HomeMy WebLinkAboutBLD12760 Addition - BLD Permit / Conditions - 7/28/1982 Wood, Richard D. #12760
426-5524 7/28/82
Division 3, Lot 16, Shorecrest Beach 81K (
3rd block on right after pool in Shorecrest, E 210
Panorama Drive.
Addition (2 stories) Contractor
(2 bedrooms & living room) Self
$24,000.00
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Shorelines: I
Setback:
Special Conditions:
Footing: 1-Z Z -�Z 6,K
Setback:
Foundation Walls:
Framing: 1 -1-8 4
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:�(i�� y/may
Final:
Stop Work:
Mobile Home
Remarks: ,ti --tZ _xZZ
NULL &
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Shorelines:
Setback:
Special Conditions:
Footing: i 1-7 2 -� Z 6 V__- [�
Setback:
Foundation Walls:
Framing: 'i 4- c,1c_
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior: _
Interior:,(/</2
Final:
Stop Work:
Mobile Home
Remarks: 11
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BUILDING PERMIT APPLICATION
MASON COUNTY
on
P.O. Box 186 Shelton, Washington 98584
426-5593 7_
DATEISSUED p
PERMITNO. ld760 -go?
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE r
LEGAL n // �" / � r r `^SEE A E L. /
DESCR.
N ME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ #fEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
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Describe work:
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T �oh f s 4 h e rovsn ' U . •�
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Valuation of work: $ ! PLAN_CHECK FEE PERMIT FEE
+V,Q
SPECIAL CONDITIONS:
BEDROOMS I DECKS _— CARPORT G NOTICE
BATHROOMS TOTAL SQ. FT. ._ GARAGE L!
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT LI ATTACHED LJ OR AIR CONDITIONING.
TOTAL SQ. FT.W FIREPLACE I i DETACHED G
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.
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
SEASONAL ❑ FLOODPLAIN 11
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
P DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. U3,36
PUBLIC WORKS
I certify that I am exempt from the requirements of the FI
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 CESS
be in conformance therewith. MOTOR VEHICLE PERMIT
7_ '� — P ICATION CCE TED aY PLA CHECK BY APPROVE f OR ISSUANCE
Owner Date. a! � � ^ BY�d�
PL CASH
CHECK VALIDATION CK. M.O. CASH RMIT VALIDATION CK. M.O.
PLOT PLAN
ADDRESS l= PNc'r<2h�« F�F, J ��`� 7 1"V PERMIT NO, 4 0
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LEGAL
DESCRIPTION LOT BLK ' 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.) i
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.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
0
s
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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.
NAMES) OF OWNER(S) OF SITE & STRUCTURE(S) (PRINT) 9IGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
GHElTON PRINTIN3