HomeMy WebLinkAboutBLD10629 Final Repairs - BLD Permit / Conditions - 6/10/1981 Boyce, Leroy L. #10629
5-22-81
Beard's Cove Division 4, Lot 94
Turn left on Sand Hill Rd., take lst right.
Repairs to moved-in house
$9,260.00
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BUILDING PERMIT APPLICATION
' MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. /D�
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
L 4, Q ►de , O. Q $29 4 S-31e%
.79
DIRECTIONS I
TO JOB SITE j`GRN D Ff 3�9lye �GL llD� >
LEGAL /' (❑ SEE ATTACHED SHEET) ,
DESCR. ms C. !/� ��l/� d /y7
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ONE +
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
Describe work:
rams 7 97 a ArT
77 % 6 y Ric,L 4/N4:- aeAAr /0 1-5'
cu i° c ayX a =,3,7d @ o �
v
Valuation of work: $ �� PLAN CHECK FE jy P E
SPECIAL CONDITIO '
BEDROOMS DECKS CARPGFI•T."— NOTICE
BATHROOM TOTAL SQ. FT. . GARAGE
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT,377%_ FIREPLACE ❑ DETACHED L7
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
SEASONAL ❑ FLOODPLAIN ;7 COW
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
i •
.. Pk�4RJPI+NC�-.
OWNERS AFFIDAVIT { HEALTH DEPT.
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 co rmance th � ith MOTOR VEHICLE PERMIT
ATION CEPTE BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date. 4 B
PLAN CHECK VALIDAON 9K. �M 0 AS C�I� !/ % �ERkAIT-OVALI TIQN�CK. J` M� �CASH
PLOT PLAN
ADDRESS 1, 0, dO x 721V Aerl fJ/ /i �, ���6'/�r PERMIT NO. F o
, I
LEGAL 13" Os eaves' '
DESCRIPTION LOT Cl T BLK `'t ADDITION u
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 7 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 POW
TION THEREOF.
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
1
f
4
f
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! SIGNATURE OF OWNER($) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APP RO V E D��. /��
DISTRICT AS NOTED /��(_)( r DATE
I'I SHELTON PRINTIN3
r
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.
zany Qeye-
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
Signature Addre Application date
L GALA
SCRIPTION
Location
Of
Building d /iv
NO. PLUMBING FIXTURES FEE
WATER CLOSETS 0
BASINS v
BATH TUBS
SHOWERS
WATER HEATERS Q `l
AUTO.WASHERS `;
SINKS V
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL r,
URINAL
0 �
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT 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.
$4