HomeMy WebLinkAboutBLD21116 Garage - BLD Permit / Conditions - 10/27/1987 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE IS
PERMIT NO.&--22 w
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNERA L/�.� g52,�t" 273=63[�_,
DIRECTONS TO OBI SITE / (A��� � .��� l Ar �ti%lTi2 �rr 6�^ U q,�� Sd 7
PARCEL
LEGAL ��j j`
NUMBER 1 .�22(� Sd 'f3f7o/ DESCR. L`� �L.�G ��
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR fSE-L F-
USE OF
BUILDING � �CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓ X
DESCRIBE i
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. GARAGE S r-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
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIF THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTR TION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE ENTS 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
IN CON ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINI G APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X W ER , DATE ? f' 7 X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS I FEE
PLANNING C FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK 5 -
SPECIAL CONDITIONS BUILDING GROUP vii PRE-INSPECTION
-C76 _ ( Oo SHORELINE
D WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE 75
STATE SURCHARGE
APPLICATION ACCEPTED BY LA C BY PERMIT VALIDATION �' 6 O
TOTAL
By CASH CK MO
PLOT PLAN
ADDRESS ze: 3 1 Lkq P, o PERMIT NO.
w s
LEGAL
DESCRIPTION LOT I U BLK L� ADDITION
SITE AREA �" `JSq. 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 AND 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'
LOT
Woe
f
y
E; s
C �
f that the proposed construction will conform to the dlmensidns and uses shown above and that no changes will be made without
I/We certify P Pored
first obtaining approval.
REGARD/ • e��1, 1�t�t t,
NAME(a) OF OWNER(S) OF S TE a STRUCTURE(!) (PRINT) G OF OWNERS) I ESENTATIVE
DO OT W ITE BELOW THIS LINE
APPROV DATE
DISTRIC 1 r- AS NOTE -�
Shorelines: AIA , Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile cme:
Smoke Detector:
Remarks:
oot ing: �<'
Setback: i/� i 5 y 8
Foundation
Walls: ..I! UV
Framing;
Fireplace: /—
Wood Stove:
TYPE GARAGE
Permit No. 21116 No. Floors 1 Sq Ftg 864
Owner KNIGHT, Richard A Te1275-6305 Date 10-27-87
Address ox Yn Zip
Contractor Self
Address Zip
Legal Description Allyn Bl 43, Lots 1-10
Direction to project site E 31 Wade St.
At intersection of Hwy 3 & nwy 302
Plumbing ec an Lcal Sewer tove
Fireplace Deck Garage Carport
Basement Loft Other
24x36
"UILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 �
426-5593 i,�� c� 54
DATE ISSUED -- —
J PERMIT NO.
+ NAME MAIL ADDR p� CI 8 STATE p ZIP PHONE
OWNER i t t
DIRECTIONS TO J O 8 SITE � A47�
�� r (,(�,� � (� (C: /l.7 ��/�TE�rS�SZ�'�R9�
LEGAL ''nq JJ (❑ SEE ACHED SHEET)
DESCR. 9 1 Q 1� A-
NAME AIL ADDRESS / CITY 8 STATE LICENSE NO. EPONE
CONTRACTOR N�n (*D .
USE OF �iV`^-� r
BUILDING �.�LINK
Class of work: NEW LXADDITION ElALTERATION ElREPAIR El MOVE El REMOVE
Describe work: t i-
�� 36 u ` A-CL- (91--
Valuation of work: $ 60 PLAN CHECK FEE PERMIT FEE S d
L
SPECIAL CONDITIONS:
BEDROOMS DECKS _ CARPORT ❑ NOTICE
BATHROOMS_ TOTAL SO. FT. GARAGE C.
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES I BASEMENT C-i ATTACHED L: OR AIR CONDITIONING.
TOTAL SO. FT.3S`O FIREPLACE ] DETACHED ❑ 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 F> IOD QF 180 DAYS A ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the Stale of Washington and I am aware of the FOR OFFICE USE ONLY
ordina a requirements regulating the work for which
the p rmit is issued and all work done will be in
conf mance therewith. PERMANENT SHORELINES
SEASONAL I i FLOODPLAIN
Firm E.D. NO. S.E.P.A.
Special Approvals IN OUT YES APPROVED NO
By
Lic. No.
Date ZONING
PLANNING DEPT. L
HEALTH DEPT.
OWNERS AFFIDAVIT
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.
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
ICATION AC ED BY PLANS CHECK BY APPROVED FOR ISSUANCE
//
Owner Date 8 jZ,ty` '%-�G1lel��n PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
KNIGHT, Richard A. #15512
5-9-84
Town of Allyn Block 43, Lots 7,8,9 & 10
P. 0.
Box 84
Allyn, Wash 98524 275-6305
Contractor
Sundance Solar
Solar Collector Spac e
$14,000.00
s�
o � m
v 3 •• }
Vi O c •• m — •• E m
m U O m > •• r0 Y O +
c .. .. .. — .. U O 0)
U �O c U 10 c — N — C •- •• 3 m ICm A •� 10 a G
C E m 'a E L w m m 10 d •- Y l0
O } m O i- 0 M L O U O } } c O 0 E
t m Cl. O m O L — O — m O X c — } O E m
to <n N li <n w LL w 3 a. f S w — u. <n f to w