HomeMy WebLinkAboutBLD0053 SFR - BLD Permit / Conditions - 7/5/1983 I Piernnt No. 0053 Type Residence No. Floors 1 Square Footage 992
Owner BOckuS, Anthony I. Plane 77-1916Date Tj5T$T-
Address 1580 Kitsap Lake Road Bremerton WA 98312
Contractor Own P r Phone
Address Zip
Plan Check proven by 'E.Piland Shoreline by N A —'I e —
A.pplicant's plot plan approved as to setback requirements;Ty Pila
Legal Description:p 7 O-22-1, Part of E 1/2 of NW 1/ nd
Direction to project site: See Attached
Fee an Check X Permit X Plunbing X llech&-Licalwen
Wood Stove X Fireplace Deck Garage --U rport
Basement ----Ioft —Ma n Floor ecS o 3 Story
Inspections:
II Foundation:
Ca—npac—teT= Fireplace footing
Forms Anchor bolts
Foundation wall & rebar y� Pier spacing
Basement wall & rebar Vents & crawl space
Retaining wall & rebar Soil-wood clearance
III Framdng:
Floor Blocking
Mr-Jers & posts Bridging
Joist size & grade Sub floor type
Span Grade & Nailing O�
Walls
-F erial Grade �.
Bracing Q�� o Si
Ceiling height
Roof
—roved trusses X)` ricane Clips
Rafters Purlings
Cathedral Valley rafters
Beams Sheathing
Span Flashing
Blocking Weather application
Nailing
Fire-stops
Walls K—oeilings
Shower walls Furnace ducts
Dropped ceilings Main electrical box
Roof Holes plugged
Firred-out walls Others
Stairs
Riser & TYead Headroom
Width Stair Jacks
Landings Handrails
Inspections:
Fireplace
action 8 No. of flues
Flashing For:
Soffits
Soffit Vents 8
Closed Ridge Vent
Cathedral
Windows & Doors
Impact protection Header Span
Openings Insulation
Sill Height Caulking
Attic
-ventilation [� [� Access
IV Plumbing _
dents & Jacks Pipe Rum
Traps Bathroom Facil.
Clean outs Handicap Facil.
Hot Water Pressure Va1v
Mechanical
Fans: tc en & Bath 8 8 Cl. Dryer Vent
Furnace & Ducts Stove vent a a
Insulation _
�— Floors n
Ceiling Exterior Doors q
V Interior Cover
Finished oors El [] Finished Walls [�
Type 1'w
Nailing El El
Decks, Balconies & Lofts �--{
akird
rails Q u Structural Sup.
Fire Protection
Doors � � Smoke Detector
Firewalls & Ceiling Wood Stove BB
Final & Occupany Approved. Late , By:
RR4ARKS: _
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I DA
• BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 p
DATEISSUED
PERMIT NO. e 0 S
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
WmEvrw
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. Rho-of
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: )L NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ p CG) PLAN CHECK FEE PERMIT FEE U V
�, =z�� a�J 0 � 3 �4da
SPECIAL CONDITIONS:
BEDROOMS I DECKS tiQ P P CARPORT [] NOTICE
BATHROOMS__ TOTAL SO. FT. GARAGE L]
ATTACHED I_; SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT.M FIREPLACE 1, 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 OK
conformance therewith. PERMANENT SHORELINES
SEASONAL Ll FLOODPLAIN L]
Firm E.D. NO. _ S.E.P.A. [I
By Special Approvals IN OUT YES APPROVED NO
Lic. No.— Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. I 93
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
O er Date . 4 a�—$_3 APPLICATION ACCEPTED BY PLAN K BY APPROVED ISSUANCE
BY
PL CHECK VALIDATION CK. M.O. (CASH PERMIT VALIDATION CK. M.O. CASH
I
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.
J T Q$3o, 7
Owner /�To ' /
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 1
Building o
/ .v Y
L- . �e
NO. PLUMBING FIXTURES FEE
WATER CLOSETS , Vol
BASINS d O
BATH TUBS
SHOWERS i
WATER HEATERS OD
AUTO.WASHERS
SINKS Q
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS Lj L
Connect to City Sewer J
I
DISH WASHER
DISPOSAL
URINAL
--- ----- — —
co
--- — (Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT d`4q 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 PERMIT NO. o
A D
A O
LEGAL
DESCRIPTION LOT BLK 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 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 FLOOR ELEVATION, STREET ELEVA-
TION P"ID 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.
1 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
b
i
.,i
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval.
NAME(S) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
SHELTON PRINTINu ,