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BLD10852 Final SFR - BLD Permit / Conditions - 6/2/1982
GAGLIARDI, Nick #10852 13240-22nd , Seattle, 4 t 06-22-81 Tracts 27 and 28, Wooten Lake Plat (see attached map) Residence Contractor - Armstrong Homes $48,304.00 Wood Stove Permit Mechanical Permit Plumbing Permit Shoreline Exemption �Ile Ar 1 ' BUILDING PERMIT APPLICATION MASON COUNTY P. ®. Boy 4W Shelton, Washinqton 985819 186 DATE ISSUED PERMIT NO. ---- — MAIL ADDRESS IIP PHONE OWNER� .r & Mrs. dick Gagliardi 13240 22nd Seattge WA 2Q-1185 DIRECTIONS� TO JOB SITE See vacinit _ map attached. LEGAL MAIL ADDRESS -- -- zip (I�SEE ATTACHED SHEET) DESC�Tracts 27 and _28 Wooten Lake Plat according to the recorded plat thereof in the office CONTRACTOR !Of the Auditor for saidA'6dtMt7 and State y ©oluMd"'. of Plats, page 41. Armstrong Homes of 3remerton, Inc. 2531 Perry_Ave,, Bremerton, WA 98310 USE OF MAIL ADDRESS PHONE LICENSE NO-AR MS TH B307QL BUILDING New Residence Class of work: J 1 NEW ❑ADDITION ❑ALTERATION D REPAIR ❑MOVE ❑ REMOVE Describe work: Construction of new residence. 1 ' ��) 2 — Bedroomsy_, 2 — Bathrooms 1422 squeee feet finished main floor; 1422 square feet unfinished. basement 56r x 101 deck (560 square feet) rough—in wood stove; ceiling thru rain cap Valuation of wor i PLAN CHECK FEE PERMIT FEE -- .j;9 = n�4r SPECIAL CON TIO ) po stove Exsisting sep Y17/f�y�V�_1f-/�S'"oo APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY 6�t Type. Occupancy .. � Const Group Division — -- of Bldg. No.of Max. (Total)Sq. Ft. Stories Occ. Load �` CONTRACTOR AFFIDAVIT Special Approvals Required Received Not Require I Certify that I am a currently registered contractor in the State of Washington and the County of Mason and I am aware cf the H6ALT'H DAP ordinance requirements regulating the wcrk fcr which the permit K6 is issued and all work done wi;l be in conformance therewith. /Firm Armstrong Homys,.of Bremerton, Inc. B C. AR MS TH Q07" Date OWNERS AFFIDAVIT — I certify that I am exempt from the requirements of the contract. or registration law RCW 18.27, and am aware of the Mason County ordinance requirements for which this permit is issued -- — and that all work done will he in conformance therewith. N 0 T I C E L SEPARATE PERMITS AP* REQUIRED FOR ELECTRICAL, PLU. 'G, HEATING. VENTILATING'" OR AIR CONDITIONING. Owner Date THIS PERMIT BECO'+76 NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC- TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. LAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH SHELTON PRINTING CO. MASON COUNTY PLANNING DEPARTMENT P.0. Box 400 Shelton, Washington 98584 MECHANICAL PERMIT APPLICATION IMPORTANT -Complete ALL items. Mark boxes where applicable. t, LEGAL DESCRIPTION Location Tracts 27 & 28 Wooten Lake Plat, according to the recorded Plat thereof in the Of Poffice of the Auditor for said County Nand State, Volume 4 of Plats, page 41. Building E W side of feet E W from intersection of Sect. Twp. Range NO. DESCRIPTIONS FEE NO. DESCRIPTIONS FEE 1. Forced air or gravity type furnace or burner including ducts X 14. For the installation or relocation of each boiler or refrigeration and vents, up to and including 100,000 Btu's-$4.00 compressor over 50 horse power or each absorption system over 1,750,000 Btu's-$25.00 2. Over 100,000 Btu's-$5.00 15. For each air handling unit to and including 10,000 cubic feet 3. Installation or relocation of floor furnace and vent, suspended per minute, including ducts attached thereto-$3.00 heater, or recessed wall heater-$4.00 NOTE: This fee shall not apply to an air .handling unit which 4. Installation, relocation, or replacement of each appliance vent is a portion of a factory assembled appliance, cooling installed, not included in appliance permit-$2.00 unit, evaporative cooler or absorption unit for which a permit is required elsewhere in this Code. 5. Repair, alteration or addition to each heating appliance, re