HomeMy WebLinkAboutBLD12240 Cancelled SFR - BLD Permit / Conditions - 1/9/1991r I Rer[dt I�b. 1 r 4 0 F� R as iulenL�-I�b. F'lacx's Sc�� Fbok�1e 1.4 7 8
OAner Mabey, David _ _ 426-774te 4/6Z82
'1130 Elli Zip 96584
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Acftpm - --- Zip
Plan _ E. P i 1 an d ShOrelirP
AMlicient's plot plan was TarEIMILS, IV E. P i 1 and
Legal T?escripticn: _ - _
Directicn to pnject site: 00 feet down Mi elsen Road on left._
Wcod Sty x
'repl�io-7- Deck
LnspeCrlaiS= F1s7� Permit for Garage Attache
3213u-31- boow
II Faxrlaticn:
Fi11 FYrgDlaoe f ntirq
Fb Prd-cr bolts
Fcu dlat-icn wall & rebar Pier ulna
Basement wall & rebar its & aawl Spaoe
Pletainirq wall & rd-)ar Soil-ACod cleaLa
III FYanirq:
Try ok Mocking
& pa3ts Bridging
Joist Sim & grade SLh flax type
S}a;n Cale & filing
Ells
FE Fierial cIe — — E xt�or Siding I�]
Bracing Nailing ❑
Ceiling height
Floof _
7;f-T5� tnls'ses Hurricane Clips
Rafters Purlings
Beams U rafters Span Flad-d g
Blodcinq Weather applieatien
Nailing 'Type
PERMIT
:&ceilings L & V Y I R AT -�
"A]v jacks
Dropped ceilings uectftaft-n- cm H
Rif Boles plugged
Firrnd-out walls Others
Stairs
ldser & Tteal H cm
Width Stair Jacks
LayAngs Ha�chails
Inqmcticns-.
%% on 8 ND. of flues p a
Soffits
8 For:
Soffit Ventsclosed ROje Vent
Q
Windows & Doors
openings Inca at-i cn
Sill Hei(jht CaAking
Attic
Llng
ati_cn q ❑ ❑ El
Wrt-s & Jacks 'Vy Pipe Rm
Traps O/�' Bath�nan Facilities
Clean outs Hazdikp Facilities
Hot Water Pry Valve
Mechanical
& Bath � � CAS Dryer Vent (�
Fun-am & Di is Sbom vent q
Irnulaticn
C 8 � 8B
V Interior Omer
Nailing q
Decks, Balanies & rafts
GLBrrkails
Fire Protecticn
List
❑ �.� mart C� ❑
IFS ells & Ceiling 8 8 � 8
Final & ooajpaV Pad. Ike , Bj:
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
/ ---- 426.5593
�fJ I�STQTf� e-it5rA .P.Ar DATE ISSUED
v PERMIT NO. �Of�
OWNER NAME f MAIL ADDRESS CITY&STATE ZIP PHONE
lV ( oc
DIRECTIONS I I � � � ' ��
TO JOB SITE
LEGAL (C7 SEE ATTACHED SHEET)
DESCR. S
AME �;�DDRESTCITY&STATE LICENSE NO. PHONECONTRACTOR USE OF
BUILDING 12e5 M�hL
Class of work: K NEW El ADDITION El ALTERATION El REPAIR El MOVE ❑ REMOVE
Describe work: J`
Re siWei?c- 1 -3 0
00
kin OWV-V"
Valuation of work: V PLAN CHECK FEE �i PERMIT FEE
SPECIAL CONDITION
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE _ /i7VA,
ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES �/ BASEMENT [_] OR AIR CONDITIONING.
TOTAL SO. FT 74 FIREPLACE ❑ DETACHED ❑
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 FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFF ICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT IV SHORELINES
09/6
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. 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 S"
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
C� rAPPLICATION ACCEPTED BY PLANS CHECK BY , APPROVED FOR ISSUANCE
Owner - .�..�__ Date . �15-1 ,1 ��
BY
V f� j4.. .
P N CHECK VALIDATION CK. M.O. CASH ERMIT VALIDATION K. M.O. CASH
f
MASON COUNTY PLANNING DEPARTMENT
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.
lisp sheo"',
Owner
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signa, pplicant Address Y App ica/ n dat
LEGAL DESCRIPtr0N
Sldry_ �E% �✓�% •S� i
Location10,
Of
Building t ✓, r
NO. PLUMBING FIXTURES FEE
Z_ WATER CLOSETS p o
BASINS G O C)
/ BATH TUBS
SHOWERS
WATER HEATERS '7 V Q
AUTO.WASHERS OU
SINKS (l
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 /1!f•//l 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.
PLOT PLAN
ADDRESS
r 1 ` L
e_?t6/
PERMIT NO. f o
r o
n >
D O
LEGAL
n
DESCRIPTION LOT BLK ADDITION u
SITE AREA 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 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'
i
I/We certify that the proposed con ction will conform to the Imensions and uses shown above and that no changes will be made without
first obtaining approval.
NAME(S) OF OWNER(S) OF SITE & STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
SHELTON PRINTINi