Loading...
HomeMy WebLinkAboutCOM19006 MCFD Truck Shelter Schaffer Park Area - COM Permit / Conditions - 7/21/1986 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. NAME MAILADDRESS ITY STATE ZIP PHONE OWNER ,1-- �>��X�� K 8,5Z6 -36 It? DIRECTIONS p TO JOB SITE J'�( LEGAL ! ' !1 �� ^ DESCR. Iv IJIJ yeo NAME __MAILADDRESS CITY SSTATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF c BUILDING SL CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK BEDROOMS - DECKS - CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.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 SO.FT. IS-IIS—Z FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OJGAPPROVAL IDAVIT CONTRACTORS AFFIDAVIT 1 C I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REFOR 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 CE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT 'FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBOVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. ``( D fy/7I1 .I t- X OWNER- cz ,stU Yi4WVl'C- DATE X BY DATE FOR OFFICE USE ONLY DEPARTMENT Y�PPRovENo DEPARTMENT YESPPRovEND BUILDING VALUATION 1 m D ,36[ HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDINGGROUP M PRE-INSPECTION SHORELINE PLANNING PLUMBING MECHANICAL STATE BUILDING FEE A 15Q STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY /J APPROVED FOR SSU CE PERMIT VALIDATION (3 �( zy�G/� BY CASH CK MO TOTAL ���Q PLOT PLAN 716 ADDRESS �L /� P RMIT NO. c c = e w s s o LEGAL M�V �/ �_/ / / '/Y Y (�i DESCRIPTION LOT BLK ADDITION ; SITE AREA r `� 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 Al"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. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' 1 � 1 0-00 00 f f r n d_ 1/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be a without first obtaining approval. i NA E(a) OF OWN RM O OL" aTR CTURE(a) RIN T) ICNATURE OF OWNER(e) OR AU THORI ED R P ESENTATIVE DO NOT WRITE BELOW THIS LINE l APPROVED DISTRICT AS NOTED DATE CHRISTMASTOWN PRINTING P07 5m. stat"la,� ba�sd oa �ne!ne � ®C h c•t �. aver y shcafrn� p� 8-3 0' i d R�9 ' 2f6 AC% ?: 'dress u re fixated s i lls cl�-, studs ' DC bete r`rsr watts `a P lA s 7,e r boapd C&Iloo1 f� „ 4 � f yw�o d afters Iv, P-; � �" -�rss cs o� 'cen�er lDotcll �n bakaV ©r7 eo7axel over �� s`TP i7� 11'joa Ag S�eati g ; wads - z (Ce t 1 n114 e e� ;��l �P p: l,i hlS and atelll�cs ag oeejej F: ��ec 7vv© io'x /I over� j 061S i)7 fro,17f - srna�l davr W,91YC No WhI(JOWs 74 Zu)7f6;,Of Ip OR, CH CBEs sual�Ct�o A����ovA � fi4rk 5au sta �1017 ���rda tla f, �►- f Coor Oil cettefs 4 E I j "y wire i� '� a�D✓e over yrsvei r�l Ord Levee Dj q MASON CL �D OR .Scale �y ly C ��GES CT 10 F,rr'i�OVAI 7C pI O n K tr m M C l-t M n r M K 0l ZtO H ro o ro Y N C Ate Sb So m K A O Afp StP W O O S nro A K nO 3 A n p n A A a •A A n N n b a O A nay mt p IY O O 7rr r KdNK Kn R 0 al 0 Ri1`•i M K<CIO r M K m •• N��• y r.