HomeMy WebLinkAboutBLD13978 Retaining Wall on Bulkhead - BLD Permit / Conditions - 5/16/1983r
Kloze, N. S. #13978
No Phone Listed 5/16/83
Tract 2 of East 1/2 of Govt. Lot 1 of 33-22-3
1/2 mile east of Alderbrook Inn, waterside.
Retaining Wall on Bulkhead Contractor:
3'xll3' D A Construction
$5,297.00 Shoreline Exempt
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:.
Exterior :
Interior :
Fina-1: Crff 3 -7G Si
Stop Work:
Mobile Home:
Smoke Detector :
Remarks:
• BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 ly'3
DATE ISSUED
PERMIT NO. /3 9 I,?
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
N . S 6 /1 _
DIRECTIONS
TO JOB SITE /� I LG .FAks 4 A L E R ftll 1,,1
LEGAL S EC ,33 +w s a'p — 2 Z R&&j4C (❑ SEE ATTACHED SHEET)
DESCR. -rR kb C f- I N C- Z 40V. A. O f' I d. Ti��L-4AJ III
kl;-^
AME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION E44KTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
PC— MI )AU4 WALL- 0 Ad top
0 0
j� 97,
Valuation of work: $ G+ PLAN CHECK FEE PERMIT FEES
SPECIAL CONDITIONS:
BEDROOMS_ {DECKS CARPORT [] NOTICE
BATHROOMS (TOTAL SQ. FT. GARAGE []
ATTACHED i � SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ! ! OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE I DETACHED C
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 [ ! SHORELINES i
SEASONAL ! FLOODPLAIN Li
Fir x�S � . �IU C
E.D. NO. S.E.P.A. u
,t By Special Approvals IN OUT YES APPROVED NO
Lic. No.
N Date ZONING
ANNING DEP
OWNERS AFFIDAVIT HEALTH DEPT.
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
ST
of the Mason County ordinance requirements for UILDING DEPT
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
rA;llC ATION ACCEPT 9 BY PLANS CHECK BY APPROVED F ISSUANCE
Owner __ Date . � f� BY
i
PL CHECK VALIDATION CK. M.O. CASH PE IT VALIDATION CK. M.O. CASH
PLOT PLAN
ADDRESS V PERMIT NO. i 10
— � s
s e
n
LEGAL
DESCRIPTION LOT 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.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
1
J
J
v
.3
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(S) OF SITE ! STRUCTURE(S) (PRINT) AIGNA TURE OF OWNER(Sl OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED DISTRICT AS NOTED DATES
GMELTON Pn;N TiMO
FRONT I�iALI, 113"-d„ q''x�� �3R��K SQLUC-R CAuR-
`41�l
-#4 cooTimuous
1 �, 11 4
Q
G1.AY ALL.. P.�R►�K � X
3000 P 51
I
�l DRILL LXISTlt►G -( ,
coh)C.RgT= r-o0.'QOuRLS ((
c. Cu-C STEEL FENC.rx
Po ST 5,
V?
fc,�C►5 T r N ct 'pu L K H�P.'D S c taL£ � /2 = ( -�
t ,
" I'-�' t•e� 8 -c
Fo f 2'-o /- s i D E ----a►
t
�9- 'Dovw�Ls �` cetN'rERS
-#4 CO s3T I m U O115 EQs
FILL. 4,L,L. cI.LL.S 3000 PSl
SiPE W ALL Foo-r i ki t
i
S,oE w., _DR1CK RETAINING WALL
FOR MR•+MRs.N.5-KLOZE
DRILL. EX~5TiNG HOOD CA.NIs.I.
co n�cR�� F boa Oo�ult�s D-IK 'T'COQS-MUCION CO,INC.
CU-T STEEL FENC-9
POSTS
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