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Home My WebLink AboutBLD195 Final Recreational - BLD Permit / Conditions - 11/10/1981 Schreiber, Paul A. #195 8-20-79 Beard ' s Cove Div. 4 Lot 48 on Mason Blvd. Recreational Plumbing Permit Mechanical Permit $27, 180. 00 P� ��- �/-� 5�/mod �-P PF BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 ` DATE ISSUED —a�'�7 9 PERMIT NO. OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE u t C 6 r7xls K 15 lV 52--6907 DIRECTIONS TO JOB SITE 46CA R 0 S C 0V'6 i!; L-- OT Q So/V L v P , LEGAL (O SEE ATTACHED SHEET) DESCR. CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE USE OF BUILDING F AT1 o 1YA L � M p, R E T/R � E NT Class of work: VINEW ❑ ADDITION ❑ AtTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SQ. FT.Tt GARAGE ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ATTACHED ❑ OR AIR CONDITIONING. TOTAL SQ. FT. O FIREPLACE ❑ 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 ❑ SHORELINES ❑ SEASONAL ❑ FLOODPLAIN ❑ 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. 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 in conf mance th re 'th. MOTOR VEHICLE PERMIT � g��-�9 a �?�Date. LICATION ACCEPTED BY PLA CHECK BY APPROVED FOR ISSUANCE Owner � �i��`y�' PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH PLOT PLAN ADDRESS PERMIT NO. 0 o v -a o LEGAL DESCRIPTION LOT / L' DJ� BILK ADDITION fr C A RP C 0 SITE AREA L Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 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"'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. - ff NDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' l�/► AS6 T f � 2 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 6 STRUCTURE(S) (PRINT) St7NATURE OF OWNERS OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE GHELTON PRINTIN3 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. JPA 1"'1_ Sc RR (? 4 _ 5 7,,;r- -5 K E'7 1 Owner 2. Contractor The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington Sign r of appli t Address / T Application date -r3 -7 I LEGAL DESCRIPTION �� Location Of Building NO. PLUMBING FIXTURES FEE WATER CLOSETS IlL BASINS e-t) BATH TUBS SHOWERS ��-p I ty'A/- /� WATER HEATERS � � AUTO.WASHERS SINKS FLOOR DRAINS "- DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer J I DISH WASHER DISPOSAL I URINAL Ce. D (Show Street Names & Property Lines) 61� INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT �J� SKETCH IN SEPTIC TANK d 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.