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Home My WebLink AboutBLD8882 SFR - BLD Permit / Conditions - 2/20/1976 Heltemes, James L. #8882 • 2-20-76 Beard's Cove, Division #4, Lot #24 Vacation Home Contractor: Fife Lumber Company $10,000.00 � y d,��l ��-,ay'_'6 L��, 4 * .T. /, - I-I e- /re- h7 s` BUILDING PERMIT APPLICATION MASON COUNTY P. O. Box 4@0 Shelton, Washinqton 98584 DATE ISSLIED 2— 7L _ PERMIT NO. �? �Z - --Z7P PHONE - owNt:R i T/9M rsl,�I3oZ�/�JERID/A-�//✓ S'P7�1lGt�'Lt/.� _�.�3 DIRECTIONS� TO 10B SITE LE•GAL , - MAIL ADDRESS ZIP .1—IJSEE ATTACHED SHEET) DESCR _ e�9�C-o ---- L MAIL ADDRESS PHONE CONTRACTOR ji �c �ury6cr Arc- ". Tgco*,a 9br,lL OSE OF MAIL ADDRESS PHONE LICENSE NO. BUILDING �/�jCq 7I��✓ 1,1,0M g- Class of work: ❑NEW ❑ADDITION O ALTERATI ON '❑ REPAIR ❑MOVE O REMOVE Describe work: C:aNS7 vGT�e� a� ✓ACfl�ier✓�O/YJ Valuation of work:$ 4 O el Q� PLAN CHECK FEE --0 O� PERMIT FEE S- °o SPECIAL CONDITIONS: APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Type of Occupancy Const. � Group i Division -•--- ' Size of Bldg. No.of Max. (Total)Sq. Ft. L��Q Stories 1 Occ.Load d CONTRACTOR AFFIDAVIT Special Approvals Required Received Not Required I Certify that 1 am a currently registered contractor in the State ZolqlNG of Washington and the County of Mason and I am aware of the HEALTH DEPT. ordinance requirements regulating the work for which the permit P000C Wi5RR8 Is Issued and all work done wi;l be in conformance therewith. ORPST. Firm By Lic. No. Date OWNERS AFFIDAVIT 1 certify that I am exempt from the requirements of the contract or registration law RCW 18.27, and am aware of the Mason N O T I C E County ordinance requirements for which this permit is issued and that all work done will be in conformance therewith. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC- TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF Owner � Date 120 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. { PLAN CHECK VALIDATION CK. ` M.O. CASH PERMIT VALIDATION CK. M.O. CASH SHELTON PRINTING CO. � ^ t MASON COUNTY PLANNING DEPARTMENT P.0. Box 400 Shelton, Washington 98584 PLUMBING PERMIT APPLICATION IMPORTANT—Complete ALL items. Mark boxes where applicable. i. LEGAL DESCRIPTION Location Y 3 v 'TW- .1, 9 5- 60 Vp�' Of IN N S Building E W side of feet E W from intersection of Sect. Twp. Range NO. PLUMBING FIXTURES FEE NO. GAS APPLIANCES FEE GAS PLUMBING WATER CLOSETS 1,S0 EACH UNDER 60 MBTU SEWER SEPTIC TANK BASINS () EACH 60 TO 120 MBTU BATH TUBS 0 EACH 120 TO 200 MBTU SHOWERS / [^ EACH 200 TO 500 MBTU PIZI10kewe� - WATER HEATERS------__ 9-So EACH OVER 500 MBTU AUTO. WASHERS SINKS-_---- --- -IrSv FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer SERVICE CONNECTION SEPTIC, y�✓K DISH WASHER DISPOSAL DR �IrO URINAL / 7-1 O;q y Distribution System By Special Permit (Show Street Names & Property Lines) - �crr INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR GAS AND WATER. SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT ON OTHER SKETCH. PERMIT 5 so PERMIT FIELD INSPECTION Date By Remarks Name Mailing address — Number, street, city, and State Zip code Tel. No. ,► -.5 �,✓ , J15r z-yr/y Owner - — —y81�.� Contractor The owner of this building and the undersigned agree to conform to all applicable laws of.Masolp County � Signature of applicant Address � '^`� Application date 6�a3 Y S g7GCr y�)3 Z DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Appr ed by Permit fee Date permit issued Permit number Receipt No. $ 9-J d 2 20 ?(P 9S is"2 PLOT PLAN ADDRESS PERMIT NO. o 0 ia LEGAL S'G e7 3� y(i1//✓ o'Z3i A'/ DESCRIPTION LET BLK ADDITION SITE AREA- Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 4�?d 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 BUILD;NG SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF � I 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. Cl INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' 3 — - cis V R� �J I "ell Y iZ 1 r s / v 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. J/�M C s L , /V i&-L-7--C-14�S NAME(S) OF OWNER(S) OF SITE & STRUCTURE(S) (PRINT) SI ATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BEL THIS LINE APPROVED DISTRICT AS NOTED DATE GHELTON PRINTIN—