HomeMy WebLinkAboutBLD5889 Garage - BLD Permit / Conditions - 2/25/1980 Martin, Elvin W. #5889
2-25-80
20-13-1 Tr. 13 of N 1/2 NW 1/4 NE 1/4
3 mile North of Belfair on Old Hwy.
Garage
$7,548.00
2 - w Iz NBC)
�r m� �/���� �
BUILDING PERMIT APPLICATION
IV MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
23 /-Sb PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
E
w 6.7 7 OG
NS
SITE � r1? r. Ab. � f C "� C"/u c/o t4C
(❑ SEE ATTACHED SHEET)
NAME AIL ADDRESS CITY&STATE LICENSE NO. PHONE
CTORcL. f: C,
BUILDING C <--
Class of work: W ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
cr, me0
/ o-O
Valuation of work: $ PLAN CHECK FEE ^/� PERMIT FEE
i
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT U
NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE�6d�
ATTACHED [I SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME 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 ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT a SHORELINES i
SEASONAL Ll FLOODPLAIN I]
Firm
E.D. NO. S.E.P.A.
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
of the Mason County ordinance requirements for BUILDING DEPT. s'
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
AAI�LICATION A59CEPTED BY PLA S CHECK BY A^ROVED FOR I UANCE
Ow . v
.�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CAS
PLOT PLAN �2 3 �y 2 f
3'�
ADDRESSALL 1C PERMIT NO. ° .1 0
_ o
n >
a � o
� s
LEGAL DESCRI LOT BLK ADDITION u
SITE A 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.
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
AM-
y
I/We certify that the proposed construction will conform to the dimensio"s and uses shown above and that no changes will be made without
first obtaining approval.
NAMEM OF OWNER($) OF SITE d STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED DATE
DISTRICT AS NOTED
SHELTON PRTNTIN^