HomeMy WebLinkAboutBLD87-21188 GARAGE - BLD Permit / Conditions - 11/12/1987 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
noting:
Setback:,L �� l
Foundation
Walls: e/—
Framing:
Fir(.--place:
Wood Stove:
TYPE GARAGE
Permit No. 21188 No. Floors Sq F g 910
Owner COLEMAN, Donna Tel 426-9372 Date 11-12-87
Address W 3961 Dayton Airport Rd Shelton Zip
Contractor Self
Address Zip
Legal Description Tr 5-6 12-13 Survey - -
Direction to project site 2nd house on left ast
Correction Center
Plumbing x Mechanical Sewer Woodl,Stove
Fireplace Deck Garage 910 Carport
Basement Loft Other
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BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGT N 98584
427-9670 DATE ISSUED
PERMIT NO. I/��
NAME MAILADDRESS CI &STATE ZIP PHONE
OWNER �i' W -3 7� s
DIRECTIONS
TO JOB SITE
PARCEL LEGAL
NUMBER �`� 0d 9, ca0, DESCR. T S S, f o i�;'�: 3
NAME ILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF /
BUILDINGS
CLASS OF NEW �, ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMjTS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE r ��' 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 ANYTIME 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
REGIORATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REOLAREMENTS 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 ($ONFORMANCE 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.
t
N WNER 10on ,tA c t` 7 ,ram..,,- DATE X BY DATE
��l FOR OFFICE USE ONLY
APPROVED APPROVED BUILDING VALUATION
DEPARTMENT YES No DEPARTMENT YES NO / G.
HEALTH PUBLIC WORKS FEE
PLANNING FIRE
BUILDING PERMIT
c e
D.O.T. BUILDING PLAN CHECK a5 a
SPECIAL CONDITIONS BUILDINGGROUP A4-- PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING Cad
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
°PLICATION ACCEPTED BY PLANS CH-pK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL J
)`.,Z,.;.�=—c BY �f CASH CK MO
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL S RVICES
P.O. BOX 186 SHELTON, WASHINGT N 98584
426-5593 DATE ISSUED
PERMIT NO.
CITY&STATE PHONE
MAIL
NAME ADDRESS ZIP
OWNER p S�ja f�. Gtt� y `1 QG
DIRECTIONS p f�
TO JOB SITE
d-
LEGAL r j
DESCR. � ✓ � � °2 '� '' LICENSE NO. ZIP PHONE
NAME MAIL ADDRESS CITY&STATE
CONTRACTOR
USE OF
BUILDING w�/ v��e�'La�11rr-rr
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS , c r FORC D-AIR/GRAVITY TYPE FURNACE 6.00
/ , " K
I SUSPENDED FURNACE 6.00
BASINS
BATHTUBS /COMPRESSOR 6.00
/ R I ALTERATION 6.00
SHOWERS �'WATER HEATERS GERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER
AIR HANDLING UNITS 7.50
SINKS H EAT-PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT FAN SYS.3.00 PER UNIT
WOO STOVES 5.00
LAU N DRY TRAYS
5.00
CONNECT TO CITY SEWER
WOO FURNACE
DISHWASHER
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL TOTAL
SPECIAL CONDITIONS: NOTICE: HIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED O ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED.
OWNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED
THE CONTRACT OR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE
COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL
WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT DONE ILL BE IN NIN CONFORMANCE
THEREWITH.
N DEPARTMENT.
CHANGES
SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OW N ER,E,rn&,--& (&I „ DATE X BY DATE
_
FOR OFFICE USE I,ON LY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
gy CASH CK MO
PLOT PLAN
PERMIT NO. a °
ADDRESS G:I /r_ 1j s
P >
7 O
B
LEGAL T�s 5
DESCRIPTION Clf' LOT BLK ADDITION
�j r�'S Sq.Ft.
SITE AREA✓7A C.Sq• Ft. AREA OF SITE OCCUPIED BY BUILDINGS
INSTRUCTIONS TO APPLICANT
THS F LIED WITH PERMIT M NEED OAPPLICATION.T BE USED H(EACH BUILDING SITE EN PLOT PLANS WMUST HAVE A SEPARATE PLOT PLAN.)j0N TO SCALE OF NOT LESS THAN ' ARE
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN 1HE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUIL DING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FL OR ELEVATION, STREET ELEVA-
TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATE 1, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF ACH BUILDING AND MAJOR POR-
TION THEREOF,
3
INDICATE NORTH IN CIRCLE
J APH SQUARES ARE 5' X 5' OR 1"=20'
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I/We certify that the proposed construction will conform to the dlmensicIns and uses shown above and that no changes will be made without
first obtaining approval.
AME(al OF OWN ER(31 OF 317E a 3T RUCTURE(il (PRINT) IGNATURE OF: WNER(3) OR AU TFiORIZED REPRESENTATIVE
DO NOT WROTE BELOW THIS LINE
APPROVED DATE
DISTRICT AS NOTED
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