HomeMy WebLinkAboutBLD19518 Final SFR - BLD Permit / Conditions - 4/27/1987r
TYPE RESIDENCE
Permit No. 19518 No. Floors 1 E4 Ft9 1012
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 11
Direction to project site Hwy 3 to Mason Lk Rd. , left
to Evergreen Dr. 2nd lot past Evergreen
Plumbing x Mechanical Sewer Wood Stove x
Fireplace Deck Garage 464 Carport
Basement Loft Other
3 b d rm i__
Shorelines: 4zz Pltunbing.-.ff,�j�
Setback:
Mechanica��:
Special Interior:
Conditions: FINAL: le��Z:) >/g
Mobile Home:
Smoke Detector:
Remarks:
Footing: e,� �c /�
Setback:
Foundation
Walls:
Framing:A �/ i/ y G cam'
Fireplace
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 0 -.2 7 t��p
DATE ISSUED /
PERMIT NO. /C T
OWNER N ME MAIL ADDRESS CITY 8 STATE ZIP PHONE
DIRECTIONS
TO JOB SITE # ., P C _ Ad
LEGAL (❑ SEE ATTACHED SKEET)
DESCR. / RA—L/ L
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR c /+
sJ
USE OF
BUILDING S
Class of work: ANEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
D�STov SOD
Valua ion of work: $ PLAN CHECK FEE PERMIT FEE S
. S 8 4c__ A!i P/:2,r2 n73 3
SPECIAL CONDITIONS: r
BEDROOM -3 DECKS CARPORT ❑ NOTICE
BATHROO S TOTAL SO. FT. GARAGEX
NO. OF TORIES� BASEMENT ❑ ATTACHED X iffy SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OR AIR CONDITIONING.
TOTAL Q. FTd7/2— 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
I 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
o the requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑
FI
E.D. NO. S.E.P.A. Ll
By Special Approvals IN OUT
YES APPROVED NO
Lic. No. �'�*��_*�!a /" �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
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLAN CHECK BY APPROVED FOR ISSUANCE
Owner Date_ �Q � D BY
if iL MiLd
PLAN CHECK VALIDATION (CK,.) M.O. CASH V PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING
MASON COUNTY
P.O. BOX 186 Sheltpn, 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 and the on agree to conform to all applicable laws of Mason County and State of Washington
St a ure of applicant Address
Application date
'V /S
AL DESCRIPTION
Location
Of
Building 7Z /
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS
77 c'C
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER Cn
DISPOSAL
URINAL
(Show Street Names & Property Lines)
PERMIT
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
Z7 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.
$ //7 e, Z'
HRISTMASTOWN PRINTING
PLOT PLAN
ADDRESS PERMIT NO. ° o
0
0
LEGAL
DESCRIPTION LOT ZI BLK ADDITION 414�l�f/
SITE AREA_( 2"CrC Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS ZV'Z61 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'
21
71, ! * l
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.
NAMECS1 OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) IG ATU E•OF E l3) OR AUT ORIZEO REPRESENTATIVE
DO NOT WRITE BELOW THIS LlNil
APPROVED
DISTRICT AS NOTED DATE
CHRISTMASTOWN PRINTING