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Home My WebLink AboutBLD23302 Addition - BLD Permit / Conditions - 1/31/1989 1 � V a� 3a- L�� Q t . (5 Shorelines Plumbing: Setback: Mechanical: Special Interior: Conditions: FINAL: Mobile Home: Smoke Detector: Remarks: Footing: Setback: 2 / 9 Foundation Walls: 41,1 Framing: gK p :2 2 g9 k Fireplace: Wood Stove: TYPE ADDITION Permit No. 23302 No. Floors Sq Ftg Owner OKONEK, James T- Tel-77 948 Date77797— Address E 371 Granberry Cr Rd S FeTfon Zip contractor Jerry Wright Address Belfair zip Legal Description Tr 12 NE,NW 36-21-3 Direction to project sitel/8 mile North of Deer Cr. store from Hwy 3. Plumbing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other n 16xl8 living room p� �i BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED Z � Q " PERMIT NO. C 2"\S Z OWNER NAME MAILADDRESS CIT &STATE ZIP PHONE J�m�s . o►(o�IE E 3 �- 9 44 DIRECTIONS TO JOB SITE E el p >� PARCEL LEGAL _ NUMBER aag oa/ OG! DESCR. � / .6p k) NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR �E �j CIe�1S wk 0-6 NI C Jd.3 D .775= USE OF BUILDING CLASS OF NEW ADDITION ✓ ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTALSQ.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 SO.FT. Vg FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERS FIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRA N LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIRE NTS 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 RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAIN G APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OWNE ATE X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION �} ) YES NO YES NO a i (,� C. HEALTH PUBLIC WORKS FEE PLANNING = r FIRE BUILDING PERMIT u S- D.O.T. BUILDING PLAN CHECK .11� ti o O SPECIAL CONDITIONS BUILDINGGROUP _3 PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE Q STATESURCHARGE APPLICATION ACCEPTED BY PLANS CHRpK BY / APPROVED FOR ISSUANCE PERMIT VALIDATION �� BY CASH CK MO TOTAL /Q Q PLOT PLAN r�Ik- # 32 136 2 c o o i Z.t6 ADDRESS E,371 CRAAW,&ek_Y CkK A& PERMIT NO. 4 0 = s � s LEGAL DESCRIPTION�iJE PIAJ �. ��p! _21AJ -3W lim ADDITION 6 p�/lltf� SITE AREA O 7 2 D Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS �0 yO L Sq. Ft. �)G 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. 0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' O L I00 iv F SNP rr ! L � PAOP �Ro PR GA>v R Lr PPOP COR/u 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. NAMEIS) OF OWNER(S) OF SITE h STRUCTURE(!) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REP ESEN TA TIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE 1 f i Gi�OS 5 � II �nr�SNj NGt-�. 0 �iX i S T -1 CC TL. 44EIL FoW S�JInKr1.E � L A2- --- J- Mua3'1t- - — _ C G #3Lo G1� Tl�q-r inu�itL aw�� R R m I-L - v (41 ,B�Ru)hr1, I �x15T- NoL4 I + S t'01`j'- 2x� 16 "a:C_ t6 �"bG x 6 b`TAIL. ��•v,OATj vr� '' Tu�AZ'EA AnU'D sI L2— sTl ay„ VEITF ``�� S ,�o�-► l g x zy