HomeMy WebLinkAboutBLD30124 Porch - BLD Permit / Conditions - 3/24/1992 a6Q �oc - 7� - 000 �o
;horelines: Plumbing:
etback: Mechanical:
;pecial Interior:
'onditions: Final:
Mobile Home:
Smoke Detector:
Remarks:
Footing:
)etback:
Foundation
Falls:
Framing:
Fireplace:
Noodstove:
'IREA: #1 - FAWVER TYPE: PORCH
)wner: LAKE, GERALD F Tel: 275-8317 Date: 03-24-92
address: NE 161 COLLINS LK DR, TAHUYA
1'ermit #: 30124 Floors: 1 Sq Ft:,2 "C15�U
::ontractor: SELF �.
Phone:
i.egal Description: TR 3, SUR VOL 12, PG.34, 09-23-2
Direction to job site: 841 MUNSON BLVD, TAHUYA
Aumbing Mechanical Woodstove
I F ireplace Deck X Garage
Carport Basement Loft
l'onditions: NONE
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 2
427-9670 DATE ISSUED ✓����Z
PERMIT NO. 02L ZLL
OWNER NAME MAIL ADDRESS CITY&STATE _ ZIP PHONE,?75-92I`i
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DIRECTIONS
TO JOB SITE
PARCEL LEGAL
NUMBER _ Q I �7�n CYYZjC^ DESCR. ~Tf O o1
NAME MAIL ADDRESS CITY&STATE ZIP P190E LICENSE NO.
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK , I7 - `;r' r'
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
q ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED U DETACHED U
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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
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X0WNER � _DATE XBY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES
PPRovENo DEPARTMENT YES No
BUILDING VALUATION D�
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE yr'
APPLICATION ACCEPTED BY rNSCHECKBY APPROVED ROR ISSUANCE PERMIT VALIDATION
BY .2 q pa CASH CK MO TOTAL �3
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MASON BUILDING INSPECTOR
�N D MGES SU"Cllo APPROVAL
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BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670
DATE ISSUED
PERMIT NO.
NAME AIL ADDRESS CITY 8 STATE ZIP PH NE
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PARCEL LEGAL
NUMBER _7� DE SCR.
Indicate below. O Property lines and dimensions.
O Easements and roads.
Fo�
O Septic, drainfield and reserve area, or sewer.
O Septic tank and drainfield setback distances from foundations.
(D
O Location of proposed construction on property.
O Building & septic system setback distances from all property lines & easements.
Indicate North O Well and water line.
In Circle O Saltwater, lakes, rivers, streams, wetlands, drainage.
O Attach copy of septic system "as built" or septic permit approval.
O Indicate topography profile of property and structure on reverse side.
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 AUTHO ED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
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TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE
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