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HomeMy WebLinkAboutBLD14965 Final SFR - BLD Permit / Conditions - 6/17/1985 I t No. 14965 Type Reside Ftrmnce No. Floors 1 Square Footage 864 Owner Shelton Const. ,Inc. PhoneM-1600 Date 11-28-83 Address NE 22771 Highway 3 Belfair, Wa. —dip 98528 Contractor same Mone Address Zip Plan Check Appro eline by lype Applicant's plot plan approved as to setback requirements, y D. Fawver Legal Description: 34-21-3, Rainbow Lake, Lot 30 Direction to project site: Hig waTi North to Mason Lake Road then to Ever reen Drive Fee an Check s tk PeriiAt X Plumbing X c w' X Wood Stove Fireplace Deck Garage X Caport or� f Basement Loft —TEn Floond Story Inspections: II Foundation: CdTpw—ted Fill Fireplace footing Forms 3 4c(Anchor bolts Foundation wall &rebar Pier spacing Basement will & rebar Vents & Crawl space Retaining wall & rebar Soil-wood clearance III Framing: Floor Blocking n=ers & posts Bridging — Joist size & grade Sub floor type +- Span Ckade & Nailing _ Walls FUEerial Grade Bracing Exterior Siding � L Ceiling height Nailing \ Roof moved trusses Hurricane Clips Rafters Rx lings Cathedral Valley rafters Beams Sheathing Span Flashing Blocking [tither application Nailing Fire-stops -WZIs ceilings Shower walls Furnace ducts Dropped ceilings Main electrical box Roof Holes plugged Firred-out walls Others Stairs Riser & Tread Headroom Width Stair Jacks Landings Handrails I� Inspections: Fireplace tion n No. of flues G [j Flashing a For: Soffits Soffit Vents ❑ Closed Ridge Vent Cathedral Windows & Doors Inpact protection Header Span Openings Insulation Sill Height Caulking Attic -Ve—ntilation ❑ ❑ Access ❑ ❑ IV Plumbing is & Jaclts Pipe Rum Itaps Bathroom Facil. Clean outs Handicap Facil. Hot Water Pressure Valy Mechanical ans�it 1ben & Bath RD Cl. Dryer Vent 8 Furnace & Ducts Stove vent Insulation Floors Ceiling E Kterior Doors V Interior Cover inns Dots [� [� Finished Walls ❑ 1'w l'pe Nailing i rg Decks, Balconies & Lofts Guwdrails ❑ Structural Sup. ❑ q Fire Protection Doors RR 9mke DetectorFirewalls & Ceiling Wood Stove Final & Occupancy Approved. Date (, /7 8 By: —1 I II IV BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 1 `"T q & S DATE ISSUED I PERMIT NO. I L l 9-R V OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE S eN.E. Hwy #3 Be fair Wa 2 2 - DIRECTIONS TO JOB SITE Hwy #1 No. to Mason Lake Road then to Evergreen Drive LEGAL (❑ SEE ATTACHED SHEET) DESCR. Lot Ra inbow w Lae ~ CONTRACTOR NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE Same as above USE OF BUILDING Residential Class of work: Ej NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: New Residence 33U S ' �.2 0 2 Valuation of work: $ t PLAN CHECK FEE PERMIT FEE 04 SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS 81_ TOTAL SO. FT. GARAGE 7 ATTACHED)�1 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES-1— BASEMENT ❑ OR AIR CONDITIONING. TOTAL SO. 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. the State of Washington and I the 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 ❑ SHORELINE I Firm SHELTON CONSTRUCTION_, INC. SEASONAL ❑ FLOODPLAIN 1 E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. No. SH-EL-TC *260PT Date ZONING PLANNING EPT. OWNERS AFFIDAVIT EALTH DEPT Q PUBLIC WORKS I certify that I am exempt from the requirements of the FIR contract or registration law RCW 18.27, and am aware BUILDING DEPT. / J/ of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS Of be in conformance therewith. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owner Date . gY PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH MASON COUNTY PLANNING DEPARTMENT r 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. ,. Shelton Const. Inc. N.E. 22771 Hwy #3 Belfair, Wa. 98528 26-1600 Owner 2. same: as above Contractor The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington Signature of applicant Address Application date N E 22 HBelfair, Wa 98 ,j LEGAL DESCRIPTION Location Of Building Lot 0 Ra'pb w Lake NO. PLUMBING FIXTURES FEE 1 WATER CLOSETS 00 1 BASINS 0 1 BATH TUBS KJ Combo SHOWERS 1 WATER HEATERS 1 AUTO.WASHERS 1 SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer 1 DISH WASHER DISPOSAL URINAL (Show Street Names 8 Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT l� 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. I -C�g -&3 l4?eLs PLOT PLAN ADDRESS PERMIT NO. l ` > 0 o = o n s A a O LEGAL 7 / L DESCRIPTION LOT 5�% BLK ADDITIO�N �'4 w SITE AREA �Z70 Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS- 3 Sq. Ft. r O INSTRUCTIONS TO APPLICANT C+ THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE D W 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. r x INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' rs t �r l �r 11 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. P U b' NAME(S) OF OWNER(S) OF SITE 6 STRUC TUREl31 (PRINT) SIGNA RE OF OWNER( R A HORIZE REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE 1 e SHELTON PRINTINu