HomeMy WebLinkAboutBLD23065 Storage, Work Area - BLD Permit / Conditions - 11/23/1988 Shorelines: /4/.4 , plumbing:
Setback: Mechanic a
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:t
Foundation
Walls: pAf
Framing:
Fireplace:
Wood Stove:
TYPE STORAGE/WORK AREA
Permit No. 23065 No. Floors 1 — Sq Ftg 1.a4
Owner WALLACE PETERSON Tel 11a-3279 Date � g8
Address NE 371 Davis Farm Rd Belfair Zip i5 i -
Contractor e
Zip _—
Address Tract SW of 29-23-1
Legal Description No on old Belfair Hwy - mile from
Direction to project site Belfair on left across from
_ Fire tation f'rst left turn second drive on left-
plumbing Mechanical Sewer 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
427-9670 DATE ISSUED l a
PERMIT NO.
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
Rt(e o!�t 7 S " 2 7�307
DIRECTIONS
TO JOB SITE
s o Fr►-e - * ,n 4 uv PARCEL LEGAL
NUMBER M329 390390 ESCR.
� 9 s W. �1l�. a 9'- 43-
NAME MAI ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF /�
BUILDING �� rq �c%r/C
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE II
WORK l�lr 2 Y ou„dal vt J- taL
r spa Q y �z d
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.F . GARAGE !� CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
R�/ �i COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT.7 FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT �� SHORELINE
SEASONAL
�'ERTIFY ERSAFFIDAVIT CONTRACTORS AFFIDAVIT
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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE f X BY DATE
FOR OFFICE USE ONLY
APPROVED APPROVED BUILDING VALUATION
DEPARTMENT DEPARTMENT
YES NO YES NO
HEALTH IA< PUBLIC WORKS FEE
PLANNING ` FIRE BUILDING PERMITi
D.O.T. BUILDING l't PLAN CHECK }
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
41 )(� ' MECHANICAL
STATE BUILDING FEE qA /-
STATE SURCHARGE
APPLICATION ACCEPTED BY PUNS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION .�
(/�( ' TOTAL
v y�Cuu�_ BYGf/1 CASH CK MO
PLOT PLAN
ADDRESS / C. PERMIT NO. 0
w >
' s o
LEGAL `r .
DESCRIPTION LOT BLK 7ADDITION( ".
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 7811 Sq. Ft.
p"NCe_i 1Z3217 1 3g034C INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE J
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.
No
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
ga
�00 `
u
o
r%
I/We certify that the proposed construction will conform to the dlmanslclhs and uses shown above and that no changes will be made without
first obtaining approval.
Gf/'gfl e- -It- ferso W. ", z
NAME(SI OF OWNER(SI OF SITE & STRUCTJREISI (PRINT) IGNA TU E WOR UTHORIZED REP ESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE