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Home My WebLink AboutBLD24351 Garage/Carport - BLD Permit / Conditions - 8/30/1989 �aa�5 5a (5a003 Shorelines: Plumbing: Setback: Mechanical: Special Interior: Conditions: FINAL: glob i le Home: Smoke Detector: Remarks: Footing: Setback: Foundation Walls: Fr aning: Fireplace: Wood Stove: TYPE GARAGE/CARPORT Permit No. 24351 No. Floors Sq Ftg Owner James L. HACKMAN Tel 898_2976 Date g_S0_89 Address E 40 Merrimount Union Zip gRrq2 Contractor Merle M. Nortensen Address SE 2001 Lynch Shelton Zip gg�2d Legal Description _Merrimonnt Rlk 2 SW go' TrS Tr 4 -i Direction to project site 2_6 mi1PS PaS of GidPrhrruik turn right at "t" to SPrnnd house un private drivA Plumbing chanical 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 426-5593 DATE ISSUED f��1J� PERMIT NO. r1�7' - �/ OWNER NAME �/ MAILADDRESS CITY&STATE ZIP PHONE i es /lef i .E•S/0Al lv-lmc,<<� � K 7 DIRECTIONS ISTEo OBI err• m,/es 1'co� dr G� o u !od - ,ar �^/ �f T 1 ec�:r Races on rX,ri�r e• ds ire . PARCEL LEGAL 90 i R3� -7-V 91 4r cC� NUMBER 5 2;2, x o v3 DESCR. p-jC Ao �* 'G O1� f� NAME MAIL ADDRESS CI &STATE LICENSE NO. ZIP PHONE CONTRACTOR // USE OF ` 4 E I ►L-CJ� BUILDING CLASS OF NEW I/ ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK hue I?emt Qf"Q iK 10 �>e iax y� BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTALSQ.FT. GARAGE v CONDITIONING. NO.OF STORI ES BASEM ENT 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 y ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMM ENCED. PERMANENT SHORELINE SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT V'I IFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF STRIATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE UIREMENTS 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 MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTA NG A PROVAL FROM THE B I N DEPA TMENT. p APPROVAL FROM THE BUILDING DEPARTMENT, X OW DATE E1"/� Y X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES NO YES NO HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT � � D.O.T. BUILDING PLAN CHECK O� SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION �+ f �✓ ,^, ° SHORELINE WOODSTOVE PLUMBING X �'�5�.?- MECHANICAL STATE BUILDING FEE q 6 2, STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION ff LL TOTAL 9-y-Icir �� f CASH CK MO PLOT PLAN ADDRESS I ,M CUZZI)t 1i1/i¢ gS PERMIT NO. /4er1-1inv.t,y1 t3/K •2 .fir✓ SO '7,- 3, -77 V �;t'C' W/ s ° LEGAL O 1r S 740 -r- Nh 3o o'tic-.5- 1sxc W/9 lor'!grc Tit ;4 i DESCRIPTION LOT BLK ADDITION 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 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. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' r a .- r ar r S C i rs u c � 1G� T / �ti tl Tel I/We certify that the proposed construction will conform to the dimensiMs and uses shown above and that no changes will be made without v first obtaining approal. NAME(S) OF OWNER(S) OF SITE s STRUCTJRE(S) (PRINT) I ATURE OF OWNER(S) OR AUT ED REP E N ATIVE DO NOT WRITE 91d W TN/S LINE M APPROVED DISTRICT AS NOTED DATE