HomeMy WebLinkAboutBLD15337 Final Replace Deck - BLD Permit / Conditions - 2/10/1987 STEGMAN, Robert K. #15337
3-39-84
Mission Creek Lot 8, Block 2
Contractor
Self
Replace Deck 8x24
Flue for Woodstove
$1,920.00
Shorelines: y q
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing-
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final: ; /
Stop Work: '
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUEDvQ
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP �• PHONE
/y.
DIRECTIONS
TO JOB SITE
LEGAL // (❑ SEE ATTACHED SHEET)
//��
DESCR. L.®T — /.JL.C�C�� ). )T/Sj rye G'e gzyt
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE a
CONTRACTOR J ��.• �ry� 7 �j�� y�/� ?-
/
USE OF
BUILDING
Class of work: 0 NEW ❑ ADDITION ❑ ALTERATION W REPAIR ❑ MOVE ❑ REMOVE
Describe work: i
r- e1-4e-WE 43L Uv
oof ck 1 1 c s e3� O f `� fort WvdO }�tivE
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT [! NOTICE
BATHROOMS TOTAL SO. FT. GARAGE L1
ATTACHED I_- SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT C OR AIR CONDITIONING.
TOTAL SQ. 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.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the rmit is issued and all work done will be in
conf rmance therewith. PERMANENT SHORELINES
SEASONAL [ FLOODPLAIN
Firm E.D. NO. S.E.P.A. I
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date 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 BUIL NG DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conform ice therewith. MOTOR VEHICLE PERMIT
�!�3�5� APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner �,//T Date•.) df
O'er_
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
PLOT PLAN
ADDRESS ` Pet+/" LR jf jrC 1��. PERMIT NO. f
z o
9 D
A O
LEGAL
DESCRIPTION LOT BILK ADDITION u
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS (/Vrl r? 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 A'ID 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'
i
O �4
IC
I.'
-
y
I/We certify that the proposed construction will conform to the dimensims and uses shown above and that no changes will be made without
first obtaining approval.
/�L)-7 Pj cj? T jr,'�Zr
NAME(3) OF OWNERS) OF SITE RUC RE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED 3cJ 8'f� DATE
SHELTON PRINTIN3
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.
t.
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
1 SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER i
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 pemit issued Permit number Receipt No.
-- — $
CHRISTMASTOWN PRINTING