HomeMy WebLinkAboutBLD21815 SFR - BLD Permit / Conditions - 4/14/1988 Shorelines: &-A Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile ome:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing: 7tO N
Fireplace:
Wood Stove: ®ATE
TYPE RESIDENCE
Permit No. 21815 NO, Floors 1 Sq Ftg 768
Owner BROOKS, Charles Tel 941-1867 Date 4-14-88
Address 30649 2nd Ave SW Federal Way Zip
Contractor Lumbermens
Address Shelton Zip
Legal Description Haven Lake Lot 266
Direction to proje H- e NE 311 Lake Dr.
From Rhododendron Blvd, turn onto Lake Dr. 3rd lot in
Plunbing x Mechanical Seer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
2 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NbL:2�L'_Pj6�
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE %7
C.r / rc� o k d ✓ e t�,� kid � c►
DIRECTIONS
TO JOB SITE le 4:2rl
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ESc. 4n-taC4 _ 1ra(c)a" ka p rcdfs
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR u we� e.- W4 V_ - 4
USE OF
BUILDING ,e o' *,'- e ac t/ 0 vl
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE
WORK d ►1 C
BEDROOMS DECKS CARPORT H G G NOTICE
� "' SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE ' CONDITIONING.
NO.OF STORIES I BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
��� �S COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTALSQ.FT. f -= FIREPLACE DETACHED d ABANDONED FORA PERIODOF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
fNER
ERSAFFIDAVIT CONTRACTORS AFFIDAVIT
IFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
RATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
NING APPROVAL FROM THE BUILDING DEPARTMENT. AfXBYI!_���.DATE_
VAL FROM THE BUILDING DEPARTDAF,pT.
DATE
FOR OFFICE USE ON L
DEPARTMENT Y SPPROVEDJO DEPARTMENT YESPPROVED1O BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING L' FIRE BUILDING PERMIT C r
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP - PRE-INSPECTION
y� m = ra I d 1G / SHORELINE
Ocb ��/ ,�lZ� ,�2O � 117 P6UQir Q (t�r/1�iI� p PLANNING
PLUMBING 5^ 0 C'
I Vel h Ld J A MECHANICAL
J STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACC ED BY PLANS QJECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
BY CASH CK MO 50
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 ,y �j
<' `L° 1'-e( / O C'z
2. k cc L k7 YLce c `� t
Contractor C
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Sig ature of applicant Address Applicat'pI dqe
Sit �(L S^�
LEGAL DESCRIPTIO
Location
Of
Building H NLa
Building
NO. PLUMBING FIXTURES FEE
/ WATER CLOSETS 2-
BASINS
y
BATH TUBS
SHOWERS
/ WATER HEATERS
AUTO.WASHERS s C
SINKS �S r
FLOOR DRAINS Q `
DRINKING FOUNTAINS dY Q i,rJ 1
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& DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
C/
/S
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee Date pemit issued Permit number Receipt No.
CHRISTMASTOWN PRINTING