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HomeMy WebLinkAboutBLD18612 Expansion,Addition Gable and ReRoof - BLD Permit / Conditions - 5/8/1986 TYPE EXPANSION & ADDITION Permit No. 19612 No. Floors Sq Ftg Owner FOSTER, J,C. Tb1 275-6270 Date Address NE 991 Old Belfair Hwy Belfair Zip Contractor Cornerstone Cont, Address 1445 Russell Ave. Pt.Orchard Zip Legal Description 20-23-1 N-1 2,SE-1 Direction to project site NE 991 Old Belfair Hwy Plumbing Mechanical. Sewer Hood Stove Fireplace Deck Garage port Basement Loft Other Add Gable & re-roof 27 add. to bathroom i t' I f e Shorelines: Pluu biipg: S Special r/� Interior: Conditions: FINAL: Mobile Home: Swke DetectUr Remarks: Footing: Setback: Foundation galls: Framing: o e Yh e, Fireplac . ILAN Wood Stove: BUILDING PERMIT APPLICATION MASON COUNTY pTie /paP DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED'_'- V_ggli' PERMIT NO. lz&ZA OWNER NAME' MAILADDRESS CITY SSTATE ` ZIP PHONE DIRECTIONS // r TO JOB SITE Z LEGAL / ,�` DESCR. �d — 3 / %Yd�74/� C� f Gv = Sr ejoelU{A,: ley CK 2-3 NAME MAILADDRESS CITYBSTA E LIC S NO. ZIP PHONE CONTRACTOR r oat �dy j t o7. YY �u d C lrncC (11Y, USE OF BUILDING CLASS OF NEW ADDITION 6",/- ALTERATION REPAIR MOVE REMOVE WORK so, DESCRIBE WORK BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING. NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTALSQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL V FIDAVIT CONTRACTORS AFFIDAVIT T I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND i AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE S 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 NCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING PROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.DATE X BYX DATE �U FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION A YES NO YES NO � CDO HEALTH PUBLIC WORKS FEE PLANNING / FIRE BUILDING PERMIT 3-,;) 5- o D.O.T. BUILDING PLAN CHECK J61 :2 S SPECIAL CONDITIONS BUILDING GROUP _3 PRE-INSPECTION SHORELINE PLANNING PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION `J J� TOTAL BY CASH CK MO ` /1 PLOT PLAN ADDRESS PERMIT NO. 0 = o a o 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 P"'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/We certify that the proposed construction will conform to the dimensiolu and was shown above and that no changes will be made without first obtaining approval. NAME(S) OF OWNER(S) OF SITE ! STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE iNCLTON PRIN TINO THIS PARCEL INCLUDES PLANS, BLUEPRINTS OR OVERSIZE IMAGES LARGE FORMAT IMAGES HAVE BEEN STORED IN FILE CABINETS) UNDER PARCEL NUMBER PARCEL # IZ310 - ql - 06010 CASE #