HomeMy WebLinkAboutBLD27372 Storage Shed - BLD Permit / Conditions - 1/17/1991 (2) Shorelines: Plunbing:
Setback: Mechanica
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
noting:
Setback:
Foundation
Walls:
Fr aping:
Fireplace:
Wood Stove:
TY-O- STNAGGIE- SHED-
permit No. 27372 No. Floors 1 Sq Ft g 160
Owner CAREY, Tel-3 T=481 Dated=
Address PO BOX 1021 Issaquah Zip
Contractor none
Address ip
Legal Description OLYf1PIC BEACH I' 13A
Direction to project site 22 mi from Belfair on Rdorth
Shore Rd eater side of road see attached map
p lm ing Mec anica Sewer Woo Stove
Fireplace Deck arage arport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 J
427-9670 DATE ISSUED
_ �ru ► ��� s per.1 7�c. /�
� o C)c O Z`f)t L,-! )Z Z -19 °E i/a -� PER _T NO. /L
OWNER /NNAME MAILAD ESS CITY&STATE ZIP PHONE
DIRECTIONS v ^ ' 7-I�l
TO JOB SITE E.` -, G'1./7� E' c ` r - 0/\/ AICK / ' ,_ckc1
PARCENUMBL ��� #3,SeCT. LEGAL P/3 K C C,/= 5 ' C'k.i Pl.)� r
rvvc. 22 DESC r 1 1 �� '77�&E1
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR 61j1Vje 1_ 1�11r' J .S ca
USE OF
BUILDING \,5 j 0 19,
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE _
WORK \ . C/ `� �`nlv
BEDROOMS-,-- ' DECKS _��� CARPORT . NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE !�' CONDITIONING.
NO.OF STORIES J_ BASEMENT • ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.FT. { FIREPLACE r DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT C SHORELINE 7' /
SEASONAL-
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THA i I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION AW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENT 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 CONFOR NCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI ING A PROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM HE BUILDING DEPARTMENT.
�7
X OWNER `" DATE 3v / X BY _ DATE
-A-zl)�L_
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION ✓
YES NO YES NO �GO.
HEALTH PUBLIC WORKS FEE
PLANNING ` FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK ry
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
''� � SHORELINE
C� (i> TA_" ♦ i-- �
IV Q C , 1/d 1-v-eel WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE I
APpkiCATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
^LtiJ l.s �� TOTAL
BY CASH CK MO
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SH ELTON, WASH I NGTON 98584
427-9670
p DATE ISSUED
P L- I �. 0na 1 1 J /rn VM f�i G P_. r c-1 -F� ,, _R IT O
NAME AI ADDRESS CITY&STATE ZIP E
OWNER R, - .2��-3 91- .S:--1
O A r� (32,
DIRECTIONS _ CAT
~r�TO JOB SITE S CA ! Jv o F--
PARCEL GUU, L c'r. 3� LEGAL P,x
NUMBER � -c. $V7, T�-,ubh` DESCR.
owe-57
Indicate below: O Prpeyl� s and diim ensions.
O Easements and roads.
�( O Septic, drainfield and reserve area, or sewer. N 414 /
O Septic tank and drainfield setback distances from foundations. ^,/f1
O Location of proposed construction on property.
O Building& septic systemis etback distances from all property lines& easements.
Indicate North O Welland waterline. n(//`
In Circle O Saltwater, lakes, rivers, streams,wetlands, drainage.
O Attach copy of septic system "as built" or septic permit approval. Albll.
O Indicate topography profile of property and structure on reverse side.
t 'A
C.
-77
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval.
SIGNATURE OF OWNER(S)OR AUTHORIZED RESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
p
Ex RT
uudaicc
F. [is
I C I wild Pfp,:2-.t Applacat�on
�3aclurtinq a l�al dens,~ipt_on, adder^vas.
;•_ :. direrc•..ions to they job site and alr'. ot:xcQrr-
�: �: � r�uested in�or�atioa).
" C I C J Accurate sire/plot plan - tvo copies
C please see they tollovin
g Fage3 nor sr_tP
r equirements: persit vill not he
_ processed unless g_U required in�orusatlon
is included).
Wr C I C I Plumbing-Mectanical Forte (i� required) .
t �-
�`�:i• C x I C I Energy Audit (iw required).
x �:• C I C I Blue ? _nts - tvv c• � es (to I=Cludee c:ru--Tw
Septic System Records.
C I C I ISobi.Le I. D. For= a 1..1 resqui.:eA-d) .
� � �? C � ?I C I ®&'�o�el�,re hem •e.Q t Is propwr-X loc,.at,,,d
r�ee t,en$ cr �f oad 1..1.-Z
C I C ] FriO-inspectJan Fee (i.: requIr•e d) .
XF 'y W T-UF- RECUIRED IHFDRMATIDH (aim autli.ned a.t:c vve
and an 'the Iollav3aa IS ;1ISSIHG FRlJ2S A Si182iIT'T`�D APPLICAT'x �£i
IT t rJ—L BE RP-T°�i RXr—L1 TO TgE: APPL-CAHT FOR CaMpL_='rICH.
F�ro� os=�d dry-�elo�amexYt--dam, !6.e. a < 40
,:..
���.
sisYtu -r�� �Z ate
u- D 3
•: F02 CFFICZ USA C LY . . . . . . . . . . . . . . . . . . . . ,
Tice . _..r . Date
Exempt
�....._. .•a=e.... fiait als ai Health ®:`_.icer`
Pl,Anning Exempt' � (initials of Plannegr)
• C 1:7..l13/89)