HomeMy WebLinkAboutBLD12203 Addition/Alteration - BLD Permit / Conditions - 3/29/1982 Henderson, Walter #12203
(244-5301•, Seatt16) 3/29/82
Collins Lake, Lot 15-A
North Shore to Collins Lake, straight thru on main road
to end, 3rd lot from end, 2 blocks past comm. water-left
Addition/Alteration Contractor;
(Basement-bedroom-living None Listed
room-loft)
$59,384.00 Shoreline Exemption
Plumbing Permit (In additic
n to Permit #7218, 9/4/80)
Shorelines: p
Setback:
Special Conditions:
Footing: ;:1 '
Setback:
Foundation Walls:A0.e,<
Framing:,fee a
Fireplace:
Wood Stove:
Plumbing:,,OK
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home
` Remarks:
I
FERMI]
min i P. VOID BY
DATE
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 8
DATE ISSUED
PERMIT NO. I q�a 03
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
Walter Henderson 550 SW 146 Seattle, Wa. 98166 244-5301
DIRECTIONS
TO JOB SITE Attached
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. Collins Lake Lot 15-A
NAME MAIL ADDRE S CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING Vacation cabin/addition to it.
Class of work: ❑ NEW X ADDITION 361 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
W,- wan-F -F- add a. bed-r--m and. living room plus a left area and plaee it
all on a basement. (present permit is #7218)
Valuation of work: $ PLAN CHECK F E PERMIT F
Y �s ,.� 313. 00
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT [! NOTICE
BATHROOMS y TOTAL SO. FT. GARAGE U
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE I] 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 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 t 1 SHORELINES
SEASONAL [] FLOODPLAIN i
Firm E.D. NO. S.E.P.A. 1_1
By Special Approvals IN OUT YES APPROVED NO
Lic. No.— Date ZONING
PLANNING DEPT. ' L 3 ?'
OWNERS AFFIDAVIT HEALTH DEPT.
11447
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
of the Mason County ordinance requirements for BUILDING DEPT. ? $� g
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
OwZO, / l APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
A' � ��Date. -�' B
9!�A f 0? V
N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
I
-s
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.
�. alter Henderson 550 SW 146 Seattle Wa. 98166 244-530
Owner
2.
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
plicant Address Application date
Signature of a
550 SW 146 Seattle, Wa. 3/19/82
LEGAL DESCRIPTION Collins Lake Lot 15-A
Location
Of Present permit number is 7218
Building
NO. PLUMBING FIXTURES FEE
2 WATER CLOSETS O v . 00
2 BASINS D •U
BATH TUBS
1 SHOWERS �l
G'
1 WATER HEATERS
AUTO,WASHERS
1 SINKS Cry
1 FLOOR DRAINS ?
DRINKING FOUNTAINS +1
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names 8 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.
PLOT PLAN
Walter Henderson
ADDRESS 550 SW 146 Seattle, Wa. 98166 PERMIT NO. 10
= o
LEGAL
n >
o
DESCRIPTION LOT 15-A Collins Lake BLK ADDITION
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.
Present permit is #7218
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
Cr.c
z'
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.
• `� `� / �"•'fit'-z
NAME(S) OF OWNERM OF SITE S STRUCTURE(S) (PRINT) SIGNATURE OF OWN 1 1 OR AUTHORIZED REPRESENT IVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED �7 DATE
SHELTON V NTIN'