HomeMy WebLinkAboutBLD28708 Garage - BLD Permit / Conditions - 7/30/1991 3a�L.3y-51 0
Shorelines: Plumbing:
Setback: Mechanica �✓Lk
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks.
Footing:(1)
Setback: -
Found at ioh7,-
Walls:
g 0
Framin a ll �
Fireplace: Age
Wood Stove:
TYPE GARAGE
Permit No. 28708 No. Floors Sq Ftg 624
Owner Paul Board Te1898-2640 Date7/30/91
Address Mt Elmore Ct. 461 Union Zip
Contractor Jack Frost
Address Zip
Legal Description Lot 10 OIXMDic Vista
Direction to projecr STLe - 7110 m;lP =ast Alrlarhrnnlr nn
Develonrient once T1r��'1�nrP ('t
Plumbing mechahical Sewer Wood ve
Fireplace Deck arage arport
Basement Loft Other
SETBACK DF—STRUCTL=OM SLOPE MUST COMPLY WITH CHAPTER
29 UBC OF SEC 2907.
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.
OWNER AME MAILADDRESS CITY&STATE ZIP PHONE
� a6 spa
DIRECTIONS
TO JOB SITE 711 p vje
A"�-
PAACEL LEGAL
j/
NUMBER DESCR.
CONTRACTOR
NAME M L ADDRESS CITY& ON_STATE ZIP PHE `r
/� - R a b'•�Tc..,`
USE OF N/
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK �_ l
61
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.O THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, 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 ATTACHED U DETACHE94
OWNERS AFFIDAVIT CON ACTORS 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.
X OWNER DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES APPROVEDJO DEPARTMENT YESPPROVED1O BUILDING VALUATION
I to
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT'& J
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
�J SHORELINE
aqj4rcj
WOODSTOVE
PLUMBING
MECHANICAL
._ STATE BUILDING FEE
i
APPLICATI N PTED BY PUNSCHECK P ED PERMIT
VALIDATION_qj
JAP
Y SH
TOTAL
,qo B
I
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SH ELTON, WASH I NGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER y� D
DIRECTIONS
TO JOB SITE
PARCEL LEGAL
NUMBER DESCR.
Indicate below: O Property lines and dimensions.
O Easements and roads.
O Septic, drainfield and reserve area, or sewer.
O Septic tank and drainfield setback distances from foundations.
O Location of proposed construction on property.
0 O Building & septic system setback distances from all property lines& easements.
Indicate North O Well and water line.
In Circle O Saltwater, lakes, rivers, streams, wetlands, drainage.
O Attach copy of septic system as built or septic permit approval.
O Indicate topography profile of property and structure on reverse side.
y
G
l
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.
SIGNATURE 0 OWN R(S)OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS L
APPROVED
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE
I �