HomeMy WebLinkAboutBLD18677 Final SFR - BLD Permit / Conditions - 7/18/1986 TYPE RESIDENCE
Permit No. 18677 No. Floors I Sq Ftg 1,012
Owner SHELTON CONSTRUCTION Tel 426-1600 Date 5-2-86
Address E1451 Anthony Rd, Grapeview, WA Zip 7+
Contractor Same
Address Zip
Legal Description Rainbow Lake, Lot 36
' Direction to project site
PlLubing _ Mechanical Seer Wood Stove
Fireplace Deck Garage sport
Basement Loft Other
Shorelines: w,4, Plumbing: 4
�t wLcck: Mechanic
cial Interior:
Conditions: FINAL:' , / MW
Mobile Home:
Swke Det
ng Remarks:
Seotb x: ��°%%
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426.5593 1 9 F(O
DATE ISSUED O ✓��
PERMIT NO. / o /6 2
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
- 120 AlleRd. a Gad
DIRECTIONS
TO JOB SITE 1��e �✓Y . �( /� '-✓ /
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. G -V
CONTRACTOR
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
-,
USE OF
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: f /�
•.cam / 7'- y
Valuation of work: PLAN HE K FEE PERMIT FEE
3S , p .
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL So. FTYA_ GARAGEX d/c•v
ATTACHED LSEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El �
TOTAL SQ. FT./Q/2 FIREPLACE ElI V A OR AIR CONDITIONING.
A 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 ofWashington and I aware of the FOR OFFICE USE ONLY
ordinance requirements
the regulating the work for which
the permit is issued and all work done will be in
Conformance therewith. PERMANENT SHORELINES
SEASONAL ❑ FLOODPLAIN
Firm G' ❑E.D. NO. S.E.P.A. ❑
By ,r Special Approvals IN OUT YES APPROVED NO
Lic. No. S/� 00 f T Date S .1 a- 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. Z
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 HECK BY APPROVED F R ISSUANCE
Owner Date . /J BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING
i1
i
PLOT PLAN
ADDRESS PERMIT NO,
0
= o
n >
LEGAL :
n
DESCRIPTION LOT H BLK ADDITION n
f� f���i'l �4 ke u
SITE AREA �`'�d �" Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS f 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.) 1
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"ID 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
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
rR ~
C'
J
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.
F �
Ao IV-
NAMES OF OWNER(S) OF SITE d STRUCTUREM (PRINT) I TUR O OWN ) OR AU TMORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
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 Stale Zip code Tel.No.
Owner G j- 3
e �/ e LG�
2.
Contractor
The owner of this building and the undersign agree to conform to all applicable laws of Mason County and State of Washington
Signature of applicant Address Application date
1 4S '•l" �G
LEGAL DESCRPTION
Location
Of
Building a
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS ? e, e,
BATH TUBS
SHOWERS
WATER HEATERS ��P
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT O 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 Recelpt No.
s /S DU
CHRISTMASTOWN PRINTING