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Home My WebLink AboutBLD23528 SFR - BLD Permit / Conditions - 4/10/1989 Shorelines: Plunbing: f Z VF Qr Setback: Mechanical: Special Interior: Conditions: FINAL: MDbile e: Smoke Detector: JIV< Remarks: Footing: Z Setback: Foundation Walls: Framing:,!�, G e-j Fireplace: ' Wood Stove: Typg RESIDENCE Permit No. 23528 No. Floors 1 Sq Ftg 1078 Owner SHELTON CONSTRUCTION Tel 4�600 Date 4- 0-8 Address E 1451 Anthony Rd Grapeview Zip Contractoorel f Address Zip Legal Description Lot Direction to project site Hwy 3 to Mason left to Evergreen Dr. Left to 5th lot on right. E 80 Evergreen Dr. Plumbing X Mechanical X Sewer Wood Stove X Fireplace Deck -(garage 484 Carport Basement Loft —tether 3 bdrm BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 Z 427-9670 DATE ISSUED a PERMIT NO. NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER = u /Y J. DIRECTIONS f TO JOB SITE I� w. �.3 d � i t7/✓ lI G7 - P Zellf3 15 PARCEL LEGAL / J NUMBER 3 131/ -So -06)01b DESCR. e! NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF BUILDING 5 CLASS OF NEW I,-- ADDITION ALTERATION REPAIR MOVE REMOVE WORK DESCRIBE WORK BEDROOMS DECKS - CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS 2 TOTAL SO.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 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 CERTIF THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGIST TION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUI MENTS 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 FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAI ING APPROVAL FROM T E BUILDI G DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X NER DATE 3 "'2 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 PRE-INSPECTION 04f �vGt�� 4 �� 7 - SHORELINE +� / WOODSTOVE PLUMBINGa3lz�e -MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION on"v � vv� , TOTAL ,/� - BY A •' 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 NAM MAILADDRESS D CITY SSTATE ZIP PHONE ON(10 . L V GI I PLC) L1g.SY 6 6'l 0 C) DIRECTIONS / TO JOB SITE GT . L P ZY X& I/ Ve e,e, ,U o O it/ `c h J LEGAL DESCR. CONTRACTOR NAME MAILADDRESS CITY SSTATE LICENSE NO. ZIP PHONE USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE WATER CLOSETS FORCED-AIR I GRAVITY TYPE FURNACE 6.00 2 BASINS FLOOR I SUSPENDED FURNACE 6.00 BATH TUBS Z BOILER I COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER �r AIR HANDLING UNITS 7.50 f SINKS HEAT•PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL .�3r 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 CONFO MAN E THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRZi NG AP VAL ROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. XOWNER " // DATE j-,,2 Z-Sl " XBY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILLnDING GROUP APPROVER FOR ISSUANCE PERMIT VALIDATION BY�I/l�,�'�"� CASH CK MO PLOT PLAN ADDRESS j/P/F'gAPeA/ 09/?/7►/e PERMIT NO. f s x s LEGAL DESCRIPTION LOT / C BLK ADDITION �� SITE AREA ZC2 ?A5 Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS � � Scl. Ft. `r INSTRUCTIONS TO APPLICANT ~ THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE FILED WITH PERMIT APPLICATION. LEACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) (� FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF } �; PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS,SHOW BUILDING,SITE,AND SETBACK OIMEN- a SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. It INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' L� r _ I/We certify that the proposed construction will conform to the dimensiorns and uses shown above and that no changes will be made without first obtaining approval. NAMES) OF OWNER(S) OR SITE a STRUCTURE(S) (PRINT) 10L".�Oi O ER(S1 OR AU TMORI2 ED R P ESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE