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HomeMy WebLinkAboutBLD19486 SFR - BLD Application - 10/22/1986 BUILQING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. lq 51�O NAME MAILADDRESS CITY BSTATE ZIP PHONE OWNER A&P/- - e 56-'S4N Sr;ELE y 46,C Z1$_5 9Y3/O 317- 711 DIRECTIONS TO JOBSIITELEGAL /VE 6E3D EG�E�/I>ff/�L r3�fSS �v. CLF/,�/� D SCR. i� ��/��/'��� / ' �� /r� /� f ^ �L o • Sat NAME MAILADDRESS CITY SSTATE LICENSE NO. ZIP PHONE CONTRACTOR �EU6EN e"4,e _ $ 7 USE OF /3`1R �fOLI� � � RO BUILDING IIVO(yF CLASS OF NEW �_. ADDITION ALTERATION REPAIR MOVE REMOVE WORK DESCRIBE WORK /v�[ff G O j'�UME wit/ /4C�ES BEDROOMS �- DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS .2 TOTAL SQ.FT. GARAGE CONDITIONING. NO.OF STORI ES BASEMENT 39*- 10ATTACHED 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 TOTAL SQ.FT. FIREPLACE 5-1-;�'VF- DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWN ERS,jFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY CHAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRA ON LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIRE 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 CON RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAIN GAPPROVALFR HE I NG ART NT. APPROVALFROM THE BUILDING DEPARTMENT. O N ER ATE L - 5� LJ X B dam 2 -' DATE4 FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION �y YES NO YES NO "5� G y 8. HEALTH PUBLIC WORKS FEE PLANNING r FIRE BUILDING PERMIT `7 j D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP /'-3 PRE-INSPECTION SHORELINE RtAbMtNtZ PLUMBING Q MECHANICAL Q STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY PLANS HE BY APPROVED FOR ISSUANCE PERMIT VALIDATION -.-1� BY C MO TOTAL ASH CK �� �� MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT OF GENERAL SERVICES P. O. BOX 186 SHELTON , WASHINGTON 98584 PHONE 206 — 426-5593 DATE ISSUED PERMIT NO. LEGAL DESC_ : SEC. TWN. — NO., RANGE WEST, W.M. PLAT DIV.— LOT— OWNER ADDRESS Po l30k !V 21 e18F1rP7-o1_1 `T r?/,Q CONTRACTOR i'�60Elj ADDRESS /°© 02)< t ?3 4RE&1akfVtJ 783/0 DIRECTIONS TO SITE- tio= 663n 6G F�7y�i9h/[ P/4SS Rj), *'zLF.A/� THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGRE OR LL APPLICABLE LAWS OF MASON COUNTY AND THE STATE OF WASHINGTON. SIGNATU OF APPLICANT NO BASIC FEE 10.00 1 Forced-air or gravity-type furnace or burner , including ducts and vents attached to such appliance up to and including 100,000 Btu/h la Appliance over 100,000 Btu/h including ducts and vents attached 7.50 2 Floor furnace, including vent 6.00 3 Suspended heater, recessed wall heater or floor-mounted unit heater 6.00 4 Appliance vent installed and not included in an appliance permit 3.00 5 Repair or alteration of, or addition to each heating appliance, refrigeration unit, cooling unit, absorption unit, or each heating, cooling, absorption, or evaporation cooling system, including installation of controls regulated by this code 6.00 6 Boiler or compressor to and including three horsepower , or each absorption system to and including 100,000 Btu/h 6.00 6a Over three horsepower to and including 15 horsepower , or each absorption system over 100,000 Btu/h and including 500,000 Btu/h 11.00 6b Over 15 horsepower to and including 30 horsepower , or each absorption system over 500,000 Btu/h to and including 1,000,000 Btu/h 15.00 6c Over 30 horsepower to and including 50 horsepower, or for each absorption system over 1,000,000 Btu/h to and including 1,750,000 Btu/h 22.50 6d Boiler or refrigeration compressor over 50 horsepower, or each absorption system over 1,750,000 Btu/h 37.50 7 Air-handling unit to and including 10,000 cubic feet per minute, including ducts attached thereto 4.50 7a Air-handling unit over 10,000 cfm 7.50 8 Evaporative cooler other than portable type 4.50 9 Ventilation fan connected to a single duct 3.00 10 Ventilation system which is not a portion of any heating or air-conditioning system authorized by a permit 4.50 11 Hood which is served by mechanical exhaust, including the ducts for such hood 4.50 12 Domestic-type incinerator 7.50 13 Commercial or industrial-type incinerator 30,00 14 For each appliance or piece of equipment regulated by this code but not classed in other appliance categories, or for which no other fee is listed in this code 4.50 For each gas-piping system of one to four outlets 2.00 15a For each gas-piping system of more than four outlets per outlet .5 TOTAL SPECIAL C0NDIT10NS 4��C1_P—V1P4NC, /F,(IAA/,fC,E_ LOAD / -5f -- ,l91O APPROVED BY DATE PEMIT VALIDATION CK. MO. CASH I TICOR TITLE _ ttawwe tnatrttw rr INSURANCE 4 5548ki Filed for Record at Request of REEL.34_I_ i;,ME_ "'l t jtl.'i: AFTER RECORDING MAIL TO: rR.