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Home My WebLink AboutBLD4076 Final SFR - BLD Permit / Conditions - 3/27/1981 Thomas, George F.• #4076 1-29-79 Tr. 9 SW 1/4 NW 1/4 16-23-1 2 miles north of Belfair on Old Bremerton Navy Yard Highway. Residence Plumbing Permit issued $36,210.00 7�� OJc � �/1�9 �a�c�ll or �/,�119 �iivAL 4�< 3/.z��g�� J i BUILDING PERMIT APPLICATION 'MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 /'" 2% - 7 9 DATE ISSUED PERMIT NO. 6�e f1: OWNER ME AIL ADDR�S CITY&STATE ZIP PHONE i op 6 '7 DIRECTIONS TO JOB SITE a57 LEGAL f (❑ A CHED SHEET) DESCR. CONTRACTOR NAME �LLAADRESS CITY 8 STATE LICENSE NO. PHONE USE OF BUILDING / 7 Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ 3(p z'O PLAN CHECK FEE � PERMIT FEE SPECIAL CONDITIONS: BEDROOMS__ I DECKS CARPORT I l NOTICE BATHROOMS_ TOTAL SO. FT. GARAGE 14 NO. OF STORIES BASEMENT [J ATTACHED L] SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. TOTAL SO. FT. L" FIREPLACE [J DETACHED C THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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 J SEASONAL 1 1 FLOODPLAIN f J Firm E.D. NO. S.E.P.A. f 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 of the Mason County ordinance requirements for BUILDING DEPT. which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT 00 [� APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owned Date. —� 7 - Y P AN CHECK VALIDATION CK. M.O. CASH V PERMIT VALIDATION M.O. CASH SITE NO. PARCEL NO. RECEIPT THURSTON-MASON HEALTH DISTRICT DATE BASIS FOR FEE AMOUNT NUMBER 91VISION OF ENVIRONMENTAL HEALTH 2000 LAKERIDGE DR.S.W. FIFTH&BIRCH ST. PHONE 753-8073 PHONE 426-5561 OLYMPIA, WA 98501 SHELTON, WA 98584 APPLI ANT ADD ESS _ f PHONE DATE APPLICANT MUST CALL FOR INSPECTIONS LISTED BELOW NOT SITE: APPROVED ❑ APPROVED SEWAGE /7 CONTRACTOR A((c R l7 I � ��. BY: 141 NAME OF PLAT LOT NOT ;' ,b(' �" NO. SEWAGE: APPROVED ❑ APPROVED SEC. TOWNSHIP RANGE P - BY. DESIGNER: TYPE OF NO.OF LOT SOIL TYPE BUILDING )4 -BEDROOMS ��SIZE - X WATER GARBAGE DEPTH TO WATER TABLE FT. SYSTEM DISPOSAL PERC TESTS INCHES PER HOUR LIQUID WASTE G.P.D. BY DATE PRIMARY NORTH - SITE PLAN AND SPECIAL STIPULATIONS: SEPTIC TANK(S) tf`(`j) GAL. PUMP REQ. (INDICATE DIRECTION OF DRAINAGE) DISTRIBUTION TILE TOTAL— c'.) FEET FILTRATION AREA 2 14 0 SQ. FEET QUANTITY OF 1 APPROVED STONE CU. YD. SAND CU. YD. FILL REQUIRED CU. YDS. SPECIAL SYSTEM REQUIRED THE ELEVATION OF THE BUILDING SEWER SHALL BE SUCH THAT THE MAXIMUM DEPTH OF THE DISTRIBUTION TILE SHALL BE BE- TWEEN 12 INCHES AND 36 INCHES FROM FINISHED GRADE TO TOP OF TILE UNLESS OTHERWISE STIPULATED BY THE HEALTH OFFICER. IF THE ELEVATION OF THE BUILDING SEWER IS TOO LOW TO MEET THESE ELEVATIONS, A SEWAGE EJECTOR MAY BE I REQUIRED. ISOLATION STANDARDS FOR PRIVATE WATER SUPPLIES: BETWEEN WELL AND TANK OR ANY PART OF THE TILE FIELD, 100 FEET FOR SINGLE RESIPJNCE, M02B U HOMES nl 1FI FXES DWECLIIVU NO DRAIN F__IFI D W ]:IJN 10. 0 FEET__ OF ANY RESH WATER LAKE OR STREAM; 100 FEET FROM ANY SALTWATER BODY. NOTE: "FOOTING DRAINAGE, DOWNSPOUTS, WATER SOFTENER AND ANY OTHER WASTE WATER NOT DEFINED AS SEWAGE SHALL NOT BE CONNECTED TO OR DISCHARGED INTO THE SEPTIC TANK SYSTEM OR THE SEWAGE DISPOSAL AREA". ALL SEWAGE, INCLUDING SINK AND LAUNDRY WASTE, MUST BE DIRECTIONS TO SITE: CONNECTED TO THE SEPTIC TANK. FINAL INSPECTION REQUIRED BEFORE BACKFILLING TO BE BACKFILLED AFTER INSPECTION 12" TO 24" Ei 2" STRAW STONE OOVER TILE F STONE UNDER TILE THIS SITE PERMIT EXPIRES I �� CROSS SECTION OF TRENCH 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. � 09 Owner 2. Contractor The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington Signature of applicant Address �! L�� Application date LEGAL D SCRIPTION / Location Of Building NO. PLUMBING FIXTURES FEE ' WATER CLOSETS BASINS � BATH TUBS SHOWERS WATER HEATERS AUTO.WASHERS 2 I SINKS Z FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer DISH WASHER DISPOSAL URINAL (Show Street Names & Property Lines) dSC INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT ON OTHER SKETCH. DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Approveo by Permit fee Date pemit issued Permit number Receipt No. 011)z -- $ _ s a 9- 79 �a �� I PLOT PLAN ADDRESS PERMIT NO. o f o i o LEGAL DESCRIPTION LOT 7 BLK ADDITION N SITE AREA G' �'O 0 Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS c _—_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 P"'D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL i� SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. v (U n INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE y ,jr �' O R 1"=20' ti t� 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. cr NAME(S) OWNER(S) Or SITE & STRUCTURE(S) (PRINT) SIGNATURE NER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINt APPROVED DISTRICT AS NOTED DATE Ifly�7f