HomeMy WebLinkAboutBLD12790 SFR - BLD Permit / Conditions - 8/2/1982�I Permit No. �QType gQaidence No. Floors 1 Square Footage 1,216
Ownar Phone Date
Address- 3SDkjns qfnnlPV 11- - 8/:?/82
-E.0.Box 1101_ Belfair WA p 98728
Contractor None Listed Mone
Address Zip
Plan Check Approvedre ine Fy M 1YPe
Applicant's plot plan appro�asET—setback requirements, by M Fawver
Legal Description: 29=23=2, Tract 16 of Survey 8/150
Direction to project site: right on Belfair-Tahuya Rd, 5.3 miles,right,
dow
ee ai t X ng r X
Wood Stove replace Deck Garage - CkWrt
Basement —1,oft --Mrn Floor 9eco�Story
Inspections:
s s Al
II Foundation:
Ca�act 1 Fireplace footing
Forms Anchor bolts
F;xn-dation wall & rebar Pier spacing
Basement wall & rebar Vents & crawl space
Retaining wall & rebar Soil-wood clearance
III Framing:
Floor Blocking
-Uir3ers & posts Bridging
Joist size & grade Sub floor type
Span ��'� Grade & Nailing
�\
Walls
material Grade
Bracing y Exterior Siding ((��
Ceiling height Nailing f-1
Roof
droved trusses Harricane Clips
Rafters 0& Purlings --
Cathedral %V Valley rafters
�
Beams �'� Sheathing
Span !� Flashing
Blocking P. Weather application
Nailing
Fire-stops
-Walls ceilings
Shower walls Furnace ducts on
Dropped oeilings Main electrical box
Roof Holes plugged
Firred-out walls Others
H H-
Stairs
Riser & Tread Headroom
Width Stair Jacks
Landings Handrails
Inspections:
Fireplace
-Zonstruction _ No. of flues El
Flashing For:
Soffits
-Fx sed Soffit Vents
Closed Ridge Vent
Cathedral
Windows & Doors
Impact protection Header Span
Openings InsulLior
Sill Height Caulking
Attic
entilation Access
IV Plumbing
dents & Jacks Pipe Runs
Traps Bathroom Facil.
Clean outs Handicap Facil.
Hot Water Pressure ValvE
Mechanical
-kitchen & Bath Cl. Dryer Vent
Furnace & Ducts Stove vent
Insulation
Walls Floors
Ceiling Exterior Doors
V Interior Cover
Finished oors Finished Walls
Type Type
Nailing
Decks, Balconies & Lofts
r r Structural Sup.
Fire Protection
-boors i Smoke Detector
Firewalls & Ceiling Wood Stove
Final & Occupant' Approved. Date , By:
I
II
prphnT
IV 93 TE BY
Ak`/cl1��/ �f/U1/°- G�!/J /3 l��/J/�i4lly r/ Z
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 r7
DATE ISSUED L.--
PERMIT NO.
OWNER L91J9
AM MAIL AD RESS CITY 3747E ZIP PH ONE
l
DIRECTIONSr /1�1 L1i1 � fit, �, yf%p ;' tJcc.t�xJl ox'
TO JOB SITE ;`� '._�3 C�tltllt/
LEGAL A.G O,64-,
DESCR.
3 r1A�8-6�AiE LICG►I6EN0. -PHONE
a9
USE OF
BUILDING
Class of work. EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
S' 6 /
- _
s
Valuation of work: $ o r PLAN CHECK FEE PERMIT FEE c
[]_ `
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS_ TOTAL SQ. FT GARAGE L]
ATTACHED ❑ # SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORI BASEMENT ❑ ,)�� OR AIR CONDITIONING.
TOTAL SO. T FIREPLACE ❑ �y 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 permit is issued and all work done will be in
conformance therewith. PERMANENT i SHORELINES 4 Oo '-
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. L7
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.--
RKS
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. ,Z �� Z [J
which this permit is issued and that all work done will R ACCESS
be i ` m ance th rew. h. MOTOR VEHICLE PERMIT
3 �� APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED
BY�VED FOR ISSUANCE
Owner Date. J
d
PLA CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION CK M.O. CASH
-PLOT,PLAN
ADDRESS PERMIT NO. f o
LEGAL
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 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 Al'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.
A
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
1. ( l >
1 . , i > r
� G
S-
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s`
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4-7-
I CA � S
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.
5-TAf i L rU fl . S IvpLj�� nP `�FtI R y Tfft� 11L):� I .c...
NAME(S) OF WN R(SI OF SITE S STRUCTURE(S) (PRINT) IG A URE OF (S) OR AUTH07ZEE5 REP N,_roer
I V E
DO NOT WRITE BELOW THIS LINE
APPROVED D � 71A ` DATE LZJ
C ,
DISTRICT AS NOTED /
SHELTON PRINTIN3
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.
,. SrANLEV H, JENKINS
Owner
5 :�
z.
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
i
BASINS
I
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER i
DISPOSAL
URINAL
11-7
(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.
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