HomeMy WebLinkAboutBLD90-25966 GARAGE - BLD Permit / Conditions - 6/20/1990 jp
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Shorelines: Plunbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile ome:
Smoke Detector:
Remarks: r z -r
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
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TYPE GARAGE
Permit No. 25966 No. Floors Sq Ftg 528
Owner BFNSFII Tel g2h_�R7 Date
Address F 91 park RBI Shaltnn Zip
Contractor
Address E 21_21 Gra$eviAw Lem RU ip
Legal Description
Direction to project site turn right on road next to
Southern Baptist Church past the h ' h school then left
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck image 528 arport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHING'TON 98584 r�
427-9670 DATE ISSUED
PERMIT NOQf--!�rIL
NAME MAILADDRESS f� ii rr G Y&STATE ZIP PHONE
OWNER �, a C, `�✓ �lcX. �tef�`oh S Y//��
DIRECTIONS Ad. it tv S0 4e-&, ff>t C-4 tit�L f'�.sr
TO JOB SITE /� �,' �t' / iv ti r �n
tot n�. 4 S ck ov file-i1 -tou.^ 119let oh SS. �� �(
PARCEL y - LEGAL
NUMBER / A01 �-.S 'DO oa DESCR. .� �. r a�N. R y wi M ►.� .�
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR G � S ,
`ty., H o� �� �. �1`1� �'�. i -•, v, e.,,. t��. I:S'c5�6 - 27S
USE OF /
BUILDING - ltr'rt L' k�^ rfi:��l s +`
CLASS OF NEW ADDITION �' ALTERATION REP IR MOVE REMOVE
WORK I i I
DESCRIBE �1
WORK K,ItC CA.'^ (�q�^ � W,� ./ot.+k
BEDROOMS DECKS YOR N CARPORT NOTICE
TOTAL SQ.FT.
DECK SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. OTAGSQ.FT. CONDITIONING.
NO.OF STORIES BASEMENT Y OR N
e THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
LIVING AREA BASEMENT COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.FT. TOTAL SQ.FT. CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT_ FIREPLACE ATTACHED
SEASONAL SHORELINE DETACHED
OWNERS AFFIDAVIT 5�" 1 CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQQUIREMENTS 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.
X OWNER DATE X BY DATE S' 31-
FOR OFFICE USE ONLY
DEPARTMENT Y APPROVEDJo DEPARTMENT YES
ENo BUILDING VALUATION
1�.
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT D ��
0
D.O.T. BUILDING PLAN CHECK
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SPECIAL CONDITIONS BUILDING GROUP 114— PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLIOATION ACCEPTED BY PLANS C,t4ECK BY APPROVED FOR ISSUANCE PERMIT VALIDATIbN
TOTAL
G-��'� '• , -!a r BYzyz- CASH CK MO �
PLOT PLAN
ADDRESSRMIT NO, c
4 0
_ •
LEGALrwoo R y M
7 '
DESCRIPTION LOT BLK �l1DDITION 77 At�'
SITE AREA-1 Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS_ Sq.Ft. N't
INSTRUCTIONS TO APPLICANT' '
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCA' OF NOT LESS THAN 1"-20' ARE S`
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) .�
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN HE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW SUIL DING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST F OR EEWLEVATION, STREET ELEVA-
TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WAT SER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE O EACH BUILDING AND MAJOR POR-
TION THEREOF.
INDICATE NORTH IN CIRCLE �RAPH SQUARES ARE 5' X 5' OR 1"=20'
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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.
Mh� 4- MP S. 13
NAME(a) OF OWNER(S) OF SITE 6 STRUCTURE(!) (PRINT) 13 GNA RE OF OVYNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
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