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Home My WebLink AboutBLD28339 Foundation - BLD Permit / Conditions - 6/12/1991 3(o - -7 Co . C� 4�D -Shorelines: Plumbing: Setback: Mechanical: Special Conditions: FINAL: Mobile Hcme: Smoke Detector: Remarks: 0o ing z zal �i Setback: Foundation, T;7, 60!1C ffi Walls:rg Framing: C vase �Ph4t Awe* `,T��,s �� Wood Stove: r/,✓� — � r►wy Sr�L TYPE FWgDA`IION FOR MODULAR Permit No. 28339 No. Floors 1 Sq Ft g 477 Owner —SNYDER, RI ,HARD Tel E1_ 312 Date — Address 1290 Island View Road Gra ev'ew Zip Contractor Pacific Homes )s, Address 16018 86th Ave, _E. uyallup Zip Legal Description 36-21-3 Tr 6 GL 1 Direction to project site From Shelton 6 miles on Hwy 3 to AeatP Rd rieh on gates- 1/10 mi_ to _G0SSQr Rd th IIIum ing Mechanical wer Wood Stove Fireplace Deck arage' -� port Basement soft Other ��.� 11:5-/6od Plato � �ccr )t:br e,1l7_WUe Gf10 11- BUILDING PERMIT APPLICATION o� MASON COUNTY DEPARTMENT of GENERAL SERVICES A� 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 V �} 427-9670 DATE ISSUED GCS PERMIT NO. OWNER NAME MAIL ADDRESS CITY BSTATE ZIP PHONE 5. i paR HICHARD /2`0 134auv lllrw R,, G pt v11 �� 7H1-•7.3 DIRECTIONS TOO JOB SITE RtLKR- FACM SNr:., -row 6 M l o ty Hwv y 3 'To RG RTC 1?0 R v p TE /o I-A lZ —/p c03 ,TR R0 =(Rli vvsa S �,FOR:I46M-('¢(,tlsa15 //OON 6imS)EQ 1�310 PARCEL LEGAL NUMBER 3213b 74 oem6o DESCR. $ E OF- DL-IfR C-ROMf! G[ -I rR-g SvNGy 34 -ar-3 NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE LICENSE NO. CONTRACTOR f{OM�xS !K4 DI , F_ uy uyl, 98'3 1- 312- ACIFN?1 9-PS USE OF BUILDING R F s ,v r,r� CLASS OF NEW u ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK FOUN171471ot4 FoR J4 MOUuL.FlZ AREA: 1431 NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE/4aL_SgFt STORIES�_ SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS 2- PRIMARY RES.O THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS SgFt BATHROOMS�_ SEASONAL RES.❑ 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. CARPORT SgFt FIREPLACE_ IS CARPORT/GARAGE GARAGE SgFt ATTACHED O DETACHED❑ OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT 1 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 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. XOWNER DATE XBY / DATE`S FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION V YES NO YES NO � HEALTH PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT , �5 D.O.T. BUILDING I<<. PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE In WOODSTOVE PLUMBING ECHANICAL STATE BUILDING FEE �s C eo tc- 44 4 c rPERIVALIDATIONAPPLICC T10 ACCE�ED BY PLANS CHECK BY APPROVED FOR ISSUANC MITTOTAL BY SH CK MO / I PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 1 / 427-9670 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER Mr- Snyder East 310 Gosser Road Shelton, WA 98584 841-7312 DIRECTIONS TO JOB SITE -tr cp ca LEGAL DESCR. CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE Bens Heating 17016 32 Avenue East Tacoma WA BENSHAC176JA 98446 537-5034 USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS 1 FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS FLOOR/SUSPENDED FURNACE 6.00 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 5 EACH GAS PIPING SYS.2.00 PER OUTLET 10.00 DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT LAUNDRY TRAYS FIRE SUPPRESSION 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL TOTAL 26,00 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 APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE X BY DATE 65-91-91 FOR OFFICE US ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APP VIED R ISSZE PERMIT VALIDATION Z BY CASH CK MO Department of Labor and"Industries NOTIFICATION TO LOCAL ENFORCEMENT AGENCY CONSTRUCTION COMPLIANCE SECTION date » »»» .: H » »» »»» »:: .•."� 805 Plum St SE vl`....�.4» :.�.. .»..,a ... » PO Box 9689 s. Olympia WA 98504-9689 '`;� wig The Factory-Built Unit identified below requires completion work XSubmitted to Dept.of L&I by at the site as specified. Manufacturer in single copy -OWTxr;!sg� a Mfgr's serial no. Dept serial no. :..:...,:.....,,»......... . ....» »»,.»,.»».------,............ ».» .,...,,»,,.,,,.,..» ».,»,:....,,,.:i.,.......,»,,,.........................:, nst Nation address. Type of construction County State ETCry n A at site Installation site Is in W City County DESCRIBE ITEMS REQUIRINd COMPLETION WORK AT THE SITE „» .»,........... �.m»».».» ........... ...... ,»..»».---------»».» »,..........,...... :. .......,...........»..........,.—,.»,x»,,...--..,»,....:.,..»,»»,..,.,......... _,n......,._:..»............»...N.:..:...,.:.,............ ,»,..,,»»,...,»...,..,»,»..».». ._,._,.,,. ».,»»....,..,!... :.... .... '.....C ........ .......:.:.::..... Inspector's name Phone: (8am to 5pm) Office location A Manufacturer's signatu a Date �.., .. .^}'{•};y.,v,.}, ♦,: ;{r,::.;{.TT ..... ..........}•f}}i .... � .... ... .....,,o�iCCV: 2rooxzxsr. .nz.......n^uz;,RxY{:cc:.r..{�..........�a�Yxz�z ;�.,:.:>:,}:.:?;>y:::::ni:...........n..n.....,............................................ For Dept. s file :fee €by White -Olympia office Use ONLY / / ° $ ..:.....:.. :.... ....,....,...,.:.,,,,,.,,::.,:.:.,..,.....:...:..........:.::::.........,.:,.:., ...........:.».:....:........,.....,..,.......: :.....:......... ...... 'Canary -Building official Pink - Inspector F623-013-000 notification to local enforcement agency 3-88 Goldenrod-Mfg Ni t - G la T Coe � 3 t: Goss C.lt L.t'tnRD 5N' ,Df R� H 31a` S Er A0 5 h e 'thri SEPTIC SYSTEM POWER q I'i 4 3c' � WELL `HOUSE SO' REEK QI h I. I 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 CITYd STATE ZIP PHONEI OWNER DIRECTIONS TO JOB SITE PARCEL LEGAL NUMBER DESCR. 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. 0 O Building & septic system setback distances from all property lines R 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. 44 i ' I I/we certify that the proposed construction win conform to the dimensions and use shown above and that no changes will be made without first obtaining approval. / � 1 S NATURE 0=OWNER(S)O HORIZED REPRESENTATIVE 00 NOT WRITE FLOW THIS L/NE TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE I I IcH RR s/Sr Y D t= s-Crn lsI.(aary vir_w R0.� NP►?VtiZw, wH P14P,c- 76 0C) D S l_ Gay( BUT 1=Ro/yt SNGL7oN NL1Lf= s 147.0 fZ ova FFGH la, TR - 6 R d� GoSSrR Rv �FtRr-i+ousr s,,=_, ev�rv`� 1�G�7r- �Gass�=R� '36 - Gossr=rz FIG t F i C- oivi r: t'too l$ -g,G A Puy u a r N � Io J I