HomeMy WebLinkAboutBLD11283 Final Garage and Carport - BLD Permit / Conditions - 8/24/1982 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 (//Z�e`o
426-5593 L/
DATE ISSUED
PERMIT NO.
OWNER NA E n ^ AIL ADDRESS
N d STATE / ZIP PHONE/
DIRECTIONS
CY/ (!�
TO JOB SITE
FT
(❑ ATTACHED SHEET)
j S f G a 3" 10
NAME MAIL ADDRESS / R STATE C SE NO. PHONE
CONTRACTOR / I L
USE OF 1 S G'
BUILDING ( R A o AR pe5 A -�'
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEED
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT L J NOTICE
BATHROOMS TOTAL SO. FT/41_/,� GARAGE
ATTACHED I_] SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L7 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 I the
aware of the FOR OFFICE USE O N Y
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT LJ SHORELINES
SEASONAL L! FLOODPLAIN
Firm �ttl VYLkIL(2—� -� �� E.D. NO. S.E.P.A. (7
By ) t L-' ,/ _c� yL•2 ' Special Approvals IN OUT YES APPROVED NO
Lic. No.
0 N 5�`S✓ Date D 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.
of a Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
b in conformance therewith. MOTOR VEHICLE PERMIT
VIP�ICATION ACC ED B PLANS CHECK BY A ROVED FOR SUANCE
O ne1 FA
r Date.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION _�'CK'i M.O. CASE
` PLOT PLAN
ADDRESS � �� Al// �r�L PERMIT NO. f o
n >
�� stiy
LEGAL �y `J
DESCRIPTION ,4'e-4 _/ LOT BLK ADDITION �14
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"ID 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.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
I
f�
G
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.
NAME(S) OF OWNERS) OF SITE A STRUCTURE(S) (PRINT) G AT RE OF NER(S) AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED — 4
DISTRICT AS NOTED DATE (� �
SHELTON PRINTIN3
GROSS, Ray
#11283
St. Rt. 3, Belfair 08-24-81
Old Belfair Hiway, SE1/4 SE1/4, 20-23-1
A Tract of Land in)
Garage and Carport
Contractor - Olympic Steel
$6,768.00