HomeMy WebLinkAboutBLD26005 Garage - BLD Permit / Conditions - 6/25/1990 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:rA
Mobile cme: i
Smoke Detector:
I?7 41ON k) a ,* Remarks:
Footing:4-LAlt
Setback:
Foundation
Walls:
Np a
Framing: ey-77
Fireplace: o�
Wood Stove:
TYPE GAgA(-
Permit No. 2Cn05 No. Floors Sq Ftg 72n
Owner 11lAKAf•111RA� (;FnRrF (�n��el h4ti_gRr,� Date A_� gn
Address 5-
—11ni nn Zip qR ,q?
Contractor
Address �.N�lanrl flr Ilninn ip 9A�ig2
Legal Description plat Minn Ci t,v(,ra%s__Harhnr A H 'RR arlri
Direction to project site hl 2 lntc
Plumbing Mechanicaiewer Wood Stove
Fireplace Deck 7arage U_.ZTarport
Basement Loft Other
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BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUE
PERMIT NO. O�
NAME MAILADDRESS CITY SSTATE ZIP PHONE
OWNER
DIRECTIONS
TO JOB SITE
PARCEL LEGAL LATE tild C(Cy6�kYS ARt3bI, + (),Cq Wp , $LKa.
NUMBER ,1� _ -Q;�o3 " DESCR. O 3 _
NAME MAILADDRESS CITY 6 STATE LICENSE NO. ZIP PHONE
CONTRACTOR ��� 'Olt
�C 3:1's'
USE OF ,
BUILDING 4gpc
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK
BEDROOMS DECKS YOR N CARPORT NOTICE
TOTAL SO.FT.
DECK GARAGE -7 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. TOTAL SO.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 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.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 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. APPROVA ROM THE BUILDING DEPARTMENT.
X OWNER DATE X B DATE --9L
FOR OFFICE E ON LY
DEPARTMENT YESPPROVE NO DEPARTMENT YESPPROVEND BUILDING VALUATION l�
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT Z
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP �`tr PRE-INSPECTION
/ SHORELINE
G p re S WOODSTOVE
PLUMBING
AL of ) ) MECHANICAL
OR EXCEED LOCAL CODES. IF ANY STATE BUILDING FEE
QUESTIONS
OFFICE BEFORE CONSTRUCTION. STATE SURCHARGE
APPLICATION ACCEPTED BY I PLANS CHECK BY AP �VEDFOAISSUANCIE PERMIT VALIDATION (^///////�`2-Z-�=�'L} BYCASH CK MO TOTAL iilw O
PLOT PLAN
CRESS& 21.6' 41_PCP_j"cyS% O'U'OA). IL),4 / 7 PERMIT NO.
0
z •
n �
LEGAL '
DESCRIPTION LOT J '�J BLK e.>2 ADDITION 0L"1 _ K,lPPV5 f )t�8,n
517E AREA Sq. 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 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 _ RAPH SQUARES ARE 5' X 5' 0 1"=20'
10
to
i
t
I/We certify that the proposed construction will conform to the dinwnsiOns and uses shown above and that no changes will be made without
first obtaining approval.
NAME(S) OF OWNER($) OF SITE S STRUCTUREIS) (PRINT) (GNAT E O, WNERI ) O AU TMORIZED REP ESENTATIVE
DO NOT WRITE BELOW TH LINE
APPROVED
)ISTRICT AS NOTED DATE