HomeMy WebLinkAboutBLD26878 Replace Float - BD General - 10/9/1990 3a��
Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL„
Mob
Ae cme:
ke Detector:
Remarks:
Foot Ing:
Setback: zi
Foundation
ion
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE FLOAT
Permit No. 26878 No. Floors Sq Ftg 550
Owner OIYMPTC VISTA CORP Tel Pgq_hRggDate In_q_go
Address 18552 Marine View Pr SW Seattla Zip
Contractor nonp
Address Zip
Legal Description �1 A as
Direction to project site 1 Wi F of AjdOrhrnak an
u„o� ra.,ai F 7R11 Nui, 106, Llnien
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck image import
Basement .oft Other
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BUILDING PERMIT APPLICATION
MASON COUNTY jq03
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 20�� G
427-9670 DATE ISSUED
PERMIT NO.
NAME MAILADDRESS ITY& E ZIP PHONE
OWNER vc�v tl
i/ds. �' L �� Scv SQL?tom gg'��G --6
DIRECTIONS /TO JOB SITE �` 6/
e- - A)I pp e,*A/,4-L--
PARCEL LEGAL
NUMBER DESCR.
NAME MAILADDRESS TY&STA L ENSENO ZIP PHONE
CONTRACTOR, ;?USE OF
BUILDING N /Q L CL� ® f rJv '004:-,
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
WORK DESCRIBE RE w-A t-= 31 Z
--
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. GARAGE CONDITIONING.
NO.OF STORI ES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 SAYS, 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 CERTIFY T I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATI LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREM TS 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 CONF MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINI G P OVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X NER 6 4 (/g . DATE �` (O [ 4 X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVE NO DEPARTMENT YESPPROVENO BUILDING VALUATION %
HEALTH <- PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING G OUP PRE-INSPECTION
SHORELINE
WOODSTOVE
MEET PLUMBING
OR EXCEED LOCAL CODES. IF ANY
ALL THIS r MECHANICAL
OFFICE BEFORE CONSTRUCTION.
STATE BUILDING FEE J
STATE SURCHARGE
APPLICATION ACCEPTED BY I PLANSCHECKBY F I UANCE PERMIT VALIDATION TOTALB�PROV
CASH CK MO
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CL� -P(4 Ir <�%t
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PLOT PLAN
ADDRESS �� b I � �Lu/r `U r'o V�-/`l( ��� ''"" 4N��
PERMIT o
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I �• 3� 7rw,tlsN I� �-z LEGAL
DESCRIPTION / M
DESCRIPTION LOT (J (�T 7' BLK / ADDITION 911� (SC 3 w, /K •
I-a o r T c9N 6fnol� CitT/ib c�
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 OIMEN-
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'
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I/We certify that the proposed construction will conform to the dirt+ensioha and uses shown above and that *canq*.s will be made without
first obtaining approval.
NAME(al OF OWNER(1) OF 317E • STRUCTURE(f) (PRINT) JIGNATUP19 OF OWNERI3) OR AUTHOR( c) R P E3EN A IVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE