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HomeMy WebLinkAboutBLD19077 Cancelled Hot Tub - BLD Permit / Conditions - 1/9/1991 TYPE HOT TUB Permit No. 19077 No. Floors Sq F,tg Owner OUZTS , Irvin W. Tel 426-7796 Date 8-1-86 Address E 191 Sleaford Rd Shelton Zip Contractor Spa World Address 2130 6th St Bremerton Zip Legal Description Lake Limerick Div. 5, Lot 28 Direction to project site Same as above Plumbing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other — Shorelines: IlPlumbi 4g:, Setback: J Mechanical. Special f Interior: Conditions: (FINAL: I Mobile Home: (Smoke Detect Footin Remarks: Setbacf: Foundation Walls: Framing: I Fireplace: PERMIT c Wood Stove: �-L —& VOID PUY E}XPIRATON DATE L�'=�L BY -----.....__.,.. BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. OWNER NAME MAILADDRESS CITY BSTATE ZIP PHONE .1" ✓1 s 9 F, z , sk DIRECTIONS TO JOB SITE LEGAL DESCR. CIS NAME MAI ADDRESS /� CITY 6TATE LICENSE NO. ZIP PHONE CONTRACTOR ��v� /� i3� �� /_ .SJ rfrn USE BUILDING J WORK ✓CLASS OF NEW ✓ ADDITION ALTERATION REPAIR MOVE REMOVE DESCRIBE WORK y f BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING. NO.OF STORIES BASEMENT ATTACHED 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 DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT S ELINE SEASONAL OWNERSAFF AVIT CONTRACTORS AFFIDAVIT I CERTIFY T AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRAT N LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIRE NTS 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 CON ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAI NG APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. OWNER ' DATE X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION cc YES NO YES NO /�A• HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK IV A, SPECIAL CONDITIONS BUILDING GROUP — PRE-INSPECTION SHORELINE .eIA \ PLANNING L + — c p G PLUMBING \ MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CFtfCK BY APPROVED FOR ISSUANCE PERMIT VALIDATION BY 1, ' ✓ CASH CK MO TOTAL I PLOT PLAN ADDRESS /� f�U PERMIT NO. f n D LEGAL r� AI JZ D DESCRIPTION LOT 55 BLK ADDITION © SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS ��� elf .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 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. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' J y 17 i I/We certify that the proposed constructio nd uses shown above and that no changes will be made without first obtaining approval. .S' S NAME(S) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) t IGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE SHELTON PRINTING