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Home My WebLink AboutBLD18431 SFR - BLD Permit / Conditions - 3/26/1986 TYPE RESIDENCE Permit No. 18431 No. Floors _ I Sq Ftg 858 Owner BUTLER, John B. Tel 293-2858 Date 3-26-86 Address 6815 SW 14th Ave. Portland,Oregon Zi*7219 Contractor Shelton Construction Address E 1451 AnthonyRd. Gra eview Zip Legal Description Direction to project site Plumbing x Mechanical Sewer Wood Stove Fireplace Deck _4,q Garage Carport 280 Basement 828 Loft Other 2 bdrm. Shorelines: ef7l< Setback: P/<' Special Conditions: Footing: fef Setback: / Foundation Walls: 0-� — 6 Framing: /- Fireplace: Wood Stove: Plumbing: O/L ,/U' Mechanical : Interior: Q 0-/ -5 , _ Final : (j A� Mobile Home: Smoke Detector: R marks: :P f� /l � 6- BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED � PERMIT NO. 14:2�I/ 51 OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE JOHN B. BUTLER 6815 S.W. 14th Ave. Portland, Ore 97219 503-293-2858 DIRECTIONS TO JOB SITE LEGAL (❑ SEE ATTACHED SHEET) DESCR. Lot 16, Rustlewood, Mason County, Washington NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE CONTRACTOR SHELTON CONSTRUCTION, INC. E. 1451 ANTHONY RD. , GRAPEVIEW, WA. SHELTC*260PT 426-1600 USE OF BUILDING New Residence Class of work: EXNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: S STOCK N EGKK FEE PERMIT E l> # 6 4 SPECIAL CONDITIONS: z?I-rV eVE4 7— BEDROOMS DECKS 1 CARPORT LX 280sq. NOTICE BATHROOMS— TOTAL SQ. FT.dR__GQ- GARAGE ❑ NO. OF STORIES BASEMENT I4 828 ATTACHED ® SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. TOTAL SQ. FT. B58 FIREPLACE ❑ DETACHED U 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 of Washington and I the aware of the FOR OFFICE USE N LY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT L: SHORELINES SEASONAL FLOODPLAIN ❑ Fi E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. No. * Date '-9n-86 ZONING PLANNING DEPT. ZJ 'WF&I �. OWNERS AFFIDAVIT HEALTH DEPTSy� 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 CHECK BY APPROVED FOR ISSUANCE Owner Date. / /� BY v __j PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 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 State Zip code Tel No. JOHN B. BUTLER 6815 S.W. 14th Ave. , Portland, Ore. RX218 97219 — — Owner 2858 2, SHELTON CONST. INC. E. 1451 ANTHONY RD. , GRAPEVIEW, WA. 98546 426-1600 Contractor The owner of this building an he undersigned agree to conform to all applicable laws of Mason County and State of Washington Sign tur of appllcaa't Address Application date %2 y SS�e --e L DESCRIPTION r_ Location Of Lot 16, Rustlewood, mason county, washington Building NO. PLUMBING FIXTURES FEE 2 WATER CLOSETS LC 2 BASINS �5 1 BATH TUBS 1 SHOWERS ; 1 WATER HEATERS ` AUTO.WASHERS 1 SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer 1 DISH WASHER DISPOSAL i URINAL (Show Street Names 8 Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT 3 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. CHRISTMASTOWN PRINTING PLOT PLAN ADDRESS PERMIT NO. 4 0 = o n > LEGAL ° DESCRIPTION LOT 16 BILK ADDITION Rustlewood u SITE AREA �)4� 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 Al"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. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' w' ✓� 74 I p - - ? i e n I/We certify that the proposed construction will conform to th dimensions and uses shown above and that no changes will be a without first obtaining approval. NAME(S) OF OWNER(S) OF SITE 6STRUCTURE(S) (PRINT) IG URE OF O S) AU HORI ED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE CHRISTMASTOWN PRINTING