HomeMy WebLinkAboutCOM21482 Receiving Area Cover - COM Application - 2/2/1988 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUE-�` �
PERMIT NO��-/ c:��
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
EXCEPTIONAL FORESTERS, Inc. Box 86 Shelton WA 98584 4.26-0077
TO IR OBSITE Follow signs into Sanderson Field to Recyling
PARCEL J' OQIJ/Q LE( t�4ie' S2,Sec2, Twp20N,. R4• WWM, Mason Cty Wash
NUMBER � q DE! -��-
NAME MAIL ADDRESS CITY&STATE LICENSE 0. ZIP PHONE
CONTRACTOR Self
USE OF
BUILDING Receiving area cover
WORK CLASS OF NEW X ADDITION ALTERATION REPAIR MOVE REMOVE
DWORK I
ESCRIBE 4x6 post set on pier block "U" supports with 2x12 frame roof structure
covered with corrfigated sheet metal roofing
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
TOTAL SQ.FT. 680 FIREPLACE COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIMEAFTERWORK IS COMMENCED.
PERMANENT _ SHORELINE
SEASONAL
OWNERSAFFIDAVIT CON TORSAFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I A URRENTLY REGISTERED CO CTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AW F THE ORDINA QUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT AND ALL WORK DONE WILL BE IN
IN NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO ES BE MADE WITHOUT FIRST OBTAINING
OBT INING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE B DEPARTMENT.
xc ptignal Forersters, Inc .
NE �L -.BATE 11-13-87 DATE
FOR OFFICE USE ONLY
APPROVED APPROVED -7 �)
DEPARTMENT YES No DEPARTMENT YES No BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT J
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP �� PRE-INSPECTION
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEEQ
STATE SURCHARGE
APPLICATION ACCEPTED BY CH Y P D FO S PERMIT VALIDATION
TOTAL 1-5
BY CASH CK MO
PLOT PLAN
ADDRESS SANDERSON FIELD, SHELTON, WASHINGTON PERMIT NO. °s
3.01 ACRES )F S2, Sec 2, Twp 20N R 4 W.W.M. MASON COUNTY, WASH.
LEGAL
DESCRIPTION LOT BLK ADDITION N
SITE AREA 131,115 p1U�%i Ft. AREA OF SITE OCCUPIED BY BUILDINGS 15,900• 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'
C V e
Z
rc
C di L
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 .
N AMri 131 OF OWNER(S) OF 317E STRUCTURE(SI (PRINTI IGNAT RE OF OWNERIS) OR AU TMORIZED REP EIENTATIVE
DON T WR BELOW TH/ LlNE
/; PI ROV
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--- MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Courthouse Annex 2 N. Fourth &W. Cedar
P.O. Box 186 Shelton, Washington 98584
(206) 426-5593
building environmental health maintenance parks&recreation planning sewer&water
January 14, 1988
Exceptional Foresters
P. O. Box 86
Shelton, Washington 98584
Re: . Storage Permit
Dear Customer:
Some time ago you made application through this-office to
obtain a building permit. Please be advised the -permit is
ready to be issued and can be called for at this time.
If you are unable to call in person, a check in the amount
of $ 114.75 can be sent to us and we will return your
permit by mail.
This permit becomes null- and void if not called for within
180 days of the date of application.
We hope to hear from you soon.
Sincerely,
Evelyn Fuller
Receptionist