HomeMy WebLinkAboutBLD19552 Final SFR - BLD Permit / Conditions - 7/26/1988 TYPE RESIDENCE
Permit No. 19552 No. Floors 1 Sq Ftg 96p
Owner RAU , Jay T. Tel 275-4477 Date 11-6-86
Address P. 0. Box 767 Belfair Zip
Contractor None
Address Zip
Legal Description Beards Cove Div. 5_`_Lot 67
Direction to project site
NE 1510 Larson Lake Rd
Plumbing X Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
3 bdrm. —�
Shorelines: Plumbing:Oeo
Setback: Mechanical:
Special Interior:
Conditions: FINAL: DX-- �, :�,4 IW ,
Mobile Home::
Smoke Detector:
FboRemarks:
tang: ,�,!
Setback:7,-k
Foundation
Walls: aim
Framing:,,
Fireplace:
Wood Stove:
• BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED _
PERMIT NO.
NAME MAIL ADDRESS ,p CITY&STATE 21Pq PHONE
OWNER —� / Q 7(o , k
DIRECTIONS
TO JOB SITE V C,1S LEGAL
DESCR. SEE ATTACHED SHEET)
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
T
Valuation of work: $ PLAN CHE K FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS �3 I DECKS � CARPORT C NOTICE
BATHROOMS_�. TOTAL SQ. FT. re, GARAGE !
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES_. BASEMENT L ATTACHED L7 OR AIR CONDITIONING.
TOTAL SQ. FT. ' FIREPLACE I I DETACHED Ll
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 am aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
thl permit is issued and all work done will be in
c formance therewith. PERMANENT SHORELINES Ayy
SEASONAL i FLOODPLAIN
Firm E.D. NO. S.E.P.A. i
By Special Approvals IN OUT YES APPROVED NO
Lic. NY. Date ZONING
PLANNING DEPT. I
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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
e in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLAN HECK BY APPROVED F R ISSUANCE
Owner Date. �G' BY
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 Tel.No.
Owner
2.
Contractor
The owner of this building and the undersigned agree to conform to all applicable taws of Mason County and State of Washington
Sign Lure of applicant Address Application date
A
LEGAL DESCRIPTION JY-
Location
Of /
Building 2,2 IJ <-- of
NO. PLUMBING FIXTURES FEE
WATER CLOSETS C C
BASINS
BATH TUBS e C�
SHOWERS
WATER HEATERS �+ C'
AUTO.WASHERS
SINKS c�
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
- (Show Street Names 8 Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT /S �' 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.
$ �S
CHRISTMASTOWN PRINTING
PLOT PLAN
ADORES6"el� G' L4- G? PERMITNO. o
LEGAL 11 ._S 6U1.0- 4 v Ls—
DESCRIPTION 7 LOT J BLK ADDITION u
SITE AREA //C��Z' 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 o
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 POR-
TION THEREOF.
1
INDICATI NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
tJ
TT
r
Y
1/We certify that the pro ad construction will conform to the dimensicIns and uses shown above and that no changes will be made without
first obtaining approval.
N AME(SI'dFOWNER(S) OF S TE & STRUCTURE(S) (PRINT) SIG. ATURE OF OWNER( ), R AIJTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
CHRISTMASTOWN PRINTING