HomeMy WebLinkAboutBLD19026 Final Addition - BLD Permit / Conditions - 7/10/1987 TYPE ADDITION
Permit No. 19026 No. Floors 1 Sq Ftg 240
Owner COKELET, E.B. Tel 275-2001 Date 7-23-86
Address P. 0. Box 188 Belfair Zip
Contractor None as yet
Address Zip
Legal Description NW,SW 28-23-1
Direction to project site 1/4 mi. NE, Hwy 3 out of Belfair
towards Bremerton. Pvt. lane (Cokelet) Bldg approx.
400 ' in. (Behind Quick Pak)
PlaiFing X Mechanical Sewer Wood Stove X
Fireplace Deck 112 Garage Carport
Basement Loft Other
Shorelines: Plumbing:
Setback
Mechanic
ci Interior:
Conditions: FINAL: �� �2.
Mobile Home:
Smoke DetectOro
Footing: .� ,
Remarks:
Setbac
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO.
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER . Coke LCt &kc, L7S"-
DIRECTIONS , I• _ • _�
TO JOB SITE / N�
/ 7
LEGAL T� _ �,1✓�
DESCR. 1 ��. l wY1 Sw c Z� �� Cv /r*ScLg(:2'r-; �j
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR �, a
USE OF S, �{
BUILDING f G V5( , C / �l
CLASS OF NEW ADDITION r/ ALTERATION REPAIR MOVE _7REMOVE
WORK ✓
DESCRIBE _ }}
WORK �� LZ f'1 N L''h (e v>l C; .-% �C 95.45 ! ►.�C 7C J I C�� x
BEDROOMS_ DECKS ( CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO. FT.�/�_ GARAGE CONDITIONING.
NO.OF STORIES / BASEMENT ATTACH EDIRAURMI THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ. FT.Z,�f(`j_ FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENTS SHORELINE
SEASONAL SANE f�M J
OWNERSrAT
IDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRA ON LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE ENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CON ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI NG APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X NER ,R DATE -( ' ' �'(- X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENo BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING ���` PLAN CHECK S ['
SPECIAL CONDITIONS BUILDING GROUP --_� PRE-INSPECTION
SHORELINE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLI TION ACCEPTED BY I PLANS CH �KJBY APPROVED FOR ISSUANCE rc
ERMIT VALIDATION
BY � ASH CK MO TOTAL
MASON COUNTY
P.O. BOX 186 Sheltpn,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.
,. F_,g r a ccL a, 6 13�LFq���l.'a, ggS 76 z7s=2ccI
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 Application date
LEGAL DESCRIPTION _
Location
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
s i
BASINS
BATH TUBS f
/' SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(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.
$ �j. dC
CHRISTMASTOWN PRINTING
PLOT PLAN
ADDRESS PERMIT NO. E o
a 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"ID 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.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
LC
5
e
..
Pp x
/ ( / n
P
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($) OF SITE & STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
SHELTON PRINTIN3