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BLD15817 New Construction - BLD Permit / Conditions - 7/11/1984
BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426 5593 DATE ISSUED/ f — PERMIT NO. 1�© /� AME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER � � /3�S O 3 SUGI T/y /SS DIRECTIONS ��QE/+9fiP Yb Gdif�• 9 ��/�" TO JOB SITE vsC (❑ SEE ATTACHED SHEET) LEGAL DESCR. o,-- Gd!!• I—O T/CF x NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR U / .0. 'go X 700 ,$/yrz, 0A1 ,L uM 3?3/1T �GiS/ USE OF BUILDING ❑ ADD Class of work: NEW ITION Class of work: NEW ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: 13A S,CM 5-2 S N 4o GOi✓Se uc o 2 7 3 3(v 00 00 3 a-y 16 ' Valuation of work: $ 3 PLAN CHECK FEE QQ PERMIT FEE Z 3 3 SO S y3� ao SPECIAL CONDITIONS: £/?M/ T 233 T P-x'9'V rlmeve bd BEDROOMS {DECKS CARPORT ❑ NOTICE BATHROOMS t TOTAL SO. GARAGE ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIEFt BASEMENT ATTACHED ❑ OR AIR CONDITIONING. TOTAL SO. F FIREPLACE ❑ 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 certify that I am a currently registered contractor in the State of Washington and I am aware of the F p R OFFICE USE ONLY ordinance requirements regulating the work for which he permit is issued and all work done will be in SHORELINES onformance therewith. PERMANEN SEASONAL ❑ FLOODPLAIN ❑ Firm 0 M� /��fy is tE.D. NO.— S.E.P.A. ❑ By S v rovals IN OUT YES APPROVED NO Lic o. LC/�l.d 32�/1 T Date O OWNERS AFFIDAVIT PUBLIC WORKS I certify that I am exempt from the requirements of the FIRE MAR AL contract or registration law RCW 18.27, and am aware U III LDING D T. J/ of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLANS CHECK BY BYPROVED FOR ISSUANCE Owner Date. OZe AN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH /?oA0 70 i NO lei 31 • --- 1 MASON COUNTY PLANNING DEPARTMENT P.O.BOX 186 Shelton,Washington 98584 PLUMBING PERMIT APPLICATION IMPORTANT—Complete ALL items. Mark boxes where applicable. Name Q Lr_ Mailing address—Number,street,city,and State Zip code Tel.No. Owner 2. Contractor .Sff�,/la�✓ ��� '/ The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington Signature of apph nt Address Application date U� T o �3o�r 7'b0 S�f L7`o�/ 7 is 8y LEGAL DESCRIPTION Location / Of �/�o i�j� .1/Alec- Building NO.. PLUMBING FIXTURES FEE WATER CLOSETS Oic, BASINS Z BATH TUBS 00 j SHOWERS / WATER HEATERS 60 AUTO.WASHERS ;2 p O / SINKS ;2 06 FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer i / DISH WASHER Z Ob DISPOSAL URINAL (Show Street Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT 3 0� 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 C1 Date pemit issued Permit number Receipt No. y2/ 01 o00,. y Nq --- .mm. �- a I Permit No . 11817 Type Residence No. Floorl-1/2Square Footage 2316 Owner BISHOP: Stan Phone Date"f-tt-84 Address 3620 So. Mission Lk. Rcf. W remer QP. 9 31 Contractor L bermen s Phone 426-26I2T Address F. 0. Box- Shelton Z i p Plan Check Approved by Don F. Shoreline by Type Applicant's plot plan approved as to setback requirements, by Legal Description: Tract 10-D Gov Lot 2 6-23-1 Direction to project site: See Map Fee Paid: Plan Check x Permit x Plumbin x Mechanical Sewer Wood Stove Fireplace DeckGarage Carport Basement 816 Loft 384 Main Floor�16 Second Story Inspections: *A - Approved; .a - Disapproved; BY - By; DTE - Date *A D BY DTE A D BY DTE II FOUNDATION; Compacted Fill Fireplace footing _ Forms /lnchor bolts Foundation wall b rebar �- �2 37� y Pier spacing Basement wall d rebar _ Vents b crawl space__ Retaining wall It rebar _ _ Soil-wood clearance _ III FRAMING: Floor _ Blocking Girders E posts Bridging Joists size E grade Sub floor type ,✓ Span f` Grade b Nailing Walls Material Grade Bracing ✓ Exterior siding Ceiling height ✓-- Nailing Roof Approved trusses ✓- Hurricane Cl Rafters Puriings .Z Cathedral Valley ra6rs� Beams _ Sheathing Span _� Flashing Jo Blocking weather 49pli tion �— Nailing ;% _ vv Fire-stops - Walls 3 ceilings Shower walls ✓ Fur r ducts _ Dropped ceilings Main electrical box ol� Roof i Holes Plugged Flrred-out walls Others Stairs Riser a Tread ✓ Headroom Width ./" Stair Jacks T '— Landings J� Handrails Inspe�ns *A - Approved: D - Disapproved; BY - By; DTE - Date *A D BY DTE A D BY DTE Fireplace — — No. of flues Construction — — For: Flashing — — --- Soffits — Soffit Vents ✓ Exposed Ridge Vent ✓ _ Closed — — ---- Cathedral — — Windows 3 Doors — -- Header Span Impact protection — — insulation _ — Openings -AC Caulking *� -- Sill Height Attic �— Access Ventilation — -- IV PLUMBING �— Pipe Runs ✓ Roof vents 6 Jacks ✓ Bathroom Facil. Traps -- Handicap Facll. Clean outs Hot water Pressure Valve _ Mechanical — -- Cl. Dryer Vent — — Fans-Kitchen 6 Bath — — — Stove vent Furnace 3 Ducts — — — — insulation — — Floors — — -- Walls — — Exterior Doors Ceiling — — — V INTERIOR COVER — — Finished Walls Finished Floors — — --- Type Type Nailing — — --- Decks Balconies a Lofts — — Structural Sup. — — Guardrails — — Fire Protection — — Smoke Detector — — _ Doors — -- — Wood Stove — Firewalls & Ceiling — — Final 3 Occupancy Approved. Date By: REMARKS-:y� ` II III IV V