HomeMy WebLinkAboutBLD11924 Final Wood Framing - BLD Permit / Conditions - 6/7/1982 Chester, RiCLiard E. #11924
g77-$57 7 1-15-82
31-23-3 Lot 14 Blk 1 Ayock Beach
Highway 101 North from Shelton to Ayock Beach
Addition (Shoreline Exemption)
$11,520.00
Shorelines:
Setback-
Spec ia 1 Conditions:
Footing:
Setback: - -
Foundation Walls:
Framing:A& A -y
Fireplace: T
Wood Stove:
Plumbing:
Mechanicali
Roof.:
Exterior:
Interior:
Final:
Stop Work:
Mobile Nome
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED �lq �o�
PERMIT NO. 1 f / a7`
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS n
TO JOB SITE �� �y a�vj S /t — /� �J
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. 5 fC-1 p Aj 3 jl j w,V.5 *sr �d /' l
NAME MAIL A RESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR !,
r G AAA 5 aE A 5 A/3 f'0 C
USE OF
BUILDING 'Su 1cp ty1 .F
Class of work: ❑ NEW VADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: _
A 01 6A( C-
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
IVA
SPECIAL CONDITIONS: /
BEDROOMS DECKS CARPORT i' NOTICE
BATHROOMS TOTAL SO. FT. GARAGP�9°--
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT Li ATTACHED OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE DETACHED I_]
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
, 3 y 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 iL SHORELINES ❑
SEASONAL ❑ FLOODPLAIN Ll
Firm
E.D. NO. S.E.P.A. Ll
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT. 5
HEALTH DEPT.
OWNERS AFFIDAVIT
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 /S $<
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
AP CATION ACCEPTED BY PLAN"HECK BY APPROVED FOR ISSUANCE
Owner —Date . / _�� BY
d YL fvi."',
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
PLOT PLAN
ADDRESS S TA k i•. � ! 3t-jC 3 5 �l�L �I� ���� ��I�PERMIT NO. _ mo o
a
A � D
1 � O
O
LEGAL s .5
DESCRIPTION LOT 14 BLK I 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 N
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- 1,1
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. �
L
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
c,
N
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I
CI
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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.
ev
IC_NAI,D 6 -I An/NA H -
NAME(S) OF OWNER(S) OF SITE h STRUCTURE(S) (PRINT) SIGNATURE OF OWNERS) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
SHELTON PRINTING.