HomeMy WebLinkAboutBLD26155 Garage - BLD Permit / Conditions - 7/13/1990 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL: ,2 w!� g-11-210
Mobile Home:
Smoke Detector:
Ranar !r/vz
Footing: A y.IX 7-/3 9G
Setback:
Foundation 94/7s-
Walls: —"
Framing: 4yQ,---
Fireplace:
Wood Stove:
TYPE GARAGF
Permit No. 2h1r,� No. Floors Sq Ftg 76g
Owner FASSIn nALF Tel S9R_2nRn Date 7_1.�-9n
Address F 201 STrure st Uni.nn Zip
Contractor
plf
Address Zip
Legal Description ,
32-22- Try of NI;; SW.
Direction to project site West no 5th St tak, L at Hoinn
thQ left
Plumbing Mechanical ewer Wood Stove
Fireplace Deck ra age arport
Basement Loft Other
r
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427.9670 DATE ISSUED /
PERMIT NO.
AME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER o °IgSQ $�1 3 ao
DIRECTIONS
TO JOB SITE - • L
PARCEL v2�3,3�1 3a LEGAL y
NUMBER pLr C b DESCR. T `p
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE
BUILDING 12
CLASS OF NEW ` / ADD ION ALTERATION REPAIR MOVE REMOVE
WORK ✓ v
DESCRIBE
WORK
BEDROOMS DECKS YOR N CARPORT NOTICE
TOTAL SO.FT.
DECK GARAGE �1 ' n SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. TOTAL SQ.FT. CONDITIONING.
NO.OF STORIES 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 FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT FIREPLACE ATTACHED
SEASONAL SHORELINE DETACHED
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I C TIFFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
R ISTRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
QUIREMENTS 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
CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
STAINING APPROVAL FROM THE BUILDING DEPARTMENT. y !J APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE / L d X BY _ DATE
FOR OFFICE USE ONLY
DEPARTMENT YES APPROVED
JO DEPARTMENT YES No
BUILDING VALUATION Ql
HEALTH PUBLIC WORKS FEE
PLANNING �;� ` FIRE BUILDING PERMIT Z_z'
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDINGGROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY NS CHECK BY ED O ISSUANCE PU PERMIT VALIDATION
MO TOTAL
B CASH CK
PLOT PLAN
ADDRESS U/vIDN �R• 7 ���1 a� PERMIT NO. 0 o
TR OF G PL/I RR/L�OM ADMIT Ion/ NtGN sry '
VA �t
LEGAL
DESCRIPTION N�2 SW LOTS a AtJb 3 BLK a�f ADDITION �i✓!mN Cary
Lo�s �-a•3�� d �
SITE AREA 7t09 Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS a57o Sq. Ft.
INSTRUCTIONS TO APPLICANTS O
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.) v,
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF U
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. v�
• 1
ZE
C
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
Vf
SURVE-Y LINE "{�'Al Y 0
V Ot
r U
0
zg �
D
Z _
O
-- cQ 1
C
Z
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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. Sf R UA ,C j77
bA LE rt)55/c) A41IA4 '
NAME(S) OF OWNER(a) OF 317E a STRUCTURE(S) (PRINT) itGNA TUR OF OWNERIS) OR AUTHORIZED REP ESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE