/dff , JIT� ON CO MER. OF 7AJNSow DRJUE t AkeU.Voo L4tje_ LEGAL DESCR. kor A17 CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CA)1NG ('oNsr (F , d // eC,� f WA- CARNC-Ca/b'aQ8 cJb'S5 9Y3 96l�3 USE OF BUILDING �1U 1, E �q� L-� F S 1.D n,cE PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS FLOOR/SUSPENDED FURNACE 6.00 I BATHTUBS BOILER/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 3 VENT.FAN SYS.3.00 PER UNIT LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL C AX)CT W PAL 1k e PI TCrUS URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL 1q , 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 OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT, WITHOUT FIRST OBTAINING APPRO AL FROM THE BUILDING DEPARTMENT. X OWNER DATE X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP AP D F SUA PERMIT VALIDATION 1 ` — %n—/ Y CASH CK MO