HomeMy WebLinkAboutBLD9926 Cancelled SFR - BLD Permit / Conditions - 7/6/1982 -- -1 a Footage _
I Permit . 9926 -Type, Residence--1b. Floorsr Dated g�
Owner SOoof Wi11i am D
Address -�,§- 3--
Contractor zip g
Address
Plan MOZ ro as t�setback requirements,
Applicant s plot plan app
legal Description: L ke
Direction to project site
X PI.e t X P X — � --X---
ee P rt
1P -Wood Stave--- Fireplace
Deckga5u Story - -
--�-to �n F oo�—
Basement
II Foundation: Firepl aCe footing
Compact FM Atuchor bolts
Forms Pier spacing
Foundation wall & rebar Vents & crawl space
Basement wall & rebar Soil-wood clearance
Retaining wall & rebar 01---L
III Fri Blocking
Floor Bridging
ZMere & Posts Sub floor type
Joist size & grade Grade & Nailing
Span .
Walls '
Iterial Grade Exteriors
Bracing d.3
Ceiling height
Roof •cne C ps
JWraved trusses �S
Rafters ey ters
Cathedral
Beams
Span application
application
Blocking
Nailing
F�aeil.ing s Furnace ducts
Slower walls Main electrical box
Dropped ceilings Holes plugged
Roof Others
Firred-Out walls
Stairs HeadroomRiser & Tread Stair Jacks
Width Handrails
Landings
Inspections:
replace
Fistzuction No. of flues Flashing I--.I
Soffits For:
Soffit Vents
Cathedral Ridge Vent
Windows & Doors
npact protection Header Span
Openings
Sill Height Insulation
Attic CauUdng
�eritilation l� El
IV Plumbing ❑ r^
dents & Jacks Pipe Rum '
Traps ns L�
Clean outs Bathroom Facil.
Hot Water Mechanical Pressure Valv Handicap Facil.
am t & Bath H
Furnace & Ducts Cl. Vent
StaveInsulation
❑a� ❑ Floors (-1
V Interior Cover �--j Exterior DoorsFEE LHJ ❑
s oors ❑ ❑ Finished Walls
1Ype l'Pe
Nailing" E
Dew, Balconies & Lofts
s ❑ ❑ Structural Sup.
Fire Protection Q
moors
Firewalls & Ceiling Smoke Detector
110 — Wood Stove � 8
Final & Occupany Approved. Date-----., By:
REMAM:
I-
II
III
Mom'.
By
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426 5593 ,
DATE ISSUED J�
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
4, o Jt +� l� J%1G� L Sd a ey- -.Z
DIRECTIONS
TO JOB SITE
LEGAL 1 (❑ SEE ATTACHED SHEET)
DESCR. �i0J1) - /� LG�7` /fJIJ LIKE CGtSf�/�l.Qil/
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR ,
USE OF A fl y�S'2Y'
BUILDING Y,//4 e_At f(f Al lT(J✓%i
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ n PLAN CHECK FEE PERMIT FEE 5 Q
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED 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 the
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. 6.30-1
49
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. �f
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in confor nc t erewith. MOTOR VEHICLE PERMIT
94
1 Q��_ A LIGATION ACCEPTED BY PLAN APPRO FgR ISSUANCE
Owner _ Date. V B / r
PLA# CHECK VA I ATION CK.. M.O. CASH ERMIT 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 r✓ d
BASINS
BATH TUBS G _
SHOWERS
WATER HEATERS (7
AUTO.WASHERS C U
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT 5or SKETCH IN SEPTIC TANK a 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 Receipt No.
/s.0 v 7-.( gam C ya0 �
� r
" PLOT PLAN
ADDRESS PERMIT NO. f o
= o
n D
7LEGAL
O
yi n
DESCRIPTION A�v /(P LOT ADDITION u
SITE AREA Sq.Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN V-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 Al"D 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 9 t GRAPH SQUARES ARE 5' X 5' OR 1"=20'
4
0
tv
424
J ' ,
JA
•1
10
I/We certify that the proposed construction will conform to the dimensidns and uses shown above and that no changes will be made without
first obtaining approval
NAME(S) OF OWNER(S) OF SITE h STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR UTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
*HELTON PRINTING