HomeMy WebLinkAboutBLD0646 Final Pole Shed - BLD Permit / Conditions - 5/16/1989 TYPE POLE SHED
Permit No. 0646 No. Floors Sq Ftg 304
Owner BYERLY, John Te1275-6230 Date 4-19-88
Address Be air Zip
Contractor Self
Address Zip
Legal Description Tr 32 E-1/2,NE & W-1/2,NW 20-23-1
Direction to proje si e (Lot B S/P # 732)
1-1/2 mi. North frora Belfair on Old Belfair Hwy. Turn
ri ht onto Riverside Rd. 2nd drive, lot on left
Piu,nbing Mechanical Seer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
I �
Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile-Home:
Smoke Detector:
Remarks:
ooting:
Setback:
Foundation
Walls:
Framing
Fireplace:
Wood Stcvet
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED / C
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS / MrH f-ko k-✓l Ftl_ 9wl E' H f 0 gEC F
TO JOB SITE
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Alw Y. Ai T CK'S 01, �� o F 0.-7 L E�'r
PARCEL LEGAL20-/d d3 2Q DESCR. /J7 ��I O F S ha�� _ ��
NUMBER ( ?'►-,- `l� Z Tr.3� �A
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP ONE
CONTRACTOR >
Iva
USE OF
BUILDING O
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
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 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTALSQ.FT. -3c FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS ATANYTIME AFTERWORK 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 C FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTA ING APPROVAL FROM THE BUILDING DEPARTMENT. (j APPROVAL FROM THE BUILDING DEPARTMENT.
XO NE R' DATE 3 L O X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED YES NO YES NO BUILDING VALUATION
-s yy
HEALTH PUBLIC WORKS FEE
PLANNING ( FIRE BUILDING PERMIT ] y �'
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP _ 1i PRE-INSPECTION
L1161111AI _ t SHORELINE � S
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATIO TED BY PLANS CH BY APPROVED FOR ISSUANCE PERMIT VALIDATION i
TOTAL
BY ' �� CASH CK MO
PLOT PLAN
ADDRESS e17 . / 3 3 PERMIT NO. o
4 0
i o
LEGAL 1 , �� S / It
DESCRIPTION LOT y 3 BLK ADDITION
SITE AREA a '^' q. Ft. AREA OF SITE OCCUPIED BY BUILDINGS //v D 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. \
d
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
T
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: z— 11 Z_
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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 mode without
first obtaining approval.
-:2- e�'X"g e X ,6Ek r �ICPeL Y
NAME(S) OF OWNERS) OF SITE a STRUCTURE(S) (PRINT) IGNA U OF OWNER(S) O AUTM RIZ D REPRESENTATIVE
DO NOT WRITE BELOW TH E
APPROVED
DISTRICT AS NOTED DATE