HomeMy WebLinkAboutBLD19271 Change of Use - BLD Permit / Conditions - 9/8/1986 CHANCE OF USE FROM
TYPE ,,KENNET� TO HOUSE
Permit No: 19271 No. Floors 1 Sq Ftg 720
Owner SHAFER, David Tel Date 9-8-86
Address P. 0. 1Box 5232 Belfair Zip
Contractor None
Address Zip
Legal Description W-1/2,E-1/2,SW,NE 2-23-2
Direction to project site Take Bear Cr. DeWatto Rd West 1
mile past Elfendahl Pass Rd to Treadeu Mt Rd. Take 1st
left
Plumbing x Mechanical Sewer Wood Stove x
Fireplace DeckTar—age arport
Basement --Loft Other �j 13 y
��C7 tsc�f'�l —ro 'A c✓7 L C��
Shorelines: Al-,µ Plujbiq�:
etback: Mec ani
pecia Interior: .
Conditions: FINAL:
Mobile Home:
Smoke Detector.
Remarks: ,¢ _
Footing: � -7
Setback:
Foundation
Walls:
Framing: p
Fireplace: VOID Y XPIP - •.'
Wood Stove: DATE
a�
__. _-
'BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUEDvQ
`5a J0 &4
PERMIT N0. /5W //
OWNER NAME MAILADDRESS ear CITY&S E- ZIP _ PHONE
1
DIRECTIONS � � /
TO JOB SITE
IF 1 d ifa ak 1_
LEGAL
DESCR.
CONTRACTOR AME N MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE
WORK �--
C2X2La.
BEDROOMS_ DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE - CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE`
SEASONA
OWNE AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTI THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST ATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUI EMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN C FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTA ING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X O NER DATE �' `<7 �! X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENO BUILDING VALUATION
� / anon
HEALTH J PUBLIC WORKS FEE
PLANNING �l FIRE BUILDING PERMIT 01 5
D.O.T. BUILDING fj PLAN CHECK " d p
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
./
PLUMBING
MECHANICAL
STATE BUILDING FEE �Q
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS C CK BY APPROVED FOR IS ANCE �PERMIITVALIDATION
TOTAL ✓�
n z a, BY � CASH CK MO
MASON COUNTY
• P.O. BOX Shelton,Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT—Complete ALL items. Mark boxes where applicable.
Name Mailing address—Number,street,city,and State Zip codeTel.No.
7LS ,
Owner
S
2.
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Sig of applicant Addr s Application date
0 A ,� &—a I111r -41,, �44 1 )
�C� - -�
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 /3 d 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.
s IJ e, n
1 CHRISTMASTOWN PRINTING