�q k` G JUL P I : 10 FEGKST OF HOME TITLE COMPANY 10058 P.O.Box Z Shelton _\ 426 1626 Qjv t1j FO14A4 L-SE(3454) T1)S' Statutory Warranty Deed THE GRANTOR NANCY R. WEISHAAR, FORMERLY NANCY R. NEHL AND ROBERT E. WEISHAAR, HER ONLY HUSBAND SINCE MAY 26, 1978 for and in consideration of TEN AND NO-100 DOLLARS AND OTHER GOOD AND VALUABLE CONS�ONe 4aZi�K_'i* in hand paid,conveys and warrants to C. SUSAN CROWELL, A SINGLE WOMAN �•�' the following described real estate,situated in the County of MASON State of Washing SEE EXHIBIT 'A' ON ATTACHED RIDER WHICH BY THIS REFERENCE IS MADE A PART HEREOF. SUBJECT TO: EASEMENT RECORDED APRIL 19, 1979 UNDER AUDITOR'S FILE Nps�343098; EASEMENT RECORDED MAY 9, 1978 UNDER AUDITOR'S FILE NO. 344111 FOR INGRESS, EGRESS AND UTILITIES; RIGHTS, RESTRICTIONS AND RESERVATIONS CONTAINED IN PROTECTIVE COVENANTS RECORDED 4-24-78 UNDER AUDITOR'S FILE NO. 343246; RIGHTS, RESTRICTIONS AND RESERVATIONS SHOWN WITHIN SAID PLAT; PROVISIONS CONTAINED IN THE ARTICLES OF INCORPORATION AND BYLAWS OF TOONERVILLE ACREAGE TRACTS ROAD MAINTENANCE FUND. wit}.�✓/}, • ao�JrY ZL tar aIn'I 's`tA" •AID 11��l'C) t Dated this 16TH day of JULY, 1986 JUL 2 9 1986 t DL)HENL RAC•: Trees.damn foaray r' i 1•u L..�� 7�:..` -,.a.� By ...,..1/� �.- .�c:•r'fe-�. �............................ NANCY R. WE HAAR ROBERT EMIL WEISHAAR By .................................................................... By ................................................................................. STATE OF WASHINGTON SPATE Or N'ASHIN4TON COL'NTY OF.......K.tsa.... ...... ss COUNTY OF.................................. « On this das persemally appearrd before me On this........day of......................................................._....19......... Nancy R. It Ro5ert Emil Nei shaar before mr.the undersigned,a Notary Parma in and for the date of Mashitntrm.dulr ........................................................................ commissioned and sworn.fictionally appeared ............................................... ••••••••••••• to me km xn to be the indisidwl ds eribed in and who executed the within qd foregoing instrument. and ........................................................................................._................... ackn_ledged that j f'y....._ signed the same as and.................. the i•r_..____—. ry free and so)umary act and deed,for the SeLwur)' aces and pucKe,therein meminited. It,me\nnwn In he the......................I'tesidenl and . respecli,ely.of.................................................................__.................... GIYFN under on, hand and official sea)this thecorMmtion that nervted the loregoing iwrument,and ac►is-k-dvel the said in• 16 da)of•• 4Uly•._• �••.•,• ly�.••,6/ strumem m he the it"and solumar)act and deed of said tmrysra,—L for the uses ........ 'and purpatses'heron mentioned,and on earth erred that ................................ .........y�A�.•.•rC.f.•••�3t••.a•_�••1. .:4....... t authorised to executed the said instrument and that the weal aflncd it the errprante Nnta•F Public in atd for th St, . Aa n shington, teal of said c ,"mien. ra+iditag at ...........fOrL•OrC�a ................ Witness nn hand and official seal heeto affixed the da)and seat first shore . . hly commission expires: May 15, 19871i'len. N'snrr PuhIic in and in the Stare of gbsIsiis imt• residingat ................................................. sea t.r As soon as you know your new address,mail this card to all the people, businesses, and publications who send you mail. For publications,tape an old address label over name and old address sections and complete new address.st/,// ` Your Print or Type—Last Name,First Name,Middle Initial / y`il name //(wf& ob No and Street Apt.Suit✓No. I PO.Box R.D.No. Old Address Poet ornoe state ZIP code I 9'??i0 No.and Street Apt.Suite No. PO,Box R.D.No. New O�59 !7O`� l 3 vG g Address Poet office state ZIP cede rf!;-?,F - /38� Signature Sign !� Date new atldress In eflect Account No.(If any) Here d / -" ;>r PS FORM 3576,JAN. 1984 ou.s.c. o. ' oie RECEIVER Be sure to record the above new address in your address book at home or orrice. Klvet �►. CHANGE OF ADDRMT,41KD r Correspondents, , .CISPublishers and 1987 Businesses �'ENERAL SER iC Name (For pu6lishets,name o/puNicehon) Address � /8 b (Incluee Ap/t.S/uitelNo.) Post office A/� state W ZIP B��T