HomeMy WebLinkAboutBLD24379 Final Bulkhead - BLD Permit / Conditions - 3/1/1995 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile' :
Swke Detector:
Remarks.
-
Foot ing
Setback:
Foundation
Walls:
Framing:
Fireplace: ,, 5
Wood Stove:
TYPE BULKHEAD
Permit No. 24379 No. Floors Sq Ftg 1, �S4
Owner DAHL,Ivan R — Tel 426-6185 Date 9-6-89
Address 1702 Walker Pk Rd Shelton — Zip
Contractor ave s Const
Address Shelton Zip
Legal Description Alder Creek Tr. Tr 6
Direction to project site 1702 Walker Park Rd
Um ing c anicaSewer- Stove
Fireplace Deck =arage Z rport
Basement soft Other
i�
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED 9- � 49
PERMIT N &K3 7 9
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE t a J. 5A c O r1 W
PARCEL LEGAL
NUMBER 3207,1 3-'! vnoo6 DESCR. /}1 f7ER LRccA TracTs TR -
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR a V -Cs Co 5,4r lhtf WA. 2- -o1 8' ! '/;z
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK 13 u L K H FA D
Eros1 oh Gon fro ba /kA>•e- -5''or 5 glee -S-an, �y rtsi'at enc
r �Ji A I va'��Ny, Foo1','i,3 lo�py"e 1. iiy 8, �y 13,x ?cs 7�a 76?
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR 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
TOTALSQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE -
,I(-SEASONAL
OWNERS FIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRAT N LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE NTS 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 RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINI APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
O ER DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION L
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDINGGROUP L- PRE INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
4 MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANP CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
k"tun-_ 1.&* 6 CASH CK MO TOTAL
PLOT PLAN
ADDRESS ►y,,Ulcer Park Rj, Ace/'i"yh� PERMIT NO.
s �e
LEGAL, /4-cr Cr-T" Trwc%i �►°s
DESCRIPTION i710],I V-1 LOT 7'r, BLK ADDITION
couaay S
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft. ? SS
INSTRUCTIONS TO APPLICANT 9\
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 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.
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
�- - - - y7 ' JI - - y -
3
,
Foa A 1
#1 a „
VV I
I
I/We certify that the proposed construction will conform to the dlrtlenaidna and uaes:r+own above and that no change:will be made without
first obtaining approval.
/✓A N /3 0
NAME(al OF OWNER(S) OF SITE a STRUCTURES) (PRINT) 51,PNATURE OFOWNER(S) OR AUTWOR17 REPRESENTATIVE
DO NOT WRITE BE OW THIS LINE
APPROVED
DISTRICT AS NOTED DATE