HomeMy WebLinkAboutBLD14062 Final SFR - BLD Permit / Conditions - 11/20/1983 BUILDING PEAMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 �
DATEISSUED
PERMIT NO.�
OWNER ,NAME MAIL ADDRESS CITY&STATE ZIP PHONE
_ i
s
DIRECTIONS
TO JOB SITE DAt Hwv 3 L'T-t / /!• f✓ dnf 9
LEGAL / (❑ SEE ATTACHED SHEET)
DESCR. �-�y %V6�4 Sc�� / T ZV d/ Z,3 AA
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR A,.4 W T-7 �1IGC' I go 'uI-> 37
USE OF
1 BUILDING
j Class of work: ?NEW ; ❑ A15DITION ❑ ALTERATION ❑ REPAIR q MOVE ❑ REMOVE
1 Describe work:`
I
0a
1 Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS: o�.SC)� � S �/lylp43 ,
i
y ,
BEDROOMS' {DECKS CARPORT ❑ NOTICE
BATHROOMS Z TOTAL SO. FT.� GARAGE ❑
i ATTACHED El OR
PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
I NO. OF STORIES! - BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT,24/6 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
I SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANY TIME AFTER
certify that I am a currently registered contractor in WORK IS COMMENCED:
y the State of Washington and I the
u
aware of the FOR OFFICE ■ ■S E 0 N LY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in PERMANENT �,nry W/SHORELINES
conformance therewith..
SEASONAL ❑ FLOODPLAIN ❑
Firm ���"' (� E.D. NO. S.E.P.A. ❑
By ` -- Special Approvals IN OUT YES APPROVED NO
Lic. No. �� �f3 Date 3 7 4 14 ZONING
PLANNING DEPT.
.ZN .3
OWNERS AFFIDAVIT HEALTH DEPT.
i 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
a APPLICATI N ACCEPTED BY PLAN5 CHECK BY APPROVED FOR ISSUANCE
. Owner Date. � BY
i
PL CHECK VAl IDATIO �CK. M.O. CASH PERMIT VALIDATIO CK. M.O. CASH
ti
MASON COUNTY PLANNING DEPARTMENT
P.O.BOX 186 Sheltpn,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.
Owner
Contractor
The ownerof is building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
signatur f pplicant Address Application date
//.Z
LE AL DE RIPTION
Location
Of
Building
1 NO. PLUMBING FIXTURES FEE
WATER CLOSETS Q
3 BASINS
7_ BATH TUBS Q
- SHOWERS
1 WATER HEATERS `' 47 C?
AUTO.WASHERS �P ,p 0
/ SINKS „
o FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
1
DISH WASHER
DISPOSAL
URINAL
I
I
I
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE°FOR WATER.
PERMIT �,Q Q SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
I
r i
8
g
DO NOT WRITE 1N THIS SPACE - FOR OFFICE USE
Approved by Permit fee Date pemit issued Permit number Receipt No
/ all .� ,
I permit No. 14062r pe residence No. Floorsl.5 Square Footage 2,610
Owner Pe ramie;Mic a�i T� Pho_ne7 1 )29 Mete 6 1 83
Addregs E �350 Scarlet Road Shelton zipg89P,4
Contractor David Biorkman kTbOm866-2537
Address p 0. 1 iB94 1 zip 98507
Plan Check ApprovedAAF P ShorelineIY
Applicant's plot plan approv as to setback requirements, by E.Piland
Legal Description: SW 1/4 NE 1/4-1 r
14
Direction to project site: -Hwyy 3, right on Agate, left on Scarlet,
1/4 miaid:le on rightFee Plumbing_
Mechanical Sewer
Wood Stove rrPLan Check ;p`ace L Deck�Gerage �arPort�
Basement Loft __TUn Floor TeEoStory
Inspections:
va fi A,
II Foundation:
Compact�l .�; Fireplace footing
Forms > Anchor bolts
Foundation wall & rebar Pier spacing
Basenoent wall & rebar Vents & crawl space
Retaining wall & rebar Soil-wood clearance
III Framing:
Floor Blocking
-ders & posts Bridging
Joist size & grade Sub floor type
Span Grade & Nailing
Walls
Eterial Grade
Bracing Fkterior Siding
Ceiling height Nailing
Roof
-7 roved trusses Hurricane Clips
Rafters Purlings
Cathedral 7Z Valley rafters
Beams' Sheathing
Span Flashing
Blocking Weather application
Nailing
Fire tops
Wall -bpi lino
Shower walls Furnace ducts
Dropped ceilings Main electrical box
Roof Holes plugged
Firred-out walls Others
Stairs
Riser & Tread Headroom
Width Stair Jacks
Landings Handrails
Inspections:
Fireplace
truction No. of fluesQ El
Flashing For:
Soffits
Soffit Vents
Closed Ridge Vent 1
Cathedral
Windows & Doors
Impact protection Header Span I
Openings Insulation
Sill Height Viking
HB
Attic
lation [ Access
IV Plumbing l�`/ �- j�
eats & Jacks /����/ ape Rims
Traps 7 Bathroom Facil.
Clean outs p�4'.3 Handicap Facil.
Hot Water Pressure Valv
Mechanical
Fans�itc ien & Bath pi-n Cl. Dryer Vent
Furnace &'Ducts Stove vent
Insulation
Walls— Floors
Ceiling Exterior Doors
V Interior Cover
FinishedMoors tan bed Walls
Nailing, ,
Decks,.,Balconies & Infts
Structural Sup. [�
Fire Protection
Doors Smoke Detector
Firewalls & Ceiling Wood Stove
Final & Occupant Approved. Date By:
PJ ARRS:
nn-r c.-e-C
I
low'
C a e
IV