HomeMy WebLinkAboutBLD11332 Breeding Stock Kennel - BLD Permit / Conditions - 9/1/1981 PURSEY, Rayomnd & Shirley #11332
Rt. 3, Box 295, Belfair , 09-01-81
2 miles past Effendahl Pass Rd. , Toonerville
W1/2 E1/2 SWl/4 NE1/4, 2-23-2
Breeding Stock Kennel
Contractor - A&M Const.
$4,760.00 Plumbing Permit
���/0�7��i �
r
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED 1 �j
PERMIT NO.
OWNER �NfjME MAIL ADDR CITY 8 STATE ZIP HONE
DIRECTIONS
TO JOB SITE 5
LEGAL EE ACTT, C D SHEEET) •��
DESCR. u �� _AA: �� S Gt'
NAME MAIL ADDRESS V CITY TTE LICE No. PHONE
CONTRACTOR I�� 7i�
�'L Iu
USE OF ,
IF
BUILDING "F �� U
Class of work: EW ❑ ADDITIOh ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
I
Valuation of work: $ PLAN CHECK FEE PERMIT FEE .
SPECIAL CONDITIONS: OCJ
BEDROOMS DECKS CARPORT CJ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE C
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT I-J OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE I I 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
1 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 ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANEN SHORELINES
SEASONAL FLOODPL IN L]
Firm E.D. NO. S.E.P.A. LI
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT. f/ —
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.
of the Mason County ordinance requirements for
hich this permit is issued and that all work done will ROAD ACCESS
e i conformance therewith. M VEHICLE PERMIT
P I TI N A PTED BY PLAN ECK BY APPROVED FOR ISSUANCE
Own r —Date , � ��� � BY �
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C 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.
Owner
2.
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
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS
BATH TUBS
SHOWERS
WATER HEATERS
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 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 p� mit issued Permit number
Receipt No.
_ al
J
PLOT PLAN
ADDRESS PERMIT NO.
0
f °
= o
LEGAL o
DESCRIPTION LOT BLK ADDITION N
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 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.
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
Lt.
M
U
r r
I/We certi y that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval.
E(S1 OF OWNERS) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNERS) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
tICT APPROVED
AS NOTED DATE
TON PnIN TING