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BLD0472 Porch - BLD Application - 5/5/1992
BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED[ W qz PERMIT NO.'✓- 1 OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE c ; UI S z s o DIRECTIOTO JOB SITE xy, -411c, PARCEL LEGAL NUMBER DESCR. NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO. CONTRACTOR USE OF BUILDING CLASS OF NEW ADDITION OX ALTERATION REPAIR MOVE REMOVE WORK r I j DESCRIBE _ WORK Po le Chl )'All]h 5 AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE ?QQSgFt STORIES SHORELINE❑ CONDITIONING. BASEMENT /f(1 SgFt BEDROOMS PRIMARY RESJ& THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS S Ft BATHROOMS COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR g SEASONAL RES.U ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE SgFt ATTACHED U DETACHED OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENTS 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE X BY- _ - DATE FOR OFFICE USE ONLY DEPARTMENT YES NoDEPARTMENT YES No BUILDING VALUATION { HEALTH PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP K j PRE-INSPECTION T,--41 � / SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE APPLICATION +CChh ED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION zG (� f l U BY' >��� / CASH CK MO TOTAL r_ BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SH ELTON, WASH I NGTON 98584 427-9670 DATE ISSUED PERMIT NO. NA MAIL ADDRESS CITY 8 STATE ZIP PHONE OWNER DIRECTIONS a.�c y✓ /r$S,t$ a275570 TO JOB SITE PARCEL LEGAL NUMBER ,y11ADESCR. S 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. In Circle O Saltwater, lakes, rivers, streams,wetlands, drainage. O Attach copy of septic system"as built' or septic permit approval O Indicate topography profile of property and structure on reverse side. r Rd Po Po Kc- S O f r v-� o_ R I Pk kr b Hv sc Q I/We certify that the proposed construction will conform to the dimensionAnd�ses 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 nicroi�T APPROVED MIR TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE 7 V\1' ' 12 a' El M�tJt q N7 o 0 -Z lel&A f /V X ly g -,) ,40d li -YL-1- 2,v r 1 W Y/v cy 1.7 :,,�_� 21� 97-51 -4 4" '.1 oy I e _q LI?Y W 57 .01 ol IT. wo 1 • rLE' , �. J 2X �oiq 5 foe r" . c A Ndl �-'-o o F rc"'A f T w a k[= o 1v 2 y '' c EN TES Ff" S � G` �ER oN go7To/vi 3 Ct(�l7T CFor S TJ Po5 T SET 6 To AFr,-r S � Q'�� •� t 5t AlAlF 2 o Ni f �o cc lei J $ 7 /O� X /.I "'A �, yi(y" (jonQY cvT To .C_h� ft Al i o akrca�di6cA toe S c�Po2T. © // ..Pi*NE fro,4et, To t-ovf," Yc,P Y,� Y Pa T fRCNt 0rc/r Tv o,7 d FL fT o �/ T o P R N al C o lV T I'Al46 N h-P Y w , Tf6 0 ti d 4 r' IItips" s � P Ry � RA rr i 57, N RDA TFOM X l PIT 9,1 R N! 'S k to Po/c 1./'� E 2 S T i l'%�/vE2 F o �' S►, `'Pa/ - .'1�s�► �) Hfk1F tvER I 1 � � _11C� � OvK� (✓ Sok1� , b sod b c� t� .-_ t-- C' _ a b �Lz :- _ � • . :�: Q 1 � 1 �I0o f i IN f; 5 N 7 J� �.r`J".4 i'/ y��.�,(�'^ 1�/C./, � .;�%?,;� j{y /�/ (/y 7�=j•,U � /�►..r��t�/� ro l '`• j:yt/i i.i f— �.s -.. ,', .J /'' / /i '�/ �ZAP r'IS/ /.�;r -:jr��''J. d�:�iw ✓. I` _ - / '� i Q MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W.Cedar P.O. Box 186 Shelton, Washington 98584 (206) 427-9670 building environmental health maintenance landfill parks&recreation fair/convention center planning sewer&water APRIL 20, 1992 Jim Bowen NE 3110 Old Belfair Hwy Belfair, WA 98528 RE: Permit application Dear Mr. Bowen, After a brief plan review, it has been determined that there are several areas in question regarding your proposed construction. Therefore, it will be necessary for you to meet with Dana Herron, Building Inspector, to clarify some of the detail given. Please contact Mr. Herron from 8:00am to 9 :00am, Monday through Friday. For your convenience, Mr. Herron can also make appointments to meet with you at the Belfair Substation office on Tuesday afternoons. Thank ou, T i Gri fey Building Departm CC: Property File Dana Herron, Building Inspector