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HomeMy WebLinkAboutBLD0634 Final SFR - BLD Permit / Conditions - 7/1/1988 Shorelines: ,t Pl�mibing:�i� Setback: i� -- Special chanical Conditions: Interior: FINAL: " 7 / /S`, , Mobile ane: Smoke Detector: 00 ing; Remarks: Setback:r / 3 Foundation Walls:f Framing Fireplace: Wood Stove- TYPE RESIDENCE Permit No. 0634 No. Floors 1 Sq TIS, Bob Ftg 1056 Owner SOL Address p O Box 767 Belf aTel 275-4477 Date 4-5-88 Contractor Zi Self p Address Legal Description Beards Cove Div1p Direction to proje s1 e NE 241 Jo11y8Roger Lane ing x Mechanic Seer hb Stove Fireplace Deck 200 Gar-age Carport Basement Loft Other 3 bdrm BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED 6' PERMIT NO. 3 N E MAILADDRESS CITY&STATE ZIP PHONE OWNER •�/ J -le, DIRECTIONS TO JOB SITE t 4/ LEGAL _� S4 , � � ��� DESCR. L.CY ' NAME MAILADDRESS CITY&STATE LICENSE IqO. ZIP PHONE CONTRACTOR USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK is /�i��� /7lp BEDROOMS DECKS CARPORTS NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. I _ GARAGE CONDITIONING. NO.OF STORIES BASEMENT--AATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT./ _ FIREPLACE �t Z) DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQL REMENTS 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 C NFORMANCE THEREWITH. O CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTA NING APPROVAL FROM TH ILDING DEPARTMENT, APPROVAL FROM THE BUILDING DEPARTMENT. O NER DATE Y X BY DATE FOR OFFICE USE ONLY DEPARTMENT YESPPROVEDJO DEPARTMENT YES DEPARTMENTBUILDING VALUATION HEALTH PUBLIC WORKS F ES-�+ PLANNING l)I FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDINGGROUP PRE-INSPECTION SHORELINE PLANNING PLUMBING MECHANICAL STATE BUILDING FEE \ r STATESURCHARGE APPLICAT N ACCEPTED BY PLANS pCHHE �KjBY APPROVED FOR ISSUANCE PERMIT VALIDATION ft1/rze,-e/' BY5'`/' CASH CK MO TOTAL 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. ti Contractor The owner of this building and the undersign a ee to conform to all applicable laws of Mason County and State of Washington Signature of app Address Application date LEGAL DESCRIPTION Location Of ` Building NO. PLUMBING FIXTURES FEE WATER CLOSETS �.> C, BASINS ��C BATH TUBS SHOWERS WATER HEATERS AUTO.WASHERS 2 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 �� (1 SKETCH IN SEPTIC TANK 3 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 7 �! C GE- � h�n PERMIT NO. F LEGAL DESCRIPTION LOT BLK 19 ADDITION " u SITE AREA ' U`' Sq.Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft. INSTRUCTIONS TO APPLICANT IC,`,w THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE N 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 f,n, - 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. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' s 011 01 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 obtaining approval. NAME(S) OF O R(S) OF SITE Q STRUCTURE(S) (PRINT) NATURE OF NER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE SHELTON PRTNTIN3