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Home My WebLink AboutBLD19022 Carport - BLD Permit / Conditions - 7/22/1986 TYPE CARPORT Permit No. 19022 No. Floors Sq Ftg 640 Owner CHEATHAM, Jerry L. Tel 898-2136 Date 7-22-86 Address E 280 Alderney St. Union Zip Contractor Self Address Zip Legal Description Grays Harbor & Railroad Addn to union Direction to project site City Lots 41 & 42 Plunbing Mechanical Sewer T,,,bod Stove Fireplace Deck Garage Carport 640 Basement Loft Other Shorelines: plumbing: Setback: Mechanic . Special Interior: Conditions: FINAL: Mobile Home: Smoke Detect -. 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 G 426-5593 DATE ISSUED PERMIT NO. zo!�G�S?? NAh&E MAILL DDRESS CITY&STATE ZIP PHONE OWNER /� DIRECTIONS TO JOB SITE x LEGAL DESCR. NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK DESCRIBE , WORK BEDROOMS DECKS CARPORT v6�d NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING. NO.OF STORIES 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 OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY T rAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATI N LAW RAM 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREM TS 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 CONF RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING O TAINI APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X NER X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION a C YES NO YES NO L HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT 5-6 D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP - Z PRE-INSPECTION SHORELINE PLANNING GAO 7 /7 /' PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE AP CATION ACCEPTED BY PLANS CHQCK BY C' APPROVED FOR DANCE PERMIT VALIDATION �W�f/ten/f,''/ > BY .�T��Lfy CASH CK MO TOTAL �� PLOT PLAN ADDRESS PERMIT NO. f o = a n > a o 0 LEGAL a n DESCRIPTION LOT BLK ADDITION u SITE 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 P"'D 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. 0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' ac �� ti c 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 OWNE S) OF SITE 6 STRUCTURE(S) (PRINT) 9IGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE 6HELTON PR;NTIN3 BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 DATE ISSUED PERMIT NO. OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE DIRECTIONS �/.v�o.v - ^� �f ,��tt� /71�iPc�►uy /� /. c1^.o�9 7� �s �, A"l �'f4-1 TO JOB SITE i..y'ifr�. /� � �e fig i.�r �.o%�r/ o .��oc.E e � � E f i••�• �. LEGAL (❑ SEE ATTACHED SHEET) DESCR. ^ � N NAME MAIL ADDR ti,d v Cl CITY&STATE J O _7 LICENSE NO. PHONE CONTRACTOR USE OF BUILDING O �(� Class of work: A NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ PLAN CHECK FEE PERMIT FEED <-•v SPECIAL CONDITIONS: APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division BY , Const. /q Group ze of Bldg. C No. of Max. (Total) Sq. Ft. /p Stories Occ. Load CONTRACTOR AFFIDAVIT PERMANENT SEASONAL E.D.NUMBER I certify that I am a currently registered contractor In RESIDENCE the State of Washington and I am aware Of the MOBILE HOME ordinance requirements regulating the work for which the permit is issued and all work done will be in Special Approvals Required Received Not Required conformance therewith. ZONING HEALTH DEPT. S Firm PUBLIC WORKS By ROAD DEPT. Lic. No. Date OWNERS AFFIDAVIT I certify that I am exempt from the requirements of the N O T I C E contract or registration law RCW 18.27, and am aware of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. which this permit is issued and that all work done will be in conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS mot/ S_� �� SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER Owner '" „ci /ems ,6�� WORK IS COMMENCED. 11 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH MASON COUNTY 426-5593 BUILDING DEPARTMENT N° 600 ALL PERSONS ARE HEREBY ORDERED TO AT ONCE STOP WORK 'al 0 / - ) ' Onthese Premises at ................_.........................__.......................................... ........................................ _..... ......................................................_....._................1l. !...................................................................... ........... ..........-............... . . . This order is issued because ....... .........._ .... ... ...... ... _..... ...i...._................. ....... ....._......................_. _. Posted � _. _.. _....................... 19 ........ By ..... /"" '' WARNING The failure to stop work, the resuming of work without permission from the Building Official, or the removal, mutilation, destruction or concealment of this Notice is punishable by fine and imprisonment.