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Home My WebLink AboutBLD221 Final SFR - BLD Permit / Conditions - 10/10/1979 Shelton Construction Inc. #221 8-21-79 Mission Creek Blk 3 Lot 7 Residence Plumbing Permit $22,032.00 ,� P� - BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. v102 OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE Shelton Const. Inc. Star Route 1 - Box 29 Belfair, Washington 98528 426-1600 DIRECTIONS TO JOB SITE LEGAL (❑ SEE ATTACHED SHEET) DESCR. Lot 7 - Block 3 - Mission Creek NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR Same as above SH-EL-TC-260P USE OF BUILDING Residence Class of work: X1 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ n PLAN CHECK FEE PERMIT FEE�Q� SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT L 1 NOTICE BATHROOMS 1 TOTAL SQ. FT. GARAGE (] NO. OF STORIES BASEMENT ❑ ATTACHED L_, SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. TOTAL SO. FT. 864 FIREPLACE El 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 FOR 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 L; FLOODPLAIN Firm_Ahelton Cons t tion, Inc. '11 E.D. NO. S.E.P.A. ! By_�C�t,�(L Q,��., / Special Approvals IN OUT YES APPROVED NO Lic. No. SH EL-TC-260PT Date 8/21/79 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 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 Ow Date APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE ne . 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. Shelton Const.,Ine. Star Route 1 - Box 29 - Belfair, Wash. 98528 ,26-1600 Owner z. Keith Plumbing 203 W. Poplar - Shelton, Wash. 98584 26-2495 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 Star Route 1 - Box 29 - Belfair, Wa 8/21/79 LEGAL DESCRIPTION Location Of Lot 7 - Block 3 - Mission Creek Building NO, PLUMBING FIXTURES ! FEE 1 WATER CLOSETS e-.v 1 BASINSv� i BATH TUBS Combo Unit r— SHOWERS 1 WATER HEATERS r 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 6 Z SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT ---- ON OTHER SKETCH. DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Approved by ermit fee Date pemit issue Pd Permit number Receipt No. ' PLOT PLAN ADDRESS PERMIT NO. 4 0 = o a v I 0 LEGAL U DESCRIPTION LOT 7 BLK 3 ADDITION Mission Creek u SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft. O F-� INSTRUCTIONS TO APPLICANT 0 & THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE O0 --a FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) I FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- c1tj gel SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION A"D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL n n SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. O I INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR V=20' o• c� 0 IQ x 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. Shelton Construction, Inc. NAMES) OF OWNER(S) OF SITE & STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE SHELTON PRINTING