HomeMy WebLinkAboutBLD24378 Garage - BLD Permit / Conditions - 9/6/1989 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 9
427-9670 DATE ISSUED /
PERMIT NO ���
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
�vA�S L AW Q&n/CE a �6�1 s�woQD,2D. cc ,� SLh� �TS zsBS
DIRECTIONS G
TO JOB SITE 11� W&R_ tI D c 2M. ,2D �� 57-9A/6-A/1' 7 c li�� QAIL /-A L'5 cQ/V /fi1�•
#i✓ (;O L)L=( P-:I>. o A)s1t'b7P_W a P__b A�. .�9 R aarvF-z,1
PARCEL LEGAL IW,� -r )POR-T/0 Al p F SEC, 3 #aA!s 1R 2L A/pl f�f1 / 0
NUMBER Z� /ZZ30` 7S 00,Z51 DESCR. //.�. //N H1156A1 Ca. w14•
NAME MAILADDP
CONTRACTOR ,ESS CITY&STATE LICENSE NO. ZIP PHONE
Al 1,4
USE OF /�Q q
BUILDING c-AkAGE
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE n c w�7
WORK C-� ���r i /�OU� GOItIC.eF.^rE �oor��Gs zeAl eF7,E
SLAB 4-'Nj> w*as coA)sfzuC 7� c,-,4946,e-
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FO 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
SEASONAL
OWNERS AFFIDAVIT 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 C FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OB I NG APPROVAL FR M E BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
DATE v �`3 �l X BY A. 14 DATE
FOR OFFICE USE ONLY
DEP RTMENT YES PPROVE NO DEPARTMENT YES No
BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT ?�
D.O.T. BUILDING 6vl< PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
�Cl - MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY I PLANqCHECr BY APPROVED FOR ISSUANCE PERMIT VALIDATION
�yctc �B�'�/j,� �= CASH CK MO TOTAL CJ
PLOT PLAN
ADDRESS T� �yE4�itl O�� k�• /Y4C yN W A . PERMIT N0. o
s o
7-#A-r Pof-7t e eJ e F
LEGAL SEC 90 r TwAI AZ '
DESCRIPTION rQAtiYrS/W-,WMLOT BLK ADDITION
SITE AREA /00 Z2 / W/GA+ C �p
Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS V Sq.Ft.
Z
INSTRUCTIONS TO APPLICANT
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THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE Z
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. p
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA. p
TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL d
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF. Z
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' n1
C
VZ
Ro ir'y -e r
rot
r
7 i' r t
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I/We certify that the proposed construction will conform to the dimensidns and uses shown above and that no changes will be made without
first obtaining approval.
�f�WRENCE s��A+IUV� M. ,I�yI}NS
NAME(S) OF OWNER(S) OF SITE a STRUCTURES! (PRINT) IGNATURE OF OWNER(SI OR AUTHORIZED R P E! N
DO NOT WRITE B OW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
Shorelineis: Plumbing:
Setback: Mechanics -..
Special Interior:
Conditions: FINAL:
Mobile ane:
Smoke Detector:
Remarks: row
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
la �3a� �vt��U - -
TYPE GARAGE
Permit No. 24378 No. Floors Sq Ftg 1008
Owner EVANS, Lawrence Tel 275- 5f35 Date 9=
Address E 641 Sherwood Rd Allyn Zip
Contractor None
Address
Legal Description Tr 25-A Survev 2/108 30_221P
Direction to project site Up Sherwood Cr R ' ge9
to E 641 , onl house on rd
um ing c anica ewer tove
Fireplace Deck Ma—rage 1008=port
Basement soft --Other