HomeMy WebLinkAboutBLD27997 Final Carport - BLD Permit / Conditions - 5/9/1991 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:.s:-9--/ '
MobileHome:
Smoke Detector:
Remarks:
o ting:Ph�i�fo�s D� y'-Jo•1/
Setback.
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE CARPORT
Permit No. 27997 No. Floors 1 Sq Ftg 864
Owner BROWN TERRY Tel 275-3429Date 4-29-91
Address NE 641 Old Be air Hwy, Be -a-irr Zip
Corxractor Go ni e Cosntruction Inc.
Address 8158 Se Fra aria Rd, Olalla, WA Zip
Legal Description 20-23-1 lot A SP 256
Direction to project site North of Belfair on Old
Belfair Hwy near Fire Station and on opposite
ide of ro
um cragMechanical Sewer Wood Stove
Fireplace Deck image arport
Basement ---Loft Other
STOWA" A� n � Q�
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
�( P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED G�
PERMIT NO. -0 I L�I
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER Terv- no,,v, WE 691 0 let ---'225- 3
DIRECTIONS ^/ f !/�
TO JOB SITE / .. OT 2 I�AM O r+ tel
P fr. • / r' F;I eS OL cr 6 opo O`,
7r R
PARCEL /� _ LEGAL n ��5 j
NUMBER ��p�CJ DESCR. /�' S (O
I
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHO
CONTRACTOR Go ^- c doh — , T Ifft SE GOLIV 100 L
USE OF / 0'G 'la LVM
BUILDING �r or} V Cpve el
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
WO ✓
WORK DESCRIBE po I 13 It e LA c Pe(
CA eo'arojJ ot let/ ova r . !mob e, et)
S o �� PIG .-• � 7 3 �
BEDROOMS DECKS CARPORT $_e� NOTICE /j4
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES __ BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT _ SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVA OM THE BUILDING DEPARTMENT.
X OWNER DATE X BY DATE _2-2
FOR OFFICE USE ONLY
DEPARTMENT YES NO APPROVED DEPARTMENT YES NO �APPROVED BUILDING VALUATION ! 1
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT ('t ✓
D.O.T. BUILDING �� PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
C O / - lz- /)c f T V WOODSTOVE
PLUMBING
r�. MECHANICAL
_G ✓ STATE BUILDING FEE yl
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APP OR I S ANCE PERMIT VALIDATION
k4-a3-9� � "/ >'�� B V CASH CK MO TOTAL
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER rsk, 1 '41JE 0y 1 ald `i 'S2 4 i27$' 29
DIRECTIONS
TO JOB SITE d. I e ;r- a.r '^ ea .r F, &4 ��
PARCEL LEGAL J p
NUMBER Z �j 2O- DESCR. Lp�' S` 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.
S
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.
P'. .-"v 2" 1-e�
SIGNA URE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE