HomeMy WebLinkAboutCOM23159 Canopy - COM Application - 12/21/1988 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUEDr29-L-2/ Je��
PERMIT NO.S--;713f'
NAME MAILADDRESS CITY BSTATE ZIP PHONE
OWNER EXCEPTIONAL FORESTERS, Inc . Box 86, Shelton, WA 98584 4.26-0077
DIRECTIONS
TO JOB SITE Follow signs into Sanderson Field to Recycling
PARCEL 4' .`2L' 75 00010 LEGAL S2, Sect, 7wp2GN, R4- WWM, Mason County, Washington
NUMBER DESCR. _ _ ...
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR SELF
USEOF
BUILDING EXTENTION OF RECEIVING AREA COVER
CLASS OF NEW ADDITION X ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK 4 x 6 & 6 x 6 1 OSTS SET ON POURED Ili PLACE CONC. P!�;R,1: WITH -U SUPPORTS '
WITH 2 x 12 FRAME ROOF STRUCTURE COVERED WITH CORR. , METAL ROOFING
BEDROOMS DECKS CARPORT NOTICE ,
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. 680 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 THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM C RR TLY EGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM RE F T ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH T E IT SUED AND ALL WORK DONE WILL BE IN
IN CO FORMANCE THEREWITH, NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THERE ITH. C N ES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI ING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDI DEPARTMENT.
1) �/
X NER w DATE �'` // X BY_ DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING I FIRE BUILDING PERMITL .. ✓v
D.O.T. BUILDING 44 PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP �;A /Ibf1 j PRE-INSPECTION
I
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY 1 PLANS HECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
BY/./1,'= I .a�I CASH CK MO TOTAL �.� D/1
PLOT PLAN
ADDRESS SANDERSON FIELD, SHELTON, WASHINGTON PERMIT NO. °s
LEGAL 910 3.01 ACRES OF SZ, Sec 2, Twp 20N, R 4 W,W.M. MASON COUNTY WASHINGTON
DESCRIPTION LOT BLK ADDITION
SITE AREA 131,115 + Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 16 ,580 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'
�y
�l E 1ST v,; CAklopy
n ,
a
3Ij
S u T- R
.oeo SE oP AD n
7 �*
3y'
LIAP
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.
Port of Shelton
Exceptional Foresters, Inc.
NAME(S) OF OWNER(a) OF S1TE 6 STRUCTURE(S) (PRINT)__ (GNAT E AU THORI Fn REP ESEN TATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE