HomeMy WebLinkAboutBLD16502 Final SFR - BLD Permit / Conditions - 5/29/1985 I Permit No• 16 50§Ype Residence No. Floors 1 Square Footage 988
Owner KRUEGFR T.ecrPr Pho-n=eS-2023 Date
Address
-Yip
Contractor Krueger & Krueger
Address Same Zip
Plan Check Approved by Shoreline by Type '
Applicant's plot plan approved as to setback requirements,
Legal Description: +- Beard's Cove Div. 4, Lot 75
Direction to projectsite: No. Shore Rd. -i t on San Hi e t
onto Larson Lk. Rd. , 1/2 mile o p , e Teir
FeePaid: an S t t xPlumbing,_ x Mechanicalr
Wood Stove Fireplace Deck 400 Garage Carport
Basement Loft Main Floor eS c Story
Inspections: *A - Approved; D - Disapproved; BY - By; DIE - Date
*A D BY D7IE A D BY DIE
II FOUNDATION: ✓
Co�cte _ �Y �s Fireplace footing _
Forms 7 _ Anchor bolts _
Foundation wall & rebar,T. Pier spacing ✓Basement wall wall & rebar _ _ — Vents & crawl space•�—Retaining wall wall & rebar — Soil-wood clearance ✓ —
III FRAMING:
Floor _ Blocking ✓
=rs & posts — Bridging — — —
Joists size & grade _�- Sub floor type J� —
Span r_ = Grade & Nailing
Walls
Wterial Grade _
Bracing �T Exterior siding
Ceiling height ✓ Nailing
Roof
p�proved trusses �j — Hurricane Clips
Rafters _ Purlings
Cathedral _ _ Valley rafters — — —
Beams Sheathing_ — —
Spa
Flashing
Blo Weather application ✓�
Blocking —
Nailing f — — — —'
Fire-stops
Aa7Ts�cPi 1 ings — — _
Shower walls f- Furnace ducts
Dropped oeilings — — — Main electrical box— — —
Roof — — — Holes Plugged — — —
Firred-out walls — — — Others — — "—
Stairs
Riser & Tread _ _ _ Headroom
Width _ _ Stair Jacks
Landings — Handrails — — —
Inspections: *A —Approved: D — Disapproved; BY — By; DIE — Date
*A D BY DIE A D BY DICE
Fireplace
-Construction _ _ _ No. of flues
Flashing _ _ _ For:
Soffits
S ✓ Soffit Vents
Closed — Ridge Vent
Cathedral —
Windows & Doors
impact protect on — Header Span _✓_ _
Openings .✓�— Insulation
Sill Height ✓` — Caulking
Attic — —
e�ntHlation ;T Access
IV FUMING — — — — —
Roof vents & Jacks ✓ Pipe Rums ✓ _
Traps ✓ _ Bathroom Facil.
Clean outs •�— Handicap Facil.
Hot water Pressure Valve —
Mechanical
�itcFien & Bath — — Cl. Dryer Vent ✓
Furnace & Ducts — — Stove vent — —
Insulation — — — — — —
TT'la s� ✓ _ Floors
Ceiling Exterior Doors
V DURIOR COVER — — — — —
Finis oors J� Finished Walls
Nailing
Decks Balconies & Lofts —Guardrails ✓ Structural Sup.
Fire Protection —_ — — —
Doors Smoke Detector
Firewalls & Ceiling — — Wood Stove
Final & Occupancy Approved. Date 5 y?" By:
REMARKS:
--T —
I
III
I
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426 5593
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
a aotl (x�lt U42-qk
DIRECTIONS a1
TO JOB SITE IVJ4_1lJ � Itiitt �160T Oh•��1�7 RILL -LE-FT CNTD LM60P-, LV- 00 '/L HILL TO 'jt(PP 2—T-AkC
LEGAL /—
CONTRACTOR (❑ SEE ATTACHED SHEET) 7
DESCR. bop"S W i g a o 1 I O T —1
NAME MAIL ADDRESS - CITY 6 STATE LICENSE NO. PHONE
1�R v E 14 tz¢uE
USE OF
BUILDING
Class of work: PAEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:(I 1
Valuation of work: $ PLAN CHECK F PERMIT FEE
SPECIAL CONDITIONS:
r v
BEDROOMS_.__ (DECKS rL CARPORT [ ! NOTICE
BATHROOMS � TOTAL SO. FT. T OU GARAGE f 1
ATTACHED Li SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT a OR AIR CONDITIONING.
TOTAL S . FT. FIREPLACE L DETACHED Li
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 SHORELINES
6 SEASONAL 1=1 FLOODPLAIN
Firm`
E.D. NO. S.E.P.A. ',
By j Special Approvals IN OUT YES APPROVED NO
Lic. No.' Quf L k �91 �� Date 1 "� 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 conformance therewith. MOTOR VEHICLE PERMIT
vner Date I(F,7FOR
PLICA N ACCEPTED J PLANS CHECK BY ISSUA E
V CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
PLOT PLAN
ADDRESS l I�zl' ( ' LIJ' i �� U' I IL lf� PERMIT NO. f °a
z
LEGAL
n D
DESCRIPTION _)M O� 6D -t �/ W ' B�K" ( ADDITION
�
SITE AREA \��G y Sq.Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft. ?
INSTRUCTIONS TO APPLICANT 4
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE v
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 Al"D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL m
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 -20'
ti
I i
v -j C�
4.
V'
I/We certify that the proposed construction will conform to the dimensions and llses shown above and that no changes will be made without
first obtaining approval.
NAME(S) OF OWNER(S) OF SITE IN STRUCTURE(S) (PRINT! IGNA TUBE OF OWNERI OR AUT11WORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
6HELTON PRINTING