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Home My WebLink AboutBLD27543 Final SFR - BLD Permit / Conditions - 8/20/1991 Shorelines: Setback: Plumbing Mechanic 7 Special Interior: Conditions: FINAL• ' Mob i le arse: Smoke Detector: Remarks: Setback:�� /nk)A �0�ry - ?� c,a r a,s- Foundation ?Ar4,r Walls: Framing- 1 Fireplace: 1 Wood Stove: • tsc.=y.n-u- TYPE RESIDENCE Permit No. 27543Owner C. No. Floors 2 Sq Ftg 830 HEl TON ISTRIIfTTf1Pl Tel Address 426_1L Date 2_2_1_qL A PW nn Contractor 14�,1 Anthony R� G an Zip �amP Address Zip Legal Description Rainhnw Ik lnt tiff Direction to project site H11Q, 'R to MAInn I hn� Or I to 1 ct 1 nt nn ILM r`i ing _ c anica •Y•� ewer o tove Fireplace Deck 6. Garage 2aa_-(7arport Basement loft Other BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. ��f= J NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER •�/ ys� L v / .t,� �/i' Sll y�E l6aa DIRECTIONS TO JOB SITE /l!f SDn/ i I ou/ l' -C ^ ef-1 7,0 PARCEL / LEGAL // _f NUMBER 3„Z� /'SO'GUQoS DESCR. f-U (9 �J NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR 1-Tc a60PT USE - BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE ��^^ WORK BEDROOMS ; DECKS CARPORT NOTICE � SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTALSQ.FT. 41 0 GARAGE v CONDITIONING. NO.OF STORI ES 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 TOTAL SQ.FT. 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 REGISTR ION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIR ENTS 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 CO ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTA ING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEP RTMEN . I XOWNER DATE XBY / DATE ! FOR OFFICE USE ON DEPARTMENT YESPPROVE N0 DEPARTMENT YESPPROVED1O BUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDINGGROUP C�-"�_ ��-I PRE-INSPECTION SHORELINE AL` c WOODSTOVE v! OREXGE_;:._. IF ANY �� L. !' C� PLUMBING `LCCj OFFICE BEFORE CONSTRUCTION. `4 d MECHANICAL I cccSTATE BUILDING FEE S STATESURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY AP *27 \ D FOR ISUANCE PERMIT VALIDATION / 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. NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER / — ✓e�/„t� �S�/6 DIRECTIONS �� 1 TO JOB SITE d �4i1. �E' �0 1� O ll(� - L C /� fo / -'�t �a 7" o4,., /e ms LEGAL DESCR. CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE S� �P LTCY,.2 cc,r — USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS Q FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS Q v BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS 20� REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHERS AIR HANDLING UNITS 7.50 SINKS • A 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 �� AlF_ DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL ,�} TOTAL C ,, 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 REGU TING TH WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK D WILL B I CO O MA�JCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHO FIR T OBTA NG OVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE X B DATE �+; �'7/ FOR OFFICE USE bNLY APPLICATION ACCEPTED BY PLANS CHECK BY �Ll ING GROUP A PRQVEIZFOR ISSUANCE PERMIT VALIDATION Z zz_-q l ��-7 /Yl-1 BY -� 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 / AIL ADDRESS ITY&STATE ZIP PHONE OWNER L-/ s or✓► . z/ 'S16 `1-4 '1600 DIRECTIONS /,( d TO JOB SITE L% /�I o,v �!( T[ n,g�%�✓� k1 �V-( PARCEL LEGAL 1 ,Q l/ /L //r� NUMBER 3a�3y SU'UV UG DES CR. �� '/ 6 S �l "4,' VW 47- -e 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. 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. ! 5,b 5 * 3 0 V. AW 4 ! A. I ! I/We certify that the proposed construction will conform to the dimensions and uses shown above and:that no c nges will be made without first obtaining approval. SIG LIRE OF OVVN 6R AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LIN APPROVED DISTRICT AS NOTED DATE TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE w