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BLD16735 SFR - BLD Permit / Conditions - 4/25/1985
I Permit No.16735 Type Residence No. Floors 1 Square FootagEl. 774 Owner SHELTON CONSTRi1CTION INC. Phone 2 - 00 Date 4-25-85 Address a eview Zip 98546 Contractor Salf Address Zip Plan Check Approved by BEP Shoreline by BK Type Applicant's plot plan approved as to setback requirements, by —� Legal Description: Lot 23 Direction to project site: 141g I rn MaGnn U-Rd_to Evergreen Dr. left h lot on left ee an Check a t k tom_Plumbing Mechanical Sewer Wood Stove Fireplace Deck Garage 2�4�arport Basement �ft M-Zn Floor Second Story Inspections: *A - Approved; D - Disapproved; BY - By; DIE -Date *A D BY 171E A D BY DIE II FOUNDffION: Compacts Fireplace footing _ Forms .�— Anchor bolts Foundation wall & rebar_✓17y,a Pier spacing �T Basement wall & rebar _ _ _ Vents & crawl space Retaining wall & rebar — — _ Soil-wood clearance ,/— III FRAMING: Floor _ _ Blocking _ Gars & posts Bridging Joists size & grade _ Sub floor type j Span T _ Grade & Nailing Walls Material Grade Bracing ✓ Exterior siding � Ceiling height _ Nailing ✓� Roof 77p—roved trusses .�� _ Hurricane Clips Rafters Purlings Cathedral _ _ _ Valley rafters Beams Sheathing — — Span jl- _ Flashing Blocking •�— Weather application Nailing Fire-stops Walls & ceilings _ Shower walls �� Furnace ducts Dropped ceilings _ _ _ Main electrical box_ Roof _ _ _ Holes Plugged Firredvut walls Others Stairs Riser & Tread _ _ Headroom Width _ _ _ Stair Jacks Landings — _ _ Handrails — — Inspections: *A - Approved: D - Disapproved; BY - By; IM - Date *A D BY DM A D BY DIE Fireplace Construction No. of flues Flashing — — For: flues-- - — Soffits — — — Exposed ,T Soffit Vents ✓_ _ Closed _ Ridge Vent .� Cathedral — Windows & Doors act protection Header Span_ Openings ✓ Insulation Sill Height T Caulking J— — Attic — — eV ntilation Access IV PLUMBING — — — — — Roof ents & Jacks ✓— Pipe Rums _ Traps .% Bathroom Facit. Clean outs Handicap Facil. _ Hot water Pressure Valve — Mechanical Fans7itc n & Bath _�_ Cl. Dryer Vent Furnace & Ducts _ _ Stove vent Insulation '— Wa=s �'� _ Floors Ceiling -�� Exterior Doors V INIERIOR ODVER —' Finis e F oors �— Finished Walls Type — — T'w — Nailing Decks Balconies & Lofts — — — Cuar rail s _ _ Structural Sup. c/ Fire Protection Doors _ _ Smoke Detector Firewalls & Ceiling _ _ _ Wood Stove _ Final & Occupancy Approved. Date 6^ / /�b S__ By: RR4ARKS I II III IV V BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 !/ p DATE ISSUED PERMIT NO. OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE SHELTON CONSTRUCTION INC. E.1451 ANTHONY RD. GRAPEVEIW, WASHINGTON 98546 4261600 DIRECTIONS TO JOB SITE HYW.#3 TO MASON LK. RD. TO EVERGREEN DRIVE LEFT TO 11th LOT ON LEFT LEGAL (❑ SEE ATTACHED SHEET) DESCR. T.OT 23 RAINBOW LAKE CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE SAME SHELTC*260PT USE OF BUILDING RESEDENCE Class of work: EKNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: CONSTRUCT FRAME BUILDING WOOD STOVE Valuation of work: PLAN CHECK FEE PERMIT FEE 4' Q s / 79',s° SPECIAL CONDITIONS: BEDROOMS 2 DECKS CARPORT NOTICE BATHROOMS TOTAL SO. FT. GARAGE �f ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES 1 BASEMENT ❑ k 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 FOP OFFICE USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT SHORELINES SEASONAL ❑ FLOODPLAIN ❑ F Tm INC E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. No. Date 4-99-85 ZONING PLANNING DEPT. - S 8S L' — 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 �C of the Mason County ordinance requirements for BUILDING DEPT. 3 ✓ �Q 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 APPROVER ISSUANCE Owner Date. /� - BY 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. 1 ANTHONY RD. GRAPEVEIW WASH. 98546 426-1600 Owner 2. Contractor The owner of this building and 11 undersi red agree to conform to all applicable laws of Mason County and State of Washington Siocation gnature plic nt Address Application date SAME 4-22-85 LEGAL CRIPTION LOT 23 RAINBOW LAKE L Of Building NO. PLUMBING FIXTURES FEE WATER CLOSETS O 1 BASINS 1 BATH TUBS ::�© C? _ — SHOWERS 1 WATER HEATERS (� AUTO.WASHERS 1 SINKS e FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer 1 DISH WASHER Cl DISPOSAL URINAL — (Show Street Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT e, 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 numberReceipt No. PLOT PLAN ADDRESS nRT171Z PERMIT NO. o 0 n s a a LEGAL a DESCRIPTION LOT 23 BLK ADDITION R RAINBOW LAKE u SITE AREA 2400 Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 4:04 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 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. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' In —c, 'D fi I ) ( L r 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. SHEL,TON CONSTRurTmm Tzar NAME(S) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) I A URE OF O NE ) OR A T OR ) REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE GHELTON PRINTINS