HomeMy WebLinkAboutBLD18578 Garage - BLD Permit / Conditions - 5/2/1986 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO. 142 /�_��
N E MAILADDRESS CITY BSTATE ZIP PHONE
OWNER QeonCROh/ Oar.7
DO I B T JOB 6:7 RA IF �Ocs ,� GLRN oCAP1114d . �j�ws'r0/✓
LEGAL
DESCR. Lp Sf�o T L,�T /GD
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE
BUILDING
CLASS OF NEW IGi ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
ed�n rf re /oa r' �Je�oc� 9 4 g 9 00
/? X a a fig _ Q�i�r y4lee-- 38y �Q b o
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.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 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFF AVIT CONTRACTORS AFFIDAVIT
I CERTIFY T 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 CHA S SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAIN! APPROVAL FROM THE BOIL IN A MENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X E E X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT YEAPPROVED'O BUILDING VALUATION / O
YES NO
el
HEALTH PUBLIC WORKS FEE
BUILDING PERMIT s
PLANNING FIRE SO.
D.O.T. BUILDING PLAN CHECK A .
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE A 450
APPLICATION ACCEPTED BY PLANS CH C/K BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL
G BY CASH CK MO Cl O
PLOT PLAN
ADDRESS C/)O����5 PERMIT NO. `oo
s v
0
a
LEGAL
DESCRIPTION LOT BLK � ADDITION a
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 DIMEN-
SIONS.SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION P"'D 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'
I/We certify that the proposed construction will conform to the dimensions and was shown above and that no changes will be made without
first obtaining approval.
NAME(a) OF OWNER(S) OF SITE d STRUCTURE(S) (PRINT) SIGNATURE OF OWNERS) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED DATE
DISTRICT AS NOTED
•HELTON PRINTING
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TYPE GARAGE
Permit No. 18578 No. Flddrs Sq Ftg 1152
{ Owner NEWSOME, Ray Tel 275-4006 Date 5-2-86
Address E 321 Cronquist Rd. Allyn Zip
Contractor Self
Address Zip
Legal Description G.L.3 S/P #100 32-22-1
Direction to project site Grapeview Loop Rd. turn onto
Cronquist. lst house on left
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck age Caa port
Basement Loft Other
' 768 Sq. Ft. Concrete Floor 384 Sq.Ft. dirt floor
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Shorelines: PMlech�anig�
Setback:
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Det
Remarks:
Mti�: /LS" v Z
d
Foundation
Walls:
Framunq: ear r�r r i
Fireplace:
Wood Stove: