HomeMy WebLinkAboutBLD0387 Addition - BLD Permit / Conditions - 4/29/1986 TYPE ADDITION
Permit No. 0387 No. Floors 1 Sq Ftg 1056
Owner STEGMAN, Robe rt K. Tel 377-4668 Date 4-29-86
Address 1541 9th St. B remerton Zip
Contractor Self
Address Zip
Legal Description Mission Cr-ek B1. 2, Lot 8
Direction to project site
210 Rainbow Lane NE Belfair
Plumbing _x _ Mechanical Seer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
Add living room, laundry, kitchen
Shorelines: ��� Plunbing:
Setback: Mechanic
Special Interior:
Conditions: FINAL:
Mobile Home:
anoke Detector:
Remarks: ��
Footing: le _ 1-4
Setback:
Fbundation
Walls:
Framing: o ,e f,> 10 F? ,-e
Fireplace:
Wood Stove: 3 .
DATE / -y-t/ EY R ,
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 A?
c�
DATE ISSUED
PERMIT NO. G 3�
NA — MAIL ADDRESS CITY&STATE ZIP PHONE
q
OWNER �� � / r C C Gt� O - G
DIRECTIONS
TO JOB SITE
ILEGAL Q p (❑ SEE ATTACHED SHEET)
DESCR.I.Z/ o /�fi/.,/,goo/ /"19//(:,, �L' • (G� //��- Cs��f ZO �� lJ L "G/� )Vl j;,5,k64LCe
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW %ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ �O PLAN CHECK FEE _ PERMIT FEE —�
SPECIAL CONDITIONS: 3
116 go
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS_ TOTAL SO. FT. GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES_ BASEMENT ElATTACHED ❑ OR AIR CONDITIONING.
TOTAL SO. FT./J✓rlrs FIREPLACE ❑ IDETACHED ❑
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 c tify that I am a currently registered contractor in WORK IS COMMENCED.
the" th State of Washington and I aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
t,Ve permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINES 1_1
SEASONAL ❑ FLOODPLAIN ❑
Firm ]� E.D. NO. S.E.P.A. [I
By 1 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 BUILDING DEPT. 6 6
of the Mason County ordinance requirements for
which this permit is issued a that all work done will ROAD ACCESS
be in conformance therew' MOTOR VEHICLE PERMIT
aeACHECK BY APPLICATION ACCEPTED BY PLANS CH APPROVED FOR ISSUANCE
Owner C Q ���� ate_ ./ BY
.C�d�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING
PLOT PLAN
ADDRESS /n /`/I��/C7���/ `'/i �� / ' !•.Iv-� /lJ�/L�'l�
PERMIT NO. f g
11 D
LEGAL
DESCRIPTION LOT BLK ,( ADDITION /`� ��� C/l'F" - 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 A'"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.
I INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
/T 'I Fir, �I
y
-t< , N
all O
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L,b
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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.
NAME(S) OF OWNERS) OF SITE 6 STRUCTURE(S) (PRINT) tIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
CHRISTMASTOWN PRINTING