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Home My WebLink AboutBLD19087 Addition - BLD Permit / Conditions - 8/4/1986 TYPE ADDITION j Permit No. 19087 No. Floors 1 Sq Ftg 600 Owner SIMPSON, Roy-L. Tel 898-3057 Date 8-4-86 Address 131 E Seattle Union Zip Contractor None Address Zip Leg a;' Description Plat of Union Bl. 51, Lots 45-47 Direction to project site 131 E Seattle Union Plumbing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other Add l bath, enlarge 1 bedroom,enlarge dining room, add pantry and living room Shorelines: IV 4/ P1umbi4g: , �etbac�C: IMech anica�:— mac 2k- / r' �S , pecia Interior: Conditions: yFINAL:Cj ( IMobile Home: Smoke Detector . I Remarks: 1 Foo t into Setback: I Foundation y Walls: -J , Framing: : Fire lace p LL & VOID BY EXP"ri"k,-r ,., Wood Stove: BUILDING PERMIT APPLICATION y MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER w Glib �e S �,2 3cts DIRECTIONS �^ TO JOB SITE 3 G, %5 '42 r7-/ �--, LEGAL DESCR. lQT_ NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF ^/^l BUILDING f,S%�S , 4t A CJ�'C 1 7 l CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK % / 6e-2 712/On /2 4:7 BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT GARAGE CONDITIONING. NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT / COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT " SHORELINE SEASONAL OWNERSAFFIDAVIT / CONTRACTORS AFFIDAVIT I CERTIFY TZWHICHIS T F M THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATIO7 ND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CONFORMTH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAININGAHE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. ER3DATE / V X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION G YES NO YES NO o. HEALTH ;� - PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT S G D.O.T. BUILDING r PLAN CHECK 2A C G SPECIAL CONDITIONS BUILDINGGROUP PRE-INSPECTION SHORELINE PLANNING PLUMBING �; MECHANICAL STATE BUILDING FEE - I STATESURCHARGE APPLICATION ACCEPTED BY PLANS C BY APPROVED FOR ISSUANCE PERMIT VALIDATION // BY �� CASH CK MO TOTAL MASON COUNTY 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. p � ,S�m Sam /�3/ c _SF/9��E �/.v Jaw ��.Si�- • 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 applica Address Application date fjy, ��!'YLfi LEGAL DESCRIPTION Location Of Building NO. PLUMBING FIXTURES FEE f WATER CLOSETS 06 J BASINS ' BATH TUBS SHOWERS v WATER HEATERS AUTO.WASHERS w SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer DISH WASHER .J DISPOSAL URINAL (Show Street Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT 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 ^ Date pemit issued Permit number Receipt No. $ CHRISTMASTOWN PRINTING PLOT PLAN . r ADDRESS 13 /ow to PERMIT NO. 4 0 = o a o 0 a LEGAL DESCRIPTION LOT �iS— f 417 BILK 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 A"'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. 0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' � J I G a 'r 1 � I/We certify that the proposed construction will confor to the dimensions and uses shown above and that no changes will be made without first obtaining approval. NAME( ) OF OWNER(S) OF SITE S STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE SHELTON PRINTING