HomeMy WebLinkAboutBLD19515 Final SFR - BLD Permit / Conditions - 4/27/1987 TYPE RESIDENCE
Permit No. 19515 No. Floors 1 Sq Ftg 1278
Owner SHELTON CONSTRUCTION Tel 426-1600 Date 10-27-86
Address E 1451 Anthony Rd Grapeview Zip
Contractor Self
Address Zip
Legal Description Rainbow Lake Lot 13
Direction to project site Hwy 3 to Mason Lk Rd. , left to
Evergreen Dr. , left to 2nd lot on rt
Plunbing Mechanical Sewer Wood Stove X
Fireplace Deck Garage 460 Carport
Basement Loft Other
3 bdrm
Shorelines: IVA Plumbing: �
Setback: Mechanical:
Special Interior:
Conditions: FINAL: Q9
Mobile Home:
Smoke Detector:
Remarks
Footing 3 - /Z-T>
Setback:
Foundation
Walls:—
Framing:0
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 p
DATE ISSUED
PERMIT NO.
OWNER N72E A�l e MAIL ADDRESS CITY&STATE ZIP PHONE
ev
DIRECTIONS J
TO JOB SITE _
LEGAL
(❑ SEE ATTACHED SHEET)
DESCR. -11� A.iA.'
CONTRACT NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
OR
vp
USE OF
BUILDING
Class of work: ,✓ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
TQ
Valuation of work: $ &XHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
Q T
BEDROOMS DECKS CARPORT ❑ NOTICE
E /
BATHROOMS ?+ TOTAL SO. FT. GARAG ,f �y
NO. OF STORIES BASEMENT ❑ ATTACHED `��/ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OR AIR CONDITIONING.
TOTAL SO. FT.,444�I 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 FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I am aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES ❑
r SEASONAL ❑ FLOODPLAIN ❑
7 E.D. NO. S.E.P.A. ❑
3Y Special Approvals IN OUT YES APPROVED NO
_ic. No. '77L_ � 1(z Ci/TDate 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
of the Mason County ordinance requirements for BUILDING DEPT. �, a�• g4
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLI ATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
owner Date . 4 BY
LAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. )M.O. CASH
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
2.
Contractor
The owner of this building an the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Si natur of applica Address Application dat3X-141e
' /,/joly V �Q
L DESCRIPTION
Location
Of
Building h
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS
BATH TUBS
SHOWERS
WATER HEATERS Q
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER D
DISPOSAL ,
URINAL
(Show Street Names 8 Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT nr 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 PERMIT NO. o
f v
s
a o
LEGAL DESCRIPTION LOT !
j BLK ADDITION
u
l I,
SITE AREA L C Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS / 1: rS_
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.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
n
S
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t
117. 1
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.
�L C <� �-
NAME(S) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT! SIGNA TU E F OW yF�R(S) OR AUTHORIZ D REPRESENTATIVE
DO ivOT WR E BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE