HomeMy WebLinkAboutBLD21141 Deck - BLD Permit / Conditions - 11/2/1987 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile ome:
Smoke Detector:
Remarks.
noting:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove: i,��// �.f/ci/�L'✓/D 13 '
TYPE DECK
Permit No. 21141 No. Floors Sq Ftg 59�
Owner BROWN, Gary Tel 898-2877 Date 11-2-87
Address E 9110 Hwy 1U6 Union Zip
Contractor Self
Address Zip
Legal Description E 330' G.L.3 Tr 4 35-22-3 (Tr 1 S/P
Direction to project site 1532)
2 mi. E of Alderbrook Inn, 3 miW of TwanohSt Pk. Old
Casa de Canal restaurant site.
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 � "� f o 7
PERMIT NO. I
NAME �Z MAILADDRESS CITY SSTATE ZIP PHONE
OWNER
C� `t �J C l�� U u- ' Jr -2E3
DIRECTIONS (1
TO JOB SITE C L l�a N 3 +Q _S OF U-- ST, PRet,
oc_ c R M c c ' 6�s:3 fir. k36
PARCEL LEGA -MkCT \ Q! 3k Q T Sv3 NtStr3N Nt,, \Sii t2_ECCi2�Ep
N U M B E R• -�4 J �� � �n DESCR. .q \q.' L N. - U t No,
CONTRACTOR
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
ME,
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK r�l\ks-cmc r• k ,
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BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.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 SO.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 TAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRAT144N LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMEtTS 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 CONFO MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING• PPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X O N R, DATE 2 <'C_T 2L-l- I X By_ DATE
FOR OFFICE USE ONLY
DEPARTMENT YES
PPROVENo DEPARTMENT YES No
BUILDING VALUATION G
HEALTH PUBLIC WORKS
PLANNING kii'lc FIRE BUILDING PERMIT �f�
D.O.T. BUILDING PLAN CHECK �,?S
SPECIAL CONDITIONS Ile BUILDING GROUP PRE-INSPECTION
V�44QoZ �S � 6 � SHORELINE
ct1��� Q - O/Z /! z WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
j STATE SURCHARGE t�'
APPLICATION ACCEPTED BY PLANS CHECK Y APPROVED FOR ISSUANCE PERMIT VALIDATION
r� BY � l - CASH CK MO TOTAL
PLOT PLAN
ADDRESS (DN LQ A PERMIT NO.
a o
0
LEGAL
DESCRIPTION LOT BLK ADDITION
lJ
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft.
INSTRUCTIONS TO APPLICANT r
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.
a
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' Z
s 2
/ L
� I N
A •
I/We certify that the proposed construction will conform to the dimonsiot+s and uses shown above and that no changes will be made without
first obtaining approval.
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NAME(S) OF OWNER(S) OF SITE f STRUCTUREM (PRINT) SIGNATURE OC WN R(S) OR U HORIZED REP-.11,1ESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED ►� 1 DATE I'
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