HomeMy WebLinkAboutBLD18594 Cancelled SFR - BLD Permit / Conditions - 1/9/1991 TYPE RESIDENCE
Permit No. 18594 Pb. Floors 1 Sq Ftg 1196
Owner PICOTT, Jack-B. Tel 372-2735 Date 5-6-86
Address P. 0. Box 5072 Belfair Zip
Contractor Self
Address zip
Legal Description RlaJkam;th i.ak Div_ ,0 29
Direction to project site Off Old Belfair Hwy up Bear Cree
Dewatto Rd. 8 miles to Blacksmith Lake Dr left 2 mi.
.FJLUMOIng �_ anical Sewer Wbod Stove X _
Fireplace Deck rage - aC�port
Basement Loft Other
1
shorelines: `i Plumbing
Setback: / Mechanical.
Special Interior: ,^iC f
Conditions: FINAL:,
Mobile Dome:
awke Detect
Remarks:
®Foundation/ nrr�� T - „ • C;,�1 -1y-�b-534,
Walls:
Framing• lC.r
Firepla dwk PEA
Wood Stove•
`'p!� i •w►'� PATE -�—g=9/ �Y �
i
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
/I 426-5593 DATE ISSUED -�
` JacPERMIT NO.
NAME MAILADDRESS CITY BSTATE ZIP PHONE
OWNER -
DIRECTIONS
TO JOB SITE djg;rl d�/) &kC4'X Ll jO 8Z44L :4-/4?ro T-'
LEGAL
DESCR. L 7'R.� 2-
NAME MAILADD ESS CITY BSTATE LICENSE NO. ZIP PHONE
CONTRACTOR �� �� 2-
USE OF
BUILDINGD/�IE
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK A 2
BEDROOMS CARPORT-- NOTICE
/� p� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS �— TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED 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 SQ.FT. I FIREPLACE DETACHED ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE 4Z7—'0r
SEASONAL
JREQUEMENTS
FFIDAVIT CONTRACTORS AFFIDAVIT
AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
N LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
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
ANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
PROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION OG�
YES NO YES NO 3, G o,
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT G)
D.O.T. BUILDING PLAN CHECKS-
SPECIAL CONDITIONS BUILDING GROUP , 3 PRE.INSPECTION
SHORELINE
pl:Ap
PLUMBING .C��
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPUCATRAN ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE P LIDATION
�w.�� BY - CASH CK MO TOTAL 3 � J \5
MASON COUNTY
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 U
BASINS Ly d
BATH TUBS GtiLj
SHOWERS
WATER HEATERS , G GT
AUTO.WASHERS
SINKS ��
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
I
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT S 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.
CHRISTMASTOWN PRINTING
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