HomeMy WebLinkAboutBLD13757 SFR - BLD Permit / Conditions - 3/24/1983 Milner, James G. #13757
275-3031 3/24/83
Tracts 9 & 10, Madrona Mouningside Beach
14 miles from Belfair at NE 12881 North Shore Road
Repair Fire Damage/Addition Contractor:
of Residence 4'xl5' None
$26,710.00 Shoreline Exempt
Plumbing Permit
***Repair of existing decks & bldg. exempt from shorelin�
permit no further waterward encroachment shall occur.
Building must have complete code compliance - UBC and
Wash4-ngton State Ener Qv.
. Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:c�3� -3 ,
Fireplace:
Wood Stove:
Plumbing: tr ,3r i� 3
Mechanical:
Roof:
Exterior:
Interior: -
Final:
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
MR
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 9 a _ 8-3
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE - ZIS PHONE
DIRECTIONS
TO JOB SITE / /�lLE L�9i.P ca D.F' S
LEGAL ( SEE ATTACHED SHEET)
DESCR. ' ['� C(� �� ,�
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LI ENSE NO. PHONE
USE OF
BUILDING / ,
Class of work: ❑'NEW `ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
Describe wo
eel 5
/k/
Ae
Valuation of work: $ PLAN CHECK FEE PERM V7-1
SPECIAL CONDITIONS: // - STIN Z6 ,K5 W? '$L C1- ReMeT
L IN" M i T I�D ' t i P T MX WWT SkkLt G�CC�U
BEDROOMS I DECKS CARP RT�4 NOTICE
BATHROOMSs2(/__2_. TOTAL SO. FT. G'L GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENTA OR AIR CONDITIONING.
TOTAL SO. FT i FIREPLACEX DETACHED
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
13-il,45 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 L] SHORELINES 1
SEASONAL [ , FLOODPLAIN I
Firm E.D. NO. S.E.P.A. I
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT. 33 8
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 �
of the Mason County ordinance requirements for BUILDING DEPT. �1 L
which t is permit is issued and that all work done will ROAD ACCESS
be in onformance therewith. MOTOR VEHICLE PERMIT
IPLICATION ACCEPTED BY PLANS C EC BY APPROVEDACASH
FOR ISSUANCE
Owne Date.N _�� e���%'�
PL CHECK VALIDATION K. M.O. CAS PERMIT VALIDATION M.O.
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.
YW1 E G 1145 ZW ? e
Owner
2. 3
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
sign atu f applicant Address Applicati n date
3 3 /
LEGAL DESCRIPTION
Location _
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS D
BASINS Q
BATH TUBS _.
SHOWERS �a
/ WATER HEATERS O�
AUTO.WASHERS
SINKS y� Q zo
FLOOR DRAINS
DRINKING FOUNTAINS
/ LAUNDRY TRAYS Q(�
Connect to City Sewer
DISH WASHER Q
DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT O ® 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.
$
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
6
OWNER ME _ AIL ADDRESS CITY TE TA ZIP PHONE '
DIRECTIONS
TO JOB SITEl
LEGAL (❑ SEE A ACHED SHEET)
DESCR.
NAME MAIL AD RESS CITY 8 STATE LICENSE NO. E
CONTRACTOR
USE OF
BUILDING sip '
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ P4-AN CHECK FEE PERMIT EE
S a
SPECIAL CONDITIONS:
A Of ',
BEDROOMS {DECKS CARPORT E] NOTICE
BATHROOMS I TOTAL SQ. FT. GARAGE ❑
ATTACHED I� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE G 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
SEASONAL [ , FLOODPLAIN ;J
Firm E.D. NO. S.E.P.A. i i
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.
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 PLANS CHECK BY APPROVED FOR ISSUANCE
Owne 4� y Date . BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, M.O. CASH