HomeMy WebLinkAboutBLD18951 Final SFR - BLD Permit / Conditions - 11/3/1986 TYPE RESIDENCE
Permit No. 1R951 No. Floors 1 Sq Ftg 858
Owner SHELTON CONSTRUCTION Tel 426-1600 Date 7-1 -
Address E 1451 Anthony Rd. Grapeview Zip
Contractor Self
Address Zip
Legal Description Rainbow Lake Lots
Direction to project site Hwy 3 to Mason Lake R e t
to McEwen Prairie Rd. , left to 2nd lot on left
Pluibing x Mec cal Sewer Wood Stove x
Fireplace Deck 60 Garage 460 import
Basement Loft Other
2 bdrms.
Shorelines:
Setback: MeciC
Special Interior:
Conditions: FINAL:f
Mobile e:
Smoke Detect
Remarks:lt/o/ /Z �� —
Fboting: /-777T.
Setback w f l r3� ,��,�-�y Z ' �'6
Fb ation --T
Walls:
Framing:
Fireplace: '
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED Z ////
PERMIT NO.
OWNER NAM MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE v� ^le o '44)f
LEGAL (❑SEE ATTACHED SHEET)
DESCR. 'o � IdL R/3/1Y�4[f1 _ le
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: XNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
i` a L.
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
39, o S � ,b �3
SPECIAL CONDITIONS:
BEDROOMS 7. DECKS G 9/d— .CARPORT ❑ NOTICE
BATHROOMS_ TOTAL SO. FT. C 0 GARAGE A lk! o
ATTACHED� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT X Z OR AIR CONDITIONING.
TOTAL SO. FTJ SOG IREPLACE ❑ 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 cer fy that I am a currently registered contractor in WORK IS COMMENCED.
th State of Washington and I the
aware of the FOR OFFICE USE ONLY
o finance requirements regulating the work for which
e permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES I I
.�. ' / SEASONAL ❑ FLOODPLAIN ❑
Fi y ��
E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
ZONING
Lic. No. Date PLANNING DEPT. — -7-9-9.6 /L('
OWNERS AFFIDAVIT HEALTH DEPT. j- 4
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
ICATION A CEPT D BY PLANS HECK BY APPROVED FOR ISSUANCE
Owner Date. 1 BY�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.,I, M.O. CASH
CHRISTMASTOWN PRINTING
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
z.
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signa r f applicant Address Application date
7 7
Ll; L DESCRIPTION
Location a f r
Of
Building
NO.. PLUMBING FIXTURES FEE
WATER CLOSETS ' O 0
BASINS .0 P
BATH TUBS h G+
SHOWERS J 0
WATER HEATERS C-
AUTO.WASHERS
SINKS J o to
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER C9
DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT �tj 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 r/ Receipt No.
-) ,g 100�
CHRISTMASTOWN PRINTING
PLOT PLAN
ADDRESS PERMIT NO. o 0
S v
z
n >
0
LEGAL
DESCRIPTION / LOT � BLK ADDITION yet„y
SITE AREA /7L� � , Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS_! '' t/L 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'
{= L T
�Q.
t
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.
NAME(SI OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
(STRICT AS NOTED DATE
HRISTMASTOWN PRINTING