HomeMy WebLinkAboutBLD89-24938 CARPORT - BLD Permit / Conditions - 12/18/1989 Plumbing:
Shorelines: Mechanica�—
Setback: Interior:
Special FINAL:
Conditions: Mobile Home:
Smoke Detector: �
Remarks:
FooFoo ng
Setback:
Foundation -
Walls:
Fireplace:
Wood Stove:
TYPE Cr•,RPORT
��9�8 No. Floors Sq F
tg
Permit No. at - -
Tel;g-52__�2 Da2 p 98584
Owner Shelton
Address Vtruction
Contractor ZIP
Address -20-4
Legal Description o ors on Ym
Direction TZ
to project site us o
-L. ers -mile. Proper y onr�g J
�mi cs Just North of cat Sewer Wo Fove
P un ing c anica — Car rt
Fireplace Deck Garage p°
soft Other
Basement —
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHING ON 98584
/
427-9670 DATE ISSUED
PERMIT NO. ti24
NAME MAILADDRESS I Y&STATE ZP PHONE
OWNER ��/�i �` x . : 5-
DIRECTIONS �� N•pr� Y
TO JOB SITE / U Ur / p G f �'f J� F�iCG�' /J nth N J�
(; �..° rid icy s fi ��P
PARCEL LEGAL ? �^ Z hc-
NUMBER `�ZvJZ modc) DESCR. GIr
NAME MAIL ADDRESS CITY&STATE LICENSE NO. 21P PHONE
CONTRACTOR g Lf � .ate �° ` n r6e. C cfc_5 �: �r� �Cvv ,cc/� � T 6 �7�i Zy
USE OF
BUILDING 4-'2l 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 TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORIES _ BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED W THIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTALSQ.FT. FIREPLACE DETACHED ABANDONEDFO A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OW RS AFFIDAVIT CONTRACT IRS AFFIDAVIT
RTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THA 'I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
GISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON A qD 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 FR ITK BUILDING DEP RTMENT.
4V49TE��
XOWNER DATE XBY I DA `
FOR OFFICE USE ONLY
DEPARTMENT YES PPROVENo DEPARTMENT YESPPR VEND BUILDING VALUATION
HEALTH ��r , PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING �� PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
-r OF hi'c- � �•-i,, SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY flyNSCHECKBY t'PRSQVED FQR ISSUANCE PERMIT VALIDA ION TOTAL
(,_ J 2— - 2 BY CASH CK MO
PLOT PLAN
ADDRESS 1.: 0 0 ® ERMIT NO. 0 o
R s
a o
0
LEGAL X.
DESCRIPTION LOT BLK DDITION a
SITE AREA 'f 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 rHE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUI DING,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 O z EACH BUILDING AND MAJOR POR-
TION THEREOF.
INDICATE NORTH IN CIRCLE
e
F'z� + p
Ir
rn e �
I/We certify that the proposed construction will conform to the dimensidns and uses shown sbove and that no changes will be made without
first obtaining approval.
NAMEW OF OWNERS) OF SITE b STRUCTURE(S) (PRINT) SIGNATURE OF NER ) OR AUTHORIZED RE E EN TATIV
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
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