HomeMy WebLinkAboutBLD10526 Apartment Over Garage - BLD Permit / Conditions - 5/6/1981 FOSS, Gerald R. #1052.6
05-06-81
North Shore Rd. Box #721, Belfair
Madrona Morning Side Beach #2
Tract 18 & 19 Tidelands
Apartment over garage
$29,272.00
-BUILDING PERMIT APPLICATION
r MASON COUNTY
A
P.O. Box 186 Shelton, Washington 98584
426-5593 /
DATE ISSUED
PERMIT NO.
E ,/� / y�AIL ADDRESS p t?/ CITY 8 STA �� ) ZglPpe/ / PHON
OWNER M /7 f Q O �z
DIRECTIONS I t � �f•
TO JOB SITE f�
LEGAL 0 SEE ATTACHED SHE
DESCR. ///O //f� �j � �Q �' � f�Cr �P¢ I �CllF111'mcl
2- �
CONTRACTOR
NAME MAtL ADDRESS CI 8 STATE LICENSE NO. PHONE
/ lJ vss �,
� 1`t 41. , ;4 Z
USE OF
BUILDING
Class of work: NEW &fXADDITION El ALTERA 10 ❑ REPAIR ❑ MOVE El REMOVE
Describe work:
S•
Valuation of work: $ PLAN CHECK FEE
SPECIAL CONDITIONS: `
00
a �
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ.;FTAjLjVN&, GARAGEATTACHED. SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT OR AIR CONDITIONING.
TOTAL SQ. FTSIjj� 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 am aware of the FOR OFFICE U
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT LI SHORELI S'�', o It
SEASONAL CI FLOODP AIN I 1
Firm E.D. NO. S.E:P: ❑
By Special Approvals IN OUYES—-APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
H
OWNERS AFFIDAVIT H 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. yY
which this permit is issued and that all work done will ROAD ACCESS �6
be in conformance therewith. MOTOR VEHICLE PERMIT
�� TIO0AEPTED BY PLAN CHECK BY PP OVED FOR ISSUANCE
Owner: -� ate. � � ��`� 8��,,r/
P N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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.
Owner 'v
40
2.
Contractor p �/
rJ T
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signature of plicant Address 1 Application date v
LEGAL DESCRIPTION
Location
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS VU
BASINS
BATH TUBS '
SHOWERS C 7AA TAPS Ltd
WATER HEATERS
AUTO.WASHERS R / rvAr
SINKS W
9h u7'OfF
FLOOR DRAINS
DRINKING FOUNTAINS C
c
LAUNDRY TRAYS -�
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL r
_ z
� pl
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT Uj SKETCH IN SEPTIC TANK & DRAIN FIELD,LOCATION OR SUBMIT
ON OTHER SKETCH. \�,�
—DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by r _ ,�. Permit fee Date pemit issued Permit number Receipt No.
G�� � ✓6g'�_ $ lam
a
PLOT PLAN
ADDRESS ni taL (��1 / t PERMIT NO. 0 o
f
` a v
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.)
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.
lu
f,4 i ��..
Al *DI 1 II ATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
do 0
i
1/We certify that the proposed construct) ilj form to the dimensidns and uses shown above and that no changes will be made without
first obtaining apprqutgl. ,,,�, �i,� ' "jT
��E'/�'/�/�%� • ���c /ter'/� f- �"! �� SS �-C it l� �-c�-�.��"/ �"-->-Z—
NAME(S) OF OWNERS) OF SITE Q STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(5) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED ./.11 �e
DISTRICT AS NOTED �j[ DATE
SHELTON PRINTING