HomeMy WebLinkAboutBLD0542 Final Garage - BLD Permit / Conditions - 9/17/1987 Shorelines: 41,A Plumbing:
Setback: Mechanical :
Special Interior:
Conditions: FINAL:e,
Mobile Home:
Smoke Detector:
Remarks:
Foot ing:�
Setback:
Foundation
Walls:
Framing:
Fi'rei)I ace:
Wood Stove:
TYPE GARAGE
Permit No. 0542 No. Floors 1 Sq Ftg 384
Owner BYERLY, John Tel 275-6230 Date 6-9-87
Address P 0 Box 133 Belfair Zip
Contractor Self
Address Lip
Legal Description Tr 11 NW,NW 16-23-1
Direction to project site Westside of Old Belfair Hwy
3 miles North of Belfair
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck garage 384 -arport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED (&
PERMIT NO.
OWNER nA49PHONE
MAILADDRESS CITY ZIP
N elec, �S'Z 7S=6 2 D
DIRECTIONS
TO JOB SITE 01 /, j7eleclole Alw G g`S
Akaterh arLEGAL
DESCR. F Gt/ JV W O� W ` �w aZ 3 •••
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP >.
CONTRACTOR �"L F Of 9CeUSE OF
BUILDING /q /e 1'4 C= ✓ �O
CLASS K O✓ NEW �/ ADDITION ALTERATION REPAIR MOVEWOR REMS2VE- '"4�.
DESCRIBE
WORK
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 ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
i
I C TIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
RE STRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
RE IR1=, 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 U
N CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
O AINING APPROVAL
LFFROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X WN W Q 1(7, DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION eel
YES NO YES NO V
HEALTH )0 PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT L�
D.O.T. BUILDING PLAN CHECK �S
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLAN CH CK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
<< l BY / CASH CK MO U ��
PLOT PLAN
ADDRESS ZX I 3 5' L FI'4l ^ I Lxj )..I PERMIT NO o 0
r� : •
.o
LEGAL
DESCRIPTION LOT/VFW L04' BLK ADDITION
SITE AREA DDD Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft.
INSTRUCTIONS TO APPLICANT Q
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 J
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
V1
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' (�
„
k6
01,
Y�
133,5'
0 6�
2
I
I/We certify that the proposed construction will conform to the dimensions and uses shown above an changes will a made without
first obtaining approval.
LNAME(S) OF OWNER(SI OF SITE a STRUCTURE ) (PRINT) IGNA URE OF OWNER(S) O AUTy ORIZEO REPRESENTATIVE
DO NOT WRITE BELOW T LINE
.APPROVED
T AS NOTED DATE