HomeMy WebLinkAboutBLD11842 SFR - BLD Permit / Conditions - 12/14/1981 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY 6 STATE ZIP PHONE
OWNER Dennis Pack Rt1 Box102c Orchard Beach Grapeview Wa. 98546 426 3925
DIRECTIONS
TO ,JOB SITE North on Agate and 300 yards passed the Timberlake entrance sign
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. Timberlake Div. 12 Tract 7
NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE
CONTRACTOR Building will be done by ower'
! USE OF
BUILDING RESIDENTIAL
Class of work: $]XNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
25x30 Log house with a 15x25 loft
Valuation of work: $ PLAN CHECK FEE PERMI?F O
28 140.00
SPECIAL CONDITIONS: '
BEDROOMS One DECKS TWO CARPORT ❑ NOTICE
BATHROOMS One TOTAL SO. FT400 GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REWIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES�� BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. # FIREPLACE ❑ IDETACHED ❑
THID 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
* 25x30 lower floor 15x25 loft SUSPENDED OR ABANDONED FORA PERIODOF 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. PERMANENTK, SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNI
OWNERS AFFIDAVIT HEALTH
PUB IC WORKS
1 certify that I am exempt from the requirements of the FIRE'MA
contract or regi CW 18.27, and am aware
of n County ordln ce requirements for BUILDi.
ich th permit is issued an that all work done will ROAD ACCESS
be in c rmance there MOTOR VEHICLE PERMIT
Ow r ef ate l 1—23—R 1 APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
PL CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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MASON COUNTY PLANNING .WPARTMENT
P.O.SOX 180 Shelton,'Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT—Complo'to ALL items Maffc boxes where applicable.
Name Mailing address—N mbar,street,city,and State Zip code Tel.No.
4263925
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
Same as above
LEGAL DESCRIPTION
Location Timberlake mberlak Div. 12 Tract
Of
Building
i
I
j NO, PLUMBING FIXTURES FEE
WATER CLOSETS J
BASINS �� l
1 BATH TUBS
SHOWERS
WATER HEATERS 1.2
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewar
DISH WASHER J
DISPOSAL
URINAL
I
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT SKETCH IN$EPnC TANK&DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by ' , Permit fee f— Date petnit Issued Permit number Reoolpt No.
to
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4 cn
A v t
N 41
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t, orelines: . _ _ ._ . .. . ,
Setback:
Special Conditions:
Footing
Setback:
Foundation Wa s:
Framing;
a Fireplace:
Wood Stove------------_,
Plumbing:
Mechanical: „-. _,
Roof:-
Exterior:
Interior
Final
Stop Wor
Mobile
Remarks:
!� Ta