HomeMy WebLinkAboutBLD19442 Final SFR - BLD Permit / Conditions - 2/2/1987 TYPE RESIDENCE
Permit No. 19442 No. Floors 1 Sq Ftg 1200
Owner SOLTIS, ROBERT Tel275-4477 Late 10-15-86
Address P. 0. Box 767 Belfair Zip
Contractor Self
Address Zip
Legal Description Beards Cove Div. 6, Lot 9
Direction to project site
NE 721 Larson Blvd.
Plumbing g Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
3 bdrm.
i
l
Shorelines: /A/,E Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL: � ,� �7
Mobile�Home':
Spoke Detector:
Remarks:
Footing: � /�
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 DATE ISSUED a
PERMIT NO.
OWNER NAME / MAIL DDRE S ITY&S ATE ZIP PHONE
/bra!� A-, ?e
DIRECTIONS Ao
TO JOB SITE Se-t'OrG'e /vG 7 1hfZSl>VN_ jdl, ,
LEGAL. J �J / (❑ SEE ATTACHED SHEET)
D ES C R �-_CY S� LvT�Q .6/v (�
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR S' / L . —
USE OF
re
BUILDING `r _ - —`
Class of work: �NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
C�
/ fJ
Valuation of work: $ PION HE K EE PERMIT FEE
SPECIAL CONDITIONS:
04
BEDROOMS_ I DECKS CARPORT I] NOTICE
BATHROOMS—_--- ITOTAL SQ. FT. GARAGE I l
NO. OF STORIES-/ BASEMENT LiATTACHED ;_ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OR AIR CONDITIONING.
TOTAL SC FIREPLACE I DETACHED C
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
/thpermit
fy that I am a currently registered contractor in WORK IS COMMENCED.
fate of Washington and I the
aware of the F O OFFICE USE ONLY
ordnance requirements regulating the work for which
is issued and all work done will be in
rmance therewith. PERMANENT SHORELINES
SEASONAL I1 FLOODPLAIN
Firm
E.D. NO. S.E.P.A. I
By Special Approvals IN OUT YES APPROVED NO
Lic. o. Date 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 permi S sued and that all work done will ROAD ACCESS
be i nforma c therewith. MOTOR VEHICLE PERMIT
i APPLICATION ACCEPTED BY PLANS CHECK BY APPROVFFISSUANCE
Owne Date.�� f �& A B�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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 p, Tel.No.
C
Owner
2.
Contractor
The owner of this building and the u dersigned agree to conform to all applicable laws of Mason County and State of Washington
Signature pplicant Add re Application date
LEGAL DESCRIPTION
Location
Of �
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS .
BASINS
BATH TUBS �� O
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
ti
(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.
$
CHRISTMASTOWN PRINTING
PLOT PLAN
ADDRESS LIE, 7-�z &;,cs-am, If`J Zff Q/ PERMIT NO. £
0
n s
a o
LEGAL
DESCRIPTIONS` LOT ( G �i41_1< - / ADDITION u
SITE AREA— 9�l/J�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
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
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF. N
n
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
e
i
c
y
a
I/We certify that the proposed construction will conform to the dimensions and uses shown above anI at no changes will a made without
first obtaining approval.
NAME(S) OF OWNER(S) OF SITE h STRUCTURE(S) (PRINT) IGNATURE OF OWNERS) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
CHRISTMASTOWN PRINTING