HomeMy WebLinkAboutBLD10583 SFR - BLD Permit / Conditions - 5/14/1981 OSTER, Roy K #10583
05-14-81
Tract 21, Catfish Lake Estates, Plat D of Plot 21,
Fairview Estates
Stop Work #598 Wood Stove Permit
No Double Fee D L.F. Plumbing Permit
Residence
$34,840.00
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MASON COUNTY
-5593 BUILDING DEPARTMENT N- 598
ALL PERSONS ARE HEREBY ORDERED TO AT ONCE
STOP WORK
On tf use Premises at........... ...................................
.. ... ..................................................................................................................................................................................
This c-,---'er is issued because ......../.%/P...Aa Allox/' ...........t Z 4......
...............11.1.1-1.......................................................................................................................................................................................................
Posted ...l..tr... .�.3..... ).......APA.M�F. ...... �! ...... ...................... 199'.1...... By.....
WARNING The failure to stop work, the resuming of work without permission from the
Building Official, or the removal, mutilation, destruction or concealment of
this Notice is punishable by fine and imprisonment.
L �
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED /
PERMIT NO. /0
OWNER NAM �� MAIL ADDRESS CITY STATE ZIP PHONE
rl G
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
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DESCR. r".4'a [ 1 cc,�` eg 71 P ic.c
NAME MAIL ADDRESS CITY a£ST LICENSE NO. PHONE
CONTRACTOR S L"." � _ Z4
USE OF
C n
BUILDING lt,G C e/7 s 4 o �
Class of work: INEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
E
lt /�- -
Valuation of work: $ PLAN CHECK FEE 'y PERMIT FEE
3
SPECIAL CONDITIONS. 0
BEDRO S DECKS CARPORT ❑
T I C E
BATHROOMS TOTAL SO. FT. GARAGE ❑
�
❑ SEPARA OU RE!?'Y'OR"PLI7MBING, H AT� ING, VENTILATING
NO. OF STORIES 3 BASEMENT El ATTACHED OR AIR CONDITIONING.
TOTAL SQ. FT. FIREP ACE-❑- —M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
I�YO CONTRACTO FF1DA IT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
�v /J SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
/ te / WORK IS COMMENCED.
ertffy 1 am a rKnI y regisre ontractor i� ,
he s aware of the
nce nt he work for which FOR OFFICE USE ONLY
the permit i issued an all work done will be in fi^
conformance therewith. PERMANENT SHORELINES
SEASONAL _l FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT EAL DEPT.
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 thefew't % MOTOR VEHICLE PERMIT
i
/ AP IC TIO A PTED BY PLANS ECi(BY APPROVED FOR
.Owner Date " - ig
BY
AN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK-1 M.O.
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.
,. [?,; ,)IA 7, 4 3 v � � Y� ��Jp
Owner
2. SG
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
LEGAL DESCRIPTION
Location
Of /
Building ( r T rli i r <r ...
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS 1)
I
BATH TUBS p
SHOWERS
WATER HEATERS D
AUTO.WASHERS
SINKS A
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 SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH,
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by J1 j Permit fee Date pemit issued Permit number Receipt No.
1
f • I
PLOT PLAN
ADDRESS J` L( � �� y� PERMIT NO. f
A D
a o
LEGAL a
DESCRIPTION LOT BLK ADDITION u
SITE AREA Sq.Ft. AREA OF SITE OCCUPIED BY BUILDINGS 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 P"'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.
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
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(S) OF SITE d STRUCTURE(S) (PRINT) SIGNATURE OF OWNERISI OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED DATE
DISTRICT AS NOTED '
SHELTON PRINTING