HomeMy WebLinkAboutBLD0634 Final SFR - BLD Permit / Conditions - 7/1/1988 Shorelines: ,t Pl�mibing:�i�
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Conditions: Interior:
FINAL: " 7 / /S`, ,
Mobile ane:
Smoke Detector:
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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