HomeMy WebLinkAboutBLD92-0337 Garage - BLD Permit / Conditions - 6/18/1992 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
UI It j J 4. 1s 1 N (.10 a * V 14 M 1"' V R I N"N 1,;i i I ON 427-9610
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J 0 ri 0,0 11 t N ci30 LAKE SURF OR LII.LIVAUP
111fNi SHFRNAN OFFICER * 877-6630
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Of HFOR z 0 BATH : 0 Typt A10001 RY 1141f RECEM IYPF A1100#f By OA)f RMIPT
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'TYPF OF CONST, I [,`k.P 1, AI f',.; . . s 0 PEEK m25 Ith 46118112 wn
OC COP . I UAD . . . . - 0 w1)1)j1"; jf)Vj71c1 . , sm 4.sf 1(.4 66/18192 --w?#
DWELL - UNITS . . . 0 PARKING SPACES..-, .0
IN S Pf,C T ION AREA 0 H 0 H F 1. .1 NE ?
SETBACK --- 10 1 I.F I P 1� tt U I 1 1,v c f.)m P Itt ti I 1 10441-
FRONr. 0 f t HAJH HV31NS . . . . . . 3 HI' . 0
P E A R 0 f t HAI H I U Wi 1 `; H11 0 f- i
SI(JE 1 0 f t $1-1014ERS . . . .. . . . . . . 0 1:UP N 0 0 K 81A 1 0 HP . t 0 M A It E—
S I"f ( �� c Nf"t. WATER HEATf.RS . 0 1--110N I 00i. R 10 0 0 0 14P , 0
S H R 1-1 N 1. 0 t'L ( LOtHES WASHERS 0 V Ukm 1 1. 00i, 0 x10 4 HP . r F9 TV Aft
AREA ----— FITCHEN '-,TNkc. . . . . . 0 HF- Al I'OMP . . . . . . 0
L01 I ZL FLOOR ORAINS . . . . . r ' " 0 VF NT ,, 1'c; r.VA P ( 00t FR, 0 1 FN61H ! 0
001 L DING 0 r,f DRINKING r0UNI 0 vt 14T I P,N 113 . . MIMI,, . , - . , 1 0 14101'ff 1 0
HA J:MENT 0*; f I.MINIM Y TRAY: . .. « .. . 0 OOMFS . JNI"INto — Vf? I A I
DE 0, 0 S f- Dl'iHWASHERS . a AIR HAw.)l INi, UN f't �i - - I.Nr TW-0
GAP/CAPP : 0 f H A R 8 1)1 SP 0 S A 1. 0 1 0000 t III, t. 0 1<F [ 0 R VP A I R t 0
At,/o,r . I'l R I N A 1,(1 0 1 4-100 • 1slt.. 0 OTHV N IIN I Is . 0
(41'3C PLM FIX I I1RU115, 0 G,A',1 1)IJ II f i
I car qAj-6qP oo cqrcretp 0at, bidg, 1-111 sides, trvqsf� ktith moral rani
PPOMI UICATIOA n 513 take sort d; , iolony soH
101i PIRAIT BECOAFS Wt AND 1'01b If WORt OR (ONSIRUCTIOR AMORt"fo Is NOT motwo W11010, (go PAYS, OR It lip 14001 IS "thp1#010 f0F A PERM
(VIEVID(off I)[ (00TMATION Of LIM IC A PRAWSS INSPE(TION 411410 TNT 190 PAI PF9141). ITNAt INSPHIM K"S1 ot
OwNtR OF
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by
date by te WALLBOARD NAILING
D.date by date by
Water Line FINAL INSPECTION
date by dat V date by
20 L; Q f- /, ale &-Zb--S'l `Z Z
U H11 DO "I N,U IM".
MAMM OUN '
E PANH TM E N T o f G E R A L S E R V i CE S
P.O. Box 186 SHELTON, ASHINGTON 98584
427-96 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONEI
OWNER -N /.- - 4 *,N V A
lr?