frigeration unit, cooling unit, absorption unit, or evaporative 16. For each air handling unit over 10,000 cubic feet per minute cooling system including installation of controls regulated by -$5.00 this code-$4.00 17. For each evaporative cooler other than portable type-$3.00 6. Installation or relocation of each boiler or compressor to and including 3 horse power-$4.00 18. For each ventilation fan connected to a single duct-$2.00 7. Over 3 horse power to and including 15 horse power-$7.50 19. For each ventilation system which is not a portion of any heating 8. Over 15 horse power to and including 30 horse power-$10.00 or air conditioning system authorized by a permit-$3.00 9. Over 30 horse power to and including 50 horse power-$15.00 20. For the installation of each hood which is served by mechanical exhaust, including ducts for such hoodi--$3.00 10. Installation or relocation of each absorption system to and including 100,000 Btu's-$4.00 21. For the installation or relocation of each domestic type in- 11. Over 100,000 Btu's to and including 500,000 Btu's-$7.50 cinerator--$5.00 12. Over 500,000 Btu's to and including 1,000,000 Btu's Commercial or industrial type incinerators-$20.00 -$10.00 22. For each appliance or piece of equipment regulated by this 13. Over 1,000,000 Btu's to and including 1,750,000 Btu's Code but not classed in other appliance catagories, or for which -$15.00 no other fee is listed in this Cade-$3.00 _ FIELD INSPECTION Basic Fee $3.00 Date By Remarks TOTAL $7.00 Name Mailing address - Number, street, city, and State Zip code Tel. No. owner Mr. & Mrs. Nick Ga iardi __���eatt1e• WA 2 -118 2. Contractor -LM-strong Homes of 2531 Perry Avenue _ I 373-5061 Bremerton, Inc. Bremerton, Washington 98310 The owner of this building and the undersigned agree to conform to all applicable laws of MASON COUNTY Signature of applicant Address Application date DO NOT WRITE IN THIS SPACE - FOR OFFICE USE Appruv b Permit fee Date permit s')suetl Permit number Receipt No. SHELTON PRIN ING CO. PLOT PLAN ADDRESS PERMIT NO. a z ° a o 0 LEGAL DESCRIPTION LOT BLK ADDITION u SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft. 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. (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 A"ID 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. 0 INDICATE NORTH IN CIRCLE /�I n_? GRAPH SQUARES ARE 5' X 5' OR 1"=20' c �7l 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. NAMES) OF OWNER(S) OF SITE d STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE GHKLTON PRINTIN3 reArrns ronq� homes B Perry Avenue Bremerton, Washington 98310 AR MS TH B307QL (��� 373-5061 ��. F MtZS. G AGLIARD%"-,�) 1P1QT PLAN SCALE� : I 56-C)" iDD 49' sly' 17' � T o i VIEV� pR1�lE MASON COUNTY PLANNING DEPARTMENT P.O. BOX 186 Sheltpn,Washington 98584 PLUMBING PERMIT APPLICATION IMPORTANT — Complete ALL items. Mark boxes where applicable. Name Mailing address—Number,street,city,and State Zip code Tel.No. k 13240 22nd 243-1185 Owner Gagliardi Seattle, Washington z. Armstrong Homes of 2531 Perry Avenue Contractor Bremerton Inc. Bremerton, Washington 98310 The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington Signature of applicant Address Application date LEGAL DESCRIPTION Location Tracts 27 and 28 Wooten Lake Plat according to the recoraec: plat thereof in Of the office of the Auditor for said Building Count and State Volume 4 of Plats page 41. NO. PLUMBING FIXTURES FEE 2 WATER CLOSETS .00 2 BASINS 4.00 1 BATH TUBS 2.00 1 SHOWERS 2.00 1 WATER HEATERS 2.00 1 AUTO.WASHERS 2.00 1 SINKS 2.00 FLOOR DRAINS DRINKING FOUNTAINS 1 LAUNDRY TRAYS 2.00 Connect to City Sewer 1 DISH WASHER 2.00 DISPOSAL URINAL -- (Show Street Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. LT PERMIT 2 jr 00 SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT ON OTHER SKETCH. DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Approved b L mit fee Date pemit issued Permit number Receipt No.