HomeMy WebLinkAboutBLD18111 Final Repair Fire Damage - BLD Permit / Conditions - 11/26/1985 TYPE REPAIR FIRE DAMAGE
Permit No. 18111 No. Floors Sq Ftg
Owner ROOS, Peter Tel 275-5262 Date 10-31-85 -
Address NE 21 Rainbow Lane Belfair Zip
Contractor Best B.E.T. Bldrs.
Address 2307 Kent St. Bremerton Zip
Legal Description Mission Creek Lot 12,NE-1/4,5E-1/4
Direction to project site 25-23-2
No. on North Shore, rt. at State Park
Plumbing _� Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport 3
Basement Loft Other
REPAIR BASEMENT, EXTERIOR WALLS 6 KITCHEN FLOORS.
Shorelines: 414,
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Interior:
Final: e, i<' i/ 6
Mobile Home:
Smoke Detector:
Remarks:
L
A
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 �
DATE ISSUED"s /a
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY 3 STATE ZIP PHONE
E 7')(X Roos IZH,A/.3,' L) .,)X 3jzcF
DIRECTIONS IC
TO JOB SITE ���7 „J �IL7a ,� ,.�k 1 g7d
LEGAL 1,e7— /��C c (❑ SEE ATTACHED SHEET)
DESCR. 'rh 1 SS C,) C E)L /►c �/ Sc / c�S"'Q�
NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. 373 PSO Y
CONTRACTOR 6Y
FS� FT c J�EiIGI UP 7 P 1L S/ &Z6,eZC, 1`WX &SI a S 1E r0 N
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION EPAIR ❑ MOVE ❑ REMOVE
Describe work:
IQ irP/a i 5 -yd !t✓ �.�-r j5,k 7;51-, I..— w r41,c.S eY Il t 7c111e�,6)
6_4010 k 5- 7_'>0 r -7-0 - ,[-r All rc
_ 0 0 :'�c IE SO
f /2 *14
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
� S= /li 14
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED I� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENTkG� OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ 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
I certify that I am a currently registered contractor in WORK IS COMMENCED.
State of Washington and I aware of the o the
FOR OFFICE USE ONLY
finance requirements regulating the work for which
e permit is issued and all work done will be in
onformance therewith. PERMANENT Cl SHORELINES [,
rs_� ���7 J 1 LOf�I SEASONAL ❑ FLOODPLAIN 1 i
Firm ��C� L� C' E.D. NO. S.E.P.A. ❑
By / ' Special Approvals IN OUT YES APPROVED NO
Lic. o. ,64$7 RA-1 /9 yD 14 ZONING
PLANNING DEPT.
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. O�/
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 PLAN HECK BY APPROVED FOR ISSUANCE
Owner Date. BY
t
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.
,. W-ZrA= A0 O S IV.IF L21 ,N (u L
Owner
z. rev 7- S7 B E,c a�✓ "1,4 3 73,Xf
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signature 9f applicant Address Application date
23a / yr sT W ,4 >5, IF
LEGAL DESCRIPTION
Co << /
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
1 DISH WASHER
DISPOSAL
URINAL
01
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT 7 C 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