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Home My WebLink AboutCOM N/A Renovation, Pre-Inspection, Remodel - COM Application - 12/3/1981 BUILDING PERMIT APPLICATION MASON COUNTY - P.O. Box 186 Shelton, Washington 98584 426-5593 �� _ 3 �, / DATE ISSUED �� .Jt ti' �/� r� �f` P VIT NO. OWNER NAME G MAIL ADDRESS CITY rs STATE ZIP PHONE AlAoirj, g �—> DIRECTIONS 13t A Al 6 TO JOB SITE Al., G LEGAL (D SEE ATTACHED SHEET) DESCR. CONTRACTOR NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE USE OF BUILDING Class of work: O NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: BEDROOMS {DECKS CARPORT ❑ NOTICE BATHROOMS (TOTAL SQ. FT._ GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING. TOTAL SQ. FT. 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 AFY04 I certify that I am a currently registered contractor in WORK IS COMMENCED. the State of Washington and I am 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. PERMANENT ❑ SHORELINES ❑ SEASONAL ❑ FLOODPLAIN ❑ Firm E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. ' ! OWNERS AFFIDAVIT HEALTH DEPT. Z;G ,� tt.�,' PUBLIC WORKS I certify that I 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 �� t ` Date _ j-�- i -F APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owner YT_,; A i. _-.� BY PLAN HECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH I BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 f _ DATE ISSUED /• PERMIT NO. OWNER NAME MAIL ADDRESS j� CITY&STATE ZIP 7 PHONE tc°�x DIRECTIONS TO JOB SITE LEGAL ( SEE ATTACHED SHEET) DESCR. ,o - - LC- ' NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR USE OF BUILDING Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: y _ _ rA�mwCr Dr Valuation of work: $ PLAN CHECK FEE PERMIT FkT a SPEC':AL CONDITIONS: -0/30071 aaL BEDROOMS {DECKS_ CARPORT ❑ NOTICE BATHROOMS I TOTAL SQ. FT.____ GARAGE CJ ATTACHED L� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT LJ OR AIR CONDITIONING. TOTAL SO. FT. I FIREPLACE 'I I DETACHED C! 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 I certify that I am a currently registered contractor in WORK IS COMMENCED. the State of Washington and I am 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. PERMANENT 11-1 SHORELINES SEASONAL C.i FLOODPLAIN Firm E.D. NO. S.E.P.A. [- By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. PUBLIC WORKS I certify that I 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 f APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owners "� f (Date . I BY PLAN CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.O. CASH BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED — PERMIT NO. _— OWNER NAME ,� MAIL ADDRESS CITY&STATE ZIP PHONE .. „ L,� c.:/�ia. S:.d ` _ rI- DIRECTIONS TO JOB SITE , -tlG �3 o L� J �e.c�-c / LEGAL (❑ SEE ATTACHED SHEET) D ESC R. ✓L/ _"`"` .�� e `S/ /t//' c i^- .3 N ME MAIL ADDRESS CITY&STATE LICENSE NO. PHO CONTRACTAt OR _ USE OF ,, BUILDING �d Class of work: ❑ NEW ❑ ADDITION ALTERATION f ❑ REPAIR MOVE ❑ REMOVE Describe work: r • ;� IL I i r' Valuation of work: $ r;) PLAN CHECK FEE ERhf FEE SPECIAL CONDITIONS: v 4 BEDROOMS_ _ {DECKS CARPORT ❑ U NO I CE BATHROOMS_ TOTAL SQ. FT. GARAGE E] SEPARATE PERMITREQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ ATTACHED L_I OR AIR CONDITION TOTAL SQ. FT._ FIREPLACE i 1 DETACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER I certify that I am a currently registered contractor in WORK IS COMMENCED. the State of Washington and I am aware of the F p R OFFICE USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT [-_ SHORELINES SEASONAL [ ] FLOODPLAIN Firm — E.D. NO. S.E.P.A. By Special Approvals IN OUT YES APPROVED NO Lic. No.—_ Date ZONING PLANNING DEPT. HEALTH DEPT. OWNERS AFFIDAVIT PUBLIC WORKS I certify that I am exempt from the requirements of the FIRE MARSHAL contract or registration law RCW 18.27, and am aware BUILDING DEPT. 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 C, 4 APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owner Y_ Cyt s� 's"'' Date. BY PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH A4�uson Cotvnty I-T_c4-C-1th "ep--_-�Lrtmcnt MEDICAL-NURSING SECTION John Butler, M.D. ENVIRONMENTAL HEALTH SECTION 1 10 West"K"Street County Health ORicer 303 No. 4 th Shelton,Washington 98584 12-3-81 Shelton,Washington 98584 Phone 426-4407 Phone 426-5561 Maxie and Judy McCowan St. Rt. 2, Box 46 Belfair, WA 98528 RE: Red Barn Restaurant Dear Mr. and Mrs. McCowan: The plans for the above referenced restauVant have been reviewed and approved by this department. Approval of the water system by D.S.H.S. for Class III use and final sewage system approval are required prior to issuance of a food establishment permit by this office. A pre-opening inspeciton is also required prior to opening the restaurant. If I can be of assistance, please feel free to call. Sincerly, John Butler, M.D.. County Health Officer Judy hlittakerr R.S. Environmental Health. Spe-cialist JW:es Equal Opportunity Employer THIS PARCEL INCLUDES PLANS, BLUEPRINTS OR OV' ERSIZE IMAGES LARGE FORMAT IMAGES HAVE BEEN.. STORED IN FILE CABINETS) UNDER PAR- -CE---L--N-U- -M-.- -B-ER- PARCEL # 1a33i - 3a - go09C CASE # ��CT PEA/✓