HomeMy WebLinkAboutBLD17928 Repair Foundation - BLD Permit / Conditions - 9/13/1985 TYPE REPAIR FOUNDATION
Permit No. 17928 No. Floors Sq Ftg 900
Owner MURNEN, E. J. Jr. Te1898-2100 Date 9-13-85
Address 7920 h on Hwy 106 Union Zip
Contractor Self
Address Zip
Legal Description Tr.21-A,22 &_ 23_of Lot 3 34-22-3
Direction to project site 3/4 mi. E. of Alderbrook.above
rd. ("Murnen") on yellow life preserver,
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
BASEMENT & FIREPLACE �2Z2C/ ` q /���
1
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Interior:
Final:
Mobile Home:
Smoke Detector:
Remarks:
UMMIT
DATE BY __ _ .
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 /
DATE ISSUED / 7,&
PERMIT NO.
OWNER NAME MAIL AD S CITY S STATE IP PHONE
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DIRECTIONS �, 1(
TO JOB SITE o CcQ�Q1L,�f��-per_( -W d II-(ueoc Qy� �ieC�L��a Lt�.t P✓csevv
qq !� (❑ SEE ATTACHED SHEET)
DESCR.
NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE
CONTRACTOR
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USE OF --4 p
BUILDING g l! . „K,e✓ an orVo(j,/iderrov /1
Class of work: $d NEW ❑ ADDITION ❑ ALTENATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
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Valuation of wor r- PLAN CHECK EE qERMIT EE
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SPECIAL CON TION d
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS— TOTAL SQ. FT. GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF ST S BASEMENT)!9,t ATTACHED ❑ OR AIR CONDITIONING.
TOTAL SO. F FIREPLACEX DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT Li SHORELINES
SEASONAL ❑ FLOODPLAIN 11
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT. -
o the Mason County ordinance requirements for
hich this permit is issued and that all work done will ROAD ACCESS
qe
nformance therewit MOTOR VEHICLE PERMIT
APPLICATION ACC€ ED BY ANS CHECK BY APPROVED FOR ISSUANCE
O Date. p(/ B
o,_
PLAN CH VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING
PLOT PLAN
_ADDRESS !' I ID cYy� �/(}f( O1p PERMIT NO. F o
i o
2;2-1 z3 Gr t > z o
LEGAL
DESCRIPTION LOT L-FVt ($-tlE AfYOT7tON u
SITE AREA Sq. Ft. AREA OF ITE OCCUPIED BY BUILDINGS ��)O�= 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.
i
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
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14�
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C t r base rug
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. _ ,,(7
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M vrzroE� J IZ
NAMES) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) IG AT E O F OWNER(S) OR RIZED REPRESENTATIVE
DO NOT WR E BELOW S L/NE
APPROVED
DISTRICT AS NOTED Lj��
S DATE
CHRISTMASTOWN PRINTING
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