HomeMy WebLinkAboutBLD13357 Final SFR - BLD Permit / Conditions - 1/26/1983 BUILDING -PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. / A3 97:::
CITY&STAT ZIP PHONE
NAME MAIL ADDRE ,,,
OWNER En',LZV . T / etK:3Zq'3r6
DIRECTIONS
TO JOB SITE �q/ a(
�N (❑ SEE ATTACHED SHEET)
LEGAL Zo7-.2 y!
DESCR. LICENSE NO.L�,,y NAME PHONE
MAIL ADDRESS CITY&STATE
CONTRACTOR ��`cp,� , Ir'xc+butr4ein /�•'� ��
USE OF
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: J
411
PLAN CHECK FEE 'O 0 PERMIT FEE
Valuation of work: $ J o? 0-
SPECIAL CONDITIONS:
�l .A
BEDROOMS DECKS CARPOR:E]
NOTICE
BATHROOMS TOTAL SO. FT. GARAG SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
ATTACH ❑ OR AIR CONDITIONING.
NO. OF STORIES BASEMENT ❑ DETACH ❑
TOTAL SO. FT. 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 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 FOR 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. SEASONAL FLOODPLAIN ❑
1-1
Firm '�'�E R� ��� E.D. NO. S.E.P.A. ❑
Special Approvals
IN OUT YES APPROVED NO
By
Lic. No. E Date p
PLANNIN PT. tA, 411 /
OWNERS AFFIDAVIT PUBLIC WORKS V
I certify that I am exempt from the requirements of the FIRE MARS L
contract or registration law RCW 18.27, and am aware BUILDING DEPT. d
of the Mason County ordinance requirements for ROAD ACCESS
which this permit is issued and that all work done will
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY P S ECK BY ABYPROVED FOR I
Owner Date.
P CHECK VALIDATION CK. M.O. CASH
PERMIT VALIDATION CK. M.O. CASH
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.
1.
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
LEGAL DESCRIPTION
Location
Of
Building
NO.. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS
BATH TUBS 8 D —.—
SHOWERS
WATER HEATERS o�.on
/ AUTO.WASHERS 0 fl
/ SINKS a
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer i
DISH WASHER a,Q
DISPOSAL
URINAL
(Show Street Names & 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
$ a3•0Z) 1a-io-gz.
Mw
I Pprn t No. 1335MPe Residence No. Floors 1 Square Foote 1,352
.fir Smith, John H_,.'�� Phone - Date 12/10/82
Address 7308 - 25th Avenue NW gRAttJ-e, p- �4Z3
traCtOr Fv csr$rjscr� Mnrl»lnr Nrnna0 —
Aidress 10720 - 26th Av enue South Tacoma Zips
Plan :�up _ _F _
Applicant's plot plan epP as to setbec�C requirements,es tY K. to E&
Legal Description: Lot 24 of Mason Lake Estates #3
Direction to protectsite: Mason Lake Drive, box 975, E 2580 Mason
Lake Drive West.
ee X Permit X Plumbing X Mechanical� X
Wood Store-'�'irepl.ace Deck ale
� � 3 3Sr" Basement -soft � or story n Flo
?04Inspections:
II Foundation:
Campsct Fireplace footing
Forms Anchor bolts
Foundation well & rebar Pier spad
Basement well & rebar Vents & and space
Retaining wall & rebar Soil-wood clearance
III Framing:
Floor Blocking
M & posts ' ' r-/�{ iriting
Joist size & grade Sub floor type
Span Grade & Nailing
Walls
�a erial Grade p p
Bracing EM!rior Siding
Ceiling height Nailing U U
Roof
p roved trusses Hurricane Clips
Rafters ,( Purlings
Cathedral Valley rafters
Beams Sheathing
Span Flashing
NaiBloclking Weather applicatMR
ion
Fire-stops
ops
Shower wells YFurnace ducts
Dropped ceilings Mein electrical box
Roof Holes plugged
Firred-out walls Others
Stairs
use & Tread Headroom
Width Stair
Landings �_ Handrails
Inspections:-
Fireplace
Umstruction No. of flues ❑ ❑
Flashing
a For:
Soffits
Soffit Vents
closed Ridge Vent ❑
Cathedral
Windows & Doors
-W t protection Header Span
Openings Insulation
Sill Height —" Caulking
Attic
e-ntilation ❑ ❑ Access ❑ ❑
IV P1 W.n;g
ents & Jacks Pipe Rims
Traps Bathroom Facil.
Clean outs Handicap Facil.
Hot Water Pressure Val
Mechanical
Fams-4atchen & Bath ❑ Cl.. Dryer Vent OR
Furnace & Ducts Stove vent
Insulation
Walls Floors
Ceiling Exterior Doors � A
V Interior Cover
Finished Flors Q M Fished Walls
lype
Decks, Balconies & Lofts
Guardrails ❑ Structural Sup.
Fire Protection ❑
Doors 8 Sm Detector ❑
Firewal.ls & Ceiling Woodod Stave
Final & Occupany Approved. Date , By: •
REMARKS:
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