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Home My WebLink AboutBLD2002-00901 Patio Cover - BLD Permit / Conditions - 7/9/2002 FORM MUST BE COMPLETED IN INK PERMIT NO.: BLD PLEASE PRESS HARD MASON COUNTY BUILDING PERMIT APPLICATION O� 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATI . CONTRACTOR INFORMATION Owner (dia-el c C.0 Contractor Name Lrslk 69vd C t� Mailing Address .c „ k Mailing Address S — I CJ M^/ City to?,"4— State 1l otiJ Code S City `�Nt a c� State w!: Zip Code 9Q4 � Phone(92c7-)_4( 2-g1gOther Ph.L� Ph. f Other Ph. Lien/Title Holder Contractor Reg. # J4 C.. Address Expiration 49& / / SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. 1.227— Fire District Legal Description Site Address(Please include str et name, streeAn r and city) 0 t1L -( `1 Directions to site 2— be.e 4A A,,i Ct �— Will timber be cut and sold in parcel preparation? (Yes/No) _ Is your property within 200' of the following: Body of Water (Name) C��J� !N L-CZ7— Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENCE TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work A JIa'1.✓ No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a F cto ion aw RC d am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance ments for which this permit is issued d that all work will be done in requirements regulating the work for which this permit is issued and all work ance t ewith o changes shall be ade without first obtaining shall be done in conformance therewith. No changes shall be made without first obtaining approval. Date L v X Date FOR OFFICIAL USE BEYOND THIS POINT Sul V, •0$ 'ARAccepted pY__1 ��1 l Date D&ubmittal Amount Due ISO, Receipt No. DPARIMNTAI»RI*U11N APRovD DENIED CUNpI CC3Q Building Department Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department i Fire Marshal Valuation $ Feet", Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES i PERMIT NO.: BLD1�?6&7J?0/ MASON COUNTY 711 BUILDING PERMIT APPLICATION ll Y 426 W.Cedar/PiO.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275.4467 Elma 360 482-5269 Sea a 206 464-6968 APPLICANT INFORMATIQN CONTRACTOR INFORMATION Owner Mic k-elt+e Contractor Name J,evi 6,o c, h C i Mailing Address A Mailing Address Iq 4n �. e/.a C+• �M/ City tct?R"4 State A1PJZi6Code St 7�! City 1- *P, 4 State %,v4' Zip Code�oZ- Phone(`) ` 1 ?2;240ther Ph.( ) Ph. [ q 0E Other Ph. Lien/Title Holder Contractor Reg. # C L Address Expiration- At1 SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. T27 18 / 77/ Fire District Legal Description Site Address(Please include str et name, stye n ber and city) Aq v oL ire Directions to site r 2- ,t t Will timber be cut and sold in parcel preparation? (Yes/No)_ z Is your property within 200' of the following: Body of Water (Name) C 1-k 1 N L-EI Saltwater Y Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENC TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work HA---b1»1 No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. { Garage Attached Detached Carport Attached Detached i ` MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit?(Yes/No) r Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF I CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and i inspection of this project. Acknowledgment of such is by signature below: I OWNER AFFIDAVIT-[certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a I Contractor R-egisrr6on Law RCW d am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance f r ulfements for which this permit is issued d that all work will be done in requirements regulating the work for which this permit is issued and all work cqpmTmancet ewith o changes shall be ade without first obtaining shall be done in conformance therewith. No changes shall be made without I ppro _ __ — / first obtaining approval. I K- a `� Date ( X Date I`- FOR OFFICIAL USE BEYOND THIS POINT ,1n 7.015 Accepted by 1�, Date D&ubmittal Amount Due Receipt No. 7. 