HomeMy WebLinkAboutBLD14545 Final Addition - BLD Permit / Conditions - 10/31/1985 WHYBARK, Steve #14545
8-17-83
30-23-1, Lot 3, Block 1, Mission Creek
North Shore to Mission Creek Road, Rainbow Lane,
Corner of Rainbow Lane & Chinook
Contractor
Clearview Construction
275-3342
ADDITION
$211240.00 Plumbing Permit
Shorelines:
Setback:
Special Conditions:
Footing: j,<
Setback: p/Q::�
Foundation Walls :
Framing:e x".711 y `
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof :
Exterior:
Interior:
Final:/ /L' 3 7 g' s
Stop Work:
Mobile Home:
Smote Detector:
Remarks:
BUILDING'PEMIT APPLICATION
• - " MASON COUNtY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAM MAIL ADDRESS CITY TATE ZIP PHONE
� 1 - y�16
DIRECTIONS ^�
TO JOB SITE
LEGAL. (E] SEE ATTACHED SHE
DESCR
NAME MAIL ADDRESS CITY&STATE ICENSE NO. PHON
CONTRACTOR cu e_v Clogs ;�• �A
USE OF KZ
BUILDING Ek C
Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: ` { /�
J CiZ t aAWD —UNDRUMe� l�-c •
1-3
Valuation of work: $ 00 PLAN CHECK FEE PERMIT FEE 5—L
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE L
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L ATTACHED L OR AIR CONDITIONING.
TOTAL SO. FT.�IQ% FIREPLACE L 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 ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOP 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 LI FLOODPLAIN L
Firm E.D. NO. S.E.P.A. L
By Special Approvals IN OUT YES APPROVED NO
Lic. No.— Date ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT
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.
of the Mason County or ' an e r uirements for
which this permit is issue nd at I work done will ROAD ACCESS
be in n rmance ther ith. MOTOR VEHICLE PERMIT
��'� APPLICATION ACCEPTED BY PLANS C ECK BY APPROVED FOR ISSUANCE
Owner DAO�6
� BY
IL
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. .0. CASH
MASON COUNTY PLANNING DEPARTMENT
P.O. BOX 186 Shelton,Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT— Complete ALL items. Mark boxes where applicable.
t Name Mailing address—Number,street,city,and State Zip code Tel.No.
Owner WA 7'0
2.
Contractor
The owner of this building and the undersigned agre ,o conform to all applicable laws of Mason County and State of Washington
Signature licant Address Application date
LEGAL Q49CRIPTI44
Location
Of
Building
NO. PLUMBING FIXTURES FEE
` WATER CLOSETS
BASINS w
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS r---�"'�•�
SINKS ^^�
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL �{
URINAL
r
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT C t 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.
$ (4s4S
PLOT PLAN
ADDRESS PERMIT NO. f o
A OO
LEGAL p
DESCRIPTION LOT BLK ADDITION 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 V-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.
Npr Sat.
oINDICATE NORTH IN CIRCLE GRAPH SQUARES ARE
� d
1>T w
3 v Sk X* ♦I
ti
'D
10
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 OWNER(5) OF SITE & STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED _I ? •_ &�__-�
DISTRICT AS NOTED DATE
GHELTON PRINTIN.^a