HomeMy WebLinkAboutBLD20561 Final Sign - BLD Permit / Conditions - 9/19/1989 TYPE SIGN
Permit No. - 20561 No. Floors Sq Ftg
Owner- BEYNON, David Tel 275-4787 Date 7-7-87
Address NE 120th Hwy 300 Belf air Zip
Contractor Hanson Sign Co
Address Bremerton Zip
Legal Description Tr 4 NW,SW 28-23-1 (Tr B S/P #152)
Direction to project site NE 24133 Hwy 3
Plumbing Mechanical Sewer Wood Stove
( Fireplace Deck Garage arport
Basement Loft Other
6x11
Shorelines: Plumbing:
Setback: Mechanical :
Special Interior:
Conditions: FINAL:p,��//9
Mobile Home:
Smoke Detector:
Remarks:
Footing
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
_ BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED 7 1 el�17
PERMIT NO. '��2�/l '�� /
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER ✓ �aN) r Qi >ti f
DIRECTIONS
TO JOB SITE ` o 3
2 -32
PARCEL LEGAL R
NUMBER DESCR. D��/✓�✓-S�iJ T OC SP Sm
AME MAILADDRESS CITY&STATE LICENSE NO. ZI PHONE
CONTRACTOR Q
USE OF �
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
I 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
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 AM AWARE THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE�AENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR W H THE PER IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMA T RE H.rDIEPARTMENT.
HANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAIgNG APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL O HE LD
O NER DATE X B DAT
FOR OFFICE U"E 'LY
DE RTMENT YES NO
NO DEPARTMENT YES NO
BUILDING VALUATION
HEATH PUBLIC WORKS FEE
PLANNING �� FIRE BUILDING PERMIT '} S
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE J Ci
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS,H K BY / APPROVED FOR I SUANCE PERMIT VALIDATION
!/ .L/'✓Yn fG�/ TOTAL
` s> BY CASH CK MO
PLOT PLAN
ADDRESS„ PERMIT NO. ° o
= o
n >
LEGAL A
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.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
t"
IV
I/We certify that the proposed construction will conform to the Imensicrns and uses shown above and that no changes will be made without
first obtaining approval.
NAME(S) OF OWNER(S) OF SITE d STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE