HomeMy WebLinkAboutBLD9566 SFR - BLD Permit / Conditions - 11/8/1979 Schmitz, Ferdinand, III #9566
11-8-79
G. L. 4 34-22-3
South Shore Road
Residence Contractor
Shelton Construction
$35,000.00 Plumbing Permit
12///Ar D
r � BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 4
DATE ISSUED 71
PERMIT NO. 9's�
OWNER E �AAIL ADDRESS CITY&STATE IP PHONE
Mr. Vgrs. Ferdinand SChillltZ III P.O. Box 382 - Kenmore, Wash. 0802 898-3275
DIRECTIONS
TO JOB SITE
LEGAL (O SEE ATTACHED SHEET)
DESCR. Gov. Lot 4 - Sec. 34 - Township 22-_4 _ South Shore Road
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR I Shelton Constructio n,Inc. St.Rt. 1 - Box 29 - Belfair, Wa 98528 SH_EL-TC-260PT 426-
USE OF
BUILDING Residence
Class of work: XXNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE
Describe work:
Valuation of work: $ $35,000.00 PLAN CHECK FEE �-L PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT IJ NOTICE
BATHROOMS_— TOTAL SO. FT. GARAGE x
ATTACHED� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [] OR AIR CONDITIONING.
TOTAL SQ. FT. 20 FIREPLACE N DETACHED I )
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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
conformance therewith. PERMANENT SHORELINES J;
SEASONAL i I FLOODPLAIN i
Firm Shelton Co tructi n Inc.
E.D. NO. S.E.P.A. i
By O y�yt�i Q Special Approvals IN OUT YES APPROVED NO
Lic. No.
SH E Date
L-EL -260PT 11/5/79 ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. dl�(
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
LICATION ACCEPT E BY PLAN E K BY A ROVED FO IS ANCE
Own Date. ,
lay
At,I- 4=N
PLAN CHECK VALIDATION CK. M.O. CASH 61 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.
Ferdinand Schmitz III P. 0. Bo) 382 - Kenmore, Wash 08028 898-3275
Owner
z.
Gen. Shelton Const.,Inc. Star Rt. 1 - Boy. 29 - Belfair,, Wa 96526 426-i600
Con a S�uTr
Keith Plumbing i417 Spruce Place - Shelton, Wa 98584 426-2495
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 7Application date
Star Rt. 1 - Box 29 - Belfair, Wa /79
LEGAL DESCRIPTION
Location
Of
Building South Shore Road — Gov. Lot 4 — Sec. 34 — Tan. 22
Building
NO. PLUMBING FIXTURES FEE
1 WATER CLOSETS DO
1 BASINS
BATH TUBS
1 SHOWERS
WATER HEATERS ?
1 AUTO.WASHERS
1 SINKS OO
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
] DISH WASHER �O
DISPOSAL
URINAL
-- (Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT 170� SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
App d by 1 Permit fee Date pemit issued Permit number Receipt No.