DIRECTIONS
TO JOB SITE 0 U9, 0
PARCEL LEGAL
NUMBER DESCR.
In e bel O nes and dimensions.
cement and roads.
Septic, drai ield and!es &ea, or sewer.
ept!c,�r "0*
0 Septic tan drainTield se I se distances ft foun tions.
0 Locati proposed construction on prope .
0, Ing& septic system setback distance rn all prope lines 84 easements.
ell and water li dicate NO 1ndicFte Noi ,
Saltwater, [a, ri rs, stream an, , ralinage. 94 V--"vA prep UsIg
systef Ui r e c
In Cjr-- e 0 Attach ept stream
1! permit approv 1.
0 indi e phy rofile of prop and cture on revers sic e.
e.
Poe
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too Q I
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4
I/We certify that the proposed construction will nform to the cltmensAkins and uses show - t first obtaining approval.
ILN,—0
-4
SIGNATURE OF OWNER(S)OR AUTHOR!ZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
S
TOPOGRf;PHY PROFILE OF PROPERTY ANDiLOQ T ION OF STRUCTURE
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77
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- �66 /bT La 7�_ o sir_�'-rhl or LAG ry
LSTRUCTURE PROPERTY SETBACKS
Chapter 14.08.180 of Mason County Code
Building setback from property lines, right-of-way, or the closest
projection shall be five (5) feet to said line.
A variance may be granted to said line if a hardship can be shown and
the adjacent property owner has no objection and is willing to incumber the
deed to his/her property and to be recorded with the Auditor of Mason
County a written statement on his property deed as follows:
The property owner described ( 1 ) Legal Description & N r 2 :✓-3
LIC aZ , L p 7' /(7, and the property adjacent (2) Legal Description
1); V Z 1 1-6 T T has been granted a variance of �v feet to the
Mason County 'property line setback regulations. The variance shall be for
the life of said structure or structures so located.
Dated this r% day of
Signed by property owner(s) . 4-
ROPERTY OWNER
-
�N�GE K. 8
\SSION sl -ADJ C PROPERL' OW"r
\oT AR,�N;
STATE OF WASH IWWIN)
)SS. UgL �,�. '.h
COUNTY OF In CA SO 25
.. �i
On this day personally appeared before me,_S� E(Mdn Officer. hober-I 6,-,Y-
to me known to be the individuals described in and executed the foregoing )
instrument, and acknowledged that they signed the same as their free and
voluntary act and ded, for the uses and purposes therein mentioned.
Given under my hand and official seal this day of Jun
SEAL
L
NOTARY PUBLIC in and for the State
of Washsington, residing at
Furthermore the variance so granted must be recorded on the property
deed of that parcel of property and a copy of the Auditor's Receipt returned
to the Department of General Services.
APPROVED BY MASON COUNTY CaMSSIONERS JULY 7, 1992
BUILDING PERMIT APPLICATION
MASON COUNTY
m� DEPARTMENT of GENERAL SERVICES
v 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED "ISG �v
PERMIT NO.
OWNER
NAME MAILADDRESS CITY&STATE ZIP PHONE
Jl,�
DIRECTIONS /'
TO JOB SITE - "R F D R 41C— 2 O v r Je
PARCEL LEGAL
NUMBER '"_' - �� D2U/ DESCR.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTOR �L
USE OF
BUILDING 61'�-'Z 6-4R GE4,1401�-
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE ��� -A i /
WORK !/F"� / X Z- /// C E' OA - C 9
-
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS $ Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE a STSgFt ATTACHED 0 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 4- DATE �`C�Z. X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES
PPROVENo DEPARTMENT YESPPROVENO BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING t',!,` FIRE MARSHAL BUILDING PERMIT J
D.O.T. BUILDING PLAN CHECK 1�,
SPECIAL CONDITIONS BUILDING GROUP ( PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
APPLICATION ACCEPTED BY PLANS CH APP D FOR ISSUANCE PERMIT VALIDATION
BY CASH CK MO TOTAL Z�
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