HomeMy WebLinkAboutBLD16793 Bunkhouse/Woodshed - BLD Permit / Conditions - 5/10/1985r
KREKOW, Gordon #16793
5-10-85
Lot 2 34-22-3 Tract 2 of Gov Lot 2
117 Summit Ave E Seattle 98102 328-2466
Approx. 1-1/4 miles East of Alderbrook on Hwy 106
Contractor
Self
Bunkhouse/woodshed
$21,400.00 3��34 — Ll3- 0W3U
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing: h/, %//7 E4
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final: , j and
Stop Work: J
Mobile Home:
Smoke Detector:
Remarks:
Y
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED
PERMIT NO.
OWNER
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE 4 MA
LEGAL �+ ,� i �_ _�[ I. (❑ SEE A ACHEDSHEE
DESCR. (,p�Z. X%r✓� 3 ��f�vlfpWt ZZ—��7T�V� �� '/`
CONTRACTOR
NAMF MAIL ADDRIES,
CITY AT LICENSE NO. PHONE
USE OF t
BUILDING W
Class of work: NEW ❑ ADD ION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
'z'�
Valuation of work: $ -0 ' _1 PLAN CHECK FEE �yJ PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT OR AIR CONDITIONING.
TOTAL SQ. FT FIREPLACE ❑ 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 ❑ SHORELINES i,
^,1 SEASONAL Fl FLOODPLAIN I
Fir ,�, E.D. NO. S.E.P.A.
By Special Approvals IN OUT YES APPROVED NO
Lic. No. C M �FS'S Date C� ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. f�f
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
APPLICATION ACCEPTED BY PLAN HECK BY APPROVED FOR ISSUANCE
Ow er Date. n �
BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING
PLOT PLAN
ADDRESS PERMIT h�� � ���i�( {�Ul(�lD,v (�/�/G� PERMIT NO. /) �� ZDF I o
W 1 L �i��. �� T W ik Ili V r` 2j� `�'1 •�`ar'-C� Li ET ��L✓\C.il �04r a o
LEGAL Lz) �—
DESCRIPTION ����/%, ,,��yy��LOT BILK ADDITION u
SITE AREA1�PPrQ X 3C'0 J�S�Sa. Ft. AREA OF SITE OCCUPIED BY BUILDINGS___�s 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 DRAINAGEY'FIRST FLOOR ELEVATION STREET ELEVA-
TION4111D 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.
p1�=p�owt Ty ��r.
el.= lwn�lev� I fog I 4a'
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE X0 QR
u ll
an dr n h ,d
o
Flo+ I. I
I +80•
o I% Ioo 'G� fi
V^
vl �k
•fro 1,v � {, .
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(S1 OF OWNER(3) 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
rkrc!lkow/Jennin� s
9
millett _
1 17 summit ave. e. seattle w 1 a 98 02 328 2466
LETTER OF TRANSMITTAL
r
TO: pp DATE:' Z 31;�
' t0. a0
Ic � PROJECT:
ATTN: L J JOB NO.:
y
WE TRANSMIT:
herewith ( ► under separate cover via
( ) in accordance with your request
FOR YOUR:
pproval ( ) distribution to parties ( ) information
review & comment ( ) record
1 1 use 1 )
THE FOLLOWING:
rawings ( ) Shop Drawing Prints ( 1 Samples
( 1 Specifications ( 1 Shop Drawing Reproducibles ( ) Product Literature
( ) Change Order k23-S (2— ez-remi4
Copies Date Rev. No. Description Action
Code
ACTION A.Action indicated on item transmitted D. For signature and forwarding as noted below under REMARKS
CODE B. No action required E.See REMARKS below
C. For signature and return to this office REMARKS FLOA-s'4r sGEaD W07ROTC-TT.o 05 �' ,_7�rrti-t1,
iG IC- (A)1 1171
COPIES TO: (with enclosures)
El
El
❑ BY:
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.
,. Sc[ 45 4 497, ca(OZ
Owner
2.
Contractor
l
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Sig azure ap lic Address Appl' ation Ote
&v sue'
LEGAL DESCRIPTION
Location
t:e) P4 (L
Of
Building 6f-
NO. PLUMBING FIXTURES FEE
WATER CLOSETS e- d
BASINS
BATH TUBS _
SHOWERS 2eo �
WATER HEATERS t-
W�`���
AUTO.WASHERS \,
r SINKS
FLOOR DRAINS or,
DRINKING FOUNTAINS
LAUNDRY TRAYS Oil
Connect to City Sewer
DISH WASHER
y
DISPOSAL p� ^
URINAL
�,� lof�
t��
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT / 3 d 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 Recelpt No.
$ /3, 7
CHRISTMASTOWN PRINTING