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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 � w � E �1 I r ✓ I 4 1' " •-jIV (� Iry v - �h 10 z n 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