HomeMy WebLinkAboutBLD17902 Final SFR - BLD Permit / Conditions - 1/27/1986 TYPE RESIDENCE
a
Permit No. 17902 No. Floors 1 Sq Ftg 1031
Owner ShELTON CONSTRUCTION Tel 426-1600 Date 9-9-85 .
Address E 1451 Anthony Rd. Grapeview Zip
Contractor Same
Address Zip
Legal Description Rainbow Lake Lot 17
Direction to project site
Plumbing x Mechanical Sewer Wood Stove X
Fireplace Deck Garage A Carport
Basement Loft Other
Shorelines: /4,
Setback: l'/
Special Conditions:
Footing:C _
Setback:t1
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing: f e /e-/115, �5- f
Mechanical:
Interior:
Final: f /,--/ /-.-) 9
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 9-
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR N4 ?(Q/i7 Y.�6 vQ
USE OF
BUILDING s i�Cl
rAl<fP
Class of work: ,XNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
All-.e-
Valuation of work: $ _ 06 P AN HE C FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS S IDECKS CARPORT Ll NOTICE-
BATHROOMS TOTAL SQ. FT. GARAGE ' D SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ ATTACHED �p OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor In WORK IS COMMENCED.
th fate of Washington and I am aware of the FOR OFFICE USE ONLY
dinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINES
`p 0� SEASONAL [i FLOODPLAIN [1
Fir 96
E.D. NO. S.E.P.A. ❑
Bf. N
�� v'T D Gc Special Approvals IN OUT YES APPROVED NO
L s.2c.„ Vr 1 Date ` ! "rs�' 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
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
AP LIGATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date.
9
AN CHECK VALIDATION CK. M.O. CASH PERMIT VA T N CK. M.O. CASH
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.
Owner
OF
2.
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
K.
Sign r of plicant Address Application date
a
LEPAC DESCRIPTION
Location
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS QG
BASINS
BATH TUBS r
SHOWERS
WATER HEATERS 0
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
I ICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT [�! 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 pemi�ttiissued Permit number Receipt No.
PLOT PLAN
ADDRESS PERMIT NO. f o
= a
n >
A O
LEGAL �r
DESCRIPTION LOT Z:2 BLK ADDITION
SITE AREA S- Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 13Zj�: _ 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"ID 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
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' �
C
rti
7 r •
J
i : u
I/We certify that the proposed construction will confirm to the dlmensims and uses shown above and that no changes will be made without
first obtaining approval.
Olt
NAMEM OF OWNERS) OF SITE 6 STRUCTURE(S) (PRINT) TURE OF OWNER(S) ORO/AU THORIZ D REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
SHELTON PRINTIN3