HomeMy WebLinkAboutBLD22176 SFR - BLD Permit / Conditions - 6/17/1988 c-)o o �
Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:'
Mobile Home:
Smoke Detector:
Remarks:
Footing: eat �/7��� Gl.1l //�/F��>�l`le -r-P 9/,7�/�
Setback: G.*-
Foundation
Walls: za4� E2Y /i.1� Og'
Framing: i;Kg/1/ r-k
Fireplace:
Wood Stove:
TYPE RESIDENC E
Permit No. 22176 No. Floors 2 Sq Ftg 1312
Owner VEITCH, Gladys E Tel 275-5689 Date 6-17-88
Address 2628 N Vassault Tacoma Zip
Contractor R K Williams
Address Zip
Legal Description Wooten Lake Lot 80
Direction to project site 2440 Tahuya Blacksmith Rd
Plumbing X Mechanical Sewer Wood Stove X
Fireplace Deck Garage Carport
Basement Loft Other
3 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER NAME MAILADDRESS CITY STATE ZIP PHONE
DIRECTIONS W0. 7,CY67
TO JOB SITE �(�'f (� y L (f L 7t.,PARCEL LEGAL
NUMBER DESCR. L LiTt 96
AME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR �� W I ) i A-v A S
USE OF
BUILDING n
CLASS OF NEW ,� ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE A�J/�
WORK T[t 1 /�2"LJ
n oL IV e
BEDROOMS 3 DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS_ TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES -,Z- BASEMENT ATTACHED 114 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 SO.FT/-Q FIREPLACE . DETACHED C ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT ORELINE
SEASON
OWJESAFFIDAVIT CONTRACTORS AFFIDAVIT
I CETHAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQENTS 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 RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT APP OVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X Cs� IJ (� X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION cv
YES NO YES NO J.
HEALTH PUBLIC WORKS FEE
PLANNING 1Alm. FIRE BUILDING PERMIT O
D.O.T. BUILDING la/x PLAN CHECK CIO
SPECIAL CONDITIONS BUILDING GROUP - PRE-INSPECTION
SNow g2vznw7_ z&ASHORELINE
WOODSTOVE
PLUMBING . Q�
MECHANICAL
STATE BUILDING FEE �� Q
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS HECK BY / APPROVED FOR ISSUANCE PERMIT VALIDATION
/�L ��i16 ` BY ✓ CASH CK MO TOTAL
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY B�TATE ZIP PHONE
OWNER l e -.1)' A&A /� 1/�` c'.t! q>r [ 7 J 56
DIRECTIONS 1
TO JOB SITE ge, 61 n n Ov
'/ � TFI /1 3/ c'k Z w+ 1 Y h
LEGAL i � �
DESCR. P�0,e,,1 AA 3 J 4' L G C d ljU� Lkj C) Q 't e-,K 96
CONTRACTOR ME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE
USE OF
BUILDING e
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS e7"i FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS �� FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS ,�� BOILER/COMPRESSOR 6.00
Z SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS ,2,G+� REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER AIR HANDLING UNITS 7.50
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 LaCv
% DISPOSAL `S
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 FIRS BTAINING APPROVAL ROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNE TE �' X BY DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANSC ECK BY BUILDING GROUP APPROVED ISSUANCE PERMIT VALIDATION
L✓? C� BY � �� CASH CK MO
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SCALE: J'r ' ,Z,� APPROVED BY: DRAWN BY y,,�L I�C�
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DATE: 6 6 r REVISED
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