HomeMy WebLinkAboutBLD0348 Final SFR - BLD Permit / Conditions - 11/15/1985 TYPE RESIDENCE
Permit No. 0348 No. Floors I Sq Ftg 1056
Owner SOLTIS INC. , Bob Tel 275-4477 Date 9-24-85
Address P. 0. Box 767 Belfair Zip
Contractor Self
Addfess Zip
Legal Description Beard's Cove Div. 3. Lot 70
Direction to project site
MAP ATTACHED
Plumbing _ x Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
Shorelines:
Setback: 6
Special Conditions:
Footing:,,i/l
Setback: F' C
Foundation Walls:b •C'_
Framing:
Fireplace:
Wood Stove:
Plumbing:d/,C
Mechanical:
Interior: �r
Final: Q,e 11 15/g
Mobile Home:
Smoke Detector:
Remarks:
L
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 _
426-5593 S
DATE ISSUED
PERMIT NO. 6 3 y
OWNER ADDRES CITY& T TE ZIP lPHONE
�C/J d / sZ "T
DIRECTIONS
TO JOB SITE
LEGAL SEE ATTACHED SHEET)
DESCR. Al
CONTRACTOR NAME MAIL A DRESS CITY 8 STATE LICENSE NO. PHONE
USE OF ,e1
BUILDING /�,��'ri
Class of work: EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: I U PLAN. C ECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT [ ] NOTICE
BATHROOMS _ TOTAL SQ. FrJW GARAGE i
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT Li OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ IDETACHED L
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 cer y that I am a currently registered contractor in WORK IS COMMENCED.
the tale of Washington and I aware of the FOR OFFICE USE ONLY
or Ha the requirements regulating the work for which
t permit is issued and all work done will be in
nformance therewith. PERMANENT i_! SHORELINES 11
SEASONALH FLOODPLAIN 11
Firm
E.D. NO. S.E.P.A. I
Byt Special Approvals IN OUT YES APPROVED NO
Lic. o. Date ZONING
PLANNING DEPT. -W/ Es 9-/, -05 Irk-
OWNERS AFFIDAVIT
HEALTH DEPT.d
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 i ued and that all work done will ROAD ACCESS
be in cQnformance with. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLAN CHECK BY APPROVED FOR ISSUANCE
Owner /4W
as Date
/
+� BY
lip lI l Cam,,,t ,
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
MASON COUNTY
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.
o So �S ) 7 7 i-e
Owner
2.
--r—
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 nt Address Application date
LEGAL DESCRIPTION
Location
Of 3 �®
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS o'�p O
BASINS p e-
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS 0
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
LLPu_ / - C C O
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT �j & 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.
$ /6i & f,
PLOT PLAN
ADDRESS PERMIT NO, F
LEGAL �_�E42� C � 'J
DESCRIPTION ( LOT BLK ADDITION u
SITE AREA "� Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS /tf� 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'
V qq
dL
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 a STRUCTURE(S) (PRINT) SIGN. TURF OF OWNERS) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
CHRISTMASTOWN PRINTING
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i DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent Property line.
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SAMPLE SITE PLAN
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