HomeMy WebLinkAboutBLD29977 Garage - BLD Permit / Conditions - 6/9/2016 uu�ia.iuiw. Aiuiuuuir'.
Setback: _ Mechanical:
Special Interior:
Conditions: Final:
Mobile Home:
Smoke Detector:
Remarks:
Footing: <
Setback:
Foundation
Walls:
Framing:
Fireplace:
Woodstove:
AREA- #2 - KR ATNT, TVPF.- !`_AR AV-V
Owner: TOEBE REBECCA Tel: 426-2179 Date: 02-24- 2
9
Address: 6151 SHELTON-MATLOCK RD, SHELTON
Permit #: 29977 Floors: 1 Sq Ft: 1440
Contractor: SELF
Phone:
Legal Description: 17-20-4 SE SE
Direction to fob site: 6 MILES OUT SHELTON-MATLOCK RD ON
THE LEFT SIDE OF ROAD TO 6151 SHELTON-MATLOCK RD.
Plumbing Mechanical Woodstove
Fireplace Deck Garage
Carport Basement Loft
Conditions: NONE
BUILDING PERMIT APPLICATiou
I MASON COUNTY
r DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427.9670 DATE ISSUED
PERMIT NO.
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
R c c C'_ -b S N(4kac ke6 . 5ko-l4eyl 9 Ll
DIRECTIONS 05 r �L --a.►-79
TO JOB SITE
PARCEL LEGAL
NUMBER LlaO11 44 0 00 0(--'1 DESCR. c >c
CONTRACTOR NA/ MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING COL.r(A-
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS DECKS YO CARPORT NOTICE
TOTAL SO.FT.
BATHROOMS DECK GARAGE SEPARATE
PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
TOTAL SO.FT. TOTAL SQ. CONDITIONING.
NO.OF STORIES C--- BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
LIVING AREA BASEMENT COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.FT. TOTAL SO.FT. CHECK ONE ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT FIREPLACE ATTACHED
SEASONAL SHORELINE DETACHED
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. l APPROVAL FROM THE BUILDING DEPARTMENT,
XOWNEk 440 DATE CC, `� / I XBY DATE
FOR OFFICE USE ONLY
DEPARTMENT YEAPPROVEDJO DEPARTMENT YES DEPARTMENT
BUILDING VALUATION I
d
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT Qg'l
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP yx PRE-INSPECTION
AS ¢.v ; SHORELINE
WOODSTOVE
PLUMBING
�pp�f�WlfQlkllilON6PlE119E MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
AP ATION ACCEPTED Y PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
�� BY 4�W CASH CK MO I ��
PLOT PLAN
ADDRESSLJ �p I ILQ �� ►r4I-,C-k 1Z6 . �1\..Q ( b'y1 PERMIT NO. c
� o
PCk+-C�c I N 0. 4a o/"1 q y cc o0 o s
LEGAL
DESCRIPTION LOT BLK ADDITION ry
p
SITE AREA 31��CLCI€S --Ft. AREA OF SITE OCCUPIED BY BUILDINGS ���U Sq. Ft. In UI
INSTRUCTIONS TO APPLICANT
S
THIS FORM NEED NOT 8E USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE h
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. fi
r-
a
f
INDICATE NORTH IN CIRCLE GRAP-N 71,11
CILI ry
I
1 f 4S e I
I
rt
I
III _
I
ICI
R
I I -
i a
I
I/We certify that the proposed construction will conform to the dlrnansiOns and uses shown above and that no changes will be made without
first obtaining approval.
�I
J ,
N AME(S1 F OWNER(!I OF SITE 6 STRUCTU (S) (PRINT) JIGNATURF OF OWNER(S) OR AUTHORIZED REO ESENTATIVE
DO NOT WRITE BELOW THIS LINE
.APPROVED
DISTRICT AS NOTED DATE