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Home My WebLink AboutBLD4210 Log Home - BLD Application - 2/27/1979 BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED 7 9 PERMIT NO. OWNER NAME MAIL ADD ESS. CITY&STATES ZIP PHONE . DIRECTIONS TO JOB SITE r LEGAL -' Yi— y ijli L 1❑ SEE ATTACHED SHEET) DESCR. eeyr I,—ea c�-�fi /Y!-•ci c� may, cl�f%5��'�o,%i�a /Ti:--*26! ,. NAME , MAIL SS CITY 8 STAT LICE SE NO. PHONE CONTRACTOR / / 2 , USE OF BUILDING Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: • r 100, 7 Valuation V work: $ PLAN CHECK FEE PERMIT FEE ,'027 SPECIAL CONDITIONS: BEDROOMS DECKS / CARPORT LI NOTICE BATHROOMS TOTAL SQ. FT. GARAGE CJ ATTACHED C] SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT [] OR AIR CONDITIONING. TOTAL SO. FT/ FIREPLACE-K DETACHED ❑ 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 Af SHORELINES L SEASONAL [] FLOODPLAIN Li Firm E.D. NO. S.E.P.A. By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. 7 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 t is permit is is d and that all work done will ROAD ACCESS in onformance Cher th. MOTOR VEHICLE PERMIT i APPLICATION ACCEPTED BY PLA :CHECK BY OVED FOR ISSUANCE Owge Date . 'W PLA CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH R Order No. Q-63646 EXHIBIT "I" DESCRIPTION: PARCEL 1 BEGINNING at the Southwest corner of the Southeast quarter of the Southwest Township 23 North, Range 1 West, W.M. , in Mason quarter, Section 21 , Town p 9 County, Washington; thence North along the West line of the Southeast_ quarter of the Southwest quarter to the South line of the North 960 feet of said Southeast quarter of Southwest quarter and the POINT OF BEGINNING; thence East 290 feet along the South line of the said North 960 feet; thence due North to the South line of the North 770 feet of said Southeast quarter of the Southwest quarter; thence West 290 feet along the South line of the North 770 feet of the Southeast quarter of the Southwest quarter to a point North of the TRUE POINT OF BEGINNING; thence South to the POINT OF BEGINNING. PARCEL 2 BEGINNING at the Southwest corner of the Southeast quarter of the Southwest quarter, Section 21 , Township 23 North, Range 1 West, W.M. , in Mason County, Washington; thence North 190 feet along the West line of the Southeast quarter of the Southwest quarter to a POINT OF BEGINNING; thence East 330 feet along the North line of the said South 190 feet; thence North to the South line of the North 960 feet of the said Southeast quarter of the Southwest quarter; thence West 330 feet to a point on the West line of the Southeast quarter of the Southwest quarter North of the TRUE POINT OF BEGINNING: thence South along said line to the POINT OF BEGINNING; TOGETHER WITH and SUBJECT TO a road right of way over the East 30 feet thereof. 12Z21 IV �Ia)&D 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. Owner 2. G/ Contractor The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington Sign ur of ap ' ant Address Application date 757 LEG L DES-QRIF�I-16N Location Of % ) Building 12 2��IZA /21/ NO. PLUMBING FIXTURES FEE y WATER CLOSETS jw BASINS W BATH TUBS SHOWERS WATER HEATERS fly AUTO.WASHERS ��'„ )Ei rkr �/ti SINKS FLOOR DRAINS d0 DRINKING FOUNTAINS LAUNDRY TRAYS G� Connect to City Sewer DISH WASHER DISPOSAL URINAL �00 (Show Street Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT 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. o 0 f n s LEGAL DESCRIPTION LOT BLK ADDITION N SITE AREA O� Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 0 Sq. Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SG,-,LE 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, SEWF_R, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. ki, INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' iA c� �C I _I 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 SITE & STRUCT RE(S) (PRINT) S qX TURE OF OWNER(S) OR AU HORI O REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED ' �/ DISTRICT AS NOTED DATE 2 7 f�J 1 6H El�ON -IRIN71--