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Home My WebLink AboutBLD23530 SFR - BLD Permit / Conditions - 4/10/1989 Shorelines: Setback: Mechanical: Special Interior: Conditions: FINAL: Mobile cme: Smoke Detector: ��, Footing: Remarks: — Setback: Foundation Walls: Framing: Fireplace: Wood Stove: TYPE RESIDENCE Permit No. 23530 No. Floors 1 Sq Ftg 1166 Owner SHELMN CONSTRUCTION Tel 426-1600 Date 4-�p_gg Address L 1451 n ony rapev�eT w Zip Contractor �eTi r' Address Zip Legal Descrip ion i Lot-7— Direction to project site I — HWY 3 to Mason k Rci iof+ to Evergreen Dr. Left to 3rd lot on right Plumbing X Mechanica � wer Wood Stove x _ Fireplace Deck rage 484 —(a port Basement soft -0 her 3 bdrm BUILDING PERMIT APPLICATION MASON COUNTY �C1�wn l� e�ow�� DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 21 427-9670 DATE ISSUED PERMIT NO.C—A 3 �36 OWNER NAME / p� MAILADDRESS J CITY SSTATE ZIP PHONE LS I /YQ• '6/ !J ly ' 6 ?"1 6 -A6 CIO DIRECTIONS IF TO JOB SITE fd o l O� .V JP' — c PARCEL / LEGAL � .. NUMBER '= "�' ��i> DESCR. NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR �. USE BUILDING ) 1'r Ile CLASS OF NEW I�. / ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE 1 WORK f ✓c / ti�P , BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS 2 TOTALSQ.FT. GARAGE _ CONDITIONING. NO.OF STORIES BASEMENT - ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT.��G FIREPLACE J 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 I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE RE EMENTS 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 NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBT INING APPROVAL FROM THE UILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. LW L) NER 7L >> DATE '�?� X BY DATE FOR OFFICE USE ONLY APPROVED APPROVED BUILDING VALUATION DEPARTMENT DEPARTMENT 17"� YES NO YES NO - HEALTH [ PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING 4/4 PLAN CHECK s7ne.,< rA1,AAJ1�` SPECIAL CONDITIONS BUILDING GROUP /-n I PRE-INSPECTION 7 SHORELINE WOODSTOVE —MECHANICAL TE BUILDING FEE STATESURCHARGE ICA ION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION a9 ��L CASH CK MO TOTAL BY 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 ITY&STATE ZIP PHONE OWNER DIRECTIONS / 1 �C TO JOB SITE �� ,t� - L P 7 f o L I/! P.+�/ �7 L� / 70 3 LEGAL l L DESCR. NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR S-,, 6 1 USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS L FORCED-AIR I GRAVITY TYPE FURNACE 6.00 2 BASINS FLOOR I SUSPENDED FURNACE 6.00 BATH TUBS BOILER I COMPRESSOR 6.00 SHOWERS l REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER AIR HANDLING UNITS 7.50 ` SINKS a, HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT 71 LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 41 5.00 DISHWASHER f DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL 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 TAINING APPR VAL ROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. �1 X OWNEF�; ' f� DATE ' 7-1 V X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION IBY CASH CK MO PLOT PLAN ADDRESS p( d �/I1°h� Q/jPP�jf �/k))/c- PERMIT NO. 0 � o LEGAL DESCRIPTION LOT / BLK ADDITION �j t f� l'�j c �.� L•/��I Y l SITE AREA_�Q_ Sq, Ft. AREA OF SITE OCCUPIED BY BUILDINGS �G�J V Sq.Ft. INSTRUCTIONS TO APPLICANT U THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1•'-20' ARE C FILED WITH PERMIT APPLICATION. (EACH 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 DIMEN- 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. C C INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' n 0 U. (/ t I, i I/We certify that the proposed construction will conform to the dl"wnsid'ns and uses shown above and that no changes will be made without first obtaining approval. �N //U � �. ��G r f' l �'_- <.' NAMEM OF OWNER($) OF SITE & STRUCTURE(S) (PRINTI IGN T RE OWNERI OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE INVESTIGATION REPORT FORM Revised 11/14/06 Case Number: ��2� I Parcel# 3z �� - 5 - DOO Violation Site Address: E . Ve-rq Property Owner(s): i Telephone: Mailing Address: Occupant of Site or Operator: Complainant Name: yy� a,kyyh Telephone: Complainant Address: Location of Concern/Directions to Site: Gi n bo w l k Nature of Concern: V1D m k � 5wa� . �f 4q�Z (��i (M?- . SLQ tuc = ! L c (fi I 11 �as c) Department of Concern: 3Wuildinj WEH Septic ❑EH Solid ❑Planning ❑Fire ❑Public Works (For Official Use Only Beyond This Point) Received By: �0�, Date: Referred To: Date: Investigation Date and Findings: f ej (DhV- WA W a)K& PYah-J ardlA r Resolution: Name: Date: `Y; —06