HomeMy WebLinkAboutBLD0204 Woodstove - BLD Application - 8/7/1984 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 �/
426-5593
DATE ISSUED_—-
PERMIT NO. /l C
RCONTRACTOR
NAME
MAIL ADDRESS CITY 8 STATE ZIP PHONE
DSN/� t_L r '7777 /O7H E S.�) ��i TLE kf/ii0 APP2.DACNtA;6 JEcf'A I-�dHSd(1FT TURN) TD Tr.lAnION, KAJEkT L�l('i'rE ROAL OA) R16-N T, �Q VP To FI/ZST DRf Vf WNW' 0A, f2l� SEATTACHED SHEET)
t/7 i�.T-1fjf/Sf iv3 /of�7ian'/ �NAMEMAIL ADD ESS CITY 8 STATE LICENSE NO
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: LYNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
:
PLAN CHECK FEE PERMIT FEE oa
Valuation of work: $ O O o� 7•
/. O PLI.
SPECIAL CONDITIONS: ` . -.01�
BEDROOMS—. 'ZT— IDECKS_—_I — CARPORT ._i NOTICE
BATHROOMS_�.T�.- TOTAL SO. FT.AIL GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
ATTACHED OR AIR CONDITIONING.
NO. OF:STORIES- BASEMENT TfagC DETACHED
TOTAL SO. FT. It FIREPLACE 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 ANYTIME AFTER
WORK IS COMMENCED.
I certify that I am a currently registered contractor in
the State of Washington and I am aware of the FO OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in PERMANENT , SHORELINES
conformance therewith. FLOODPLAIN
SEASONALI--
Firry E.D. NO- - S.E.P.A. . .
Special Approvals
IN OUT YES APPROVED NO
By
ZONING
Lic. o.— Date
PLANNING DEPT.
HEALTH DEPT.
"r�rr
OWNERS AFFIDAVIT PUBLIC WORKS
I certify that 1 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 conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY pPLLANS ECK By� APPROVED
FOR ISSUANCE
—Date_ -2 T-d" S/ LCI' r—161 1
Owner a� .,C
PLAN CHECK VALIDATION CK. M.O. CASH
PERMIT VALIDATION CK, M.O. CASH
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,
LltJbA SNALLI T- 7777 111 kLj SEA-rTLE Wfl
owner
2.
Contractor
Tha owner of this building and the undersigned agree to Conform to all applicable laws of Mason County and State of Washington
Signatur (applicant Address Application date
v
LEGAL DESCRIPTION
Location
Of
Building
NO. PLUMBING FIXTURES FEE
Z WATER CLOSETS O
Z BASINSI Air.O O
I BATH TUBS I
Lv C. d
SHOWERS
( WATER HEATERS p C>
( AUTO.WASHERS bD
( SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
( LAUNDRY TRAYS �7. 0 OZ
Connect to City Sower i
( DISH WASHER
DISPOSAL
URINAL
(Show Street Names 8 Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT 30 SKETCH IN SEPTIC TANK 8 DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
ApProvetl Oy Permit fee Date pemll issuetl Permll number Receipt No.
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I Permit Nb. 0204 Type Resdience No. Floors2 Square Footage 1120
Owner SHALLIT, Linda Phceie 7T2-5639 Date
Address 7777 10th Ave, SW Seatt e p --9S=
Contractor None listed itlone
Address Zip
Plan BEP Shoreline t5r IF J�-
Applicant's plot plan approved requirem5n g"�1T--
I.eqpl Description: Sam B. Theler's Home & Garden rac s r. 34
Direction to project s
ce n Check x Permit xPluffbing x Mechanical
Wood Stove7-Pirepl — Deck x Carage carport
Basement �Ioft min Floor Story
Inspections: *A - Approved; D - Disapproved, BY - By; DIE - Date
*A D BY D rE A D BY 171E
II FT)<JNDMON:
Covpac eta= - - Fireplace footing
Forms ,r M Anchor boltsFoundation wall wall & rebar ,/- Pier spacing T —
Basement wall & rebar 3�=/-E7 Vents & crawl space —
Retaining wall & rebar -Spil-Aood clearance —
III FRMIIIG:
Floor Blocking ✓
Eer rs & posts - - Bridging - - — —
Joists size & grade ✓- Sub floor type ✓- —_
Span T = Grade & Filing — —
Walls
serial Grade ✓-
Bracing ✓ EKterior sidinZters -�
s,,
Ceiling height �- Nailin —
Roof - - —
7 proved d trusses ✓ kh i$Rafters »q�nCathedral
Beams .v+ � - —
L -
Span F1as�g - - —
Blocking d- Weather application-,-' — —
Nailing —
Fire-stops i7 —
IEM-&-c-eilings �-
Shower walls - - Furnace ducts
Dropped ceilings - - — Main electrical box- - — —
Roof _ - — Holes Plugged - - — —
Firredbut walls - - — Others - - — —
Stairs
Riser & Tread /- Headroom /
Width T — Stair Jacks —
landings %- — Handrails i - —
Inspections: *A Approved: D - Disapproved; BY - By; DIE - Date
*A D BY D'IE A D BY DIE
Fireplace — of flues
cals eruct on _ _ _ -- — — —
Flashing — — — For:
Soffits
Soffit Vents _✓ — — —
Closed — — — Ridge Vent — — — —
Cadiedral —
Windows & tbors
impactpro on — — Header Seen — —
Open
Sill Height ei — Caulking
an — — —
Attic
PenElation _✓` — Access —
IV PUM DU
Roof venE3 Jacks — — Pipe Runs ✓ _ —
Traps �� = Bathroom Facil. — —
Clean outs i — Handicap Facil. — —
Hot water Pressure Valve —
Mechanical
sat�{Tien & Bath —_ —_ Cl. Dryer Vent —
Furnace & Ducts — — Stove vent — — — —
Insulation
Mrg— —_ —_ Floors — — — —
ceiling — — — EKberior Doors — — — —
V DnVd 2 ONER _
F s oors — Finished Walls _ _ —
NaLLtng
Decks, Balconies & Lofts —LA=drails — — — Structural Sup. — — — —
Fire Protection
Doors Broke Detector
Firewalls & Ceiling _ _ _ Wood Stove Y TI07
Final & Occupancy Approved. Date By:
REMARKS:
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