The URL can be used to link to this page

Home My WebLink AboutBLD18330 SFR - BLD Application - 2/14/1986 BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 11 r 4 6-5593 - DATE ISSUED�� y — PERMIT NO. e bet a- OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE IM..Z,• L.EI T'Gt—t— P OYC F27- 1 L1 N 10 hJ 0A 8q8 zl:� DIRECTIONS I UP VY1�GP�/�VY 0 7 f+e-4I.010K) STbr-j7-- ;=12ST 2DdP0x F-PICA-I--T TIAW-J LA F-> 4-HLL — TO JOB SITE FZbLl-O�U VZ.D VAST" W&kTj=-� TANK DQ1UE��/A`r K�'E►JD! F— LEGAL Lo �- //� / i/�// /f' (11 SE TTACHED SHEET) DESCR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR -1��5 �CJIGI �{O Ln -I—Vwm�Q,W- ?A 2TNA It I5d Kq 3E52! USE OF BUILDING �� J� V�NC - �23� Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: l DtRKy-- Tl Valuation of work: $ PLAN CHECK FEE _ o (i PERMIT FEE `79' 8s9, 'e-, „,3,cc 'c.:lt -4-744, SPECIAL CONDITIONS: -rs BEDROOMS I DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SQ. F GARAGE ;?" Af ky SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT G ATTACHED)C OR AIR CONDITIONING. TOTAL SQ. FTZZ IA5 FIREPLACE i 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 FORA PERIOD OF 180 DAYS AT ANYTIME AFTER I certify that I am a currently registered contractor in WORK IS COMMENCED. he State of Washington and I am 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 I I( �� Q� SEASONAL 11 FLOODPLAIN i Firm - E.D. NO. S.E.P.A. Li B Special Approvals IN OUT YES APPROVED NO Lic. No. ��072V M/!50- !4;:q Date z 7 O ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. A 74-b 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 / G which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owner Date . BY PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH I 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. Owner z. >� 5 �57g 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 44ZC 4 L51-11 j LEGAL DESCRIPTION&)T 41 111U/O/v A / Al Location Of Building NO. PLUMBING FIXTURES FEE 2 WATER CLOSETS `) Z BASINS ,C) 2 BATH TUBS SHOWERS / WATER HEATERS / AUTO.WASHERS SINKS FLOOR DRAINS DRINKING FOUNTAINS / LAUNDRY TRAYS Connect to City Sewer DISH WASHER �D DISPOSAL URINAL (Show Street Names 8 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 pemit issued Permit number Receipt No. CHRISTMASTOWN PRINTING PLOT PLAN ADDRESS PERMIT NO. o 0 io LEGAL n s DESCRIPTION LOT I/1 �1� ADDITION n SITE AREA 15 A 1 7 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 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. F3uiL fir f�lG SITS �rz4 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' I J 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. ram- NAMEIa) OF OWNERM OF SITE d STRUCTURE(S) (PRINT) IGNATURE OF OWNERIS) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE CHRISTMASTOWN PRINTING i 114 J . i FOR DEPARTMENT USE ONLY .� BASIS FOR FEE �'• DESIGN SYSTEM REQUIRED INSTALLATION: El Approved El Not Approved DEPTH TO WATER TABLE SOIL TYPE: SEPTIC TANK (S)-GAL. PUMP REQ. DISTRIBUTIONTOTAL LTRATION AREA TOTAL SQUARE INSPECTIONFINAL e r BEFORE DEPTH OF EACKFILL 2"STRAW OR PAPER STONE Iwo:.•.i;ii:lir:.� +�;.. DIRECTION <_ OVER TILE PIPE SIZE STONE SITE PLAN AND SPECIAL STIPULATIONS UNDER TILE OF D• CROSS • OF TRENCH nt! r■■ r ■r a �� ■N ■iin rrr■■ r■H■■R■■ 1�:■ ■r!� �f ■w■■��r�■s■�'1IE �. H1t ■ NH � ■ �■ s�rrrt��■r■n��tr■ rr r t�i•■r■i�r r�rr■!r■■ ■rr an= tau was" ■f■�■�M��i ■r■tom! ■ ■H■ ■n�N�l�1i�■n:n� ■r■Mri �r �!r■■�Nif�Hrt■r � ,�_ r■■iiii■ ■■ a� �iti ■ non i ■■■r■■■r■rrrrya!nrr�ta�■ Ing ■�iii■■r��inrsrrrrn� ■r err ■ war' ■■r■rwarrs■■r3u�nrrr■�■��■■u■rrr ■■r ■rrr ■■ ■ rrrrnr ian■■rrr on�n �r�■�r rr■!■r�■!r■ r�rrrtnr■a!e■far■ r■ rrnnrr■rnin■rrra!rrrrrrrr�nr �� 1�■r!■i �■riiiiit■rt■■r��■■ Nrrflr■■■r■■r■■ ■ an an a ■ n � nrr ■��nnt �� •M 1-1I) � T.t ,• -pt _Ch( Q^1Q �.,.vo►6ra irlr.S . '•y ,a N.W. NI •. Iq 1../'•:'1 islZa— NI N VJ� Oot M r+^vM r ia•1 '• i i 1 NI Ilr �ws...... S. ry....g vocr11. b1N •1•^r♦ at 'C/ •Q / "" 41 0 1 :. Iw 1 IIr V.M. III N.M nw. 1y4 HIVOLtp galling • . Cll t so-lulI '• y owl sir '• M / t w �] /i lt1•fin; — � i0 f f•`'_�� t o �.1.ICI loc�'h;_1� � •I clz ,� - �yl 01 5 �. 1 • 1 Z fi J7_SS As N � � �•f, d. _La3 -Ja .5% _ ti I � h J .0lot 00 _ o •a of •L•w ^ / ��Y �_; ♦, 1,.V'A A-1 i 11 J'1 1 ZI �lol ssy»s ov , I co ovt � 7 •s,sc��» C. �r� '-LTT•0! Tj f's Low ir'o�i • 00 00� 1 C6 toL -3 st ?s N N_ ' G A t9 �•11. c0 OCt _�► . w•vl_va••v•• 9?7•st;�f N r +• +tt `. i 1••tv,11�N 3T p� 1 V V . �1 .ii�/ l�olZ • �) CNh•/ . ty •►al H__J •Zt 79t Jn 'wall- yr �.