HomeMy WebLinkAboutBLD18976 Storage - BLD Permit / Conditions - 7/16/1986 TYPE STORAGE
Permit No. 18976 No. Floors Sq Ftg 420
Owner LEONARD. J. Kirk Tel 426-4658 Date 7-16-86
Address E 180 Springwood Dr. Shelton Zip
Contractor Self
Address Zip
Legal Description Springwood Lot 15
Direction to project site No, side e ton prangs
1/2 way between Island Lk. Rd & Hwy 101
Plumbing Mechanical Seer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
Shorelines: u bbi'N-
Setback: c ni
Special Interior•
Conditions: FINAL: / -i-o
Mobile Home:
Smoke Detector:
Remarks:
Footing .'L P .
Setback:
Foundation
Walls:
Framing: g, - igi2✓�
Fireplac
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO.
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER `T iLitzt4- LEOWAt2D L- 16,G 5P,21u • wuUD U(L 5NEt-r0fj WA `?b5V0- ItU- 4 6,5rd
DIRECTIONS (20
TO JOB SITE Yi Lmy B eTLu EzA.; ,Lj-L tZ D to v O
LEGAL
DESCR. L 15 S 2► K>
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR $ELF
USE OF
BUILDING C3 _ >3RtA c-,t=
CLASSOF NEW ADDITION X ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK k-ft�C14 DOLT" Pc-1 zZT To 1, wi�i_ HiWvi= '574N FF2.1)
-C R..f,0 r o I - 1' Cc>Aj e-, S L
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 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 THiT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATIOO 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 O DATE 7- -g�' X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES NoDEPARTMENT YES NoBUILDING VALUATION
3,7 a ,c��
HEALTH PUBLIC WORKS FEE
PLANNING -� f FIRE BUILDING PERMIT L L s
D.O.T. BUILDING PLAN CHECK
A -
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLI ATIO0CCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
GGG/ Jl �� TOTAL L��, o
BY CASH CK MO
PLOT PLAN
ADDRESS L-1 , I jo 5 PLi K.)&LLJoop DC?-, PERMIT NO. 0 o
io
19 D
A O
O
LEGAL
DESCRIPTION LOT 13 BLK ADDITION S,OIZ l A.JG Lk'0 0 u
SITE AREA-1 2- Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS d UO 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 A"ID 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 GRAPH SQUARES ARE 5' X 5' OR 1"=20'
I C-4 L �. k /{ C. _rl 1.1 ins i
w
0
14
tiw CG R v
F
' I
t2r Z5T 0
J
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.
T I�)2►� LF_o�14r2 it __
NAMEW OF OWNER(al OF SITE k STRUCTURE(S) (PRINT) GN TURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
t
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
SHELTON PRINTING