HomeMy WebLinkAboutBLD19610 Garage - BLD Permit / Conditions - 11/24/1986 TYPE* GARLE
Permit No. 19610 No. Floors 1 Sq Ftg 308
Owner EVENSEN, J.C. Tel 275-6670 Date 11-24-86
Address E 3160 Hwy 302 Belfair Zip
Contractor Peninsula &st Control
Address Bel4air Zip
Legal Description Parcel S-1 2,SW
Direction to project site Turn up Sherwood Creek Rd
1/2 mile So of Allyn
Plumbing Me-chanical Sewer Wood Stove
Fireplace Deck Garage 308 Carport
Basement Loft Other
Shorelines: (r Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL* Off/ y 8 7
Mobile ome:
Smoke Detector:
Remarks:
Footing:
Setback: �_-
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO.
OWNER NAME MAILADDRESS ITY&STATE ZIP PHONE
). 3i& 3J�
DIRECTIONS
TO JOB SITE 6ecL- b u 40 1 2 r•, �t Scs Q -1� A/
LEGAL
N E AI DD SS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING C4U Lc.
CLASS OF WORK ✓ NEW ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ. 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 SQ.FT.- FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OW/NERFIDAVIT CONTRACTORS AFFIDAVIT
I CET I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGLAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQ OR WHICH THIS P IT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CE THEREWITH CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT LFROM THB DINGDEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
� S
X OWNER ��DATE rl (7 6 7 X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENO BUILDING VALUATION c'C'
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
y
D.O.T. BUILDING PLAN CHECK �r 5
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHFFCK BY APPROVE �F!OR ISSUANCE PERMIT VALIDATION i
C(.- -��1 BY P=✓L� CASH CK MO TOTAL C>
' PLOT PLAN
(7 �7
ADDRESS I �1 � C1LL1 I L / �/� PERMIT NO. F o
0
L.
/ � o
LEGAL
DESCRIPTI N _7� BILK ADDITION L "�
SITE A EA 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"ID SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL t
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
0 n
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
r
l \
5
1000
CC
.3
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.
NAME(S) OF OWNERS) OF SITE h STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
CHRISTMARTOWN PRINTIN(;