HomeMy WebLinkAboutBLD23327 Storage Bldg - BLD Permit / Conditions - 2/10/1989 3 313
Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE STORAGE BLDG.
Permit No. 23327 No. Floors Sq Ftg 440
Owner MIDDL ON, Robert 0. Te1426-0864 Date 2-10-89
Address 1311 Mason Lac Rd Shelton Zip
Contractor Self
Address Zip
Legal Descrip ion Rainbow Lake Int. 67
Direction to project site Above address
P um ing Mechanical ewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED- /�✓��
PERMIT NO. C:�211 �
OWNER AME Q,,-)
DDRESS CITY&S ATE ZIP P ONE
- 13 I
DIRECTIONS /� -�jh3C
TO JOB SITE 7j �� �; v fQQ� / A,66,.jk14 c?'J— �J
PARCEL /� LEGAL // //-
NUMBER r '3 .-�v- LY.Y2�o DESCR. t-n� CL' Q! 0 lJQcc)
AME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR +fit C. C"'_ s.C.Ii lx '
USE OF
BUILDING 4�
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE /' /
WORK , LOS `w v co ^ it "t O� � r N L' btt l
o � 4 Vt.2 Q. a. ct / d-Q._ -t-
GU
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
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE f�X
SEASONAL
OWNERSAFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS 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 NFORMANCE THERf� ITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH,NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
IN INING APPROVAL�R0 THE BUILDING PARTMENT. j; (/ APPROVAL FROM THE BUILDING DEPARTMENT.
lwU/O'WNnR' 0, /'' e X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK . `S
SPECIAL CONDITIONS BUILDINGGROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
410,
Q� � PLUMBING
MECHANICAL
STATE BUILDING FEE F
STATE SURCHARGE
177
ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
LLAOILA-r`'4BY//(/ '(4� CASH CK MO
BUILDING PERMIT PLOT PLAN
MAS` DEPARTMENT ofN COUNTY
P.O. Box 186 SHELTON, WASHLN SERVICES
VTON 98584
427-9670
OATEISSUEO
EA �N M Ai PERMIT NO.
CWN r "� -fe� `A Ea
OIRECTIONS fCn ( ( �_�l LC PMpNE,
TO Joe SITE
�.
41
PARCEL
NUMS R LEGAL �`" P �• �r T=e
OESCFL
Indicate below:
Property lines and dimensions
O Easements and roads,
0 Septic:, drainfield and reserve area or SeWer. ! u ._.O Septic tank and drainfield setback distances from foundationaki o
0 Location of proposed construction on property.
O Building& septic system setback distant:
p ✓
nces from all property lines& easements.
Indicate North O Welland water line. , ;,J,�- :-
In Circle 19 Saltwater, takes, rivers, streams;wetlands, drainage.
O Attach copy of septic system"as built^or septic permit approval 1 c
10 Indicate topography profile of property,and structure on reverse side
1
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4 DR
ILE L: LO 6 o
t
1, RA N8 W AN EITA ES� t D v
15 IlVb G;� A E w
AR GE
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ve CernN that ae oraoosee c:nstrvc: n I I o `vit Contorm t0 the ajnenslon3 an0 uses snpwrn a0pv
e and that no Changes"I"be
made%without 1ir3t OOtainmq 4=0%fat.
00 NOT WA/T' S1 AE OF OWNEA(S)OR aUNCj;jZC
C 9E O(!)W THLC 1 rare 0 AEAAESE..N%n,,c
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE
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