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HomeMy WebLinkAboutBLD12910 Final SFR - BLD Permit / Conditions - 1/9/1985 BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED Q I i I I PERMIT NO. NAME IL ADDRESS CITY 8 STATE ZIP PHONE OWNER �° ®. �3 S ti 5 - d brtv5 DIRECTIONS j TO JOB SITE (❑ SEE ATTACHED SHEET) LEGAL DESCR. - r- o l9 01/ NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE CONTRACTOR Dp _ C P V.2 A. - 6 USE OF BUILDING ' Al C Cj Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: e:1 Valuation of work: $ 0 a PLAN CHECK FEE PERMIT FEES a SPECIAL CON ITIONS: BEDROOMS {DECKS 57:?O CARPORT ❑ NOTICE BATHROOMS �- 1 TOTAL SO. F 9 GARAGE / SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT, ( �S ATTACHEDA .4/440 OR AIR CONDITIONING. TOTAL SO. 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 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 SHORELINES ❑ conformance therewith. PERMANENT / SEASONAL ❑ FLOODPLAIN ❑ Firm o/✓ C y E.D. NO. S.E.P.A. ❑ Special Approvals IN OUT YES APPROVED NO By Lic. No f 4- 6 :_6(�)OT ��a 34� ZONING y, 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. 8J- 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 PLA CHECK,BY� ABYPROVED R ISSUANCE Owner Date . �G� ✓f PERMIT VALIDATION CK. M.O. CASH :;HECK HECK VALIDATION CK. M.O. CASH PLOT PLAN ADDRESS PERMIT NO. �a/�a 4 0 = s LEGAL a o v DESCRIPTION LOT �Q// y BLK ADDITION 299 �- SITE AREA OpV Sq.Ft. AREA OF SITE OCCUPIED BY BUILDINGS d Sq.Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS.SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION P"ID SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' s s , a I/We certify that the proposed construction will confor o jt ffwnsicrns and uses own above and that no changes will be made without first obtaining approval. NAME($) OF OWNER(S) OF SVrE h STRUc TURE(S) (PRINT) I TUR OW (3) OIT AUTHORI'ZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE BHELTON PniNTIN3 f� MASON COUNTY PLANNING DEPARTMENT 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. �l � y'a 21 Owner 2. FICA t /M 7 KJ / 5� ^/Contractor The owner of this building and,the undersigned agree to conform to all applicable laws of Maso County and State of Washington Sigrne of applica Address Application date J,/ LE A DESCRIPTION C o � Location Of Building NO.. PLUMBING FIXTURES FEE WATER CLOSETS .-/,00 BASINS �,©p BATH TUBS Epp SHOWERS „®d WATER HEATERS AUTO.WASHERS SINKS C1t7 FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS �00 Connect to City Sewer i DISH WASHER iOd DISPOSAL URINAL elt.c.�c. ,ce.� �ald (Show Street Names 8 Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT 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 Recelpt No. 4�5w " $ / etc I. Pf2rmit No. 12910 Type Residence No. Floors 1 Square Foota&996 Owner Clark S. 'Thom on Date�$]7'-787 Address alielton Ed., Mmania, p 986Z6 contractor Shelton Construction �2 -1600 Address Zi p ; Plan Piland N A - ' p'e Applicant's plot plan approved as to setback requirements, Pi land Legal Description: Tr. 6, G.L. 3 & 4, 26-21-2 Direction to roject site: Haskill Hill Road C 4 f u Z : ./' Fee Paid: Plan Check X Permit X PlumbingX caI fir Wood Stove- --PYrep� Deck Garage — arport Basement Loft —RUn Floor Story Inspections: II Foundation: Campac� Fireplace footing Forms Anchor bolts Foundation wall & rebar Pier spacing Basement wall & rebar Vents & crawl space Retaining wall & rebar Soil-wood clearance III Framing: F r $iodcing ZM3x�ers & posts Bridging Joist size & grade Sub floor type Span Grade & Nailing Walls material Grade Bracing Exterior Siding Ceiling height Nailing Roof proved trusses Hurricane Clips Rafters Purlings Cathedral Valley rafters Beams Sheathing Span Flashing Blocking Weather application Nailing Firma s & ceilings Shower walls Furnace ducts Dropped ceilings Main electrical box Roof Holes plugged Firred-bunt walls Others Stairs Riser & Tread Headroom Width Stair Jadxs Iaxdings HKdrails Inspections: Q Z Fi��� tZiion No. of flues Flashing For: 1A/ Soffits wed Soffit Vents Closed Ridge Vent q Cathedral Windows & Doors Impact protection Header Span Openings Insulation Sill Height Caulking Attic - mtilation Access IV ants & Jacks Pipe Ibms Traps '�a throom Facil. Clean outs J �3 cap Facil. Hot Water Pressure Val Mechanical Fans--Kitchen & Bath Q. Dryer Vent Furnace & Ducts Stove vent Insulation Floors Ceiling Exterior Doors V Interior Cover Fhffidhed Finished Walls Zee type Nailing L► Decks, Balconies & Lofts wardralls Structural Sup. Fire Protection 11 El Doors El El9acre Detector Firew®lls & Ceiling Wood Stove Final & Occupany Approved. Date / �s , By: �� �� RFINARI�S: 31-e2- (- (} �aJ+�c�.� UIL, PlOAh GOLIcrc) c.kcl godY<<1 9 Z S 3 �Lg+� (h 1C Td U SL A c N5T awl I .e III IV V