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Home My WebLink AboutBLD4368 Final Addition - BLD Permit / Conditions - 8/31/1979 Shquers, Carl 14368 4-4-79 WZ N. '198' of -SE of SE4 of SE4j lying East of Mission Creek and all that portion of the W2 of NE4 of SE4 lying East of said Mission Cr.,ex. 1.2 miles North on Mission Cr. Rd. Driveway left. Addition 508 sq. ft. plus 322 sq. ft. remodeled. Plumbing Permit issued $18,260 40 Contractor ��7� —::� H & S Quality Construction �.�- iV eg7, 3 l/y X - BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. OWNER �h N�ME L1 �1w MAIL do-13 ESS oxy'Y6 OX 1�p Ti ZIP PHONE DIRECTIONS jj / TO JOB SITE n J lz /S'S/� LEGAL ,XIEE ATTACHED SHEET) DESCR. _��► -� � 7 �/ NAME r MAIL ADDI EESS �^ /CCITY 3 STATE LICENSE NO. /1PHONE VIA ACTOR 1 fi S L, d! �. / - f1"J 1 �c// Fly�FrOA ��. �—✓Jr�Y �J -� USE OF �v BUILDING Class of work: ❑ NEW ;E ADDITION JU ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: ,/7 / F /• C� / C ! C.' r •J R C 1 �7{ L a h CT �a (° 10 _S Valuation of work: $ / PLAN CHECK FEE - PERMIT F! SPECIAL CONDITIONS: BEDROOMS __ DECKS CARPORT [] NOTICE BATHROOMS TOTAL SO. FT. GARAGE ❑ ATTACHED fJ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT [ OR AIR CONDITIONING. TOTAL SO. FT.----- FIREPLACE I DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER I certify that I am a currently registered contractor in WORK IS COMMENCED. the State of Washington and I the aware of the FOR OFFICE USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT SHORELINES [' SEASONAL LJ FLOODPLAIN CI Firm E.D. NO. S.E.P.A. : By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. PUBLIC WORKS I certify that I am exempt from the requirements of the FIRE MARSHAL contract or registration law RCW 18,27, and am aware of the Mason County ordinance requirements for BUILDING DEPT. which this permit is issued and that all work done will ROAD ACCESS be i c nformance therewith. MOTOR VEHICLE PERMIT / APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owner Date. By ALA---,� r PLI�Y CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH f 1 MAY 30, 1975 SELLER'S CLOSING STATEMENT RE: Sale of property, ROBERT K. SHOEMAKER AND THELMA F. SHOEMAKER, husband and wife, to CARL A. SHAUERS',, a single man, and TONI FORDAHL, single woman, situate in Masbn County and described as follows : : All that portion of the West half of the North 199 feet of. the S. E. 1/4 of the S. E. 1/4 of the S. E. 1/4 lying East of Mission Creek and all that portion of the West 1/2 of the N. E. 1/4 of the S. E. U4 lying East of said Mission Creek, EXCEPT the- North 550 feet thereof all in Section 25. Township 23 I?orth, Range 2 ?'lest, 11. M. , EXCEPTING THEREFROM, the road riht of way. ITEM CHARGE CREDIT INSTALLI4ENT NOTE BY 2,402.92 PURCHASERS i`• LEGAL ATTACHED ORDER NO:14668 LEGAL DESCRIPTION PARCEL 1: ALL THAT PORTION OF THE WEST HALF OF THE NORTH 198 FEET OF THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER, LYING EAST OF MISSION CREEK, IN SECTION 25, TOWNSHIP 23 NORTH, RANGE 2 WEST, W. M. PARCEL 2: ALL THAT PORTION OF THE WEST HALF OF THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER LYING EAST OF MISSION CREEK, EXCEPT THE NORTH 550 FEET THEREOF, IN SECTION 25, TOWNSHIP 23 NORTH, RANGE 2 WEST, W. M. . AUTHORIZED AGENT FOR MOM 611 W. COTA P.O. BOX 7, • SHELTON, WA 98584 SHELTON (206) 426-1626 BREMERTON 377.5017 TICOR TITLE INSURANCE DATE `lA 6 15s CONTRACT NO.0 010 2 6 RohisonPlum in Your Local Company is Independently Owned and Operated. P Y P Y P 3121 Chico Way, NW#A ffl�- 7 Days a Week No Overtime 98312 373-1700/373-2859 