HomeMy WebLinkAboutBLD14964 SFR - BLD Permit / Conditions - 11/28/1983 I llarmit No. 149641Ype Residence NO- Floors 1 Square Footage
Owner Shelton Construction, Inc. H10ne Date 11-7R-R'I
Address NE 22771 Highway 3, Belfair, Wa ip 9859R
Contractor Same —
Address ZiP�
Plan Che pro ec cr ine
Applicant's plot plan approved as to setback requirements, y D. Fawver
Legal Description:34-21-3 Rainbow Lake, Lot #33
Direction to project site: Highway 3 North to Mason Lake Rnnd than
to Ever e Dgive
Fee Paid: s t Permit X Plumbing X -Z,—
Wood Stove—Fireplace Deck Garage X-77x-port
Basement -----loft -TM Floor X Se�Story
Inspections: "s
° "o 0
II Foundation: _
Compacted Fill ll Fireplace footing
Forms d3 Anchor bolts
Foundation wall & rebar Pier spacing
Basement wall & rebar Vents & crawl space
Retaining wall & rebar Soil-wood clearance
III Framing:
Floor Blocking
=ers & posts Bridging
Joist size & grade Sub floor type
Span Grade & Nailing
Walls
79terial Ckade
Bracing Exterior Siding
Ceiling height Nailing ETFJ
Roof
7pproved trusses Hurricane Clips
Raf ter s Pur lings
Cathedral Valley rafters
Beams Sheathing
Span Flashing
Blocking Weather application
Nailing
Fire-stops
wa L�oeilings
Shower walls Furnace ducts El F
Dropped eeil;ng Main electrical box
Roof Holes plugged
Firred-out walls Others
Stairs
Riser & Itead Headroom
Width Stair Jacks
Landings Handrails
Inspections:
Fireplace
motion No. of .flues
Flashing Fcr:
Soffits
d Soffit Vents
Closed Ridge Vent
Cathedral
Windows & Doors
impact protection Header Span
Openings Insulation
Sill Height Caulking
Attic
7entilation Er—] Access
IV Plumbing
tents & Jacks Pipe Rims
Imps Bathroom Facil.
Clean outs /�y/f, icap Facil.
Hot Water Pressure Valy
j_
Mechanical
ans�tc en & Bath Cl. Lryer Vent
Furnace & Ducts Stove vent Li U
Insulation
Ceiling Floors
Ceiling Exterior Doors
V Interior Cover
Finished oors Finished Walls
Nailing
Decks, Balconies & Lofts
Gbardrails Q F1 Structural Sup. Q'❑
Fire Protection
Doors �[] Smoke Detector
Firewalls & Ceiling ❑ Wood Stove
Final & Occupancy Approved. Date 5— /Cle-L By:
RHAARKS:
I
I
II-
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BUILDING PERMIT'APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED I (�
PERMIT NO. l
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
Shelton Coxist. Inc N E 2
DIRECTIONS
TO JOB SITE Hu No. to Mason Lake Road then to Evergreen Dr' e
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. Lot Z Rainbow Lake 3 — Z
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
Same as above
USE OF
BUILDING Residential
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
New Residence
Valuation of work: $ i PLAN CHECK FE)x PERMIT F�a q 00
SPECIAL CONDITIONS: .01
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS_- TOTAL SO. FT. GARAGE X
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES 1 BASEMENT ❑ ATTACHED� OR AIR CONDITIONING.
TOTAL SO. FT-10l_2 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 certif/thepe
that I am a currently registered contractor in WORK IS COMMENCED.
Washington and I am aware of the FOR OFFICE USE ONLY
quirements regulating the work for which
is issued and all work done will be in
therewith. PERMANENT [] SHORELINESSEASONAL ❑ FLOODPLAIN ❑F CONSTRUCTION, INC. E.D. NO. S.E.P.A. ❑
g Special Approvals IN OUT YES APPROVED NO
LC 'h260PT Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DE PT. yY`
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 DEP / $' �/
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 APPROVED FOR ISSUANCE
Owner Date. BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
PLOT PLAN
ADDRESS PERMIT NO. ' lL/ f o
= o
n
a c
a
LEGAL
�,�7
DESCRIPTION LOT BLK ADDITION"/),i9
SITE AREA 70 V Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Zy 57,,-2- Sq.Ft.
INSTRUCTIONS TO APPLICANT
N
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE c+
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) p
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF 0
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. n �,
ct
O
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' H rn
1y
4
3
3 �1
CAl /11
I/We certify that the proposed construction will conform to the dimensidns and uses shown above and that no changes will be made without
first obtaining approval.
NAME(S) OF OWNER(S) OF SITE & STRUCTURE(S) (PRINT) I TURE OF OW. R(S) OR AU HORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DATE
DISTRICT AS NOTED
6HELTON PRINTING
L
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 22 Hwy Belfair, Wa 98528 26-160
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. 22771 Hwy Belfa.ir, Wa 08 8
LEGAL DESCRIPTION
Location
Of
Building L o t F.aii:tow, Lel.c
NO. PLUMBING FIXTURES FEE
WATER CLOSETS I
BASINS ✓ 1
BATH TUBS C]G'"C ---
SHOWERS
WATER HEATERS
- AUTO.WASHERS /
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
- - --- LAC,
(Show J -
(Show Street Names 8 Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT I� 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.