• !Y K n p o n m . mto*- () ornec 0rrortc�KM n� Kr�� ►I OK roK3te O SOO.M. S6Y •� n �<orK 5 ntDotD01 roa K[D ■ID ter+ K « »C �r r m aMn taro n 10 S7 7 �fr7 2 7 7,r t0 a llV n KKdn On ICnZf10rf12 tO F.O p ►' rRTb14 Sr0ro m n n n NOA ►+ A.x'7 7 7 71D 7 OpKIDK •H m Za Z d� "* 'S7 K•< r KIDnO 0 'AVfKZH• L7 r0M 93n b ri mt01DnKO. O AO ptDr nrKLC Cr nOWCp MM 0 C rrC KA 9 � p•<r KrRt9 KK R tD a Oro O 7 O a,OP �C srS MS .ems 0 M. y ,R t7 n n K K 7 tD O O N m M K of tD 1� 'V► 0K0 w 0 0 ma Moh• vtna mS off a O mS< Onn n z0%LaI aft a.ID KZ = C60 F+ Z KID M 7 aro H *a. om- • Lr0 p z W Z A Z0 O n A to OrC rt0O AO m5KfD0 nOn Qn fC�O .MS an : S p KID 2� �1� • �y r7rn 7•KO y1mp roN(D ID A L OZK K •FC7 KmG 0IDm a tAoKOn� oS SA 090 O r m n a I. to f ... n .L arm M1D Z f A9m amtrK n K to a nK a� mpdSO• OS ► X0 WK tnm ZR anK A M M d Ad < p =a 0S07aK • •40 •< C X �I. StDMr AK zm Smis Om � KO M M C m H A O nf►: rrr0 076Rn LO Mnn Zto rW n rr mSSpK Z - nK O d0 firs W• gpn 0 t0 K M vOA 1DmS rml o W—r rr ►] Z 0a r 0ra o LA0M nLa o O •O bi p rnOt0 O Z Y Rn ••/ .:; p A A n A p 7 n t0 S O c rt0 r•••K r K 0 �' ■ C K n rtoa ma Orr LRK0 n% h r^W m �yf rorotDpd 0 M O Z Q rpmn m7 pK arM NS a,H Om7 woo m aC m A rW.0 woo m 0— J. t0 Z n r b pro K O m A 0. a L M m m KtD 1D ntOnm &v . Zr m0 ROa K O n n m p m Ella pi 0 CL m.Y S n 7D K m n 0.7 O n $A0 n MS— O t! Z 3` n n J r•C r pt ID 0 Go so C tO K •m K to O r K C ^�o M m go K r 0, 0 rro o r% KO ee AmD d m m ror S7 to O. A r M 0to pnb • rK 07o r O n K r n n NroOO D O s s om K MO• -0 0 rMntnA= o w vdr � 0 t< 0coM no LKtO A I.-Ot -n r'*7 Kt700pDSSKn 70rmtWOr� Z 7t7b x . N M � S ID m m p r•C R �n K' O M B y n O r a A A a S • 10 r3 mt0 r rfD IO n SrMm n K dm nc 0 Am r0 OIDpK S AS M K asn a n 7 C OA r•< rL m B �-, CK• aMCr :7 • er tOm n7 O p S < A m t0 j fl• O L r R • A rm Zn A dKOOK V - 0KK o - O D 1� a i i i. 1 i yA S R cr td O m� �� � C > C R S r KO : 9 a d a 0 'O L� ►{0 ylh. Xq G N: a� :�• a:tb s t 7t7 ■ O r �. %' w L n n ti Q' Z,^■ MO P' a n % A K y Y1f ro g r� to 7 iO a w ha e tf ■ �n$ a a; 3 ''.N (pe oir n J iO 1O is ° rt m r N • oMq, p n 3 ►+ 7 7 p tn1 a _.w e:tY a h1 J• " `� Z Y tp to ` to clo, A d o A a s: t tn RA $ H K n O tY' !9 . =gas • : aA g Y m a tn is 3 n ,. o-�9? 3 E 3 a 0 C . K Z '< ',S1 = t7'� o 5 0 3 to rW �= t^,uu��^' a = or� •� r ,c � 7 fr a � a �'. O � '7 r' )�.`� X c 33 S n�� • 'OJ N M 3 w is o{ S to to •< S M Y?e•.� R a� Z HO A .7 td r '•+ p '�rn V s a r t- r �waa�: a a°. ►•tn b "1 p A m 'n G GoA �] leN CAr. . I yz �' n n 3 C" _ e�^i E R g• N►•I j Z a 3 E ^• ��r to O 1Oi m M Vf sG69E a � L M H or 2. jr, ri N m v r co FOUND CONCRETE MONUMENTS err NORTHWEST CORNER SECTION 32 NORTH LINE SECTI bm S 840 44 ' 40" E 2580.44 1186.43 L? hi 07 ?i 3 0 c� in 0 u� N P PFt- 2-0 W FG�P�� Sb � og. b 3 b o" c MCFD r �N GGVN ° °° '#12 it OOw E Z N �50 55• A EDWARD BEERBOWER f WELL HOUSE I � 1 .FOUND 2" I.P. x-------,c-- x FOUND 3/4" I.P. SURVEYOR'S CERTIFICATE AUDITOR'S CERTIFICATE This map correctly represents a survey made by me or undo .fled for record this..... . day of..... .. 19.... .....at_. ...... ..M. in in conformance with the requirements of the Survey Record' ook _of_ at page.. �. at the request of 1_A W FLE N GE N A al S �N requestof.... .......... . _ _.._ .... .. .... ...... ..... . ....... TM TRUCK SHELTER Petmit No. 1gnn6 No. Floors Sq Ftg 1152 Owner MASON CO. FPD #12 Te1426-3648 Date 7-21-86 Address P. 0. Box 102 Matlock Zip Contractor None Address Zip regal Description NW, NW 32-19-6 Direction to project site Go to Shafer Pk.Rd.& Cloauallum Rd. iunction, turn on Cloquallum Rd. , go 200 ft. to - building site on right side of road ` Plumbing mchanicai Sewer WM Stove Fireplace Deck Garage Carport Basement Loft Other A I i Shorelines: Plumbing: Setb�c: Mechani l Interior:OA //-/t-5�6 jZf Conditions: FIML: Mobile Herne: Smoke Det Remarks: oZ MFoot N it/oT 71jw-m� allsW : s' Framing: 6 -/7-Fs6 Firepl %Lft`&• BY EX 4 .rn-wu kly DATE �----