HomeMy WebLinkAboutBLD84-15349 - BLD Permit / Conditions - 4/4/1984 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 /' SY
DATE ISSUED �
y?r) PERMIT NO. c3
OWNER NAME MAIL ADDRESS ) CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE
LEGAL DESCR. { (❑ SEE ATTACHED SHEET)
Cf� �t � . �
NAME MAIL ADDRESS TY&STA E LICENSE NO. PHONE
CONTRACTOR
1 c �ZJ� ?a7- Vfl
USE OF
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ c, PLAN CHECK FEE PERMIT FEE a o
53 '17 Z-. � �I,
SPECIAL CONDITIONS:
BEDROOMS 2 IDECKS _ .CARPORT ❑ I NOTICE
BATHROOMS_ x! TOTAL SQ. FT.i9 O GARAGE L;
ATTACHED !; SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES�L BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT.1tv 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 ertify that I am a currently registered contractor in WORK IS COMMENCED.
hd State of Washington and I 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 l' SHORELINES
Li7 SEASONAL ❑ FLOODPLAIN
Firm 1 al S �,...S' �. `� .
E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. 4A-A,__ _ 2�,-__ A) Date � i, �L 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
AP LICATI ACCEPTED BY I PLANS. HECK BY APPROVED FOR ISSUANCE
Owner Date .
PLAN 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.
,. N ≥i uc / 3O/,'
Owner
2. //' . t, < ,77
Contractor �jy
The owner of this building a d the undersigned agree to conform to all applica le laws of Mason County and State of Washington
Signature of licant Address Application date, J /j LEGAL DESCRIPTION
Location /
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS IftJ o
BASINS , 6 p
BATH TUBS 7,p t7
SHOWERS
WATER HEATERS
AUTO.WASHERS .7 o v
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER 7 C Q
DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT /, p ® 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 Receipt No.
Inspections: A _ Approved: D - Disapproved; 81 - By; DI - Date
A p gY DTE
1 ace No. of flues �.-
p --�
Fire For:
Construction
Flashing Soffit Vents
Soffits - — e Vent �-Expos Closed ed Ridge
_
Cathedral
Header Span
Windows & Doors -- y y.._
Impact protection �— �" Insulation Y
Openings �,,
�- y-- Caulking y-''� "�
Sill Height Access -�
Attic 3 '.
Ventilation IV pipe Runs
PLD�G
�,�--- —�— Bathroom Faci I. �---
Roof vents & Jacks Handicap Facil.Traps
y
Clean outs �-
Hot water Pressure Valve r. Cl. Dryer Vent .�
Mechanical ✓`_.- '�
Fan Kitchen & Bath --� Stove vent ✓ r
Furnace & Ducts �.� �- Floors
Insulation �.-
✓`.
CeiliWallsng
...�
V INTERIOR COVER Finished Wall
,1 "_� TYpe Nailingl s
Finished Floo s
rs r"
Type �" � ]
Decks, Balconies & Lofts Structural Sup.
Guardrails --- "' "
Fire Protection Smoke Detector %� y
Doors -- Wood Stove
Firewalls & Ceiling --
Final & Occupancy Approved.
Date n .��•�� ,��� gy: c�l
REMARK S
1
II
III
IV
I
Permit No- 15349 Type
Owner " - Residence No. Floors Square Footage 1656
Address Phone246- 0955 Date 4-4-84
Contractor ►
Ha11 s Con§t, eatt �n Zlp 9$16
Address Phone 877-9490
Plan Check Approved by F """""-----
App I icant►s p_ � �Shore ine by Zip�+�`
plot plan approved as to setback requirements, by Type_
Legal Description: ke Cushman Div 14 Direction to project site: Lot 56
Fee Paid: Plan Check Permit
��`3 y�yWood Stove xce- Plumbing X Mechanical
���'✓`may Firepla _ Deck Gara e -- mower_
Loft ----�� g_ Carport
Basement
Main Floor Second Story
-
- Approved;*A ----..�_
---�_ D - Disapproved; BY - By; DTE - Date
*A D B Y DTE
II FOUNDATION: A BY DTE
Compacted Fill
` --
Forms .� Fireplace footing
Foundation wall & rebar Anchor bolts `� ---
Basement wall & rebar Pier spacing "" ----
Vents &Retaining wall & rebar crawl space
Soii-wood clearance
III FRAMING:
Floor
Girders & posts —� Blocking f'
Joists size & grade - ---- Bridging
Span —� ... Sub floor type- = Grade & Nailing
Walls
Material Grade
Bracing
-� Exterior siding
Ceiling height
Nailing -�
Roof
Approved trusses
Rafters Hurricane Clips
Cathedral Puriings --�
Beams Valley rafters
Span Sheathing -- --� -.-�
Blocking y Flashing ---
Nailing Weather application
Fire-stops
a1TTT ,IIngs
Shower walls "—
Dropped ceilings --� Furnace ducts
Roof Main electrical box
Firred-out walls Holes Plugged �-- ----
Others -�
Stairs
Riser & Tread `
Width Headroom
Landings _.— Stair Jacks
-� __� Handrai is ---