HomeMy WebLinkAboutBLD19517 Final SFR - BLD Permit / Conditions - 12/11/1986 TYPE RESIDENCE
Permit No. 19517 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 1
Direction to project site Hwy 3 to Mason Lk Rd. - left to
Rainbow Lk, 3rd lot past McEwen Rd.
Plumbing X Mechanical Sewer Wood Stove X
Fireplace Deck Garage 460 Carport
Basement Loft Other
3 bdrm
Shorelines: I)IA Plumbing: pIe-
Setback: Mechanical:
Special Interior:
Conditions: FINAL: 6 lc /
Mobile Home:
Smoke Detector:
Remarks-.-
Footing:
Setback: O
Foundation
Walls: p,e
Framing:
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 { ��JJ �f/
DATE ISSUED / �' 0 5�
PERMIT NO. �( ��
OWNER % NAME MAIL ADDRESS CITY&STATE ZIP PHONE
c it 7 7 i/ -/ o-0
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR.
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING
Class of work: )< NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
oS7?7725 "'
Valuation of work: $ PLAN CHE FE PERMIT FEE
L. .S.i s- c
SPECIAL CONDITIONS:
CI_»r
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS -2 TOTAL SQ. FT. GARAGES Y./o
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ ATTACHEDX OR AIR CONDITIONING.
TOTAL SQ.j FTJ,�Zr 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
kthe
fy that I am a currently registered contractor in WORK IS COMMENCED.
tate of Washington and I the
aware of the FOR OFFICE USE ONLY
nce requirements regulating the work for which
ermit is issued and all work done will be in
rmance therewith. PERMANENT ❑ SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑
Firm
E.D. NO. S.E.P.A. CJ
By )� Special Approvals IN OUT YES APPROVED NO
Lic. No. 7otDate f�"�� E 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 PLANS CHECK BY APPROVE/FO ISSUANCE
Owner Date. ��f � BY
N �
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK. 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
2.
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Si natu a of applicant Address Application date
AL DESCRIPTION
Location
Of
Building
NO.. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS D
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names b Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT / G SKETCH IN SEPTIC TANK 6 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.
CHRISTMASTOWN PRINTING
PLOT PLAN
ADDRESS PERMIT NO. o
F °
Z o
n >
LEGAL
DESCRIPTION LOT BLK ADDITION
SITE AREA /% ' Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS ! l Sq. Ft, �y
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.
C
n
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
� t
CU
T
f
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(S) OF OWNER(!) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWN (S) OR AU THORIZ D REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
IC HRISTMASTOWN PRINTING