HomeMy WebLinkAboutBLD17571 Garage/Storage - BLD Permit / Conditions - 6/25/1985 WALP, Albert J. #17571
6-25-85
Tract 1 of W-1/2, NW-1/4, SW-1/4, SW-1/4 15-20-4
W 230 Carman Rd. Shelton 426-9019
Past 5 mile marker on Matlock Rd. , right turn 1/4 mile
yellow house on right.
Contractor
Self
Garage/Storage
$8,089.00 qZ D 1 j J3 O-DOv v
Shorelines: /J/%I
Setback: () i,/
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing: t"A-114�1G
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
PFRAAIT
D
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
' 2 426-5593
4Z015"33- DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
3, 110 d . r
DIRECTIONS
TO JOB SITE S ` I FVVC `
LEGAL AltL) C/, �/ ^J' (❑ SEE ATT C SHEET)
DESCR. � SGv Q`J //fZ 0 i
CONTRACTOR NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
USE OF
BUILDING 4 o t�
vz
Class of work: '� NEW ❑ A DITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Y e L
Valuation of work: $ PLAN CHECK FEE PERMIT FEE.—��
59
e.
SPECIAL CONDITIO .
BEDROOMS DECKS CARPORT ❑ _ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE PT' 7J
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT 31/G�s IZED 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
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the St a of Washington and I the
aware of the FOR OFFICE USE ONLY
ordina a requirements regulating the work for which
the p mit is issued and all work done will be in
conf mance therewith. PERMANENT 1-1 SHORELINES [J
SEASONAL ❑ FLOODPLAIN ❑
Firm
E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. N Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for » BUILDING DEPT. ' ✓
which this Piormit is issued and that all work done will ROAD ACCESS
i rm n therewith. MOTOR VEHICLE PERMIT"
Own Date APPLICATION ACCEPTED BY PLANS HECK BY APPROVED FOR ISSUANCE
LL—
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING
PLOT PLAN
ADDRESS tj, G' PERMIT NO. o
a o
LEGAL
DESCRIPTION LOT BLK ADDITION "
u
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 A"'D 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'
,J
r'
�c
I
r
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that changes will be made without
first obtaining approval.
NAME(S) OF OWNER(!) OF SITE 6 STRUCTURE(S) (PRINT) NA E,- OWN (S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE B LOW THIS'LINE
APPROVED
DISTRICT AS NOTED DATE
CHRISTMASTOWN PRINTING