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HomeMy WebLinkAboutBLD0004 Final Remodel - BLD Permit / Conditions - 10/6/1983 Edwards, Richard #0004 275-6913 3/29/83 Collins Lake, Division 1, Lots 19 & 20 Collins Lake, NE 791 Collins Lake Drive, Tahuya Remodel Contractor: ,1 John Rodius ��"`t� $70,000.00 Plumbing Permit Shorelines: Setback: e� �- Special Conditions: Footing: c SetVack:,,� Foundation Walls: e" Framing: Fireplace: Wood Stove: Plumbing: Mechanical: Roof: Exterior: Interior: Final: rls- D /e 8 Stop Work: Mobile Home: Smoke Detector: Remarks:&0"-.ya h o'-U 9//3%r BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 / 426-5593 DATE ISSUED rr �/ f�� � ,Q GcJif'f PERMIT NO. Q U 7 NAME AIL ADDRESS CITY 8 STATE ZIP © �^ _ PHONE 3 OWNER y� u 9�f , -2>+5� DIRECTIONS _ TO JOB SITE LEGAL (O SEE ATTACHED SHEET) DESCR. NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR USE OF _ BUILDING � s (� '�6,C Class of work: ❑ NEW ❑ ADDITION 'ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ PLAN CHECK �E PERMIT F SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SO. FT. GARAGE ❑ ATTACHED I ; SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING. TOTAL SO. FT. FIREPLACE ❑ DETACHED C THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME 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 i l SEASONAL ❑ FLOODPLAIN IJ Firm E.D. NO. S.E.P.A. Ll 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 in nformance therewith. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLANS H�PK BY APPROVED FOR ISSUANCE Owner '� ` "� �Date�1�1 BY CASH PL CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. 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. 1. Owner 2. Contractor 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 Of Building NO. PLUMBING FIXTURES FEE WATER CLOSETS j BASINS BATH TUBS SHOWERS C' 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 /)y G�) SKETCH IN SEPTIC TANK & 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. MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton,Washington 98584 (206)427-9670 BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION January 24, 1994 Richard Edwards NE 791 Collins Lake Dr Tahuya, Wa 98588 RE: Collins Lake Div 1 Lot 20 To Whom It May Concern: On 3-29-83, Mr. Edwards received a building permit to convert and remove the existing 1972 mobile home and envelope or reconstruct a stick built residence within and surrounding the mobile home location. The building process was inspected in compliance with Mason County Regulations and finaled on 10-6-93 as meeting Mason County Code as well as Uniform Building Code compliance. The Mason County Assessor has recognized the removal of the mobile home and are presently taxing the structure as a stick built residence. If you should have any further questions, please contact this office at (206)427-9670 ext 356. Than ou, 't T mi Griffey uilding Inspector cc: Property File O OUNTY uild ng- P rMit Permit No. 40 4 Date Address Owner Job Description_ Foundation Inspection ooK Plumbing Inspection Mechanical Inspection— Frame Inspection Interior Inspection Final Inspection Applicant Must Call 426-5593 for Issued Qy Required Inspection' POST THIS CARD IN A CONSPICUOUS PLACE AT 72 Hours for Approval THE FRONT OF PREMISES. ...«TON 'gNTThis'Building NOT.To Be Occupied Until Finaled