HomeMy WebLinkAboutBLD23189 Garage Change of Use - BLD Permit / Conditions - 1/3/1989 as 1a?
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Shorelines: Plumbing:
Setback: Mechanics :
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Foot in Remarks:
g Setback: Z'V A9L" '0
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Foundation ��� F` -a"g-z4
Walls: -��A.�r �' �r�°�.� ,�sa u s�•,,,to
Framing:
Fireplace:
Wood Stove:
TYPE CHANGE OF USE
Permit No. 23189 No. Floors Sq Ftg 402
Owner GRA tan Te1�-Lb91 Date,_--T--S=
Address E 20 S rin wood Ct Shelton zip
Contractor
Address E 1650 Shelton Sprin Rd Shelton zip
Legal Description S rin wood Lot 1
Direction to project site N on 101 to e ton Springs-Rd.
urn r . toSpringwood Ct Turn left, house is on ri hi on
corner. .
Plumbing X Mechanical X Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
Convert garage into bathroom, utility room, living room
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO. 522s5�0 J
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER snir b
DIRECTIONS _G! /
TO JOB SITE G GTE i k
AFT IS 00 dl-CdX�j
PARCEL LEGAL
NUMBER ��� - _� DESCR. S'�D� �� ICJ 0 0 ��'
NAME MAILADDRESS CITYBSTATE N PH�� �CONTRACTOR � �� �00
rjo
USE OF L
BUILDING `fg/>
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
WORK DESCRIBE 0!!�D�)v 0 / 00
G.-J 1J6 w
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES _ 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 SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS FIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY HAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRAT N LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE NTS 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 CONF RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THERE 'T NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINI APPROVAL FROM HE BUILDING DEPARTMENT. APPROV FROM THE DING DEPARTMENT.
W E DATE „®__� X BY DATE/
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION �f `
YES NO YES NO
HEALTH 4111c PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT - �
D.O.T. BUILDING PLAN CHECK _v
SPECIAL
^CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
�l PLUMBING
MECHANICAL Q
,STATE BUILDING FEE <'
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS,,HECK BY APPROVED FOR ISSUANCE FPERMITVALICATIQNBY l.*�`�f . ASH K MO TOTAL / �
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427.9670 DATE ISSUED
PERMIT NO.
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE
LEGAL
DESCR.
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS y FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER AIR HANDLING UNITS 7.50
SINKS HEAT-PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT t5' �e
LAUNDRY TRAYS WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISH WASHER
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL ISM TOTAL /e. 12-'-'
SPECIAL CONDITIONS: - NOTICE: 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 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 WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE X BY DATE_
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PZ,4NSPHECK BY /, TB)UILDING?GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
(/f/`J,u �'!�°�-- -J BY 4U1< I'R -zr/vr CASH CK MO
PLOT PLAN
ADDRESS PERMIT NO. 0 o
z �
n >.
� o
LEGAL
DESCRIPTION LOT BLK 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 GRAPH SQUARES ARE 5' X 5' OR 1"=20'
� I
LT
LEH
I I
� 1 1
( 1
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. L.' '
NAMES) OR OWNER($) OF SITE 6 STRUCTUREIS) (PRINT) OF OWNERIS4.. 1RIZED REP ESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE