HomeMy WebLinkAboutBLD20391 Garage - BLD Permit / Conditions - 6/10/1987 Shorelines: ,//f Plumbing:
Setback: Mechanical :
Special Interior:
Conditions: FINAL:
Mobile- Home:
Smoke Detector:
Remarks:
0o ing: 6/ -
Setback:
Foundation
Walls:
Framing:
Fireplace: L L
Wood Stove: r%A-rE RV L
TYPE GARAGE
Permit No. 20391 No. Floors 1 Sq Ftg 768
Owner STAIRS, M. Tel 898-2442 Date 6-10-87
Address E 231 Main St Union Zip
Contractor Self
Address zip
Legal Description Hood Canal L & I Co, B1.19 Lots 4 & 5
Direction t0 project site On corner of 4th & Main St
in Union. Gray house.
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage -arport
Basement Loft Other
23x32
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED 4�- «-,ZZ
PERMIT NO.522Q�2 9�
NAME t MAILADDRESS CITY&STATE, ZIP PHONE
OWNER 7_ S 12 3/ 1-t7 Sr AIOAl u) � a a i<ya
DIRECTIONS (f 'TO JOB SITE � oY er DT d MkI ►1 S� � h Uh10h �rU �uSe-
PARCEL 3�.t y a so��sr� LEGAL L{i✓/a-;� o0d Cfjf/ff �t}/V 1►- jM p• �O .
NUMBER +t7 DESCR. a y.
NAME MAILADDRESS CITYS STATE LICENSE NO. ZIP PHONE
CONTRACTOR S� f
USE OF U
BUILDING 1� l )( �� �u Q
CLASS OF WORK r NEW x ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE WORK COV% S4` LJ +iew 1-yy, 3'1, Guru Dh Iq c-cl e S14 e
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES __L 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. ILK FIREPLACE DETACHED ABANDONED FOR A PERIODOF 180 DAYS AT ANYTIME AFTERWORK IS COMMENCED.
PERMANENT SHORELINE
rf
SEASONAL
OWNERSAFFIDAVIT 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
REGIS ATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQU EMENTS 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 C NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
BT O NING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X JWNER AA DATE (/J - o X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES NO
NO DEPARTMENT YES No
BUILDING VALUATION C C'
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK T S-
SPECIAL CONDITIONS BUILDING GROUP - PRE-INSPECTION
io
- m k 5/fry* t SHORELINE
A - C WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
AP LIC I0,NAGCfPTEDBY NS CH,ECn BY APPROVED FOR ISSUANCE I PERMIT VALIDATION
BY jr CASH CK MO TOTAL ��Q�
PLOT PLAN
ADDRESS —�` } ��f�11 L �� zd/V/0'y W 8 PERMIT NO o
S o
f`LEGAL
z o
,tom o
DESCRIPTION LOT 4 BLK 19 ADDITION Nd 1F, I M '� � O "u
R�
SITE AREA ��`� Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft.
INSTRUCTIONS TO APPLICANT
v3 �
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.) ` J
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- zz
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'
O-
AA I it r
ti
r
1
rt
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I/We certify that the proposed construction will conform to the dimensiolns and uses shown above and that no changes will be made without
first obtaining approval.
r r
,t1 'ST�1RJ
N AME(SI OF OWN ER(S) OF SITE 0 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE