HomeMy WebLinkAboutBLD92-0346 GARAGE - BLD Permit / Conditions - 6/9/1992 wo �
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CONCRETE MECHANICAL MOBILE HOME
Footings-Set ack �' PFR� J date by Ribbons
date Z— by ? A. Gas Piping date b
Foundation al date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date i& ) :2— by / 'L� %ro date by date by
( PLUMEIfNG Attic OTHER
Groundwork
date by date by
D W V WALLBOARD NAILING
u«.. by date by
Water Line FINAL INSPECTIpN r
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date by dat `; ( 2 by date by
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BUILDING PERMIT APPLICATION ON
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,W SHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER ME MAILADDRESS CITY&STATE IP PHONE
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4��`x►` ,15ra�l l7r k�In cs
DIRECTIONS
TO JOB SITE t � l�'U:I�FK• Y,� 1°�
PARCEL LEGAL
NUMBER ®® S"�' 4LYY� DESCR.
CONTRACTOR NAME , MAILADDRESS CITY&STATE ZIP PHONE LICENSE NO.
USE OF . 5'3
BUILDING
CLASS OF WORK MOVE NEW / ADDITION ALTERATION RE AIR `1 REMOVE
DESCRIBE
WORK Cc � _ - 0 4 r- ,(, U
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.O THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS SgFt BATHROOMS SEASONAL RES.❑ COMMENCED W THIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOI 3 A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE iYk SgFt ATTACHED O DETACHED)6
OWNERS AFFIDAVIT CONTRACTO S 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 rHEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT, APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER X BY :� _ DATE 5
FOR OFFICE UtIE N LY
DEPARTMENT APPROVED DEPARTMENT APPRO EID
YES No YES NO BUILDING VALUATI N
HEALTH Rio PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT Ll. 90
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP �. PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE b'�t
A PLI , ION ACCEPTED PLANS ICK APPR FOR ISSUANCE ][PER'MITVALIDATIC�N
Y/h 1 BY CAH CK MO TOTAL
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PLOT PLAN
ADDRESS �� l >C7 =c��Ce���Q > PERMIT NO.
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LEGAL l bm _
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DESCRIPTION UW1— LOT ,t X /i BILK ADDITION
SITE AREA 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 AND 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 3RAPH SQUARES ARE 5' X 5' OR 1"=20'
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first approval that tile Pi conrtruction will conform to tha dlmensioha and uses shown ab a and that no changes will be made without
N AME(al OF OWNER(S) OF SITE & STRUCTURE(S) ( RISY) IGNA TORE OF OW E IS1 OR AUTHORIZED RCPRVSENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT
AS NOTED ( 5-� � h
DATE rJZ.,'0 s/