HomeMy WebLinkAboutBLD22121 Storage - BLD Permit / Conditions - 6/9/1988 33a3'5 - 31 - q0c)50
Shorelines: Plumbing:
Setback: Mechanical :
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation FERMI
Walls: NULL & V,0 ;RAMON
Framing: DATE By
Fireplace:
Wood Stove:
TYPE STORAGE
Permit No. 22121 No. Floors Sq Ftg egg
Owner BROWN, Donald Te1275-5080 Date 6-9-88
Address ort s ore Rd Be air Zip
Contractor Self
Address Zip
Legal Description Tr 5 G.L.6 35-22-3 (Tr D S/P 1126)
Direction to project site 12-4/10 miles out of Belfair on
Northshore Rd. Above address
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME- r� MAILADDRESS CITY&STATE ZIP PHON
OWNER /�� � < �_a_1 5a�i
DIRECTIONS
TO JOB SITE (� �`�l l ��5 C � �•�fll` C� � ..
PARCEL c LEGAL T"�_ DF Gc, �, ti,=: i (4-- �y',c `7, '.1
NUMBER �� Jzi~ 1_ l��C�� DESCR.
NAME MAILADDRESS CI TATE LICENSE NO. ZIP PHONE
IL-)CONTRACTOR
Le 4
�i r
USE OF
BUILDING vo il:
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE
WORK
"�"e- n It
�j )
BEDROOMS DECKS CARPORT 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 v ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE nj�-, �
SEASONAL
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 NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT NING ROVAL FROM THE BUI ING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X N 'b 611(TE � �`� X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION 7 c�
YES NO YES NO �
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING ,L/ PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP 7 PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
2�IF .2ig — 7 - MECHANICAL
STATE BUILDING FEES ,
STATE SURCHARGE
CCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION .i
CASH CK MO TOTAL
PLOT PLAN
ADDRESS ')_,J_ ,�, Nc' S�11ri�. fc c J�_\' �i C C�-���� PERMIT N0.
0
=LEGALs
DESCRIPTION D LO ��1�yBIt ADDITION
SITE AREA_1 . Ft. AREA OF SITE OCCUPIED BY BUILDINGS x ' y 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.)
J �l FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF l'
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
T % SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
jA TION AND SEWEkSERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOVt4,eCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
Y` INDICATE NOR `I JCIRCLE \,j GRAPH SQUARES AR 5' X 5' R 1"=20' �I
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I/We certify that the proposed construction will conform to the dlrt»nsidns and uses shown above and that no changes will be made without
first obtaining approval.
NAME(a) OF OWNER(a) OF a1TE • STRUCTURE(S) (PRINT) aIGN TUR OF OWNERl31 OR AU 771rWFPAESEIITATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
1
a �
5 , FROM E /�ST �
Ptz6-t ��Y Li NOTE: ►i'RE WARNING SYSTEM!;
a.:E 4 ALL
6
U F;u )ENT!AL BUIll DINGS
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