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Home My WebLink AboutBLD14994 Final SFR - BLD Permit / Conditions - 5/10/1984 I Permit No. 149941yPe Residence No. Floors 1 Square Footage 864 owner pha�2 6-16 0 0 Date -IT-T-B� Address N g gay RP] �a;, Wa '�P�8528 Contractor_ Sama �le -- - . . . Address Zip Plan Checkpro Pi land Shoreline Ly N A — Applicant's plot plan approved as to setback requirements, by h. Piila d Legal Description: 34-21-3, Rainbow Lake, Lot 50 Direction to project site: Hwy 3 North to �1ason Lake Road than turn on Rainbow D Fee n Ulecks _Plumbingme cal sewx—� Wood Stove. g Fireplace Deck GEwage��par t Basement —loft �atn Floor X Record Stcry Inspections: II Foundation: Compacte 1 Fireplace footing Forms Anchor bolts Foundation wall &rebar 1, ,s r> Pier spacing Basement wall &rebar Vents & crawl space Retaining wall &rebar Soil—Auod clearance III Framing: Floor Blocking —ders & posts Bridging Joist size & grade Sub floor type Span LM Ckade & Nailing Walls aNterial Grade Bracing Exterior Siding Ceiling height Nailing Roof Approved trusses Hurricane Clips Raf ter s Aur lings Cathedral Valley rafters Beams Sheathing Span Flashing Blocking Weather application Nailing Fire-stops ceilings Shower walls Furnace ducts Dropped ceilings Main electrical box Roof Holes plugged Firred-cut walls Others Stairs Riser & MYead Headroom Width Stair Jades Landings Handrails Inspections: Fireplace Qxistraction ❑ 8 Pb. of flues ❑ Flashing For: Soffits Soffit Vents Closed Ridge Vent ❑'❑ Cathedral Windows & Doors Impact protection Header Span Openings Insulation Sill Height caulking Attic Ve—ntilation Access ❑'� IV Plunbing — ts & Jacks Pipe Rims Traps all-ABathroom Facil. Clean outs ��, e, cap Facil. Hot Water Pressure Val Mechanical Fans—tam Fans:lTtam & Bath G'(`1 C1. Dryer Vent Furnace & Ducts ❑ Stove vent Insulation ate, Floors Ceiling Exterior Dotes V Intericr Cover Finis ocrs ❑� Finished Walls �q Type C TyPe cam-/' Nag Decks, Balconies & lofts Guardrails ❑ ❑ Structural Sup. ❑ Q Fire Protection ors Soke Detector Firewalls & Ceiling Wood Stove OB Final & Occupancy AP4roved. Date S�/O /w By: REMARKS: I I I V BUILDING PERMIT APPLICATION ' MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATEISSUED a I PERMIT NO. ` �" OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE Shelton Const Inc N E H 8 2 2 - DIRECTIONS I 1 TO JOB SITE H f LEGAL (❑ SEE ATTACHED SHEET) DESCR. I,Ot 0 Rainbow Lake NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE CONTRACTOR Same as above USE OF BUILDING Residential Class of work: IXNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: New residence 904 -L<z Valuation of work: $ 3� � PLAN CHECK FEE � PERMIT FEE 4� c SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT ❑ At 7 NOTICE BATHROOMS 1 TOTAL SO. FT. GARAGE ATTACHED [� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT L1 OR AIR CONDITIONING. TOTAL SQ. FT. 86d 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 hat I am a currently registered contractor in WORK IS COMMENCED. the St a of Washington and I am aware of the FOR OFFICE USE ONLY ordin ce requirements regulating the work for which the ermit is issued and all work done will be in con ormance therewith. PERMANENT Ll SHORELINES ❑ SEASONAL ❑ FLOODPLAIN ❑ jFirmIIELTON S CTION INC E.D. NO. S.E.P.A. Special Approvals IN OUT YES APPROVED NO Lic. No. SHE *260PT Date 1,2-7r" 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. which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLANS§HECK BY APPROVED FOR ISSUANCE Owner Date PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH MASON COUNTY PLANNING DEPARTMENT 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 9 Owner 8528 z. 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 22771 H a' LEGAL DESCRIPTION Location Lot 0 Rainbow Lake Of Building NO. PLUMBING FIXTURES FEE 1 WATER CLOSETS BASINS BATH TUBS coMbo Z✓ SHOWERS 1 WATER HEATERS Z/ AUTO.WASHERS 1 SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer 1 DISH WASHER DISPOSAL URINAL -- 1 (Show Street Names & 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. f PLOT PLAN ADDRESS PERMIT NO, = a n > x o LEGAL DESCRIPTION LOT �� BLK ADDITION//�'/)d�// SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft. CAI t- P INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE O O 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 p PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- Z p SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA. H. 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. n H r INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' i Q � ^l 'l�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. � NAMES) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIG ATURE OF OW S) AUTHO IZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE 6HELTON PRINTIN3