3 `�-�Sub Bremerton, Fax: (206) 377 0962 JOB ADDRESS: PHONE ��c� BILL TO: PHONE �� , SHfls� CONTRACTORS - c AGENT NAME— Q L,�� J S NAME REG.NO. ADDRESS —M I SStej Z P ( @ Q ADDRESS ZIP TECHNICIAN CITY 9,F�L�EAIP ST. I A 1b CODE CITY ST. CODE TECHNICIAN DIAGNOSIS/SOLUTION DISPATCH TRK. NUMBER NO. c p � 3 97 sa STANDARD WARRANTY IS 12 MONTHS ON 411f ^ ^ LABOR AND PARTS UNLESS OTHERWISE NOTED HEREIN(EXCLUDES STOPPAGES) � t 1 Sue, ADDITIONAL REMARKS v-. WORK AUTHORIZATION PAYME T OF THIS INVOICE/CONTRACT DUE UPON COMPLETION OF WORK AUTHORIZATION TO PROCEED WITH ABOVE DIAGNOSIS/SOLUTION — I, the undersigned, am owner/authorized representative/tenant of the premises at which the work mentioned above is to be done. I hereby authorize you to perform NOTES/TERMS Diagnosis/Solution,and to use such labor and materials as you deem advisable.A monthly service charge of 1 Y2%will be added after 30 days,up to$1,000.00 and 1%over$1,000.00.1 agree to pay reasonable attorney's fees and court costs in the event of legal action.If my check does not clear, I realize I could be liable for 3 times the amount of the check or$100.00,whichever is /U more,plus the face value of the check and court costs.1 have read,agree to,and have received a copy of the contract. All parts removed will be discarded unless otherwise specified. I hereby authorize you to procee ith the above work at the rate of$ 91 AUTHORIZED JOB ST RT TE CON L ETION DATE SIGNATURE �`N ACCEPTANCE OF WORK PERFORMED—I find the service and materials /�!❑ CHECK C CARD EXPIRATION DATE rendered and installed in connection with the above work mentioned. to have been completed in a satisfactory manner.I agree that the amount set ❑ CASH 1 NO. forth in this contract in the space labeled "TOTAL" to be the total and AUTHORIZATION CODE DRIVER'S LIC.NO. EXP. ACCOUNT NO. CUSTOMER complete flat rate/minimum charge. I agree to pay reasonable attorney's DATE SERVICE REP. fees and court cost in the event of legal action.A monthly service charge of 11Y2% will be added after 30 days. I acknowledge that I have read and received a legible copy of this contract. I do hereby state that the above k has been installed n a workmanlike manner and to the applicable building MINIMUM codes CHARGE ACCEPTANCE y Date S rvice Tec nician Signature SIGNATURE ^ f CUSTOMER'S COPY MASON COUNTY PLANNING DEPARTMENT. P.O. BOX 186 Shelton,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. Owner Contractor ��)h �� _�/"�,✓?� '7�— LL1 �d��/� 7��d The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington Signature a licant Address Applica ion date LEGAL DESCRIPTION Location Of Building / /j n / �. /", �v c° �UcJ. l Nil NO. PLUMBING FIXTURES FEE WATER CLOSETS 0.-0 BASINS Q-d BATH TUBS at�t SHOWERS WATER HEATERS AUTO.WASHERS •' SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer DISH WASHER DISPOSAL URINAL (Show Street Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT Q-Q SKETCH IN SEPTIC TANK S DRAIN FIELD LOCATION OR SUBMIT ON OTHER SKETCH. DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Approved by Permit fee Date pemit issued Permit number Receipt No. PLOT PLAN -_ ADDRESS / ,J. /� cJX �' ��` �.�c��f' �� c ., PERMIT NO. Y �le'0 ° o Z o n > A OO 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 P"'D 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 GRAPH SQUARES ARE 5' X 5' OR 1"=20' ;11 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. L—ISTRICT AME(S) OF OWNER(S) OF SITE Q STRUCTUREW (PRINT) IGNA TVRE OF OWNER(5) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED AS NOTED j�� J,G. C� DATE 6M LTON PRINTING