HomeMy WebLinkAboutBLD17795 Final SFR - BLD Permit / Conditions - 3/31/1988 TYPE Ri.�tliLNC� _
Loft 590'
Permit No. 17795 No. Floors Sq Ftg 1020
Owner SCOTT. John C_ Tel 935-6169 Date 8-9-g5
Address 5634 37th Ave SW Seattle Zip 98126
Contractor Lumhermens Homes
Address p_p_gox 700 Shelton ZipQ8584
Legal Description Hnvpn T.aka T.n 152
Direction to project site
MAP ATTACHED
Plumbing X Mechanical Sewer Wood Stove
Fireplace Deck 376 Garage Carport
Basement 750 Loft Other
Shorelines: cr /(-
Setback:
Special Conte s:
Footing: ,#
Setback:
Foundation Walls:
Framing: /��' 2
.-Fireplace:
Wood Stove:
Plumbing:
t:e chanical:
T.nterior:
Final: e Kr/3/ �-
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS `
TO JOB SITE �t ct toy cf C �
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. c Z v rJ •1 ka ke
CONTRACTOR11
NAME MAIL ADDRESS CITY 3 STATE LICENSE NO. PHONE
�
USE OF
BUILDING /f� S t Je ttc! r
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE j C'
G, c. ° D �5- � �G 9,
SPECIAL CONDITIONS: i v_
if
BEDROOMS DECKS IF
q/� CARPORT ElNOTICE
BATHROOMS TOTAL SO. FT.3 'f GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT "JSC' OR AIR CONDITIONING.
TOTAL SO. FT. O� FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
6-qp 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 eq th Washington and I aware of the FOR OFFICE USE ONLY
ordinance,'requirements regulating the work for which
the perrp(it is issued and all work done will be in
conforrriance therewith. PERMANENT SHORELINES/V,+
SEASONAL ❑ FLOODPLAIN I I
Firm
E.D. NO. S.E.P.A. I_j
By Special Approvals IN WUT YES APPROVED NO
Lic. N u^ ^ Date ZONING
PLANNING DEPT. -$S
OWNERS AFFIDAVIT HEALTH DEPT. Q(
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. 7
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner _ Date .
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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.
Owner S C.0 j
i
z. 4uwt rr d cj
Contractor /
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Sign ure of applicant Address Apati n date (C��
E C.„[ plic / _ J
LEGAL DESCRIPTI
Location
Of
Building a S`°� 0 '{ "L ,c'
NO. PLUMBING FIXTURES FEE
I WATER CLOSETS ?j
j BASINS .Y
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS k ,f
dC 4o
SINKS Z J� C
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 3 SKETCH IN SEPTIC TANK a DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
� 7
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee Date pemit Issued Permit number Receipt No.
sMe
CHRISTMASTOWN PRINTING