HomeMy WebLinkAboutBLD20980 Garage, Reroof - BLD Permit / Conditions - 9/28/1987 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
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TYPE GARAGE & RE ROOF
Permit No. 20980 No, Floors Sq Ftg 576
Owner LATTIMORE, Dan Tel 275-6551 Date 9-28-87
Address P 0 Box 94 Grapeview Zip
Contractor Roger Denny
Address E 1791 Mason Lk Dr E Gra eview zip
Legal Description Lot 26
Direction to project site So Grapeview Loop Rd to
Raushert Rd. , right to Mt. Dr. , rt. 3rd house on left
from end of rd. E 101 Mountain Rd
P Lm ing Mechanical ewer Wood Stove
Fireplace Deck Garage 576 Carport
Basement Loft Other
12 sq. 3 tab
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED'-:�-��
Z0 71/��--) / f, PERMIT NO: ) q,,Fr�
OWNER DNAME MAILADDRESS CITY&STATE ZIP PHONE
qb l ��rno P.U•&.x ��i (�w�w��, I,uA ��8��t(� z1�- S/
DIRECTIONS "" L nn^
TO JOB SITE SOtIf4 &tq1- &icw wp i,UJ -16 &Sktf;r
3 tZJ AW),t o LEFT ,_,gym c-&1,0 v/-- &AO ski rlI� ti .�ti
PARCEL
LEGAL
NUMBER v�no� DESCR. I'DLMji14It) f y/j ty zclr ZG
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR �E�N C-'/)�i1 MY &til LL/�d E ( U/EL✓ 6✓f1 � YI///C/Z r 1
USE OF
BUILDING
CLASS OF NEW V ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE
WORK III)_.1 L4 YZ0 /fTU NIWE- 01&kW At'j/l.-AIV 3%,46 Z,f.
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
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
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
REG'STRA ION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE ENTS 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 CON RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
0BTA NN11 G APPROVAL FROM THE BUILDING DEPARTMENT, APPROVAL FROM THE BUILDING DEPARTMENT.
X O ER DATE X BY ?CZI Gt DATE S jl y
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVEDNO DEPARTMENT YES DEPARTMENTBUILDING VALUATION
HEALTH �� -�`�-$`� PUBLIC WORKS FEE
PLANNING (� FIRE BUILDING PERMIT .5�
D.O.T. BUILDING PLAN CHECK . 00
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
too - SHORELINE
WOODSTOVE
PLUMBING D
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY P C PR SU PERMIT VALIDATION
E - CASH CK MO TOTAL
MASON COUNTY
P.O. BOX 186 Shelton,Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT—Complete ALL items. Mark boxes where applicable.
Name Mailing address—Number,street,city,and State Zip code Tel.No.
,. Da-" LaTcn,B 4 U.64 C111 it ,fvi1 iV
Owner
z.
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signature of applicant Address Application d e
C C l 7(// r 1jew t4"- 3
LEGAL DESCRIPTION
Location ( /
Of MaLjA/s)A il/ J/�f of F L/G T Z b
i
Bu lding
NO.. PLUMBING FIXTURES FEE
WATER CLOSETS '0
BASINS �.
00
BATH TUBS
SHOWERS .
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer i
DISH WASHER
DISPOSAL
URINAL
\ (Show Street Names & Property Lines)
C- INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
A v Permit fee Date pemit Isaued Permit number Receipt No.
-ZZr 7
$ 9, oQ �,ZZ