HomeMy WebLinkAboutBLD27276 Addition - BLD Permit / Conditions - 12/24/1990 3
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Shorelines: Plumbing: �
Setback: Mechanical
Special Interior:
Conditions: FINAL:
Mobile arse:
Smoke Detector:
Remarks:
oot ing , _ _ -Zi_
Setback:
Foundation
Walls: _r
Framing:
Fireplace:
Wood Stove
TYPE - - - - - - - - -
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Permit No. 27276 No. Floors 2 Sq Ftg 240
Owner BLANUHARD, DUN Tel898-26 7 Date -
Address E 830 Beach Dr Union Zip
Contractor self
Address BLK 2 Zip
Legal Description Merrimount iracts S ' Tr 3 NE 30' #4
Direction to project site errimount r Hwy 106 2 mi
past Alderbrook Towards Belfair uphill on Merrimount Dr
R and L
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck tarage —7a port
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED Z
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3�1z �S'`-�o.� �� PERMIT NO. t-gq Z�l ( 00
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE 9
a� Y 2 " 830 r✓ ni a l� �592 26
DIRECTIONS r
TO JOB SITE ,E. j A2g
®w.q� s e/ )oz !/ h I l o n 1%gel /ryowv OW,
ARCEL LEGALL_f:+✓ 80 uF vT c J E 3o LoT At B/oc 2
NUMBER"(� Lo-r 8 DESCR. OLam f v - L� TS /oa -e S
NAME MAILADDRESS CITY SSTATE LICENSEN ZIP PHONE
CONTRACTOR pe,N i o9wce gee -S t7 /.3e�c-A(( 17e,
USE p i%[OA� I / ViKG A,pt/F dcn-rlq
BUILDING /� J �t°S!
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK
BEDROOMS DECKS CARPORT ✓ _ NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS_� TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.FT. ' FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT f SHORELINE
SEASONAL
JCOFORMANCE
FFIDAVIT CONTRACTORS AFFIDAVIT
IAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
R LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
RS 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
I THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT Y SPPROVENo DEPARTMENT YESPPROVEND BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT < 5 0
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
aA- SHORELINE
WOODSTOVE
�' PLUMBING
OR EXCEED LOCAL COM. IF ANl MECHANICAL
OFFICE BEFORE CONSTRUCTION. STATE BUILDING FEE " o
STATESURCHARGE
APPLICATION ACCEPTED BY I PLANS CHECK BY ROVED FOR ISSUANCE PERMIT VALIDATION L
- � , _ r r CASH CK MO TOTAL /b (/
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME AILADDRESS J CITY&STATE ZIP "f PHONE
OWNER o /4 n ChM on E83a 8P-ic4 Off. tlnie i Wv 9-! q2. :Z67
DIRECTIONS
TO JOB SITE �,H� r7A��rr 70✓/�✓ U�(, O(v 2 C / 6 ra��
o waao &&-*jr. G A r/l nn�O.P, i p rn Aj V- 7v rrl
PARCEL LU 0' 2t q I LEGAL k- $o "pF 'eorS--1 1* 2, NE o 40% ,e 2
NUMBER +Z DESCR. k4v fte di a GS 074 e :F 7
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.
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 tide.
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1 f%
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C X i s 7 i:ti'
X IS. 0
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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 OF OWNER(S)OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
1
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE