HomeMy WebLinkAboutBLD22827 Addition - BLD Permit / Conditions - 9/20/1988 g
0 0 C)
Shorelines: AldPlumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
Footing; G 'L—
Setback:
Foundation
Walls:
Framing:,r+
Fireplace:
Wood Stove:
TYPE ADDITION
3
Permit No. 22827 No. Floors Sq Ftg 221
Owner SKOGLUND, Robert Tel Date 9-30-88
Address NE 354 Newkirk Rd Be fa3 ir— Z�ip
Contractor AA&E Inc !/� ��i'e�C�
Address P 0 Box 730 Belfair Zip S
Legal Description S-1/2,W-1/2,W-1/2,NW,SW 21-23-1�
Direction to project site Old Belfair Hwy to Newkirk Rd.
Follow to 2nd dirt drive past Riverhill Bd. Turn right
&follow to house.
Plum ing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
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BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED /fD!'r� C
PERMIT NO.
OWNER NAME MAILADDRESS CITY SSTATE ZIP PHONE
Robert Skoglund N . E. 354 Newkirk Rd . Belfair , WA 98528
DIRECTIONS
TO JOB SITE Take Old Belfair Hwy to Newkirk Rd . follow Newkirk to seconddirt
drive-way past Riverhill Rd . Turn right and follow to house . //. g &W ,
PARCEL ,)) LEGAL
NUMBER/,� ..�- �3 00090 1 DESCR. S 1/2 W1/2 W1/2 N .W. 1/4 S/W1/4 1-23-21
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR AA&E inc . General Contractors PO Box 730 Belfair , WA AAEINGC136DK
USE OF BUILDING Residence 275-4006
CLASS OF NEW ADDITION }( ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE
WORK Build new family room, foyer( entry) closet and fireplace .
Total addition is 221 Sq . ft .
BEDROOMS 4 DECKS YeS CARPORT No NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS 3 TOTAL SQ.FT. 6 5 6 GARAGE Yes CONDITIONING.
NO.OF STORI ES 2 BASEMENT NO ATTACHED No 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.2 4 16 FIREPLACE No DETACHED Yes ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED,
PERMANENT Yes SHORELINE NO
SEASONAL No
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18,27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS 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 CONFORMANCE 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 FIR BUILDING DEPARTMENT. Q p
X N ER DATE DATE - 20-14 8 c7
FOR OFFIC E ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION c
YES NO YES NO G
HEALTH,' PUBLIC WORKS FEE
PLANNING l FIRE BUILDING PERMIT "-
D.O.T. BUILDING PLAN CHECK e-
SPECIAL CONDITIONS BUILDING GROUP �' - 3 PRE-INSPECTION
CORDS OF SPF AND DRAINFIEGD I, SHORELINE
I,0(�: r ..U - r ,, .�
r _n ��n r � p. p WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY I PLANSC CK BY APPROVED FOR ISSUANCE PERMIT VALIDATION 9/
�GVL s BY `Z CASH CK MO TOTAL
r
PLOT PLAN
ADDRESS N. E. 354 Newkirk Rd . Belfair , WA 98528 PERMIT NO. s o
LEGAL S . 1/2 W. 1/2 W. 1/2 N .W1/4 S . W. 1/4 Map location 1-23-21
DESCRIPTION LOT BLK ADDITION
SITE ARER 4 S 6 9 Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 2016 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 AND 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.
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
S ele ttac ed p of p an
I/We certify that the proposed construction will conform to the dlmansi0tu and uses shown above and that no changes will be made without
first obtaining approval.
Robert Skoglund
NAME(S) OF OWNER(S) OF SITE IN STRUCTUREIS) IPRINTI IG ATURE O OWNERISI OR AUTHORIZED REP ESENTATIVE
DO NOT WRIT E THIS LINE
APPROVED
DISTRICT AS NOTED DATE
• N
Plot Plan for Rob4rt Skoglund N . E. 354 Newkirk Rd. Belfair , WA
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19
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---- 1'S7' 316 ,23
162.
Zit
T(:ITRL AU-P, CT
Legal Disc . S . 1/2 W. 1/2 W. 1/2 N.W. 1/4 S .W. 1/4
Map location 1-23-21
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