13 PARTl1l1 NTAi»REVIEW APPROVED 'p NIED �UIVDIT�t3( C+at1ES. ` Building Department 1` U� l✓� 'h( �"�` i / Occ Group Type Constr. j Planning Department I Environmental Health Department I Public Works Department Fire Marshal r _ Valuation $ L- i FEES : Building Permit Fee Site Inspection I i Plan Review Fee EH Review Fee lPlumbing&Base Feb Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee : L 1 j Violation Fee °5 Pre-Paid at Submittal ( ) i I TOTAL FEES PERMIT NO.: BLD,;? MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275.4467 Elma 360 4825269 Seattle 206 464-6968 APPLICANT IhIFORJVIATI N p CONTRACTOR INFORM�ITION , Owner ` C 4,,r�r G� 6' 1 , Ee. Contractor Name ```tea' `'1r\ �� Ski tiE'- ^- Mailing Address G 7o S 9-.1 woL q r,?�-, p_ Mailing Address !fD c N City State 0,1^J Zipr ode 5-;yy A 9 City_6 4M'i14 Statey4-A- Zip Code Phone(9z) �{�Z. Z_ Other Ph.L___) Ph.L C ther Ph.( ) Lien/Title Holder Contrac or Reg. # _tx ,Ca C gQ t- Address Expiration / ! SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well _ Water System Name of Water System / PARCEL INFORMATION-12 digit Tax Parcel No. / ` 1 / aQ 6 Fire District Legal Description Site Address(Please include street name, street number and city) w 2 Directions to site l ?" 11? ti .; �f Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water(Name) j^� Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENC TYPE OF JOB New Add Alt Repair Other U e f Building Describe Work ` a 1 4 Cie e ,y rtU 'AF No. of Bedrooms o. of Bathrooms QUARE FOOTAGE-1st Floor d Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a Contractor Registrati 27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requireme which this permit is iss d and that all work will be done in requirements regulating the work for which this permit is issued and all work c onff orpitin here it No changes shall a made without first obtaining shall be done in conformance therewith. No changes shall be made without appr va. first obtaining approval. T - '`� X -- Date t '` X Date FOR OFFICIAL USE BEYOND THI�UP JIN�i,,4.52y Accepted b C Date �ubmittal Amount Du {psa --�jj e_ ceipt N [? P. RTIVIE�IA�..f� V1f .. ARf'RQVE#� DNlED CotptT . : frQpl„,5. Building Department U Occ Group Type Constr. Planning Department i Environmental Health Department Public Works Department I • Fire Marshal Valuation $ may FEE5 Building Permit Fee Site Inspection Plan Review Fee '�I EH Review Fee Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee �n Violation Fee I aS Pre Paid'at Submittal ( ) TOTAL FEES 02/11/2004 12:43 PAZ 300 427 7798 MASON CO PMMIT CM wluua Nei O O . "W � .� �e� � � 0 O P O m iY r 1r i� i 9:� - � 1 rANJlA Cl.WV7i CO) O er?Vs I O c> - CV cs wr UfC ~ SO ac w _ � 1 lea 0 Y E mU) Q 4 m Y r r W) • o g W a Q r c m �mG a two W U6 O NLL m W a o y p o w �' m > 7 A c Z r m w � � pCNN� > r d m w L a f tod► O O w c CL � r r X LL1� lL-LIL i O COO LL O d LLa m ` 0 O m o d � N 12 ag m m W ?y I N o pzco � � i i LU W Z } tt U - m > p � Co ¢ C3 0 Q7 Q W NW C m ii 0= GJ V m r Q .. � o � E w !0 C- a 12 .. 03 93 C.3 [> > yj yy�� C U ¢ p o O o 4 c C9 � W � a> b z n l00-d 90/l0'd 688-1 + 301ddO MOM SM A IA VIOUNNIA-001d llM ti0-11-qad 02/11/2004 2:48 FAX 300 427 7798 MASON CO ?MIT CTR a: i o '° r Mo O tam m � ^m a.° 3 c0 v o c c� n 0> W o A —_ m `- .Sz � L m .5 'b v N .D N m C O p W a O - 'r `O. O p p 9 O - � w W EL W J- s- w E Oa C.U O.p O e a E= _ 1a; mro m $ 3 r1 a� Q- C oCL to ! mm Cmb L7�' 2mi U, LL M O to Cri .O v to to m-0 E 5 � m ' was ffiE �� ti m ) as0 .o �� me vJ m-, w r_- W a, 00 10 0 0.o Ego tE— v > � � E� E b c$5 ZN � >5~ Z o. $ � ac - mtQ Pv c W o r.0 `+� 0 LipW9 z � 0.0 $ Ci Vim ;6 �(C� co Z 10 C- Cc ..' U �p CL D C E yCma D nm..` C �� p m Jim p c O I rJQc wF'' �► °� � � bCL mN v �^ m`o g ®� m�� on.�L d. o m � y o � $'s cidl —W j 00 � m H e � m a T-00 2 Ell C 0 J ca Eae 4srQ sn EfL a ,p •� m b C from � j +. 0co C.� GCL S.m G cp Of y c m 5— I 01 cc �0 @ B'� �- C 2�2 d�� 'C7 O „Vn c �X ¢ 4X '�+• � coi�C F- mmX a �x o.x Q 'aX c c c C • y t00-� 90/ZO'd E69-1 + 33W0 S3HOV03 S9NINIA VIOUNNIA-WOJI 1pYl to-11-q9I 02/11/2004 12:45 FAX 360 427 7798 MASON CO PERMIT CPR wUU0 , E o. m E AZ m E o � o c c a co C Q m C C p C. 0 E igv� E � m oa o U p 0 C �� 6. C 5 a GEg � mC 'bp mG a o C Cl - m a m. � � s to.� v •g �� 6 o g� 81 I C m m w e �•m r� 0 p G b rm C C r' c A a m $ tD o � rm % m � 16 a m E c •. c I. m ego v a E d)0 Cot 2 -US v oom o � o.to 0 -0 a.`p p m% U W y om aWn" 2 � � mm � Qr, hZ U _ c z c cro 0 R if A o p' s caco o m 3 m L. ro- Ur tD y�- IA d0 a �''� cx ¢ a ��x a��x •�g o � C Z r r v t l00-d 90/BO'd 689-1 + 3OIdd0 S3HOVOO ONINIA VlOS3NNlA-wOJd 11:til ti0-ll-qed