HomeMy WebLinkAboutBLD11385 Final Garage - BLD Permit / Conditions - 10/14/1981 Kinnaird, L. M. #11385
9-10-81
16-23-1 Tr. 4 NW NW
Approx 2 miles north of Belfair on Old
Hwy 2 story white house west side of road
Garage
$4,320.00
12316
��b
1
Shorelines: Ali(
Setback: e),<-
Sp6cial conditions:
Footing: p?rq ::2
Setback: 0/1--
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Exterior:
Interior:
Stop Work:
Remarks:
i
-�` BUILDING PERMIT APPLICATION
• MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 IZ-316 cvvo
' 426-5593
DATE ISSUED '/O O- a I
PERMIT NO. �l F-6
OWNER mNAK1rnnl) 6TI��DaSS X —STYBSTATE 1 j 27 `HONE
Y01/
DIRECTIONS }{ 1UC COI VUj
TO JOB SITE (nLles N oQA\ c� T)A-(o Q w a (l��L��,o,
LEGAL r� I� ` (FJ SEE ATTACHED SHEET)
DESCR. �, d•3" I 4 I v ki V vv
NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
� a c- a
Valuation of work: $ O-V PLAN CHECK FEE PERMIT FE�a
SPECIAL CONDITIONS:
BEDROOMS DECKS _— CARPORT C i NOTICE
BATHROOMS TOTAL SO. FT.--- GARAGE 4Q
ATTACHED f_! SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT a OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ 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 FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and 9 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 u
SEASONAL [] FLOODPLAIN ❑
Firm
E.D. NO. S.E.P.A. I
By Special Approvals IN OUT YES APPROVED NO
Lic. No._ Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT. 71a
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
APPLICATION ACCEPTED BY PLANS/CHECK BY APPROVED FOR ISSUANCE
Own Date 9 /C) / G A( lrC� Btiti�7!
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
PLOT PLAN
r�
ADDRESS -R � a ��JrRQ. � e O X /`1 PERMIT NO, F
0
r o
LEGAL n
DESCRIPTIO 1 LOT BLK ADDITION u
y N LU
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 A"'D 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.
E�'
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
FT
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.
NAMES) OF OWNERl3) OF SITE 6 3TRUCTURE(3) (PRINT) NATURE OF OWNERIS) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
CHCLTON PRINTIN3