HomeMy WebLinkAboutBLD18515 SFR - BLD Permit / Conditions - 4/14/1986 TYPE RESIDENCE
Permit No. 18515 No. Floors 2 Sq Ftg 1008
Owner JENNINGS. Cathy S. Tel 275-4066 Date 4-14-86
Address NE 981 Larson Lake Rd. Belfair Zip
Contractor Self
Address Zip
Legal Description Beards Cove Div. 6, Lot 36
Direction to project site West to North Shore Rd. , turn up
Sandhill Rd. to Larson Lake Blve. , turn left on
Larson Lake Rd. to NE 981
PluTbing X Mechanical Seer Wood Stove g
Fireplace Deck 210 Garage 546 Carport
Basement 1008Loft Other
I
Shorelines: Al ff Plumbing• C leIS if
Setback: Mechanical;
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detect
Remarks:
Footing 1 K S % 4
Setback:
Fbundation
Walls: C
Framing
Fireplace: R L41T
Wood Stove:
DATE _/ BY --
i
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME / MAIL ADDRESS CITY&STATE ZIP PHONE
,` Z
DIRECTIONS
TO JOB SITEnah��_6),rf �(
LEGAL (❑SEE ATTACHED SHEET)
DESCR. iJ /` j ��J C% �
CONTRACTOR
NAME M DRESS CITY&STATE LICENSE NO. PHONE
f '�
USE OF
BUILDING CY1�G —
Class of work: 11,NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
S- Ta-7-f r
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
d 5— ?8 3.ego
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ Sy G ' NOTICE
BATHROOMS_ TOTAL SO. FT.ZLLZ GARAGE`S
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIESBASEMENT /.aOS'ATTACHED OR AIR CONDITIONING.
TOTAL SQ. FT.V= FIREPLACE DETACHED ❑
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 cer ify that I am a currently registered contractor in WORK IS COMMENCED.
ItState of Washington and I th aware of the F OOFFICE USE ONLY
ance requirements regulating the work for which
permit is issued and all work done will be in
ormance therewith. PERMANENT SHORELINES
SEASONAL ❑ FLOODPLAINFir E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT. L L
OWNERS AFFIDAVIT HEALTH DEPT. 3 , X
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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLIC TION CCEPTED BY PLANS, HECK BY APPROVED FOR ISSUANCE
Owner Date. C 'BY
I �-e
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING
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
z.
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signature of applicant Address Application date
LE AL DESCRIPTION
Location
Building �C n 1 \L
NO.. PLUMBING FIXTURES FEE
Z WATER CLOSETS ,Qn
I. BASINS Q�
BATH TUBS
SHOWERS
WATER HEATERS 4)�
AUTO.WASHERS
SINKS
FLOOR DRAINS
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 SKETCH IN SEPTIC TANK iS DRAIN FIELD LOCATION OR SUBMIT
G C ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee Date
pemit Issued Permit number Receipt No.
$ ed ry` / 7 ' / I/
CHRISTMASTOWN PRINTING
I
PLOT PLAN
ADDRESS ni=Cr-")k � 71 'v� L 1 ' PERMIT NO. ° o
io
n �
LEGAL
DESCRIPTION LOT _ lCp Cl (C BLK ADDITION'-2jjf(L Co Ulf /� u
SITE AREA 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 Va
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 (l
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF. b
VINDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
C
Fl
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4 1' " •-jIV
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10
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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 obtainingapproval.
�L t5►T' `P L Q ►�
NAME(S) OR OWN R(SI OF �S ,"UREM (PRINT) I A URE F OWNER OR AUTHORIZ D REPRESENTATIVE
DO NOT WRITE BELOW THIS L/N
APPROVED l of DVS
DISTRICT AS NOTED DATE '77
CHRISTMASTOWN PRINTING