HomeMy WebLinkAboutBLD16556 Final SFR - BLD Permit / Conditions - 3/25/1986 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 D �_
DATE ISSUED
—
PERMIT NO.
AME MAIL ADDRESS CITY ATE ZIP PHONE
OWNER
93 ?_ 3y . �d e 9 / 4-;� /3c
DIRECTIONS
TO JOB SITE
LEGAL
DESCR. S'i°2 3 G �/,� �� ��-�- •• ( EE ATTACHED S,ET)
t
MAIL ADDRESS CITY& TE LICENSE NO.J PHONE
CONTRACTOR .0"
�� Jlj® � U .�
USE OF
BUILDING
Class of work: ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
rillr"
X 5, D
Valuation of work: $ �-' PLAN CHECK FEE PERMIT FEE
,701 a �v as,00 Oka is a69 50
SPECIAL CONDITIONS: A?
BEDROOMS I DECKS CARPORT ElNOTICE
BATHROOMS_— TOTAL SO. FV_421;e_ GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ ATTACHED ❑ OR AIR CONDITIONING.
TOTAL SO. FTjU FIREPLACE E]tA)/.S I DETACHED ❑
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 FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
WORK IS COMMENCED.
I c tify that I am a currently registered contractor in
th State of Washington and I am aware of the FOR OFFICE USE ONLY
or finance requirements regulating the work for which
t permit is issued and all work done will be in
c nformance therewith. PERMANENT ❑ SHORELINES LL
SEASONAL FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
B Special Approvals IN OUT YES APPROVED NO
ZONING
Lic. o.
Date
PLANNING DEPT. ' 194 r �
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSH
contract or registration law RCW 18.27, and am aware ILDING DEPT ��
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conforma a erewith. MOTOR VEHICLE PERMIT
ZAZTACCEPTED BY PLANCH� APPROVED ISSUANCE
Owner ' Date. Off//JJ
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
MASON COUNTY
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.
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 c
BASINS
�• d0
BATH TUBS
G� c7
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS g
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER I�
DISPOSAL 1
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT 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.
s _
A
I Ironer S 165561�►pe$esid enm� No. Floors Square Footage 1326
War?__Howard i._ Pt�one��!{_l- �Ihte -5_85
Contractor e P 9 8188_
Address Sei f �
Plan - --
ApplicanSho
t' reline by Wj gs plot Plan approve as to setback requirements,
IT-
Legal on _30-23-2 Haven Lake Lots 1 IRbr
Direction to po3e7ct site: Down Rhododendron Drive to Leahv Way,
o t
Fee t
tL
Wood S[ove��t� r i
Basement Loft Ma ng r � �ory
. ca Story
I= *A -Approved; D - Disapproved; BY - By; DIE - Date
*A D BY DIE A D BY DIE
II FOUN ATTON: _
Compactei� sT Fireplace footing
Forms ,�- /3 S/'g�Anchor bolts -
Foundation wall & rebar
Basement wall & rebar - -' '-' VentsP � space
Retaining wall wall & rebar - - - Soil-wood clearance
III FRAMM: - -
Floor Blocking
der rs & posts - -
Joists size & grade _ Sub floor typeSpan -'-
- Grade & Nailing _-
Walls
M rial Grade
Bracing ./'- Exterior siding ✓
Ceiling height Nailing f- -
Roof - -]roved trusses - Hurricane Clips
Rafters ✓ Purlings - -
Cathedral Valley rafters
Beams Sheathitg - - `
Span Flashing - - -
Blocking l- - Weather application✓'-
Nailing - -
ceilings
- -
Shower walls _ Furnace ducts
Rooms ceilingsMain electrical box- - --
Roof _- _- _- Holes Plugged - -'
Firredrout walls - - _ Others - -
Stairs
Riser & Tread _ Headroom
Width y/ _ Stair Jacks T
Landings ✓ _ Handrails
f
Inspections: *A -Approved: D - Disapproved; BY - By; DIE -Date
*A D BY DIE A D BY DE
Fireplace
Construction — — No. of flues 1
Flashing — — — For: ally — — —
Soffits — —_ —
Mip� _ _ Soffit Vents ✓ _ _
Closed Ridge Vent
Cathedral — — — — —
Windows & DoorsImpact —
protect — Header Span ✓
Openings l— Insulation —
Sill Height �— — Caulking T" —
Attic —
Ve-n-Mation ,I— Access ✓
IV FUMING —
Roof vents Jacks Pipe Runs
Traps _� Bathroom Facil.
Clean outs Handicap Faci1.
Hot water Pressure Valved — — —
Mectuanical
anss- tcT & Bath _� — C1. Dryer Vent
Furnace & Ducts Stove vent �L —
Insuilation — — — — — —
NOTS �— Floors ✓
Ceiling ✓� — Exterior Doors —
V DUERR R COVER — — — — —
F rs ✓ Finished Walls ✓" Z s�g6'
Type
Nailing
Decks Balconies & Lofts — — —
Wardralls Structural Sup.
Fire Protection —
ors Smoke Detector ✓ _
Firewalls & Ceiling ,✓_ _ Wood Stove /� ✓
Final & Occupmicy Approved. Date By: ffZ',
RFrI4l1RxS. ,p co e�.vi 1'�
r 7.7 ad,, s srs-
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