HomeMy WebLinkAboutBLD22106 Garage - BLD Permit / Conditions - 6/7/1988i
Shorelines: Plumbing:
Setback: Mechanical :
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks: F0irWd_ �,r/!� AZ
Footing:
Setback: _ 6-'r 9's�
Foundation
Walls: / r D d n• -p E�o c� r
Framing: !//���Ce��/r �-9-4?
Fireplace: /e)/2t.
Wood Stove:
TYPE GARAGE
Permit No. 22106 No. Floors Sq Ftg 864
Owner CHALLMAN, John Tel 275-3445 Date 6-7-88
Address 251 NE Riverside P1 Belfair Zip
Contractor Self _
Address Zip
Legal Description Tr 34 E-1/2 NE & W-1/2, NW 20-23-1
Direction to project site _Old Belfair Hwy North 1.2
miles from Belfair
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage 864 Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED r(C7-
PERMIT NO. �✓ f
J MO N �� l� MAIL ADDRESS ,T�B=TATE l y q` ZIP r/�Q 'HONE
OWNER �-, ,a ,� ,4�! cL' l Nr c r� !/VL (�JjDIRECTIONSpr
TO JOB SITE �� �'��TIg,Q /�OQf/ri �� 2 / 0 �l�/� 1, P iPARCEL LEGAL
7� 3 y
N U M B E R�rJf� �� C/��/'Y� ESCR. ��� �
NA E MAILADDRESS CITY RSTATE LICENSE NO. ZIP PHONE
CONTRACTOR As /4120 li !Y
USE OF
BUILDING G q
CLASS OF NEW I�� ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE /
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE ,!U CONDITIONING,
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, 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
IREQUMENTS 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
FORMANCE THEREWITH. NO CH NGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
NZaE BU I DE ENT. APPROVAL FROM THE BUILDING DEPARTMENT.
DATE U X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES PPROVENo DEPARTMENT YES No
BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING 1�1� FIRE BUILDING PERMIT 1
D.O.T. BUILDING PLAN CHECK 4,
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE �L"Q
STATE SURCHARGE
APPLICATIO CCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
t BY CASH CK MO TOTAL g'v'�/lj
PLOT PLAN
ADDRESS PERMIT NO. 4 0
z s
n s
� o
LEGAL
DESCRIPTION LOT BLK ADDITION u
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 AND 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'
r;
Fir
r G r
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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.
00
E(S) OF OWNER(S) OF SITE S STRUCTURE(!) (PRINT) IGNATURE OF OWNER(S) OR AUTHORIZED R P ESEN ATIV
DO NOT WRITE EL OW THIS LINE
APPROVED
CT AS NOTED DATE
BOWLES NORTHWEST CO.
B WHOLESALE PLUMBING 8 HEATING SUPPLIES
700 N.Northlake Way • P.O.Box 31209,Seattle,WA 98103
N (206) 632-1680
WA 1-800-562-7616 • AK 1-800-336-9990 • Fax:(206)632-2513
-_- LARRY RAPP
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SEATTLE'S TOP RATED SUPPLY HOUSE
*INTEGRITY * INVENTORY
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