HomeMy WebLinkAboutBLD29424 Garage - BLD Permit / Conditions - 10/28/1991 / p
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Shorelines: Plumbing:
Setback: Mechanical :
Special Interior:
Conditions: Final yzi ' �
Mobile Home:
Smoke Detector:
Remarks:
Footing: E: _m_ `6r C`r,..,Y�,Joaa
Setback: ,Z_/D
Foundation
Walls: Ql _,4`
Framing:
Fireplace:
Woodstove:
1 3
TYPE FabNakXi-aN/GARAGE
Permit No.29424 No. Floors Sq Ftg
Owner : Theo orc re Simmons Te1898-3063 Date20/28 9�
Address: E 260 Spruce Union Zip
ContractorWild Construction
Adress: 877--= Zip
Legal Description:32 22 3 Lots 13 thn, 16
Direction to job site: McReavv Rd, West on 5th, Tpft
on Union Com. Parka loft top nf hill , fnl 1 nca rnarT r.
E 260 sign by road
Plumbing Mechanical Woodstove
Fireplace Deck Garage Carport
Basement Loft Other
Conditions:
ks
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
OWNER U 'o.-, ti`1�;
DIRECTIONS
TO JOB SITE
PARCEL LEGAL _ nn
NUMBER •'1� C:� ( DESCR. dm (
NAME MAIL ADDRESS tITY R ST TE ZIP PHONE LICENSE NO.
CONTRACTOR '� - " .c
USE OF I L>L-)(*Cg n �
BUILDING "j�
WORK ✓
CLASS OF NEW j ADDITION ALTERATION REPAIR MOVE REMOVE
(l
DESCRIBE
WORK
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES�_ SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.RI THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS SgFt BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ; t ATTACHED O 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. APPROVAL FROM THE BUILDING DEPARTMENT.
7 �9
XOWNER lw�4 �� ATE 3 `29 ( � XBY 1 DATE Cj
FOR OFFICE USE O LY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION 014
YES NO YES NO 7U
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT 5o
D.O.T. L BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
s —TITper, - / � L T- SHORELINE
COMPLETE SEPTIC RECORDS NOT DOES NOT AFFECT THIS WOODSTOVE
PROJECT. MAY AFFECT FUTURE SALE OR —FINANCING. PLUMBING
C MECHANICAL
STATE BUILDING FEE
PLICATI N A PT PLANS CHECK BY APPROVED FOR ISSUANCE [PERMIT VALIDATION
�I• I� ' BY I�Z �� H CK MO TOTAL , _
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-ar^7n
PE�MIt VO.
NnmE Wit.;%00 E>; C1TYd STAra LIP PHONE-
O W N EF L�c9 t9'Q S� '�. b^� q 1a
e
OISEOTIcNs I Q+° �P 3° CcL3
I
701oa s,7=
i
PAFZCc_ �P 3� 3 sa�ee I�u,_O�u i ho 5 13 l ,
NUMSEP �Baaa3asZ�tevr� yEECA r
Indic;' 'ZelC,-,: r Prope-,, lin: dim -ens' s.
r
O Easements and roads.
O Septic, drainheld and reserve area, or sewer.
0 O Septic tank and drainfield setback distances from foundations.
O Location of proposed construction on property.
O Building & septic system setback distances from all property lines & easements.
Indicate North O Well and water line.
O Saltwater, lakes, rivers, streams, wetlands, drainage.
In Circle O Attach copy of septic system"as built- or septic permit approval.
O Indicate topography profile of property and structure on reverse side.
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TOPC&;APHY PgOFIL= OF PROPE.P T Y .AN0 LOCH T ION OF S i rR- UCTUR=
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