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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. 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