HomeMy WebLinkAboutBLD11480 FirePlace, Storage, Deck, Porch - BLD Permit / Conditions - 9/28/1981 C1apsG1, A. 'M. #11480
9/28/81
Brook Point Tract, Tract #1 (Wm. J. Murphy,Jr.)
9.27 Miles from intersection of 101 & 106,
Water side.
Fire Place, Storage, Deck, Contractor
Porch Enclosure. Wayne's Woodcraft
$2,800.00 Wood Stove Permit
Shoreline Exemption
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls :
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:f ' r
Ston Work:
Mobile Home
Remarks:
BUILDINGPERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 9 v�/��
DATE ISSUED ,
PERMIT NO. If7 Fd
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
8' �it/� �,fi gsH 2 8'98 3s'78'
DIRECTIONS
TO JOB SITE s7 ,� few p C Gv,n7, SlD�
LEGAL (El SEE ATTACHED SHEET)
DESCR. ;rgpc,( Pomv— _ 44-T -- RGT Itj
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR a/ACY WCr _W �
F— S S �✓ lVA- �✓»4 w^?ca3 M �N W-�
USE OF
BUILDING 'e 4-5
Class of work: ❑ NEW ❑ ADDITION LTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
--
+ y L'q
Valuation of work: $ 8 oo PLAN CHECK FEE 1;� PERMIT FEE p
3�
SPECIAL CONDITIONS:
BEDROOMS I DECKS _— CAAPORT G NOTICE
BATHROOMS _ ITOTAL SO. FT._�?_ GARAGE []
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES JBASEMENTI; OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE 4-"' DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT [] SHORELINES C
S !/�CVGR�� SEASONAL I FLOODPLAIN ❑
Firm G (��►/e,f� E.D. NO. S.E.P.A. I
By jt,� / Special Approvals IN OUT YES APPROVED NO
Lic. No. Nf�� (� Chi 2U3/h Date 9%22 -�! ZONING
PLANNING DEP
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE L
contract or registration law RCW 18.27, and am aware BUILDING DEPT. v ? C>
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
A ICATION A EPT D BY PLANS CHECK BY APPROVED FOR ISSUANC'
Own Date 2 2 _e/ BY
a�
PUN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
PLOT PLAN
ADDRESS 'D r" PERMIT NO. 0
_ o
z
n s
LEGAL G(1 /1'l. J" /yiL'RPW 74, &A0011c polry; ��2x�c•Ts. r/1��� ,—
DESCRIPTION LOT BLK ADDITION a u
SITE AREA > P-20l G 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 A"ID 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'
d _
ee
147
DES 1t�,6 riL
A ,4P c^ — G: c
3
411
U �
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.
y
AME(S) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) I URE F OWN lS) OR AU HORIZED REP E S E N T A T I V E
DO NOT WRITE BELOW THIS LONE
APPROVED rJ'
DISTRICT AS NOTED J .7 DATE
6HC IT-N PRINTING
EXEMPTION FROM SHORELINE
MANAGEMENT ACT SUBSTANTIAL
DEVELOPMENT PERMIT REQUIREMENT
TO: 14, lc 92 1-61"1 , P c? 7->,,! SP 71 A✓
(name and address of he app- li anti
The proposal by X, 11-t_ rAn s,-, to undertake
(name of applicant ,p
the following development ct1ZPjb,s. 24, -5
(be specific)
upon the folowing property
( legal descripti n; .e., section to the
szzz Ali�v?v*
nearest quarter sec ion)
within /� � C4 and/or its associated
(name of water area)
wetlands is exempt from the requirement of a substantial development
permit because the development J4 -f -Z�
(identify exemptions as outlined in WAC 173-14-040)
(Corps Public Notice Number if available)
The proposed development is consistent or inconsistent with:
CHECK ONE
CONSISTENT INCONSISTENT
Policies of the Shoreline Management
Act.
/L The guidelines of the Department of
Ecology where no master program has
been finally approved or adopted by
the department.
The master program.
(date) ignature 0 Auth rize ocal Govern-
ment Official )
S E P 22 1981
REGIONAL PLANNING
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