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HomeMy WebLinkAboutBLD14366 Final Addition and Garage - BLD Permit / Conditions - 12/20/1983 Hohmann, Leonard #14366 275-6473 7/13/83 29-23-1, Tract 21 of SW 1/4, SE 1/4 Highway 3-Belfair, across street from Parker Lumber Addition to Garage Contractor: 1,200 Sq. Ft. (Block Building) Hohmann $15,600.00 Shoreline Exempt Shorelines: Setback: Special Conditions: Footing: Setback: Foundation Walls. Framing:p1- I.:i)/ e 3 Fireplace: Wood Stove: Plumbing: Mechanical: Roof: Exterior : Interior : Final: /57-2o 33 7c Stop Work: Mobile Home: Smoke Detector: Remarks: BUILDING PERMIT APPLICATION r MASON COUNTY 1aa,,�g -`43_ooalrJ P.O. Box 186 Shelton, Washington 98584 426-5593 _ DATEISSUED PERMIT NO. OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP 2 7S ONE' 3 Al Nf?ANN v • o>< 2�s �c-p s z 8 y DIRECTIONS TO JOB SITE le' LEGAL (, (❑ SEE ATTACHED SHEET) DESCR. Z NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE CONTRACTOR 1e,;1e21'1 y1;1NN /yWS,O/v(�Y lo.�S7� �iE-C�i��Tl P,J�i O� yI�6Z _ 7j:: 4-V 3 USE OF BUILDING Class of work: ❑ NEW VADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: jt N Oivspr D G 1911",r 4P 6 . o,v Valuation of work: $ PLAN CHECK FEE PERMIT FEE s V SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SO. FTJ 00 GARAGE f/Y ATTACHED � SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING. TOTAL SO. FT. FIREPLACE ❑ DETACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 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 i I SHORELINES Firm 'v /ySO•v p��y� SEASONAL ❑ FLOODPLAIN ❑ / E.D. NO. S.E.P.A. By ray Special Approvals IN OUT YES APPROVED NO Lic. No. O 2 Date ZONING PLANNING DEPT. zi 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 BUILDING DEPT. —� of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS be 'q conformance therewith. MOTOR VEHICLE PERMIT / A LIGATION A TED BY PLANS HECK BY APPROVED FOR ISSUANCE 6 LGiI'+ �-� P N CHECK VALIDATION CK. M.O. CASH PER IT VALIDATION CK. M.O. CASH PLOT PLAN ADDRESS�f//�U/TY 7 /�Fl 4i Ile PERMIT NO. 0 = o n > LEGAL ' c DESCRIPTION 2 Z 3— LOT %OP/5'C'% .S w ; ({BLK ADDITION " \ U SITE AREA U Sq.Ft. AREA OF SITE OCCUPIED BY BUILDINGS Z do Sq. Ft. \a INSTRUCTIONS TO APPLICANT c 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.) CV 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 SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. 3 fl Z INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' f � J Ilk t) a / so, V x pj o C Y ti f. v 'V I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made w tho first obtaining approval. NAME(S) OF OWNERM OF SITE 6 STRUCTURE(S) (PRINT) ATU E OF OWNERIS) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE 6HELTON PRINTINi a9- .a3 - r a Aq , y3- 0Oa D MASON COUNTY a3 t!c 90 _ P.O. BOX 186 Shelton,Washington 98584 a- 3��l,a nt &�,5 a PLUMBING PERMIT APPLICATION o?3Lcq Li IMPORTANT— Complete ALL items. Mark boxes where applicable. Namqe�� Mailing address—Number,street,city,and State Zip code / Tel.No. Owner © 16 7 L G^ �VS2 y 75—� 3 2. � Contractor The owner of 's building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington Sign of plicant AddMs Application date LEGAL DESCRIPTION Location Of Building NO. PLUMBING FIXTURES FEE WATER CLOSETS BASINS O v BATH TUBS SHOWERS WATER HEATERS AUTO.WASHERS C) SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer DISH WASHER DISPOSAL URINAL (Show Street Names 8 Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT / SKETCH IN SEPTIC TANK 6 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. CHRISTMASTOWN PRINTING