Loading...
HomeMy WebLinkAboutBLD83-13765 EXPAND ROOMS - BLD Permit / Conditions - 3/25/1983 j #13765 Khaw, Bernard & Ruth 3/25/83 426-9509 or 426-4461 (work) Parkwood Lot 19 2nd house on left in cul-de-sac opposite firehall .on Island Lake Drive at E 51 Park Lane Addition& Solar Collection Room Contractor: 342 Sq. Ft. & 144 Sq. Ft. None Listed Plumbing Permit $11,322.00 40,� L ci O CD 41 # —f ti o G ' � V q •. N rI N U O 4J D 0 •• q Q1 '-I U bD s' 4J by Co � bA U 0 0 al cd •,4 NUb O '4 •, .Z H ,,4 •• 3 � A ' f cn cn' ° u ° ° oPL44o o v es , co r P, r GH 4 3a F.. rxwHrs, v� ca � +� A � '1 BUILDING PE RMIT APP CA TIDN MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. l 3 1 NAME MAIL ADDRESS CITY 8 STAI E ZIP PHONE OWNER �-L pLTlj KH >=5I p W SRC-L r� A < 95�'' DIRECTIONS '2 HOSE DN LePr IN "'--bP^SAC OPpest*TE F( CrM (SLA4JI) LA4c,E;-D2, TO JOB SITE \ D p�p FLAT' p�.� ` `� LEGAL �T (4 a 1 A� 1 Cry LA /�'TT,�."�,�egmr- IZG ' W IN (❑ SEE ATTACHED SHEET) DESCR. VOLV1► 6 PST PA$F Q8 I 'leas O�C M14S a>J CaUNTy �kS ItiTF��©N NAME MAIL ADDRESS CITY&ST E LICENSE NO. PHONE CONTRACTOR USE OF RES 1 pUQC9 BUILDING Class of work: ❑ NEW LS ADDITION ❑ ALTERATION ❑ REPAIR ❑ M VE ❑ REMOVE Describe work: .ENS E i-'T e t-"v ceLL'LZTtOW Atom . Valuation of work: $ PLAN CHECK FEE PE; MIT SPECIAL CONDITIONS: BEDROOMS {DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SQ. FT. GARAGE ❑ ATTACHED OS� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING. TOTAL SQ. FT FIREPLACE C, DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR AFFIDAVIT IZED IS NOT C04 MENCED 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 ONLY the permit is issued and all work done will be in III conformance therewith. PERMANENT ❑ SHORELINES SEASONAL ❑ FLOODPLAIN Firm E.D. NO. S.E.P.A. ❑ B Special Approvals IN OUT YES APPROVED NO Y Lic. No. Date 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 which this permit is issued and that all work done will ROAD ACCESS' be in conformance therewith. TOR VEHICLE PERMIT �' ? 83LICATION A EPTED BY PLA EQK BY APPROVED FOR ISSUANCE .—Date. Z ar BY Y .J 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 APPLICATI N IMPORTANT— Complete ALL items. Mark box where applicable. Name Mailing address—Number,street, ly,and State Zip code Tel.No. E1�tA & PAAV, LANE SR410N i Owner K t a Aw 2. �E Contractor The owner of this building and the undersigned agree to conform to all applicable laws of Mason County an J State of Washington Signature of applican `' Address Application date LEGAL DESCRIPTION LIN TNT- iF I wPM Location p q �y q, B V L'Lu m e T Lk S �1-C' U t S M �1 O1 ti b �( �1/ /� tv Building NO. PLUMBING FIXTURES FEE WATER CLOSETS BASINS i BATH TUBS ------ I SHOWERS WATER HEATERS f AUTO.WASHERS SINKS FLOOR DRAINS Q DRINKING FOUNTAINS LAUNDRY TRAYS L Connect to City Sewer DISH WASHER 2— DISPOSAL 11 URINAL 3o (Show Street Names & Property Lines) -- INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMITe 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. PLOT PLAN ADDRESS -) LN � PERMIT NO. f s n s LEGAL �It,�- ,�l D O DESCRIPTION LOT ! f- J7C Y�LL cY BILK ADDITION u SITE AREA S 1 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 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 FL OR ELEVATION, STREET ELEVA- TION A"'D SEWER SERVICE ELEVATION. SHOW LOCATION OF WAT SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE EACH BUILDING AND MAJOR POR- TION THEREOF. aC 1 l0 C R 1'- ARES ARE b-�rr O - INDICATE NORTH IN CIRCLE RAPH SOU X f? " •.f r i/We certify that the proposed construction will conform to the dimensions and uses showr above and that no changes will be made without first obtaining approval. �t g- KN A-'N _.. ;. war .. �..�� � kk �w NAME(S) OF OWNER(S) OF SITE h STRUCTURE(S) (PRINT) SIGNATURE OF OWNER )OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE SHE[-TON PRINTING i