HomeMy WebLinkAboutBLD29663 Final SFR - BLD Permit / Conditions - 5/27/1992 S/�/z/_�' �(7�1':�CI /fir• _//. < ;u��= SiR� pe
Shorelines: r.c''` Sj�c�Y Plumbing•
Setback: Mechanical•
Special Interior•/1S•
Conditions: Final: epil 5 7 �►��
Mobile Home:
Smoke Detectofvj
Remarks:
Footing: 41-�-y� i 9%:kw^ p'
Setback: -
Foundation AV
Walls:
Framing:
Fireplace:
Woodsto,,e: Z (rc"IS r ^J�,�rTasvi y
A7004,
AREA: TYPE: RESIDENCE
Owner: SHELTON CONST Tel: 426-1600 Date: 12-04-91
Address: E 1451 ANTHONY RD, GRAPEVIEW
Permit #: 29663 Floors: 2 Sq Ft: 880
Contractor: SHELTON CONSTRUCTION
Phone: 426-1600\SHELTC*260PT
Legal Description: RAINBOW LAKE LOT 62
Direction to job site: HWY 3 TO MASON LAKE RD TO
RAINBOW DRIVE TO 4TH LOT ON LEFT
Plumbing X Mechanical X Woodstove
Fireplace Deck X Garage X
Carport Basement X Loft e3
Conditions:
�dc /'l /o
BUILDING 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 SSTATE ZIP PHONE
TO JOB SITE o , 'z d, a o�
le - - f
PARCEL LEGAL
NUMBER j,,tl �- 50 - 0006Z IDESCR. ,c. o � 6co
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR )V o2 6 o
USE OF _ ,
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK I ( O x ' r '/►o F_
BEDROOMS % DECKS S X /U CARPORT NOTICE
p ) G� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
0BATHROOMS Z TOTAL SQ.FT. Lr v GARAGE ; CONDITIONING.
NO.OF STORIES BASEMENT h-,2 9 ATTACHED L� THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
� � 7 COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. l (JV FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT X SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS 1 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 I 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 CONFORMAN THEREWITH. O CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING AP OVAL FROM THE B ILDIN PARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
r �
XOWNEli 'GATE ��-� X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION ✓
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP �i� PRE-INSPECTION
SHORELINE
WOODSTOVE
-17
PLUMBING
MECHANICAL
STATE BUILDING FEE J
01�A .tl ,2 • i i T C, STATE SURCHARGE
Ire
PLI TION ACCEPTED BY PLANS CHECK BY APPRO D F ISSUA C PERMIT VALIDATION
�C�� �h " 9 TOTAL
B CK MO
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 (� q
427-9670 DATE ISSUE/Qa
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER Avc /
DIRECTIONS }i-
TO JOB SITE 42
o /L./
LEGAL /
DESCR. O (p -2 ) �0 a'/ r�P
CONTRACTOR NAME MAILAD RESS CITY&STATE LICENSE NO. ZIP PHONE
0 rl/c
USE OF
BUILDING
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP F E NO. TYPE OF FIXTURE FEE
12- WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS FLOOR/SUSPENDED FURNACE 6.00
Z BATH TUBS 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 490
DRINKING FOUNTAINS ,� VENT.FAN SYS.3.00 PER UNIT
LAUNDRY TRAYS WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISH WASHER
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL J 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 B IN CONF RMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOU FIRST OBTA NING A ROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE _-
X B� � /' DATE
FOR OFFICE USE ON Y
APPLICATION ACCEPTED BY �?LANS CHECK BY BU NG GROUP VED SSUA C PERMIT VALIDATION
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 MAIL ADDRESS //�� CITY&STATE ZIP PHONE
OWNER / � S/ w///o � .� vie 4/ S Y.6 Z/?G /� v
A.)L��s �.
DIRECTIONS
TO JOB SITE �' p SUILJ /[ . (� b /1 /Q/�►/i�l��U ///tc7
PARCEL 3 /3 —SO-nc�OG , LEGAL
NUMBER / DESCR. L-0
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.
Y O Building& septic system setback distances from all property lines& easements.
Indicate North O Well and water line.
O Saltwater, lakes, rivers, streams, wetlands, drainage.
In Circle O Attach copy of septic system"as built' or septic permit approval.
O Indicate topography profile of property and structure on reverse side.
s 114 1 -
I
f s eA,ee
S
ILE 11
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval.
SIG URE OF OWN O AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINEl
APPROVED
DISTRICT AS NOTED DATE
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE
i
I