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HomeMy WebLinkAboutBLD5852 Final SFR - BLD Permit / Conditions - 10/20/1988 Challman, John R. #5852 2-13-80 River Hill. Estate, Union River \ 1 mile north old Belfair Highway. NW 1/4, NE 1/4, South 20, Township 23, Range 1 New Residence Contractor John R. Challman $70,000.00 Plumbing permit i r tiq: 7/z 7/JP z m� • - r BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 / DATE ISSUED aq J PERMIT NO. OWNER ;- NAME MAIL ADDRESS r� CITY&STATE �sl" �IrflPHONE D� .�a/1 "1 /t? C'/���/.�-�a r. �3U %7 rc.-.-tea^ o� J DIRECTIONS < / / ,c/ 2, TO JOB SITE J G�/�/ �✓ �L/ /� 1'Z/ LEGAL �/� a I (❑ SEE ATTACHED SHEET) DESCR. �/f NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR ��/ , �P C/ �-, �' 3<}tti t^rr�er��.-, 7,fus7 USE OF f� BUILDING C2 Class of work: 9NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: J Valuation of work: $ 70 Ovn PLAN CHECK FEE PERMIT FEE�� L1 D / SPECIAL CONDITIONS: ya 551 f � BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS L-- TOTAL SO. FT GARAGE L A/ BASEMENT �� ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES /�tj 0 OR AIR CONDITIONING. TOTAL SQ. FT FIREPLACE El J_ DETACHE6 ❑ 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 ofWashington and I aware of the FOR OFFICE USE ONLY ordinance requirements the regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT I 1 SHORELINES [1 SEASONAL ❑ FLOODPLAIN ❑ Firm E.D. NO. S.E.P.A. [I By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. HEALTH DEPT. /© 4f' 4111F0 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 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 t APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owner r' Date . � ' / BY PI-7 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. t. ;7vhn CA-J/ % ��r<i, j 7 �'em Y .•.� Zf�.s�i , q�3% y- (8 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 applicaa t Address ,p / Application date F-301h ��7 /� (Prue /�.� ar� j —��' BD LEGAL DESCRIPTION Location Of Building NO. PLUMBING FIXTURES FEE ? WATER CLOSETS BASINS BATH TUBS SHOWERS %V / WATER HEATERS C7 C.) AUTO.WASHERSdi / SINKS FLOOR DRAINS _ i DRINKING FOUNTAINS 1 {{ � LAUNDRY TRAYS ' Connect to City Sewer I DISH WASHER / DISPOSAL URINAL Ssp *'C- C? C� (Show Street Names & Property Lines) 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 Approved by Permit fee Date pemit issued Permit number Receipt No. PLOT PLAN ..ADDRESS PERMIT NO. f o 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. I( INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' c _ L-' C � - > 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. NAME(S) OF OWNER(S) OF S1TE 6 STRUCTURE(S) (PRINT) 91GNATURIE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE 6H ELT ON P/lIN TING