HomeMy WebLinkAboutBLD19373 Fiinal SFR - BLD Permit / Conditions - 1/23/1987 TYPE RESIDENCE
Permit No. 19373 No. Floors 1 Sq Ft9 1152
Owner SOLTIS , Bob Tel 275-4477 Date 9-26-86
Address P, 0, Box 767 Belfair Zip
Contractor Self
Address Zip
Legal Description Beards Cove Div. 5 Lot 57
Direction to project site
Plumbing X Mechanical Sewer Wood Stove
Fireplace Deck Garage _3_h Carport
Basement Loft Other
3 bdrm.
Shorelines:_ ,r/,#, Plumbing:
Setback: Mechanica-L:�
Special Interior:
Conditions: FINAL: ,e,�j�z t
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED �J-v�
PERMIT NO.
ME 1 MAILADDRESS CITY&STATE ZIP PHONE
OWNER
DIRECTIONS
TO JOB SITE
LEGAL
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING U
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE
WORK I (5yl 9V
BEDROOMS DECKS " CARPORT OTICE
ARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE !(10 NDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
�.5 _ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. % FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE WA
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATI LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REOUIREM TS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH,NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINI G APPROVAL FROM THE BUILD G,DE�PAR`TMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER -' DATE X BY DATE
FOR OFFICE USE ONLY
APPROVED APPROVED BUILDING VALUATION DEPARTMENT DEPARTMENT J� / / J
YES NO YES NO `T/. L/ /� C ��
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. V BUILDING PLAN CHECKY FJP `
ti
SPECIAL CONDITIONS BUILDING GROUP /-- PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE �G
STATESURCHARGE
APPLICATION ACCEPTED BY PLAN 7) CK BY APPROVED FO UANCE PERMIT VALIDATION
�tt.u� BY � CASH CK MO TOTAL a��J/
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.
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 f applicant g e oAddress Application date
LEGAL DESCRIPTION
Location
B .�s 5Z44-L2
Building r
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS '
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS /t/)
FLOOR DRAINS C/C/
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT J`J�� C' 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.
CHRISTMASTOWN PRINTING